31 Prevention of Future Deaths reports from the Oxfordshire coroner area, 2013–2026. 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.
28 of 31 (90%) 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 | Catherine Oliver | Nicholas Graham | Other related deaths | |
| 2025 | Katherine Wright | Nicholas Graham | Alcohol, drug and medication related deaths, Police related deaths | 1 |
| 2025 | Oscar Keenan | Judith Leach | Child Death (from 2015), Emergency services related deaths (2019 onwards) | 4 |
| 2025 | Cain Donald | Nicholas Graham | Suicide (from 2015) | 1 |
| 2025 | Wyllow-Raine Swinburn | Darren Salter | Child Death (from 2015), Emergency services related deaths (2019 onwards) | 2 |
| 2025 | Anthony Paine | Nicholas Graham | Road (Highways Safety) related deaths | 1 |
| 2025 | David Tighe | Michael Walsh | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Catherine Forbes | Darren Salter | Other related deaths | |
| 2024 | Alexander Rogers | Nicholas Graham | Suicide (from 2015) | 1 |
| 2024 | Polly Friedhoff | Darren Salter | Other related deaths | 1 |
| 2024 | Martyn Stringer | Nicholas Graham | Suicide (from 2015) | 1 |
| 2022 | Jennifer Wong | Darren Slater | Road (Highways Safety) related deaths | 2 |
| 2021 | Cpl Ryan Lovatt | Darren Salter | Service Personnel related deaths, Alcohol, drug and medication related deaths | 1 |
| 2021 | David Lewis | Darren Salter | Road (Highways Safety) related deaths | 1 |
| 2021 | Anne Harper | Gemma Brannigan | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Lisa Thompson | Sonia Hayes | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
| 2020 | Don Fernandes | Darren Salter | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Thelma Joyce | Darren Salter | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | John Wright | Darren Salter | State Custody related deaths | 2 |
| 2019 | Simon Robinson | Darren Salter | Police related deaths | 1 |
| 2017 | Liam Thomas | Darren Salter | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Connor Sparrowhawk | Darren Salter | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Austen Harrison | Darren Salter | Other related deaths | 1 |
| 2015 | Christopher Butler | Peter Clark | Community health care and emergency services related deaths | 1 |
| 2014 | Kevin Lawrenson | Darren Salter | Road (Highways Safety) related deaths | 1 |
| 2014 | Suzanne Cammell | Darren Salter | Police related deaths | 1 |
| 2014 | Marcin Stoga | Darren Salter | State Custody related deaths | 1 |
| 2014 | John Cook | Nicholas Gardiner | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Peter Norman Nott | Nicholas Graham | Care Home Health related deaths | 1 |
| 2013 | Clive Gould | Nicholas Graham | Community health care and emergency services related deaths | 1 |
| 2013 | David Selman | Nicholas Graham | Community health care and emergency services related deaths |
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