South London

50 Prevention of Future Deaths reports from the South London 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.

Reports per year

20132
20145
20153
20166
20172
20184
20193
20203
20214
20222
20232
20242
202510

Responses published

29 of 50 (58%) 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 11Suicide (from 2015) 10Mental Health related deaths 8Child Death (from 2015) 7Alcohol, drug and medication related deaths 7Community health care and emergency services related deaths 6Other related deaths 5Community health care 4Road (Highways Safety) related deaths 3Railway related deaths 3Emergency services related deaths (2019 onwards) 3Care Home Health related deaths 3Police related deaths 2

Coroners

Selena Lynch 15Jonathan Landau 8Andrew Harris 4Sonia Hayes 3Jacqueline Devonish 3Sian Reeves 3Dr R N Palmer 3John Taylor 2Edmund Gritt 2Sarah Ormond Walshe 2Sebastian Naughton 1Ivor Collett 1S Ormond Walshe 1Dame Linda Dobbs 1

Reports

DateReportCoronerCategoryResponses
2025Ashana CharlesAndrew HarrisHospital Death (Clinical Procedures and medical management) related deaths1
2025Evelyn Rae Le Masurier-O’SullivanSian ReevesChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths
2025Leo BarberEdmund GrittChild Death (from 2015), Railway related deaths1
2025Luke ChattertonAndrew HarrisAlcohol, drug and medication related deaths
2025Miles RobinsonSian ReevesEmergency services related deaths (2019 onwards)
2025Anthony WoodJohn TaylorHospital Death (Clinical Procedures and medical management) related deaths
2025Caroline and Bernard CleallIvor CollettCommunity health care and emergency services related deaths1
2025Christopher McDonaldSian ReevesMental Health related deaths, Suicide (from 2015)1
2025Luke WorrellAndrew HarrisMental Health related deaths4
2025Paul DunneAndrew HarrisHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths2
2024Neil WoodleyJonathan LandauSuicide (from 2015)2
2024Sailor CourtSebastian NaughtonSuicide (from 2015), Child Death (from 2015)2
2023Samuel HowesJohn TaylorChild Death (from 2015), Suicide (from 2015)2
2023Patrick SoamesEdmund GrittSuicide (from 2015)
2022Samuel PearsonJonathan LandauAlcohol, drug and medication related deaths3
2022Raphael GillJonathan LandauEmergency services related deaths (2019 onwards), Alcohol, drug and medication related deaths1
2021Stephen VerrallJonathan LandauCare Home Health related deaths2
2021Richard BoatengJonathan LandauCommunity health care and emergency services related deaths, Emergency services related deaths (2019 onwards)3
2021Hazel WiltshireJonathan LandauHospital Death (Clinical Procedures and medical management) related deaths1
2021John HumphriesJonathan LandauHospital Death (Clinical Procedures and medical management) related deaths1
2020Patricia McAdamS Ormond WalsheCommunity health care
2020Anita LoiJacqueline DevonishCommunity health care1
2020Billy JenkinsJacqueline DevonishAlcohol, drug and medication related deaths, Mental Health related deaths1
2019Francesca SioJonathan LandauHospital Death (Clinical Procedures and medical management) related deaths2
2019Yong HongSonia HayesCare Home Health related deaths, Community health care
2019Catherine HortonSarah Ormond WalsheMental Health related deaths1
2018Julia MacPhersonSonia HayesHospital Death (Clinical Procedures and medical management) related deaths2
2018Doris McCarthyJacqueline DevonishCare Home Health related deaths
2018Rosalind FlettSelena LynchMental Health related deaths
2018Ellie ButlerDame Linda DobbsChild Death (from 2015)
2017Jeremiah ObakaSelena LynchCommunity health care and emergency services related deaths
2017Olaseni LewisSelena LynchHospital Death (Clinical Procedures and medical management) related deaths, Police related deaths2
2016Christopher BrennanSelena LynchChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths
2016Ratidzai SangareSelena LynchHospital Death (Clinical Procedures and medical management) related deaths
2016Darren MindhamSelena LynchSuicide (from 2015)1
2016Monica Lewis-HindsSelena LynchCommunity health care and emergency services related deaths
2016Robert WalkerSelena LynchRoad (Highways Safety) related deaths
2016Rio AndrewSelena LynchCommunity health care and emergency services related deaths, Child Death (from 2015)2
2015Anne WilsonSonia HayesCommunity health care and emergency services related deaths1
2015Colette HughesSelena LynchOther related deaths1
2015John LoboSelena LynchOther related deaths1
2014Roger de KlerkSelena LynchRoad (Highways Safety) related deaths1
2014Liam HardySelena LynchMental Health related deaths
2014Deanne SmithDr R N PalmerAlcohol, drug and medication related deaths1
2014Brian KentDr R N PalmerOther related deaths
2014Samuel BoonSelena LynchAlcohol, drug and medication related deaths
2013Elsie GibsonDr Rn PalmerOther related deaths
2013Nicola MatthewsDr R N PalmerMental Health related deaths
0000-00-002021-0337Sarah Ormond WalsheRailway related deaths, Road (Highways Safety) related deaths8
0000-00-00Darren MindhamSelena LynchAlcohol, drug and medication related deaths, Suicide (from 2015)

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