Devon, Plymouth and Torbay

15 Prevention of Future Deaths reports from the Devon, Plymouth and Torbay coroner area, 2024–2026. 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.

Reports per year

20246
20255
20264

Responses published

14 of 15 (93%) 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 7Child Death (from 2015) 3Alcohol, drug and medication related deaths 2Suicide (from 2015) 2Road (Highways Safety) related deaths 2Other related deaths 1Mental Health related deaths 1Community health care and emergency services related deaths 1

Coroners

Deborah Archer 4Philip Spinney 3Louise Wiltshire 2Nicholas Lane 2Ian Arrow 1Luisa Nicholson 1Stephen Covell 1Deborah Stewart 1

Reports

DateReportCoronerCategoryResponses
2026Taylor MaddoxStephen CovellSuicide (from 2015)1
2026Linda BrooksDeborah ArcherHospital Death (Clinical Procedures and medical management) related deaths1
2026Pamela GeorgeDeborah ArcherCommunity health care and emergency services related deaths1
2026Theo TuikubulauLouise WiltshireChild Death (from 2015)
2025Daisy McCoyDeborah StewartChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths1
2025Greta LewisPhilip SpinneyHospital Death (Clinical Procedures and medical management) related deaths2
2025Mary PomeroyNicholas LaneHospital Death (Clinical Procedures and medical management) related deaths1
2025Benjamin ComptonPhilip SpinneyRoad (Highways Safety) related deaths3
2025William NorthcottLouise WiltshireHospital Death (Clinical Procedures and medical management) related deaths, Alcohol, drug and medication related deaths4
2024Jean LanganIan ArrowHospital Death (Clinical Procedures and medical management) related deaths3
2024Raymond ReidPhilip SpinneyHospital Death (Clinical Procedures and medical management) related deaths1
2024Oliver BillingsLuisa NicholsonAlcohol, drug and medication related deaths, Mental Health related deaths3
2024Jay WhitingNicholas LaneRoad (Highways Safety) related deaths1
2024Maeve Boothby O’NeillDeborah ArcherOther related deaths5
2024Alfie TollettDeborah ArcherChild Death (from 2015)1

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