Exeter and Greater Devon

31 Prevention of Future Deaths reports from the Exeter and Greater Devon coroner area, 2014–2023. 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

20141
20154
20167
20176
20183
20192
20201
20212
20221
20234

Responses published

29 of 31 (94%) 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 11State Custody related deaths 6Suicide (from 2015) 5Mental Health related deaths 5Road (Highways Safety) related deaths 3Railway related deaths 2Child Death (from 2015) 1Service Personnel related deaths 1Accident at Work and Health and Safety related deaths 1Police related deaths 1Community health care and emergency services related deaths 1Alcohol, drug and medication related deaths 1Other related deaths 1

Coroners

Lydia Brown 9Elizabeth Earland 6John Tomalin 6Philip Spinney 4Nicholas Rheinberg 3Alison Longhorn 2John Tomlin 1

Reports

DateReportCoronerCategoryResponses
2023Nicholas DymondAlison LonghornRailway related deaths1
2023Stewart StanleyPhilip SpinneyState Custody related deaths, Suicide (from 2015)1
2023Geoffrey BrooksPhilip SpinneyHospital Death (Clinical Procedures and medical management) related deaths1
2023Eric HuberPhilip SpinneySuicide (from 2015), Mental Health related deaths
2022Archi JohnsonAlison LonghornMental Health related deaths, Suicide (from 2015)1
2021Carl WaltersNicholas RheinbergState Custody related deaths1
2021Corin BonaparteNicholas RheinbergState Custody related deaths, Mental Health related deaths1
2020Lewis FrancisNicholas RheinbergMental Health related deaths, Suicide (from 2015)2
2019Allan JoslinLydia BrownHospital Death (Clinical Procedures and medical management) related deaths1
2019Stuart ClarkPhilip SpinneyHospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015)1
2018Karl WillisLydia BrownHospital Death (Clinical Procedures and medical management) related deaths1
2018Darren TrewinJohn TomalinRoad (Highways Safety) related deaths1
2018David IrelandLydia BrownHospital Death (Clinical Procedures and medical management) related deaths1
2017Stephen ShaylorElizabeth EarlandState Custody related deaths1
2017Margaret PineJohn TomalinRoad (Highways Safety) related deaths1
2017Colin SlumanElizabeth EarlandHospital Death (Clinical Procedures and medical management) related deaths2
2017James SpencerLydia BrownOther related deaths1
2017Wendy TelferLydia BrownHospital Death (Clinical Procedures and medical management) related deaths3
2017David AlexanderLydia BrownAccident at Work and Health and Safety related deaths1
2016Matthew Llewellyn-JonesLydia BrownHospital Death (Clinical Procedures and medical management) related deaths1
2016Louise TurnerLydia BrownHospital Death (Clinical Procedures and medical management) related deaths1
2016Michael YounghusbandJohn TomalinRailway related deaths1
2016Jessica BirkheadJohn TomalinMental Health related deaths2
2016Keenan WalshElizabeth EarlandChild Death (from 2015)2
2016David CurtisJohn TomalinRoad (Highways Safety) related deaths1
2016Patricia MedlandLydia BrownCommunity health care and emergency services related deaths1
2015Diane KnightJohn TomalinHospital Death (Clinical Procedures and medical management) related deaths1
2015Carl SmithElizabeth EarlandAlcohol, drug and medication related deaths, State Custody related deaths1
2015Cameron LaingElizabeth EarlandService Personnel related deaths1
2015Alec MathiasElizabeth EarlandHospital Death (Clinical Procedures and medical management) related deaths
2014Jason PalmerJohn TomlinPolice related deaths1

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