Cambridgeshire and Peterborough

40 Prevention of Future Deaths reports from the Cambridgeshire and Peterborough coroner area, 2016–2025. 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.

Reports per year

20162
20173
2018
20192
2020
20217
20224
20238
20248
20255

Responses published

30 of 40 (75%) 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.

What the reports are about

Hospital Death (Clinical Procedures and medical management) related deaths 21Child Death (from 2015) 13Suicide (from 2015) 7Road (Highways Safety) related deaths 7Mental Health related deaths 6Alcohol, drug and medication related deaths 5Other related deaths 5Community health care 3Police related deaths 3Railway related deaths 2State Custody related deaths 2Care Home Health related deaths 1Product related deaths 1Emergency services related deaths (2019 onwards) 1

Coroners

Simon Milburn 9Samantha Goward 4Elizabeth Gray 3Sean Horstead 3David Heming 3Caroline Jones 3Nicholas Moss Qc 3Keith Morton 2Nicholas Moss 2Philip Barlow 2Lorna Skinner Qc 2Samantha Broadfoot 1Rosamund Rhodes Kemp 1Lorna Skinner 1

Reports

DateReportCoronerCategoryResponses
2025Fallon AdamsSimon MilburnAlcohol, drug and medication related deaths1
2025Benedict BlytheElizabeth GrayChild Death (from 2015), Other related deaths2
2025Judith HughesSimon MilburnHospital Death (Clinical Procedures and medical management) related deaths1
2025Christian HobbsDavid HemingChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths8
2025Amelia RidoutElizabeth GrayChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths3
2024Patricia CurtisElizabeth GrayHospital Death (Clinical Procedures and medical management) related deaths2
2024Declan MorrisonSimon MilburnHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths3
2024Rachel GibsonPhilip BarlowHospital Death (Clinical Procedures and medical management) related deaths1
2024Jennifer Bunyan and Marion BunyanDavid HemingRoad (Highways Safety) related deaths2
2024Terrence TaylorKeith MortonCare Home Health related deaths, Product related deaths3
2024Colin McCallumSimon MilburnRoad (Highways Safety) related deaths1
2024Kellie SuttonSamantha BroadfootSuicide (from 2015)1
2024Brian ChapmanSimon MilburnRoad (Highways Safety) related deaths1
2023Gregor LynnCaroline JonesHospital Death (Clinical Procedures and medical management) related deaths3
2023Joanne ConstableCaroline JonesRoad (Highways Safety) related deaths1
2023Charlotte BurtonSamantha GowardHospital Death (Clinical Procedures and medical management) related deaths1
2023Chantelle ReedSamantha GowardHospital Death (Clinical Procedures and medical management) related deaths2
2023Louis ThoroldSimon MilburnChild Death (from 2015), Road (Highways Safety) related deaths2
2023Amelia BarbosaSamantha GowardChild Death (from 2015)2
2023Milan HamzaSimon MilburnRoad (Highways Safety) related deaths, Child Death (from 2015)1
2023Vivien RadoczSimon MilburnRoad (Highways Safety) related deaths
2022Karen Starling and Anne MartinezKeith MortonHospital Death (Clinical Procedures and medical management) related deaths2
2022Lewis PowterLorna SkinnerAlcohol, drug and medication related deaths, Mental Health related deaths
2022Muhammad HassanSamantha GowardChild Death (from 2015)
2022Daniel FrancePhilip BarlowChild Death (from 2015), Mental Health related deaths
2021Ethel BeaumontLorna Skinner QcHospital Death (Clinical Procedures and medical management) related deaths, Community health care
2021James NowshadiCaroline JonesMental Health related deaths, Suicide (from 2015)2
2021Samantha GouldNicholas Moss QcChild Death (from 2015), Suicide (from 2015)4
2021Christine GouldNicholas Moss QcPolice related deaths, Railway related deaths2
2021Lola SheldrakeLorna Skinner QcHospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015)
2021Alvin BlackSean HorsteadState Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths
2021Averil HartSean HorsteadHospital Death (Clinical Procedures and medical management) related deaths4
2019Myla DevirenRosamund Rhodes KempChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths
2019Rosa KingNicholas MossOther related deaths, Accident at Work and Health and Safety related deaths2
2017Peter SaintSean HorsteadHospital Death (Clinical Procedures and medical management) related deaths3
2017Sam CrickDavid HemingHospital Death (Clinical Procedures and medical management) related deaths3
2017Richard DaviesNicholas MossPolice related deaths1
2016Edward MallenBelinda CheneyCommunity health care and emergency services related deaths, Suicide (from 2015)
2016Peter LawrenceSimon MilburnState Custody related deaths
0000-00-002021-0184Nicholas Moss QcCommunity health care, Mental Health related deaths3

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