84 Prevention of Future Deaths reports from the Black Country coroner area, 2013–2026. Each one is a coroner's formal warning that something could cause more deaths unless it changes. Full text of every report is on this site.
61 of 84 (73%) have at least one response published on judiciary.uk.
This counts responses published against the report by anyone, not whether a particular body replied. Publication is at the Chief Coroner's discretion and was far less consistent in the corpus's early years, so read a low figure as a prompt to open the reports, not as a finding.
| Date | Report | Coroner | Category | Responses |
|---|---|---|---|---|
| 2026 | Stephen Rhodes | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2025 | Gurkirat Singh | Zafar Siddique | Road (Highways Safety) related deaths | 1 |
| 2025 | Shannon Lee | Zafar Siddique | Suicide (from 2015) | 1 |
| 2025 | Rashida Sultana | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Joshua Allcock | Zafar Siddique | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 5 |
| 2024 | Parminder Sanghera | Zafar Siddique | Police related deaths, Suicide (from 2015) | 2 |
| 2024 | David Wellington | Joanne Lees | Road (Highways Safety) related deaths | 1 |
| 2024 | Iain Hughes | Zafar Siddique | Other related deaths | 2 |
| 2024 | Paul Frear | Joanne Lees | Road (Highways Safety) related deaths | 1 |
| 2023 | Karmchand Gulzar | Michael Pemberton | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Lauren Smith | Joanne Lees | Emergency services related deaths (2019 onwards) | 5 |
| 2022 | Charles Evans | Joanne Lees | Care Home Health related deaths, Other related deaths | 3 |
| 2022 | Rita Flynn | Zafar Siddique | Other related deaths | 1 |
| 2022 | Keith Holmes | Joanne Lees | Other related deaths | 1 |
| 2021 | Karen Redding | Zafar Siddique | Alcohol, drug and medication related deaths, Care Home Health related deaths | 1 |
| 2021 | Tripta Bhanote | Zafar Siddique | Care Home Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2021 | Adam Brunskill | Joanne Lees | Accident at Work and Health and Safety related deaths | 2 |
| 2021 | Geoffrey Hill | Joanne Lees | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Sarah Brady | Joanne Lees | Hospital Death (Clinical Procedures and medical management) related deaths, Alcohol, drug and medication related deaths | 1 |
| 2021 | Lisa Grant | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2021 | Eric Bird | Joanne Lees | Care Home Health related deaths | 2 |
| 2021 | Lynn Hadley | Zafar Siddique | Emergency services related deaths (2019 onwards), Product related deaths | 4 |
| 2020 | Elsie Taylor | Joanne Lees | Emergency Services related deaths | 1 |
| 2020 | Eileen Brindley | Joanne Lees | Community health care, Other related deaths | 1 |
| 2020 | Edna Davenport | Joanne Lees | Care Home Health related deaths, Other related deaths | |
| 2020 | Jennifer McKoy | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2020 | Zachary Johnson | Joanne Lees | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2020 | Madhavbhai Patel | Joanne Lees | Community health care | 1 |
| 2019 | Safoora Alam | Zafar Siddique | Community health care, Suicide (from 2015) | 2 |
| 2019 | Annie Lloyd | Zafar Siddique | Community health care | 1 |
| 2019 | Shannon Quinn | Zafar Siddique | Mental Health related deaths, Community health care | 2 |
| 2019 | Peter Lawrence | Zafar Siddique | Mental Health related deaths | 1 |
| 2019 | Margaret Melia | Zafar Siddique | Care Home Health related deaths | 1 |
| 2019 | Elsa Reid | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2019 | David Squire | Emma Serrano | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
| 2018 | Sylvia Mitchell | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care and emergency services related deaths | 3 |
| 2018 | Charlotte Tripper | Zafar Siddique | Road (Highways Safety) related deaths | 1 |
| 2018 | Natalie Billingham | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Colin Johns | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Christine Withers | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Christopher Brookes | Zafar Siddique | Other related deaths | 1 |
| 2018 | Natasha Ford | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Ronald Compson | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Lakhminder Kaur | Zafar Siddique | Community health care and emergency services related deaths | |
| 2017 | Sarah Athersmith | Zafar Siddique | Child Death (from 2015), Railway related deaths | 2 |
| 2017 | Philip Powell | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Penelope Benton | Zafar Siddique | Mental Health related deaths, Suicide (from 2015) | 1 |
| 2017 | Reginald Dixon | Zafar Siddique | Community health care and emergency services related deaths | 1 |
| 2017 | Anne-Marie James | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2017 | Dorothy Webb | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Spencer Hurst | Zafar Siddique | Other related deaths | 1 |
| 2017 | Aston Soulsby | Zafar Siddique | Child Death (from 2015), Road (Highways Safety) related deaths | 1 |
| 2017 | Lily Townsend | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Sarah Poole | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Kenneth Evans | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Reginald Lewis | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2017 | Abigail Baynham | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015) | |
| 2016 | Beryl Farmer | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Vinod Kumar | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2016 | Glen Jordan | Zafar Siddique | Mental Health related deaths | 1 |
| 2016 | Tommi-Ray Vigrass | Zafar Siddique | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Kinga Cieciorska | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | |
| 2016 | Richard Parkes | Zafar Siddique | Community health care and emergency services related deaths | |
| 2016 | Marie Rollason | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Ryan Singh Bhogal | Zafar Siddique | Community health care and emergency services related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Frank Mellers | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Ashley Matthews | David Urpeth | Railway related deaths | 1 |
| 2015 | Frederick White | Zafar Siddique | Community health care and emergency services related deaths | 1 |
| 2015 | Eliza Bowen | Zafar Siddique | Care Home Health related deaths | |
| 2015 | Anne Fowler | Andrew Thompson | Other related deaths | |
| 2015 | Stanley Ward | Zafar Siddique | Care Home Health related deaths | |
| 2014 | Tracey Bannister | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Lorraine Sheridan | Zafar Siddique | Road (Highways Safety) related deaths | |
| 2014 | Beryl Walters | Andrew Thompson | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Kirsty Pritchard | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Nadine Thurman | Robin Balmain | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Bridget Cahill | Robin Balmain | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Arnold Soulsby | Robin Balmain | Road (Highways Safety) related deaths | 1 |
| 2014 | Sukbir Singh Rana & Mandip Singh | Robin Balmain | Road (Highways Safety) related deaths | |
| 2014 | John Dodd | Andrew Thompson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Bertram Hamilton | Robin Balmain | Other related deaths | |
| 2014 | Jason Nock | Robin Balmain | Alcohol, drug and medication related deaths | 1 |
| 2013 | Lucy Kilvert | Robin John Balmain | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2013 | John James Jackson | Robin Balmain | Product related deaths |
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