36 Prevention of Future Deaths reports from the Hertfordshire coroner area, 2013–2025. 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.
26 of 36 (72%) 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 |
|---|---|---|---|---|
| 2025 | Cheryl Edwards | Geoffrey Sullivan | Road (Highways Safety) related deaths | 2 |
| 2025 | Darren Reilly and Tyler Cox | Jacques Howell | Road (Highways Safety) related deaths | 1 |
| 2025 | Paul Burke | Jacques Howell | Emergency services related deaths (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Joshua Weavers | Jacques Howell | Child Death (from 2015), Community health care and emergency services related deaths | 3 |
| 2024 | Megan Davison | Alison Mccormick | Suicide (from 2015) | 2 |
| 2023 | Susan Gladstone | Graham Danbury | Alcohol, drug and medication related deaths | |
| 2023 | Kristopher Tilbury | Jonathan Stevens | State Custody related deaths, Alcohol, drug and medication related deaths | |
| 2023 | David Andrews | Jacques Howell | Road (Highways Safety) related deaths | 1 |
| 2022 | David Clark | Geoffrey Sullivan | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2022 | John Skinner | Graham Danbury | Hospital Death (Clinical Procedures and medical management) related deaths, Alcohol, drug and medication related deaths | |
| 2022 | 2022-0043 | Geoffrey Sullivan | Care Home Health related deaths | |
| 2021 | Katie Locke | Alison Mccormick | Hospital Death (Clinical Procedures and medical management) related deaths, Other related deaths | |
| 2020 | Eddie Coffey | Jonathan Stevens | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | 2 |
| 2020 | Kelly Sutton | Geoffrey Sullivan | Suicide (from 2015), Other related deaths | 1 |
| 2020 | Peter Cole | Geoffrey Sullivan | Alcohol, drug and medication related deaths, Other related deaths | 1 |
| 2020 | Jack Postle | Geoffrey Sullivan | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Tillie Spencer-Adams | Geoffrey Sullivan | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | 1 |
| 2018 | Thomas Nicol | Geoffrey Sullivan | State Custody related deaths, Suicide (from 2015) | 2 |
| 2018 | Kevin Sherwood | Geoffrey Sullivan | Railway related deaths, Suicide (from 2015) | 1 |
| 2018 | Darren Urquhart | Geoffrey Sullivan | Railway related deaths | |
| 2018 | Daniel O’Mahony | Geoffrey Sullivan | Railway related deaths, Suicide (from 2015) | 1 |
| 2018 | Matthew Faulkner | Geoffrey Sullivan | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 4 |
| 2017 | Scott Rayner | Edward Solomons | Railway related deaths | 1 |
| 2017 | Linda Baranowski | Geoffrey Sullivan | Other related deaths, Product related deaths | 2 |
| 2016 | Brian Mills | Geoffrey Sullivan | Community health care and emergency services related deaths | 1 |
| 2016 | Kevin Hefferman | Graham Danbury | Road (Highways Safety) related deaths | 1 |
| 2016 | Vichal Tonpradit | Geoffrey Sullivan | Road (Highways Safety) related deaths | 1 |
| 2016 | Jan Bodnar | Graham Danbury | Road (Highways Safety) related deaths | 1 |
| 2015 | Rebecca Jones | Edward Thomas | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Eileen Smith | Edward Thomas | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Simon Satchwell | Edward Thomas | Other related deaths | |
| 2014 | Stephen Amer | Edward Thomas | Community health care and emergency services related deaths | 1 |
| 2014 | Yahya Khan | Edward Thomas | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Ozan Atasoy | Edward Thomas | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2013 | John Gwynfryn Morris | Edward Thomas | Care Home Health related deaths | 1 |
| 2013 | Ishmail Kubilay | Edward Thomas | Hospital Death (Clinical Procedures and medical management) related deaths |
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