Cornwall and the Isles of Scilly

81 Prevention of Future Deaths reports from the Cornwall and the Isles of Scilly coroner area, 2015–2025. 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

20151
20166
20175
20184
20198
20205
20213
20227
202316
202415
202510

Responses published

70 of 81 (86%) 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 26Other related deaths 18Suicide (from 2015) 10Road (Highways Safety) related deaths 9Emergency services related deaths (2019 onwards) 9Alcohol, drug and medication related deaths 7Mental Health related deaths 5Care Home Health related deaths 5Child Death (from 2015) 4Community health care 2Police related deaths 2Community health related deaths 1Community health care and emergency services related deaths 1

Coroners

Andrew Cox 44Guy Davies 20Emma Carlyon 11Emma Hillson 2Stephen Covell 2Barrie Van Den Berg 1Elizabeth Emma Carlyon 1

Reports

DateReportCoronerCategoryResponses
2025Izzah AliAndrew CoxChild Death (from 2015)3
2025Izzah AliAndrew CoxChild Death (from 2015)
2025Tracey OldfieldAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths1
2025Ann CampbellAndrew CoxOther related deaths1
2025Brian IngramAndrew CoxEmergency services related deaths (2019 onwards)1
2025David BatemanGuy DaviesHospital Death (Clinical Procedures and medical management) related deaths1
2025June ThompsonGuy DaviesHospital Death (Clinical Procedures and medical management) related deaths1
2025Andrew WatersGuy DaviesEmergency services related deaths (2019 onwards)1
2025Lachlan CampbellAndrew CoxAlcohol, drug and medication related deaths, Emergency services related deaths (2019 onwards)2
2025Lachlan CampbellAndrew CoxAlcohol, drug and medication related deaths, Emergency services related deaths (2019 onwards)1
2024Dorothy NiasEmma HillsonRoad (Highways Safety) related deaths2
2024Barrie ForsterAndrew CoxOther related deaths1
2024David MartinAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths1
2024Robin van CaliskanAndrew CoxChild Death (from 2015)1
2024John CoddAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths1
2024Paul HolmesStephen CovellRoad (Highways Safety) related deaths
2024Louise JonesGuy DaviesAlcohol, drug and medication related deaths1
2024Sally PoyntonAndrew CoxOther related deaths2
2024Brandon TurnerAndrew CoxSuicide (from 2015)3
2024Michaela HallAndrew CoxOther related deaths3
2024Robert ProwseGuy DaviesMental Health related deaths1
2024Patricia EykenGuy DaviesEmergency services related deaths (2019 onwards)1
2024Guy ScotchfordEmma HillsonSuicide (from 2015)2
2024Michael Pender, Jan Klempar and Paul MullenAndrew CoxOther related deaths1
2024Nicolas GerasimidisAndrew CoxSuicide (from 2015)1
2023Ian JackaGuy DaviesHospital Death (Clinical Procedures and medical management) related deaths3
2023Kenneth HeardGuy DaviesEmergency services related deaths (2019 onwards)1
2023John Seagrove, Pauline Humphris and Patricia StegglesAndrew CoxEmergency services related deaths (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths1
2023David LewseyAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths2
2023Valerie SimmonsAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths1
2023Talia PhillipsStephen CovellRoad (Highways Safety) related deaths, Alcohol, drug and medication related deaths2
2023Audrey KingGuy DaviesHospital Death (Clinical Procedures and medical management) related deaths1
2023Christopher StevensAndrew CoxSuicide (from 2015)2
2023Kaius TuttGuy DaviesRoad (Highways Safety) related deaths1
2023Julie HancockAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths1
2023Tamsin DolamoreAndrew CoxOther related deaths4
2023John RobertsGuy DaviesHospital Death (Clinical Procedures and medical management) related deaths2
2023Lugh BakerAndrew CoxCare Home Health related deaths1
2023Sharon HarmanAndrew CoxOther related deaths1
2023James ParsonsGuy DaviesOther related deaths, Alcohol, drug and medication related deaths3
2023Felice BanfieldAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths
2022Daniel TilleyAndrew CoxSuicide (from 2015)2
2022Tina AllenGuy DaviesCare Home Health related deaths1
2022David Morganti, Winnie Barnes, Robert Conybeare and Anthony ReedmanAndrew CoxEmergency services related deaths (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths2
2022Harry EvansGuy DaviesSuicide (from 2015)1
2022Ryan TaylorGuy DaviesRoad (Highways Safety) related deaths1
2022Laura SmallwoodAndrew CoxOther related deaths1
2022Coco BradfordAndrew CoxChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths1
2021Ryan TaylorGuy DaviesRoad (Highways Safety) related deaths1
2021Helen SpicerGuy DaviesAlcohol, drug and medication related deaths, Community health care2
2021Katie CorriganAndrew CoxAlcohol, drug and medication related deaths, Other related deaths2
2020Darrell SharplesAndrew CoxSuicide (from 2015), Mental Health related deaths3
2020Raymond WoodhouseAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths
2020Avis AddisonAndrew CoxOther related deaths1
2020Michael PenderAndrew CoxOther related deaths3
2020Gillian DaveyAndrew CoxOther related deaths
2019REDACTEDAndrew CoxSuicide (from 2015)
2019Ian BeanAndrew CoxEmergency services related deaths (2019 onwards), Suicide (from 2015)
2019Emily SimsGuy DaviesCare Home Health related deaths1
2019Dylan HentyAndrew CoxCare Home Health related deaths1
2019Geraint HughesAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths1
2019Jennifer WitheyAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths2
2019Michael CoxAndrew CoxCare Home Health related deaths, Mental Health related deaths1
2019Jeanette RobinsonAndrew CoxCommunity health related deaths2
2018Miriam RoachGuy DaviesOther related deaths
2018Thomas CurtinEmma CarlyonHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths1
2018David ButtrissEmma CarlyonHospital Death (Clinical Procedures and medical management) related deaths3
2018Pauline PryorEmma CarlyonHospital Death (Clinical Procedures and medical management) related deaths1
2017Pamela HandsEmma CarlyonHospital Death (Clinical Procedures and medical management) related deaths1
2017Terrence GeorgeEmma CarlyonHospital Death (Clinical Procedures and medical management) related deaths
2017Geoffrey TaylorEmma CarlyonRoad (Highways Safety) related deaths1
2017Henry ProwEmma CarlyonRoad (Highways Safety) related deaths1
2017Peter NortonGuy DaviesOther related deaths
2016Simon CharlesEmma CarlyonOther related deaths1
2016Dorethea ParrEmma CarlyonCommunity health care and emergency services related deaths1
2016David KnightEmma CarlyonHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths2
2016Margaret WakefieldEmma CarlyonHospital Death (Clinical Procedures and medical management) related deaths1
2016Danny SweetAndrew CoxHospital Death (Clinical Procedures and medical management) related deaths1
2016Christopher BroomBarrie Van Den BergOther related deaths
2015Miriam Smith-CoxElizabeth Emma CarlyonCommunity health care, Other related deaths2
0000-00-00Aaron LauderAndrew CoxRoad (Highways Safety) related deaths1

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