93 Prevention of Future Deaths reports from the Suffolk coroner area, 2014–2026. 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.
75 of 93 (81%) 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 | Allan Stevenson | Nigel Parsley | Road (Highways Safety) related deaths | 4 |
| 2026 | David Abbot | Darren Stewart | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2026 | Peter Pettit | Darren Stewart | Community health care and emergency services related deaths | 1 |
| 2026 | Melanie Pinnell | Daniel Sharpstone | Suicide (from 2015) | 1 |
| 2026 | Janette Palmer | Nigel Parsley | Community health care and emergency services related deaths | 1 |
| 2026 | Terrence Frost | Nigel Parsley | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2026 | Roger Smith | Darren Stewart | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2026 | Paul Thompson | Darren Stewart | Suicide (from 2015) | 1 |
| 2026 | Lauren Moret-Dell | Darren Stewart | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2026 | Georgia Scarff | Darren Stewart | Road (Highways Safety) related deaths | |
| 2025 | Anthony Card | Peter Taheri | Suicide (from 2015) | 2 |
| 2025 | Catherine Moore | Daniel Sharpstone | Road (Highways Safety) related deaths | |
| 2025 | Martin Collins | Peter Taheri | State Custody related deaths, Suicide (from 2015) | 1 |
| 2025 | Terence Colby | Darren Stewart | Community health care and emergency services related deaths | 2 |
| 2025 | Pamela Brand | Darren Stewart | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Kathleen Gregory | Darren Stewart | Care Home Health related deaths | 1 |
| 2025 | Charlotte Alderson | Darren Stewart | Community health care and emergency services related deaths, Emergency services related deaths (2019 onwards) | 1 |
| 2025 | Sonia Sore | Darren Stewart | Care Home Health related deaths | 1 |
| 2025 | David Bendell | Nigel Parsley | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Ruth Pingree | Darren Stewart | Other related deaths, Product related deaths | 1 |
| 2025 | Thomas Glover | Nigel Parsley | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2025 | Brigitte Favre | Darren Stewart | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Kim Robinson | Nigel Parsley | Alcohol, drug and medication related deaths, Suicide (from 2015) | 1 |
| 2024 | Denise Johnson | Daniel Sharpstone | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Timothy De Boos | Nigel Parsley | Suicide (from 2015), Mental Health related deaths | 1 |
| 2024 | Amy Butcher | Nigel Parsley | Alcohol, drug and medication related deaths, Mental Health related deaths | 2 |
| 2024 | Erin Tillsley | Darren Stewart | Child Death (from 2015), Suicide (from 2015) | 1 |
| 2024 | Brian Beer | Peter Taheri | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Nigel Hammond | Nigel Parsley | Suicide (from 2015), Mental Health related deaths | 3 |
| 2024 | Regan Smith | Nigel Parsley | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Gemima Christodoulou-Peace | Nigel Parsley | Suicide (from 2015), Alcohol, drug and medication related deaths | 1 |
| 2024 | Owen Gardner | Nigel Parsley | Road (Highways Safety) related deaths | 1 |
| 2024 | Katie Madden | Nigel Parsley | Suicide (from 2015) | 6 |
| 2024 | Paul Templeton | Peter Taheri | Suicide (from 2015) | 1 |
| 2024 | Michael Burke | Darren Stewart | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Ellen Woolnough | Darren Stewart | Mental Health related deaths, Suicide (from 2015) | 2 |
| 2024 | Nicola Rayner | Nigel Parsley | Suicide (from 2015) | 1 |
| 2024 | John Gray | Nigel Parsley | Other related deaths | 1 |
| 2024 | Dennis King | Darren Stewart | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2024 | Sarah Mitchell | Darren Stewart | Alcohol, drug and medication related deaths | 4 |
| 2023 | Nuel-Junior Dzernjo | Catherine Wood | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Madeleine Savory | Darren Stewart | Child Death (from 2015), Suicide (from 2015) | 2 |
| 2023 | Christopher Hart | Nigel Parsley | Emergency services related deaths (2019 onwards) | 1 |
| 2023 | Gina Bywater | Nigel Parsley | Emergency services related deaths (2019 onwards) | 1 |
| 2023 | Peter Walker | Nigel Parsley | Other related deaths | 1 |
| 2023 | Michael Bray | Peter Taheri | Emergency services related deaths (2019 onwards), Suicide (from 2015) | 2 |
| 2023 | Joseph Maunick | Peter Taheri | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Anthony Ingram | Nigel Parsley | Suicide (from 2015) | 1 |
| 2023 | Sylvia Price | Nigel Parsley | Other related deaths | 1 |
| 2022 | Stephen Coombes | Nigel Parsley | Road (Highways Safety) related deaths | 1 |
| 2022 | Ethan Wright | Nigel Parsley | Road (Highways Safety) related deaths | 1 |
| 2022 | Paul Meadows | Peter Taheri | Alcohol, drug and medication related deaths, Mental Health related deaths | 2 |
| 2022 | Corrie McKeague | Nigel Parsley | Alcohol, drug and medication related deaths, Other related deaths | 4 |
| 2022 | Colin Swain | Jacqueline Devonish | Alcohol, drug and medication related deaths, Emergency services related deaths (2019 onwards) | |
| 2021 | Victoria Harrild-Jones | Nigel Parsley | Other related deaths, Service Personnel related deaths | 1 |
| 2021 | Joshua Sahota | Nigel Parsley | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2021 | Thomas Pickering | Tim Deeming | Road (Highways Safety) related deaths | 2 |
| 2021 | Roland Stannard | Nigel Parsley | Care Home Health related deaths | 1 |
| 2020 | Andrew Gibbins | Jacqueline Devonish | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 2 |
| 2020 | Karen Jane Winn | Nigel Parsley | Community health care, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2020 | Piotr Kierzkowski | Nigel Parsley | Suicide (from 2015), Mental Health related deaths | 1 |
| 2020 | May Miller | Jacqueline Devonish | Care Home Health related deaths, Mental Health related deaths | 2 |
| 2020 | Susan Warby | Nigel Parsley | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2020 | Darren King | Nigel Parsley | Community health care | |
| 2019 | Jamie Finlay | Jacqueline Devonish | Road (Highways Safety) related deaths | 1 |
| 2019 | Matthew Fitten | Nigel Parsley | Alcohol, drug and medication related deaths, Other related deaths | 2 |
| 2019 | Gemma Macdonald | Jacqueline Devonish | Alcohol, drug and medication related deaths, Mental Health related deaths | 1 |
| 2019 | Deborah Headspeath | Nigel Parsley | Alcohol, drug and medication related deaths | 1 |
| 2019 | Mark Jarvis | Nigel Parsley | State Custody related deaths | |
| 2019 | Oliver Hall | Nigel Parsley | Emergency services related deaths (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2019 | Kerry Hunter | Nigel Parsley | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2019 | Anthony Buckingham | Daniel Sharpstone | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Justin Brown | Jacqueline Devonish | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2019 | Mohammed Ahmed | Jacqueline Devonish | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Jeremy Sutch | Nigel Parsley | Accident at Work and Health and Safety related deaths | 1 |
| 2019 | Mark Harris | Jacqueline Devonish | Mental Health related deaths, Emergency services related deaths (2019 onwards) | |
| 2018 | Matthew Arkle | Nigel Parsley | Mental Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Canon Frost | Nigel Parsley | Other related deaths | 1 |
| 2018 | Brian Frost | Nigel Parsley | Community health care and emergency services related deaths | |
| 2018 | Daphne Penn | Peter Dean | Community health care and emergency services related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Ashley Notson | Peter Dean | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2017 | Levi Cronin | Peter Dean | State Custody related deaths | |
| 2017 | Rachel Edwards | Nigel Parsley | Alcohol, drug and medication related deaths | 1 |
| 2016 | Steven Trudgill | Peter Dean | State Custody related deaths, Suicide (from 2015) | |
| 2016 | Archie Hall | Nigel Parsley | Road (Highways Safety) related deaths | 1 |
| 2015 | Fiona Lewis | Dr Peter Dean | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2015 | Anthony Cleveland | Dr Peter Dean | Other related deaths | |
| 2014 | Samuel Openshaw | Peter Dean | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Redmond Johnson | Peter Dean | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | |
| 2014 | Else Harvey-Samuel | Peter Dean | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Thomas Allen | Peter Dean | Road (Highways Safety) related deaths | 1 |
| 2014 | Jamie Barlow | Peter Dean | Community health care and emergency services related deaths | |
| 0000-00-00 | Paul Reynolds | Jacqueline Devonish | Other related deaths, Police related deaths | 2 |
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