80 Prevention of Future Deaths reports from the West Sussex coroner area, 2013–2024. 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.
64 of 80 (80%) 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 |
|---|---|---|---|---|
| 2024 | Felix Hartley | Joanne Andrews | Child Death (from 2015) | 3 |
| 2023 | Rachel Garrett | Penelope Schofield | Suicide (from 2015), Mental Health related deaths | 2 |
| 2023 | Nicholas Pennicott | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Caroline Forte | Penelope Schofield | Suicide (from 2015) | 3 |
| 2023 | Brian Harfield | Penelope Schofield | Other related deaths | 1 |
| 2023 | Kathleen Fancourt | Penelope Schofield | Road (Highways Safety) related deaths | 1 |
| 2023 | Teegan Barnard | Karen Henderson | Hospital Death (Clinical Procedures and medical management) related deaths | 6 |
| 2022 | Arthur Trott | Karen Henderson | Child Death (from 2015), Emergency services related deaths (2019 onwards) | |
| 2022 | Jade Hutchings | Penelope Schofield | Alcohol, drug and medication related deaths, Suicide (from 2015) | 3 |
| 2022 | Stephen Wells | Karen Harrold | Other related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2022 | Jennifer Davies | Penelope Schofield | Road (Highways Safety) related deaths | 1 |
| 2022 | Robyn Skilton | Penelope Schofield | Suicide (from 2015), Mental Health related deaths | 1 |
| 2022 | James Manning | Karen Harrold | Community health care and emergency services related deaths, Child Death (from 2015) | |
| 2022 | Jack Taylor | Robert Simpson | Hospital Death (Clinical Procedures and medical management) related deaths, Police related deaths | 2 |
| 2021 | James McKeough | Penelope Schofield | Road (Highways Safety) related deaths, Other related deaths | 1 |
| 2021 | Kaja Spiewak | Robert Simpson | Railway related deaths, Child Death (from 2015) | 2 |
| 2021 | 2021-0392 | Penelope Schofield | Product related deaths, Other related deaths | 2 |
| 2021 | Hannah Royle | Karen Henderson | Child Death (from 2015), Other related deaths | 2 |
| 2021 | Hamish Howitt | Fiona King | Police related deaths | 3 |
| 2021 | Pauline Allison | Robert Simpson | Other related deaths, Product related deaths | 2 |
| 2021 | Anne Bradley | Robert Simpson | Hospital Death (Clinical Procedures and medical management) related deaths | 4 |
| 2021 | Pathushan Sutharsan | Penelope Schofield | Road (Highways Safety) related deaths, Community health care | 1 |
| 2021 | Charlotte Swift | Penelope Schofield | Mental Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Parys Lapper | Penelope Schofield | Mental Health related deaths, Alcohol, drug and medication related deaths | 1 |
| 2021 | Steven Costello | Catharine Palmer | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
| 2020 | Brian Easey | Bridget Dolan | Other related deaths | 2 |
| 2020 | Christopher Swain | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015) | 1 |
| 2020 | Brenda Elmer | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths, Product related deaths | 1 |
| 2020 | Mildred Horrex | Penelope Schofield | Care Home Health related deaths, Other related deaths | 1 |
| 2020 | John Ashley | Penelope Schofield | Mental Health related deaths, Suicide (from 2015) | |
| 2020 | Gemma Azhar | Bridget Dolan Qc | Suicide (from 2015), Mental Health related deaths | 1 |
| 2020 | Mark Mallinson | Robert Simpson | Police related deaths, Suicide (from 2015) | |
| 2019 | Katherine Stamp | James Healy Pratt | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | |
| 2019 | Suzanne Roberts | James Healy Pratt | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2019 | John Wells | Robert Simpson | Community health care, Emergency services related deaths (2019 onwards) | |
| 2019 | George Rogers | Joanne Andrews | Suicide (from 2015) | 1 |
| 2019 | Richard Ridout | Robert Simpson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Saeid Hedayat | Robert Simpson | Road (Highways Safety) related deaths | 1 |
| 2019 | George Rimmer | Penelope Schofield | Other related deaths | 1 |
| 2019 | Keith Battman | Karen Harrold | Road (Highways Safety) related deaths | 1 |
| 2019 | James Francis | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2019 | Duncan Tomlin | Elisabeth Bussey Jones | Alcohol, drug and medication related deaths, Police related deaths | 2 |
| 2019 | John Richardson | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Shane Gray | Penelope Schofield | Other related deaths | 1 |
| 2018 | Margaret Stemp | Penelope Schofield | Community health care and emergency services related deaths | 1 |
| 2018 | Paul Hanton | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2017 | Barbara Howard | Joanne Andrews | Community health care and emergency services related deaths | 1 |
| 2017 | David Jackson | Karen Harrold | Community health care and emergency services related deaths | 1 |
| 2017 | Steffan Bonnot | Penelope Schofield | Other related deaths | |
| 2017 | Janet Muller | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Dennis Teesdale | Karen Henderson | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2017 | Matthew Roberts | Bridget Dolan Qc | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Grace Roseman | Penelope Schofield | Child Death (from 2015), Product related deaths | 2 |
| 2016 | Jean Stockley | Karen Harrold | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Alfie Gray | Penelope Schofield | Child Death (from 2015), Other related deaths | 1 |
| 2016 | Leilani Chute | Bridget Dolan Qc | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | 1 |
| 2016 | Valerie Ellis | David Skipp | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2016 | Joanne French | Elisabeth Bussey Jones | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2015 | John Hills | Christopher Wilkinson | Other related deaths | |
| 2015 | Jeffrey Warren | Bridget Dolan | Other related deaths | 1 |
| 2015 | Giuseppina Incisivo | Joseph Turner | Road (Highways Safety) related deaths | 1 |
| 2015 | Wanda Stachurska | Bridget Dolan | Suicide (from 2015) | 1 |
| 2015 | James Bateley | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2015 | Elliott Bignall | Penelope Schofield | Railway related deaths, Child Death (from 2015) | |
| 2015 | Alasdair Penny | Michael Burgess | Suicide (from 2015) | 2 |
| 2015 | Hilary Moock and Janice Taylor | Penelope Schofield | Road (Highways Safety) related deaths | 1 |
| 2014 | Stanley Bere | Penelope Schofield | Care Home Health related deaths | 1 |
| 2014 | Denise Prior | Michael Kendall | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Donald Spooner | Karen Henderson | Road (Highways Safety) related deaths | 1 |
| 2014 | Janet Blackman | Michael Burgess | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Lee Hollman | Karen Henderson | Community health care and emergency services related deaths | 2 |
| 2014 | Kerry Jacobs | Bridget Dolan | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Natasha Raghoo | David Skipp | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Maureen Leaver | Karen Henderson | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Ryan Chapman | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Lucy Goulding | Karen Henderson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2013 | John Walker | Christopher Wilkinson | Mental Health related deaths | 1 |
| 2013 | Derek Edward Bartlett Twivey | Elisabeth Bussey Jones | Community health care and emergency services related deaths | |
| 2013 | Phillip Pratt | Elisabeth Bussey Jones | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 0000-00-00 | James Herbertson | Penelope Schofield | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care | 1 |
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