68 Prevention of Future Deaths reports from the Cumbria coroner area, 2015–2026. 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 68 (90%) 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 | James Stewart | Robert Cohen | 1 | |
| 2026 | James Coates | Robert Cohen | Road (Highways Safety) related deaths | 1 |
| 2026 | Darren Dickson | Andrew Cousins | Alcohol, drug and medication related deaths | 1 |
| 2026 | Darren Dickson | Andrew Cousins | Alcohol, drug and medication related deaths | 1 |
| 2026 | Jardine Williams | Andrew Cousins | Mental Health related deaths | 2 |
| 2026 | Jardine Williams | Andrew Cousins | Mental Health related deaths | 1 |
| 2026 | Charlotte Jones | Kirsty Gomersal | Alcohol, drug and medication related deaths | 1 |
| 2026 | Rita Thomas and Christine Dale | Robert Cohen | Road (Highways Safety) related deaths | 2 |
| 2025 | John Oates | Kirsty Gomersal | Other related deaths | 1 |
| 2025 | Mark Foster | Kirsty Gomersal | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Martin Evans, Patricia Evans and Neil Errington | Robert Cohen | Road (Highways Safety) related deaths | 2 |
| 2025 | Beatrice Smith | Robert Cohen | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Thomas Mallinson | Nicholas Shaw | Emergency services related deaths (2019 onwards), Community health care and emergency services related deaths | 4 |
| 2025 | Sarah Hill | Margaret Taylor | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Janet Scott | Robert Cohen | Community health care and emergency services related deaths, Mental Health related deaths | 1 |
| 2025 | Matthew Brierley | Nicholas Shaw | Suicide (from 2015), Police related deaths | 4 |
| 2024 | Lee Armstrong | Robert Cohen | Emergency services related deaths (2019 onwards) | 2 |
| 2024 | Daphne Austin | Robert Cohen | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | James Capstick | Nicholas Shaw | Care Home Health related deaths | 3 |
| 2024 | Stephen Lindsay | Robert Cohen | Mental Health related deaths | 1 |
| 2024 | Nancy Rogers | Nicholas Shaw | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Michael Huggon | Nicholas Shaw | Community health care and emergency services related deaths | 2 |
| 2024 | Karen Thomason | Robert Cohen | Alcohol, drug and medication related deaths | 1 |
| 2024 | Dayle Bates | Robert Cohen | Alcohol, drug and medication related deaths | 1 |
| 2024 | Thomas Godderidge | Robert Cohen | Other related deaths | 1 |
| 2024 | Karena Wicking | Nicholas Shaw | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Walter Faulder | Nicholas Shaw | Road (Highways Safety) related deaths | 2 |
| 2023 | Gerard Goodwin | Robert Cohen | Railway related deaths | 1 |
| 2023 | Kevin Gale | Kirsty Gomersal | Suicide (from 2015) | 1 |
| 2023 | Gordon Rodger | Robert Cohen | Suicide (from 2015), Railway related deaths | 1 |
| 2023 | Elsie Murphy | Nicholas Shaw | Other related deaths | 1 |
| 2023 | Brenda Shields | Nicholas Shaw | Suicide (from 2015), Alcohol, drug and medication related deaths | 1 |
| 2023 | Chester Mossop | Kirsty Gomersal | Child Death (from 2015), Product related deaths | 2 |
| 2023 | Nicholas Dumphreys | Robert Cohen | Road (Highways Safety) related deaths | 1 |
| 2023 | Gary Cooper | Robert Cohen | Suicide (from 2015) | 1 |
| 2022 | Gordon Hendley | Nicholas Shaw | Alcohol, drug and medication related deaths, Community health care and emergency services related deaths | |
| 2022 | Peter Moorby | Kirsty Gomersal | Alcohol, drug and medication related deaths | 4 |
| 2022 | Stephen Cloudsdale | Craig Smith | Road (Highways Safety) related deaths, Other related deaths | 1 |
| 2022 | Darran Busby | Robert Cohen | Suicide (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2021 | Darrell Devlin | Dr Nicholas Shaw | Alcohol, drug and medication related deaths, Product related deaths | 2 |
| 2021 | Charlotte Duffield | Dr Nicholas Shaw | Other related deaths, Community health care | 1 |
| 2020 | Daniel Bancroft | Simon Ward | Road (Highways Safety) related deaths | 2 |
| 2020 | Allan Watt | Nicholas Shaw | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2020 | Mary Nelson | Nicholas Shaw | Alcohol, drug and medication related deaths | |
| 2019 | Charlotte Grace | Nicholas Shaw | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
| 2019 | Liane Davenport | Kally Cheema | Mental Health related deaths, Alcohol, drug and medication related deaths | 1 |
| 2019 | Rebecca Quail | Kally Cheema | Road (Highways Safety) related deaths | |
| 2019 | Michael Henderson | Kirsty Gomersal | Road (Highways Safety) related deaths, Alcohol, drug and medication related deaths | 2 |
| 2019 | Steven Key | Robert Chapman | Railway related deaths, Suicide (from 2015) | 1 |
| 2019 | Doreen Fell | Paul O Donnell | Road (Highways Safety) related deaths | 1 |
| 2018 | Caitlin Huddleston and Skye Mitchell | Robert Chapman | Road (Highways Safety) related deaths | 2 |
| 2018 | Karen Edgar | David Roberts | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Sharon Grierson | David Roberts | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2017 | Kathleen Holme | Robert Chapman | Other related deaths | 1 |
| 2017 | Jeffery Matthews | Kally Cheema | Road (Highways Safety) related deaths | 1 |
| 2017 | Michael Parke | David Roberts | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2017 | Amanda Coulthard | David Roberts | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2016 | Frazer Livesey | David Roberts | Other related deaths, Community health care and emergency services related deaths | 1 |
| 2016 | Kevin Ritson | David Roberts | Road (Highways Safety) related deaths | |
| 2016 | Constance Pridmore | Paul O Donnell | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2016 | Tony Jopson and Michael Jopson | David Roberts | Road (Highways Safety) related deaths, Child Death (from 2015) | 1 |
| 2016 | Andrew Coates | David Roberts | Other related deaths | 1 |
| 2015 | Richard Green | David Roberts | State Custody related deaths | 1 |
| 2015 | Violet Cloudsdale | Paul O Donnell | Care Home Health related deaths | |
| 2015 | Michael Hanlon | Philip Sharp | Accident at Work and Health and Safety related deaths | 1 |
| 2015 | Meryl Parry | Robert Chapman | Other related deaths | 1 |
| 2015 | Alice McMeekin | David Roberts | Police related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2015 | Alexander Ball | David Roberts | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
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