53 Prevention of Future Deaths reports from the Gwent coroner area, 2014–2026. 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.
45 of 53 (85%) 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 | Alan Tomlinson | Martin Lanchester | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2026 | Brema Virgo | Frazer Stuart | Other related deaths | 1 |
| 2026 | Della Calvey | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2025 | Philip Hoggarth | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Marc Davies | Caroline Saunders | Alcohol, drug and medication related deaths | 1 |
| 2025 | Steven Turzynski | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2025 | Isaac Ingle-Gillis | Caroline Saunders | Alcohol, drug and medication related deaths, Suicide (from 2015) | 1 |
| 2025 | Robyn Chambers | Caroline Saunders | Child Death (from 2015), Emergency services related deaths (2019 onwards) | 1 |
| 2025 | Marina Waldron | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Jeffrey Tyler | Caroline Saunders | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Huw Erasmus | Caroline Saunders | Wales prevention of future deaths reports (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Jean Thomas | Caroline Saunders | Wales prevention of future deaths reports (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Kay Simmonds | Caroline Saunders | Alcohol, drug and medication related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Marjorie Michael | Caroline Saunders | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Sylvia Evans | Caroline Saunders | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Neil Edwards | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Mouayed Bashir | Caroline Saunders | Alcohol, drug and medication related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2023 | Catriona Martin | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Kaye McCoy | Caroline Saunders | Suicide (from 2015), Mental Health related deaths | 1 |
| 2023 | Maria Shafighian | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Andrew Still | Caroline Saunders | Road (Highways Safety) related deaths | 1 |
| 2023 | Mary White | Naomi Rees | Wales prevention of future deaths reports (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Dorothy Jones | Caroline Saunders | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2023 | Lucy Jones | Caroline Saunders | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Glenys Phipps | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Gareth Williams | Caroline Saunders | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Gwynne Samuel | Caroline Saunders | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Marvin Rue | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | |
| 2022 | Barbara Young | Caroline Saunders | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Brian Wareham | Caroline Saunders | Wales prevention of future deaths reports (2019 onwards), Community health care | 2 |
| 2022 | Ian Miller | Caroline Saunders | State Custody related deaths, Suicide (from 2015) | 1 |
| 2021 | Mustafa Abdelkarim | Caroline Saunders | Wales prevention of future deaths reports (2019 onwards), Other related deaths | 1 |
| 2021 | Steven Evans | Caroline Saunders | Other related deaths, Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2021 | Siwan Smith | Caroline Saunders | Community health care, Mental Health related deaths | 1 |
| 2021 | Valmai West | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2021 | Lynne Lawrence | Caroline Saunders | Road (Highways Safety) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2021 | Elizabeth Robinson | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Alan Jones | Caroline Saunders | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | John Berrow | Caroline Saunders | Other related deaths | 1 |
| 2020 | Rory Attwood | Caroline Saunders | Mental Health related deaths, Alcohol, drug and medication related deaths | 1 |
| 2020 | John Tucker | Caroline Saunders | Alcohol, drug and medication related deaths | |
| 2020 | Alyn Rees | Caroline Saunders | Emergency Services related deaths, Wales prevention of future deaths reports (2019 onwards) | |
| 2019 | Gareth Williams | Caroline Saunders | Road (Highways Safety) related deaths | |
| 2019 | Jamie Staley | Caroline Saunders | Road (Highways Safety) related deaths | 2 |
| 2018 | Diane Greenslade | Wendy James | Community health care and emergency services related deaths | 2 |
| 2018 | Ellie Clark | Wendy James | Community health care and emergency services related deaths | 1 |
| 2016 | Georgina Lewis | David Bowen | Suicide (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2015 | Thomas Black | Wendy James | State Custody related deaths | |
| 2015 | Rachel Hollister | Wendy James | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Joanna Greensmith | Wendy James | Road (Highways Safety) related deaths | 1 |
| 2014 | Janette Sutherland | Wendy James | Road (Highways Safety) related deaths | 2 |
| 2014 | Benjamin James Carroll | Wendy James | Road (Highways Safety) related deaths | 1 |
| 2014 | Desrae Tucker | Wendy James | Hospital Death (Clinical Procedures and medical management) related deaths |
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