North West Wales

23 Prevention of Future Deaths reports from the North West Wales coroner area, 2014–2025. 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

20142
20153
20161
20171
20181
2019
2020
20212
20222
20236
20244
20251

Responses published

21 of 23 (91%) 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

Wales prevention of future deaths reports (2019 onwards) 12Other related deaths 7Hospital Death (Clinical Procedures and medical management) related deaths 6Suicide (from 2015) 3Child Death (from 2015) 2Emergency services related deaths (2019 onwards) 2Alcohol, drug and medication related deaths 2Road (Highways Safety) related deaths 2Care Home Health related deaths 1Police related deaths 1Community health care and emergency services related deaths 1Accident at Work and Health and Safety related deaths 1Service Personnel related deaths 1Product related deaths 1

Coroners

Kate Robertson 7Nicola Jones 3Sarah Riley 3Katie Sutherland 3Kate Sutherland 2D Pritchard Jones 1Dewi Pritchard 1Karon Monaghan 1Dewi Pritchard Jones 1Pritchard Jones 1

Reports

DateReportCoronerCategoryResponses
2025Etta-Lili Stockwell-ParryKate RobertsonChild Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths1
2024Wilfred Fitchett, Jevon Hirst, Hugo Morris and Harvey OwenKate RobertsonRoad (Highways Safety) related deaths, Wales prevention of future deaths reports (2019 onwards)3
2024Jane WalkerKate RobertsonOther related deaths, Alcohol, drug and medication related deaths1
2024Nesta JonesKate RobertsonHospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards)1
2024Teresa BennettSarah RileyAlcohol, drug and medication related deaths, Wales prevention of future deaths reports (2019 onwards)1
2023Jennifer CampbellKate RobertsonHospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards)1
2023Lynsey SmalleyKate RobertsonOther related deaths1
2023James JonesSarah RileyHospital Death (Clinical Procedures and medical management) related deaths
2023Mary JonesKate RobertsonWales prevention of future deaths reports (2019 onwards), Emergency services related deaths (2019 onwards)1
2023Eifion HuwsKate SutherlandSuicide (from 2015)1
2023Twm BrynSarah RileyWales prevention of future deaths reports (2019 onwards), Suicide (from 2015)1
2022Glendys RobertsKate SutherlandEmergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards)2
2022Eirlys RobertsKatie SutherlandCare Home Health related deaths, Wales prevention of future deaths reports (2019 onwards)2
2021Jonathan BaylissKatie SutherlandAccident at Work and Health and Safety related deaths, Service Personnel related deaths1
2021Mared FoulkesKatie SutherlandSuicide (from 2015), Other related deaths1
2018Elijah ShotadeDewi Pritchard JonesRoad (Highways Safety) related deaths1
2017Simon WillansNicola JonesHospital Death (Clinical Procedures and medical management) related deaths
2016Jasmine LapsleyNicola JonesCommunity health care and emergency services related deaths2
2015Alexander HadleyD Pritchard JonesOther related deaths1
2015Barry WilsonPritchard JonesHospital Death (Clinical Procedures and medical management) related deaths1
2015Isaac NashDewi PritchardOther related deaths, Child Death (from 2015)1
2014Dylan RattrayNicola JonesOther related deaths1
2014Hywel HughesKaron MonaghanPolice related deaths1

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