72 Prevention of Future Deaths reports from the North Wales (East and Central) coroner area, 2015–2026. 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.
60 of 72 (83%) 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 | Angela Darlow | Kate Robertson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2026 | Heather Parkhill | John Gittens | Alcohol, drug and medication related deaths, Emergency services related deaths (2019 onwards) | 2 |
| 2026 | Rory Williams | Kate Robertson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | David Langford | Kate Robertson | Conwy County Borough Council | 1 |
| 2025 | Matthew Singh Prevention of future deaths report | Kate Robertson | State Custody related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Caitlin Imber | John Gittins | Mental Health related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Jeanette Sidlow Beech | Kate Robertson | Alcohol, drug and medication related deaths, Emergency services related deaths (2019 onwards) | 1 |
| 2025 | Patricia Catterall | John Gittins | Care Home Health related deaths, Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2025 | Emma Hill | John Gittins | Wales prevention of future deaths reports (2019 onwards), Road (Highways Safety) related deaths | 1 |
| 2025 | Leanne Carroll | Kate Robertson | Mental Health related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Ann Cotgrove | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Carl Butler and Sean Brett | John Gittins | Road (Highways Safety) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Andrew Howat | John Gittins | Road (Highways Safety) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Margaret Daly | John Gittins | Wales prevention of future deaths reports (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Shirley Hughes | John Gittins | Wales prevention of future deaths reports (2019 onwards), Emergency services related deaths (2019 onwards) | 1 |
| 2024 | Eric Thompson | Kate Robertson | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Ben Harrison | Kate Robertson | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Maureen Owens | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Jennifer Trigger | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Benjamin Leonard | David Pojur | Child Death (from 2015), Other related deaths | 8 |
| 2024 | Philip Taylor | Kate Robertson | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2024 | Thomas Ithell | Kate Robertson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Vivienne Greener | David Pojur | Emergency services related deaths (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | John Thomas | John Gittins | Road (Highways Safety) related deaths | 1 |
| 2023 | Catherine Jones | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Hazel Pearson | Kate Robertson | Care Home Health related deaths | 1 |
| 2023 | Margaret Kelly | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Richard Griffiths | Kate Robertson | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2023 | Rashdah Bhatti | John Gittins | Wales prevention of future deaths reports (2019 onwards), Emergency services related deaths (2019 onwards) | 1 |
| 2023 | Malcolm Unwin | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Philip Hawkins | David Pojur | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2023 | Ross Ballatine, Carl McGrath, Alan Minard | David Lewis | Other related deaths | 1 |
| 2023 | Emily Corfield | Kate Robertson | Alcohol, drug and medication related deaths | 2 |
| 2023 | Emlyn Roberts | John Gittins | Wales prevention of future deaths reports (2019 onwards), Emergency services related deaths (2019 onwards) | |
| 2023 | Jean Frickel | Kate Sutherland | Wales prevention of future deaths reports (2019 onwards), Emergency services related deaths (2019 onwards) | |
| 2023 | Leonard Harmsworth | Kate Sutherland | Wales prevention of future deaths reports (2019 onwards), Emergency services related deaths (2019 onwards) | |
| 2023 | Andrew Shambrook | John Gittins | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2023 | Nancy Price | Kate Sutherland | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2023 | Ben Harrison | Kate Sutherland | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | |
| 2023 | David Strachan | Kate Sutherland | Wales prevention of future deaths reports (2019 onwards), Emergency services related deaths (2019 onwards) | 2 |
| 2022 | Emma Powell | John Gittins | Other related deaths, Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2022 | Ann Daghlian | Elizabeth Dudley Jones | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Trevor Reynolds | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Nora Foulkes | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Care Home Health related deaths | 1 |
| 2021 | Susan Merton | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2021 | Kyle Hurst | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015) | 1 |
| 2021 | Rhian Roberts | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | |
| 2021 | Hannah Browning | John Gittins | Mental Health related deaths, Community health care | 1 |
| 2020 | Arthur Hughes | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2020 | Benjamin Leonard | David Pojur | Child Death (from 2015), Other related deaths | 1 |
| 2019 | Samantha Brousas | Joanna Lees | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2019 | Luke Jones | John Gittins | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2019 | Peter Connelly | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | |
| 2019 | Edna Evans | John Gittins | Care Home Health related deaths, Wales prevention of future deaths reports (2019 onwards) | |
| 2019 | Carl Sargeant | John Gittins | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2019 | Kathleen Smith | David Pojur | Care Home Health related deaths | 1 |
| 2019 | Kristopher McDowell | John Gittins | Other related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2019 | Madeline Staples | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Emergency services related deaths (2019 onwards) | |
| 2018 | Gladys Williams | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Margaret Evans | John Gittins | Community health care and emergency services related deaths | |
| 2018 | Ester Wood | David Pojur | Community health care and emergency services related deaths | |
| 2017 | Daniel Watson | John Gittins | Mental Health related deaths, Community health care and emergency services related deaths | 2 |
| 2017 | Daphne Williams | John Gittins | Community health care and emergency services related deaths | 1 |
| 2017 | Lilly Baxandall | John Gittins | Community health care and emergency services related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Rebecca Evans | John Gittins | Community health care and emergency services related deaths | 1 |
| 2017 | Carol Harvey | John Gittens | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Sarah Tyler | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Christopher Jones | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Pamela Conway | John Gittins | Community health care and emergency services related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2016 | Danielle Robinson | John Gittins | Hospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015) | 1 |
| 2016 | John Rogers | John Adrian Gittins | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Peter Furness | John Gittins | Care Home Health related deaths | 1 |
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