40 Prevention of Future Deaths reports from the Gloucestershire coroner area, 2013–2026. 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.
32 of 40 (80%) 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 | John Beagley | Roland Wooderson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Margaret Taylor | Rebecca Ollivere | Care Home Health related deaths | 1 |
| 2025 | Callan Atkins | Roland Wooderson | Suicide (from 2015) | |
| 2025 | James Sheppard | Roland Wooderson | Suicide (from 2015) | 2 |
| 2025 | Maria Simpson | Roland Wooderson | Community health care and emergency services related deaths | 1 |
| 2025 | Thomas Kingston | Katy Skerrett | Suicide (from 2015) | 3 |
| 2024 | Lamarah Scarlett | Katy Skerrett | Child Death (from 2015) | 1 |
| 2024 | Severine Kelly | Roland Wooderson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Donald Brown | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Richard Sanders | Katy Skerrett | Other related deaths | 3 |
| 2019 | Elisa Fuller | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Colin Cameron | Katy Skerrett | Railway related deaths | 1 |
| 2019 | Ahmed Motala | Caroline Saunders | Road (Highways Safety) related deaths | 1 |
| 2019 | Barry Clow | Caroline Saunders | Road (Highways Safety) related deaths | 1 |
| 2019 | Christopher Barnes | Katy Skerrett | Road (Highways Safety) related deaths | 2 |
| 2019 | John Alliston | Katy Skerrett | Other related deaths | 1 |
| 2019 | Graham Jones | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Jonathan Yates | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Robert Hughes | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
| 2018 | Andrea Franzosi | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Robert Power | Katy Skerrett | Care Home Health related deaths | 1 |
| 2018 | Jonathan Earp | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Martin Tilley | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | |
| 2018 | David Sketchley | Caroline Saunders | Care Home Health related deaths | 1 |
| 2018 | Barbara Ellis | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2017 | Susan Smalley | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care and emergency services related deaths | |
| 2017 | Ronald Brewer | Katy Skerrett | Care Home Health related deaths | 1 |
| 2017 | Shaun Carter | Caroline Saunders | Accident at Work and Health and Safety related deaths | 1 |
| 2017 | Rose Workman | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care and emergency services related deaths | 1 |
| 2017 | Bonamie Armitage | Katy Skerrett | Child Death (from 2015), Other related deaths | 1 |
| 2017 | Steven Amos | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2017 | Terence White | Simon Fox | Care Home Health related deaths | 1 |
| 2017 | Daphne Cherry | Katy Skerrett | Care Home Health related deaths | 1 |
| 2016 | Anielka Jennings | Katy Skerrett | Child Death (from 2015), Suicide (from 2015) | |
| 2016 | Matthew Gunn | Katy Skerrett | Accident at Work and Health and Safety related deaths | 1 |
| 2016 | Gwendoline Clarke | Katy Skerrett | Care Home Health related deaths | 1 |
| 2015 | Samantha Beach | Katy Skerrett | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2015 | Diana Hughes | Katy Skerrett | Community health care and emergency services related deaths | 1 |
| 2013 | Daniel Onley | Tom Osborne | Care Home Health related deaths | 1 |
| 2013 | Martin Leslie Brown | Tom Osborne | Road (Highways Safety) related deaths | 1 |
See every Prevention of Future Deaths report matching Gloucestershire, and how often a new one appears.
What would an alert for this have sent me? Search the full text
Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.