37 Prevention of Future Deaths reports from the Plymouth, Torbay and South Devon coroner area, 2015–2023. 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.
27 of 37 (73%) 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 |
|---|---|---|---|---|
| 2023 | Paul Perrott | Deborah Archer | Suicide (from 2015) | 1 |
| 2023 | Katie Williams | Louise Wiltshire | Alcohol, drug and medication related deaths, Suicide (from 2015) | 1 |
| 2023 | Maxine Davison, Lee Martyn, Sophie Martyn, Stephen Washington and Kate Shepherd | Ian Arrow | Other related deaths, Child Death (from 2015) | 34 |
| 2022 | Frances Ollis | Ian Arrow | Other related deaths | 1 |
| 2022 | David Hulme | Ian Arrow | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Harry Simmons | Deborah Archer | Road (Highways Safety) related deaths | 1 |
| 2021 | Joan Prescott | Ian Arrow | Other related deaths, Community health care | |
| 2021 | Elsie Woodfield | Ian Arrow | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2021 | Marc Bennett | Ian Arrow | Community health care, Mental Health related deaths | |
| 2021 | Glenn Macmartin | Ian Arrow | Hospital Death (Clinical Procedures and medical management) related deaths, Care Home Health related deaths | 3 |
| 2021 | Clara Freeman | Stephen Hugh Glossop Covell | Care Home Health related deaths | 1 |
| 2020 | Benjamin Popovach | Ian Arrow | Mental heath related deaths, Other related deaths | 1 |
| 2020 | Paul Reynolds | Ian Arrow | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Daniel Shorrocks | Ian Arrow | Child Death (from 2015), Mental Health related deaths | 1 |
| 2019 | Sebastian Hibberd | Ian Arrow | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Clive Jones | Ian Arrow | Other related deaths | 1 |
| 2019 | Terence Thornton | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Terence Bradfield | Deborah Archer | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Trystan Bryant | Ian Arrow | Community health care and emergency services related deaths, Mental Health related deaths | 1 |
| 2018 | Patricia Cragg | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | David Travers | Stephen Covell | Alcohol, drug and medication related deaths | 1 |
| 2018 | Graeme Mathieson | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Martin Baker | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Evelyn Fisher | Deborah Archer | Road (Highways Safety) related deaths | |
| 2017 | Doreen Willis | Ian Arrow | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Muriel Brett | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2016 | Trevor Hunking | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Charles Pitcher | Ian Arrow | Suicide (from 2015) | |
| 2016 | Harry Glibbery | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Saleh Al-Awlaki | Ian Arrow | Road (Highways Safety) related deaths | 1 |
| 2016 | Peter Tye | Ian Arrow | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Michael Valentine | Andrew Cox | Community health care and emergency services related deaths | 2 |
| 2016 | Darren Wakefield | Ian Arrow | Police related deaths | 1 |
| 2016 | Thomas Burchell | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | William Harnell | Andrew Cox | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care and emergency services related deaths | 3 |
| 2015 | Gordon Atkinson | Ian Arrow | Other related deaths | |
| 2015 | Andrew Nickolls | Ian Arrow | Hospital Death (Clinical Procedures and medical management) related deaths |
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