Stoke-on-Trent & North Staffordshire Coroner’s Court

10 Prevention of Future Deaths reports from the Stoke-on-Trent & North Staffordshire Coroner’s Court coroner area, 2020–2021. 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

20201
20219

Responses published

7 of 10 (70%) 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 9Product related deaths 2Child Death (from 2015) 2Mental Health related deaths 2Suicide (from 2015) 2Care Home Health related deaths 1Community health care 1Alcohol, drug and medication related deaths 1

Coroners

Emma Serrano 5Margaret Jones 3Sarah Murphy 2

Reports

DateReportCoronerCategoryResponses
2021Sky RollingsEmma SerranoHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths2
2021Diana ReayEmma SerranoHospital Death (Clinical Procedures and medical management) related deaths
2021Harold BlackshawEmma SerranoHospital Death (Clinical Procedures and medical management) related deaths
2021Rebecca PykettEmma SerranoHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths2
2021Alex ShawSarah MurphyHospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015)2
2021Stephen OakesMargaret JonesHospital Death (Clinical Procedures and medical management) related deaths, Product related deaths4
2021Peter HusseyMargaret JonesHospital Death (Clinical Procedures and medical management) related deaths, Product related deaths4
2021Jamie PooleEmma SerranoHospital Death (Clinical Procedures and medical management) related deaths1
2021Michele DuckworthSarah MurphyHospital Death (Clinical Procedures and medical management) related deaths, Alcohol, drug and medication related deaths
2020Mavis LawrenceMargaret JonesCare Home Health related deaths, Community health care1

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