358 Prevention of Future Deaths reports categorised State Custody related deaths, 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.
265 of 358 (74%) 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 | Jonathan Thornton | Alexandra Pountney | State Custody related deaths | |
| 2026 | Mark Smith | Jenny Goldring | State Custody related deaths | |
| 2026 | Ronald Meikle | Sean Cummings | State Custody related deaths | 2 |
| 2026 | Thomas Ruggiero | Ian Potter | State Custody related deaths | |
| 2026 | Thomas Ruggiero | Ian Potter | State Custody related deaths | |
| 2026 | Thomas Ruggiero | Ian Potter | State Custody related deaths | |
| 2026 | Luke Ashcroft | Paul Smith | State Custody related deaths | 2 |
| 2026 | Clare Dupree | M Vision | State Custody related deaths | 1 |
| 2026 | Rajwinder Singh | Bernard Richmond | State Custody related deaths | |
| 2026 | Edward Hands | Bina Patel | State Custody related deaths | 3 |
| 2026 | Gareth Chumber-Kelly | Jonathan Stevens | State Custody related deaths, Suicide (from 2015) | 2 |
| 2026 | Josh Tarrant (1) | Scott Matthewson | Alcohol, drug and medication related deaths, State Custody related deaths | 2 |
| 2026 | Josh Tarrant (3) | Scott Matthewson | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2026 | Josh Tarrant (2) | Scott Matthewson | Alcohol, drug and medication related deaths, State Custody related deaths | |
| 2026 | Emmett Morrison | David Reid | State Custody related deaths | 1 |
| 2026 | Rickie Poon | Mary Hassell | State Custody related deaths | 1 |
| 2025 | Anthony Binfield | Laurinda Bower | Suicide (from 2015), State Custody related deaths | 1 |
| 2025 | Sundeep Ghuman | David Manknell | State Custody related deaths | 1 |
| 2025 | Oliver Mulangala | Jonathan Stevens | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2025 | Stuart Berry | Sean Horstead | State Custody related deaths, Suicide (from 2015) | 3 |
| 2025 | Aminata Coulibaly | Sonia Hayes | Alcohol, drug and medication related deaths, Emergency services related deaths (2019 onwards) | 1 |
| 2025 | Diana Grant | Richard Travers | State Custody related deaths, Mental Health related deaths | 2 |
| 2025 | Steven Ruddick | Crispin Oliver | State Custody related deaths | 1 |
| 2025 | Matthew Singh Prevention of future deaths report | Kate Robertson | State Custody related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Steven Davidson | Stephen Simblet | Suicide (from 2015), State Custody related deaths | 1 |
| 2025 | Scott Berry | Sarah Middleton | State Custody related deaths, Suicide (from 2015) | 1 |
| 2025 | Declan Carr | Sarah Middleton | State Custody related deaths | 1 |
| 2025 | Jamie Funnell | Rachel Redman | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2025 | Richard Hunt | Fiona Butler | State Custody related deaths | 2 |
| 2025 | Steven Hart | Sean Cummings | State Custody related deaths, Suicide (from 2015) | 1 |
| 2025 | Martin Collins | Peter Taheri | State Custody related deaths, Suicide (from 2015) | 1 |
| 2025 | Masood Hamid | Joanne Kearsley | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | 4 |
| 2025 | Lewis Petryszyn | Patricia Morgan | State Custody related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Azroy Dawes-Clarke | Ian Brownhill | State Custody related deaths | 1 |
| 2025 | Azroy Dawes-Clarke | Ian Brownhill | State Custody related deaths | 3 |
| 2025 | Azroy Dawes-Clarke | Ian Brownhill | State Custody related deaths | 1 |
| 2025 | Sheldon Jeans | Rachael Griffin | Alcohol, drug and medication related deaths, State Custody related deaths | 4 |
| 2025 | Michael Pugh | Patricia Harding | State Custody related deaths, Suicide (from 2015) | 1 |
| 2025 | Patryk Gladysz | Priya Malhotra | State Custody related deaths, Mental Health related deaths | 3 |
| 2025 | Gavin Wheale | Ian Dreelan | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2025 | George Emmett | Crispin Butler | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2025 | Colin Lovett | Rachael Griffin | Alcohol, drug and medication related deaths, State Custody related deaths | 2 |
| 2025 | Sarah Boyle | Victoria Davies | State Custody related deaths, Suicide (from 2015) | 1 |
| 2025 | Sean Higgins | Patricia Harding | State Custody related deaths, Mental Health related deaths | 1 |
| 2025 | Isaiah Olugosi | Richard Furniss | State Custody related deaths, Suicide (from 2015) | 1 |
| 2025 | Anthony Binfield, David Richards and Rolandas Karbauskas | Laurinda Bower | State Custody related deaths, Suicide (from 2015) | 5 |
| 2025 | William Bissett | Nicholas Rheinberg | State Custody related deaths, Suicide (from 2015) | 2 |
| 2025 | Nathan Shepherd | Alison Mutch | Suicide (from 2015), State Custody related deaths | 1 |
| 2024 | Haydar Jefferies | Caroline Topping | State Custody related deaths, Mental Health related deaths | 7 |
| 2024 | Kayleigh Melhuish | Maria Voisin | State Custody related deaths, Suicide (from 2015) | 3 |
| 2024 | Paul Gobell | Simon Burge | State Custody related deaths | 2 |
| 2024 | Jonathon Lawlor | Catherine Wood | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2024 | Kirsten Hocking | Nick Armstrong | State Custody related deaths | 2 |
| 2024 | Wayne Bayley | Mary Hassell | State Custody related deaths | 2 |
| 2024 | George Kyriacos Petrou | Ian Potter | Mental Health related deaths, State Custody related deaths | 1 |
| 2024 | Frank Ospina | Lydia Brown | State Custody related deaths | 3 |
| 2024 | Mark Beresford | Michael Wall | State Custody related deaths, Mental Health related deaths | 1 |
| 2024 | Stephen Sleaford | Ivan Cartwright | State Custody related deaths | 1 |
| 2024 | Oliver Davies | David Reid | Mental Health related deaths, State Custody related deaths | 1 |
| 2024 | John Eyre | Ian Brownhill | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Brandon Johnson | Paul Rogers | State Custody related deaths | 1 |
| 2024 | Ian Deavall | Bronia Hartley | State Custody related deaths | 1 |
| 2024 | Amanda Richardson | Kevin Mcloughlin | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2024 | Craig Steadman | Rosamund Rhodes Kemp | Suicide (from 2015), State Custody related deaths | 1 |
| 2024 | Kevin McDonnell | Laurinda Bower | Suicide (from 2015), State Custody related deaths | 1 |
| 2024 | Matthew Braben | Anton Van Dellen | Suicide (from 2015), State Custody related deaths | |
| 2024 | Russell Irvine | Simon Connolly | State Custody related deaths, Suicide (from 2015) | 1 |
| 2024 | Benjamin Harrison | Patricia Harding | State Custody related deaths, Alcohol, drug and medication related deaths | 2 |
| 2024 | Yasmin Adams | Peter Nieto | State Custody related deaths | 1 |
| 2024 | Daniel Beckford | Priya Malhotra | State Custody related deaths, Suicide (from 2015) | |
| 2024 | Yuri Hatton | Priya Malhotra | State Custody related deaths | |
| 2024 | Frazer Williams | Rachael Griffin | State Custody related deaths, Suicide (from 2015) | 4 |
| 2024 | Paul Day | Peter Nieto | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2024 | Mohammed Azizi | Samantha Goward | State Custody related deaths | 1 |
| 2024 | Marlin Burrows | Nicholas Rheinberg | State Custody related deaths | 2 |
| 2024 | Darren Docherty | Emma Serrano | State Custody related deaths, Suicide (from 2015) | 1 |
| 2024 | Alan Davies | David Regan | State Custody related deaths, Wales prevention of future deaths reports (2019 onwards) | 3 |
| 2024 | Matthew Price | John Hobson | Suicide (from 2015), State Custody related deaths | 1 |
| 2024 | Mark Pryor | Peter Nieto | State Custody related deaths | 2 |
| 2024 | Abdullah Popalzai | Sarah Bourke | State Custody related deaths, Suicide (from 2015) | 1 |
| 2024 | Kane Boyce | Laurinda Bower | State Custody related deaths, Alcohol, drug and medication related deaths | 2 |
| 2024 | Trevor Monerville | Rachel Redman | State Custody related deaths | 2 |
| 2024 | Stephen Coster | Rachel Redman | State Custody related deaths | 1 |
| 2023 | Wyndham Thomas | Laurinda Bower | State Custody related deaths, Suicide (from 2015) | 1 |
| 2023 | Samuel Jones | Rachael Griffin | State Custody related deaths | 3 |
| 2023 | John Singleton | Kate Ainge | Suicide (from 2015), State Custody related deaths | 1 |
| 2023 | John Pace | Jeane Mellani | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2023 | Jonathan McCarthy | Hassan Shah | State Custody related deaths | 1 |
| 2023 | Manoel Santos | Jenny Goldring | State Custody related deaths, Suicide (from 2015) | 3 |
| 2023 | Stewart Stanley | Philip Spinney | State Custody related deaths, Suicide (from 2015) | 1 |
| 2023 | Amarjit Singh | Mary Hassell | State Custody related deaths | 2 |
| 2023 | Kristopher Tilbury | Jonathan Stevens | State Custody related deaths, Alcohol, drug and medication related deaths | |
| 2023 | Haik Nikolyan | Crispin Butler | State Custody related deaths, Suicide (from 2015) | 1 |
| 2023 | Stephen Weatherley | Jenny Goldring | Alcohol, drug and medication related deaths, State Custody related deaths | 4 |
| 2023 | Sean Heeney | Jonathan Dixey | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2023 | Christopher Smith | Laurinda Bower | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Liam Bentley | Patricia Harding | State Custody related deaths, Suicide (from 2015) | 1 |
| 2023 | Stephen Beadman | Kevin Mcloughlin | State Custody related deaths, Suicide (from 2015) | |
| 2023 | Matthew Harris | David Reid | Suicide (from 2015), State Custody related deaths | 2 |
| 2023 | Anthony Smith | Nicholas Rheinberg | State Custody related deaths | 1 |
| 2023 | Thomas Huntley | Robert Simpson | State Custody related deaths, Suicide (from 2015) | 1 |
| 2023 | Jai Singh | Emma Brown | Suicide (from 2015), State Custody related deaths | 3 |
| 2023 | Jason Williams | Rachael Griffin | Alcohol, drug and medication related deaths, State Custody related deaths | 3 |
| 2023 | Nathan Forrester | Andrew Harris | Alcohol, drug and medication related deaths, State Custody related deaths | 2 |
| 2023 | Andrew Shirley | David Reid | State Custody related deaths, Mental Health related deaths | 3 |
| 2023 | Joseph Price | Crispin Oliver | Other related deaths, State Custody related deaths | 1 |
| 2023 | John Henderson | Ian Brownhill | State Custody related deaths | 1 |
| 2023 | Floyd Carruthers | Ian Dreelan | Other related deaths, State Custody related deaths | 1 |
| 2022 | Alexander Braund | Laurinder Bower | State Custody related deaths | 3 |
| 2022 | Lewis Johnson | Kevin Mcloughlin | State Custody related deaths, Suicide (from 2015) | 1 |
| 2022 | Lee Brown | Nadia Persaud | Police related deaths, State Custody related deaths | 1 |
| 2022 | Michael Smith | Crispin Oliver | Suicide (from 2015), State Custody related deaths | 1 |
| 2022 | Liridon Saliuka | Philip Barlow | State Custody related deaths, Suicide (from 2015) | 2 |
| 2022 | Bradleigh Barnes | Rachael Griffin | State Custody related deaths, Suicide (from 2015) | 4 |
| 2022 | Carl Langdell | Kevin Mcloughlin | State Custody related deaths, Suicide (from 2015) | 1 |
| 2022 | Robert Evans | Kirsten Heaven | State Custody related deaths, Suicide (from 2015) | 1 |
| 2022 | Gary McDonald | David Reid | Suicide (from 2015), State Custody related deaths | 1 |
| 2022 | Allan Waddup | Andrew Hetherington | Suicide (from 2015), State Custody related deaths | 1 |
| 2022 | Nigel Saunders | Laurinda Bower | State Custody related deaths | 2 |
| 2022 | Ezra Tamiem | Sean Cummings | State Custody related deaths, Suicide (from 2015) | |
| 2022 | Khalid Abiaz | Kirsten Heaven | State Custody related deaths, Mental Health related deaths | 2 |
| 2022 | Saifur Rahman | James Bennett | State Custody related deaths, Mental Health related deaths | 2 |
| 2022 | Nicholas Rose | Brendan Allen | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2022 | Ketheeswaren Kunarathnam | Lydia Brown | State Custody related deaths, Mental Health related deaths | 1 |
| 2022 | Idris Habib | Patricia Harding | State Custody related deaths, Mental Health related deaths | 1 |
| 2022 | Thomas Moffett | Nicholas Rheinberg | State Custody related deaths | 1 |
| 2022 | Ian Miller | Caroline Saunders | State Custody related deaths, Suicide (from 2015) | 1 |
| 2021 | Kyle Nel | Stephen Nicholls | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2021 | Saul Thomas | David Reid | State Custody related deaths, Mental Health related deaths | 1 |
| 2021 | Martin Brown | Nicholas Rheinberg | State Custody related deaths | 2 |
| 2021 | Connor Hoult | Janine Wolstenholme | State Custody related deaths, Suicide (from 2015) | 1 |
| 2021 | Robert Ellery | David Regan | State Custody related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2021 | Christian Hinkley | Scott Matthewson | State Custody related deaths | 1 |
| 2021 | 2021-0362 | Hh Judge Lucraft Qc | Other related deaths, Police related deaths | 9 |
| 2021 | Anthony Clacher | Rachael Griffin | State Custody related deaths, Mental Health related deaths | 4 |
| 2021 | Richard Franks | Kevin Mcloughlin | Other related deaths, Suicide (from 2015) | 1 |
| 2021 | Caden Stewart | Patricia Harding | State Custody related deaths, Child Death (from 2015) | 1 |
| 2021 | Stephen Cope | Dr Julian Morris | State Custody related deaths, Mental Health related deaths | 2 |
| 2021 | Charlie Todd | James Thompson | State Custody related deaths, Suicide (from 2015) | 1 |
| 2021 | Colin Blackburn | David Reid | State Custody related deaths, Mental Health related deaths | 1 |
| 2021 | Lee Thrumble | Scott Matthewson | State Custody related deaths, Suicide (from 2015) | |
| 2021 | Carl Walters | Nicholas Rheinberg | State Custody related deaths | 1 |
| 2021 | Joanna Daly | John Hobson | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2021 | Khairul Rahman | Richard Brittain | State Custody related deaths | 1 |
| 2021 | Wayne Boughen | James Hargan | State Custody related deaths | 1 |
| 2021 | Serena Nicolle | Anna Crawford | State Custody related deaths | |
| 2021 | Geoffrey Hutton | David Reid | State Custody related deaths, Suicide (from 2015) | 1 |
| 2021 | Mark Culverhouse | Tom Osborne | State Custody related deaths, Mental Health related deaths | 1 |
| 2021 | James Devenny | Ian Brownhill | State Custody related deaths, Mental Health related deaths | 1 |
| 2021 | Corin Bonaparte | Nicholas Rheinberg | State Custody related deaths, Mental Health related deaths | 1 |
| 2021 | Richard Ormond | David Reid | State Custody related deaths, Alcohol, drug and medication related deaths | 2 |
| 2021 | Alvin Black | Sean Horstead | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2021 | Darren Adams | Lorraine Harris | State Custody related deaths, Mental Health related deaths | 2 |
| 2021 | Guy Paget | Kevin Mcloughlin | State Custody related deaths | 1 |
| 2021 | Michael Dent-Jones | Anna Crawford | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2021 | Michael Dobson | Andrew Haigh | State Custody related deaths, Mental Health related deaths | 1 |
| 2021 | Jason O’Rourke | Henrietta Hill Qc | State Custody related deaths, Mental Health related deaths | 1 |
| 2020 | Lee Davies | Joanne Lees | Mental Health related deaths, Alcohol, drug and medication related deaths | 1 |
| 2020 | Wesley Rowlands | Nicholas Rheinberg | State Custody related deaths | 1 |
| 2020 | Brett Marrs | Nicholas Rheinberg | State Custody related deaths | |
| 2020 | Carlington Spencer | Timothy Brennand | State Custody related deaths | |
| 2020 | Prince Fosu | Chinyere Inyama | State Custody related deaths | 2 |
| 2020 | Dean George | Colin Phillips | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2020 | Andrew Jones | Dr James Adeley | Alcohol, drug and medication related deaths, State Custody related deaths | |
| 2020 | Lewis Francis | Nicholas Rheinberg | Mental Health related deaths, Suicide (from 2015) | 2 |
| 2020 | Ian Weeks | Geraint Williams | State Custody related deaths, Suicide (from 2015) | 1 |
| 2020 | Robert Brown | Andrew Haigh | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2020 | Carl Newman | Andre Rebello | State Custody related deaths, Suicide (from 2015) | 1 |
| 2020 | Andrew Goldstraw | Simon Burge | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2020 | Marlon Watson | Andrew Haigh | State Custody related deaths, Suicide (from 2015) | 2 |
| 2019 | Tomasz Nowasad | Nigel Meadows | State Custody related deaths, Suicide (from 2015) | 2 |
| 2019 | Daniel Akam | Georgina Gibbs | Mental Health related deaths, State Custody related deaths | |
| 2019 | Gareth Warburton | David Reid | State Custody related deaths | |
| 2019 | Luke Jones | John Gittins | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2019 | Trevor Oakley | Samantha Marsh | State Custody related deaths | 1 |
| 2019 | Shaun Dewey | Maria Voisin | Suicide (from 2015), State Custody related deaths | 1 |
| 2019 | Darren Williams | Tom Osborne | State Custody related deaths, Suicide (from 2015) | |
| 2019 | Neville McNair | Fiona King | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | 2 |
| 2019 | David Kirsch | David Reid | State Custody related deaths, Suicide (from 2015) | 1 |
| 2019 | Harold Uzomechina | Chinyere Inyama | Alcohol, drug and medication related deaths, State Custody related deaths | |
| 2019 | Mark Jarvis | Nigel Parsley | State Custody related deaths | |
| 2019 | Imran Mahmood | Andrew Haigh | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2019 | Amir Siman-Tov | Sean Cummings | State Custody related deaths | |
| 2019 | Martin Haines | Alan Craze | State Custody related deaths | 3 |
| 2019 | Justin Gallagher | Alan Craze | State Custody related deaths | 3 |
| 2019 | William Vickers | Tom Osborne | Emergency services related deaths (2019 onwards), State Custody related deaths | 2 |
| 2019 | Adam Harris | Alison Mutch | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2019 | Darren McGuin | Sarah Slater | State Custody related deaths | |
| 2019 | Marcus McGuire | Emma Brown | State Custody related deaths, Mental Health related deaths | 2 |
| 2019 | Ryan Trimmer | James Healy Pratt | State Custody related deaths | 1 |
| 2019 | Michael Folley | Karen Harrold | State Custody related deaths | 2 |
| 2019 | Daniel Davey | Darren Salter | State Custody related deaths | 3 |
| 2019 | Bernard O’Flynn | Christopher Williams | State Custody related deaths | |
| 2019 | Tarek Chowdhury | Richard Furniss | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | |
| 2019 | John Wright | Darren Salter | State Custody related deaths | 2 |
| 2019 | Meirion James | Paul Bennett | Mental Health related deaths, State Custody related deaths | |
| 2019 | Kelvin Speakman | Geraint Williams | State Custody related deaths | 1 |
| 2019 | Christopher Moss | Andrew Haigh | State Custody related deaths, Suicide (from 2015) | |
| 2019 | Matthew Hamilton | Jeremy Chipperfield | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2019 | Branko Zdravkovic | Stephen Nicholls | State Custody related deaths | 1 |
| 2019 | Andrew Carr | Louise Hunt | Alcohol, drug and medication related deaths, State Custody related deaths | |
| 2019 | Tyrone Givans | Mary Hassell | State Custody related deaths | 2 |
| 2019 | Ricardo Holgate | Louise Hunt | State Custody related deaths | 1 |
| 2019 | Natasha Chin | Caroline Topping | State Custody related deaths | 1 |
| 2019 | Nicky Reilly | Joanne Kearsley | Mental Health related deaths, State Custody related deaths | 2 |
| 2018 | Michal Netyks | Andre Rebello | State Custody related deaths | 1 |
| 2018 | John Delahaye | Emma Brown | Suicide (from 2015), State Custody related deaths | 1 |
| 2018 | John Mayhew | Crispin Oliver | State Custody related deaths | |
| 2018 | Thomas Nicol | Geoffrey Sullivan | State Custody related deaths, Suicide (from 2015) | 2 |
| 2018 | Bradley Brown | Lisa Hashmi | State Custody related deaths | 1 |
| 2018 | Daniel Stokes | Neil Cameron | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | |
| 2018 | Thomas McAuley | Andrew Harris | State Custody related deaths | 1 |
| 2018 | Nicola Lawrence | Jonathan Leach | State Custody related deaths | 1 |
| 2018 | Robert McLoughlin | Jonathan Leach | State Custody related deaths | |
| 2018 | Dean Barrell | State Custody related deaths | ||
| 2018 | Jerome Jones | Joanne Lees | State Custody related deaths | 2 |
| 2018 | Andrew Craig | Rachael Griffin | State Custody related deaths | 2 |
| 2018 | Michael Berry | Ian Pears | State Custody related deaths | |
| 2018 | Andrew Crane | Philip Barlow | State Custody related deaths | |
| 2018 | Michalla Sweeting | Maria Voisin | Community health care and emergency services related deaths, State Custody related deaths | |
| 2018 | Stephen Tidey | Anna Loxton | State Custody related deaths, Police related deaths | 2 |
| 2018 | Paul James | Christopher Sutton Mattocks | State Custody related deaths | 1 |
| 2018 | Anthony Paine | Andre Rebello | State Custody related deaths, Mental Health related deaths | 2 |
| 2018 | Emily Hartley | David Hinchliff | State Custody related deaths | 1 |
| 2018 | Timothy Shaw | Caroline Beasley Murray | State Custody related deaths | 1 |
| 2018 | John Chapman | Nicholas Rheinberg | State Custody related deaths | 2 |
| 2018 | John O’Meara | Sarah Ormond Walshe | State Custody related deaths | 1 |
| 2017 | Craig Royce | Caroline Beasley Murray | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Mark Doyle | Heather Williams | State Custody related deaths | 1 |
| 2017 | Stephen Shaylor | Elizabeth Earland | State Custody related deaths | 1 |
| 2017 | Sidonio Teixeira | Geraint Williams | State Custody related deaths | |
| 2017 | Christopher Talbot | Nicholas Rheinberg | State Custody related deaths | |
| 2017 | Jason Basalat | Thomas Osborne | State Custody related deaths | 2 |
| 2017 | Robert Richards | Fiona Wilcox | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2017 | Vilhelmas Borkertas | Mary Hassell | State Custody related deaths | |
| 2017 | Mark Vagnoni | Ian Pears | State Custody related deaths | 1 |
| 2017 | Levi Cronin | Peter Dean | State Custody related deaths | |
| 2017 | Sam Molyneux | Andre Rebello | State Custody related deaths | 1 |
| 2017 | Sean Plumstead | Grahame Short | State Custody related deaths | 3 |
| 2017 | Sarah Reed | Sir Peter Thornton Qc | Suicide (from 2015), State Custody related deaths | 2 |
| 2017 | Edwin O’Donnell | Andre Rebello | State Custody related deaths | 1 |
| 2017 | Jonathan Palmer | Kevin Mcloughlin | State Custody related deaths | 1 |
| 2017 | Daniel Dunkley | Thomas Osborne | State Custody related deaths | |
| 2017 | Arthur Morley | Crispin Butler | State Custody related deaths | |
| 2017 | Ondrej Suha | Andrew Haigh | State Custody related deaths | |
| 2017 | John Williams | Mary Hassell | State Custody related deaths | 1 |
| 2017 | Valdas Jasiunas | Nadia Persaud | Police related deaths, State Custody related deaths | |
| 2017 | Jack Portland | Crispin Butler | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | 2 |
| 2017 | Dean Saunders | Caroline Beasley Murray | State Custody related deaths, Suicide (from 2015) | 3 |
| 2017 | Margaret Atkinson | Andrew Tweddle | State Custody related deaths | 1 |
| 2016 | Mark Lilliott | Julie Goulding | State Custody related deaths, Alcohol, drug and medication related deaths | |
| 2016 | Simon Turvey | Thomas Osborne | State Custody related deaths, Suicide (from 2015) | |
| 2016 | Tedros Kahssay | Mary Hassell | State Custody related deaths, Suicide (from 2015) | 1 |
| 2016 | Matthew Russell | Richard Travers | State Custody related deaths, Suicide (from 2015) | 1 |
| 2016 | Richard Walsh | Andrew Harris | State Custody related deaths, Suicide (from 2015) | 4 |
| 2016 | Michelle Barnes | State Custody related deaths | ||
| 2016 | Michelle Barnes | State Custody related deaths | ||
| 2016 | Roy Hoey | Andre Rebello | State Custody related deaths | 1 |
| 2016 | Calam Atour | David Ridley | State Custody related deaths | |
| 2016 | Wayne Cornlouer | Brendan Allen | State Custody related deaths, Suicide (from 2015) | 1 |
| 2016 | Haydn Burton | Grahame Short | State Custody related deaths, Suicide (from 2015) | 1 |
| 2016 | Liam Lambert | Lydia Brown | Suicide (from 2015), State Custody related deaths | 1 |
| 2016 | Warren Sampson | Caroline Beasley Murray | State Custody related deaths | 1 |
| 2016 | Peter Lawrence | Simon Milburn | State Custody related deaths | |
| 2016 | Stephen St Clair | Caroline Sumeray | State Custody related deaths | |
| 2016 | Thomas Jordan | State Custody related deaths | ||
| 2016 | Thomas Jordan | David Hinchliff | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | 1 |
| 2016 | Terence Adams | Mary Hassell | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | 1 |
| 2016 | Olawale Adelusi | State Custody related deaths | ||
| 2016 | Olawale Adelusi | State Custody related deaths | ||
| 2016 | Michael Williams | Lydia Brown | State Custody related deaths, Suicide (from 2015) | 1 |
| 2016 | John Betteridge | Andrew Tweddle | Suicide (from 2015), State Custody related deaths | |
| 2016 | Beverley Devanney | Martin Fleming | Police related deaths, State Custody related deaths | |
| 2016 | Anthony Fraser | Nicola Mundy | State Custody related deaths | 1 |
| 2016 | Steven Trudgill | Peter Dean | State Custody related deaths, Suicide (from 2015) | |
| 2016 | Adetokunbo Ajakaiye | Mark Beresford | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | |
| 2016 | Ian Brown | Thomas Osborne | State Custody related deaths, Suicide (from 2015) | 1 |
| 2016 | Sheldon Woodford | Sarah Whitby | State Custody related deaths | |
| 2016 | Ronnie Olliffe | Kate Thomas | State Custody related deaths | 1 |
| 2016 | Ahmedreza Fathi | Lydia Brown | State Custody related deaths, Suicide (from 2015) | 2 |
| 2016 | Shalane Blackwood | Stephanie Haskey | State Custody related deaths | |
| 2016 | Derrick Rose-Fowler | John Ellery | State Custody related deaths | |
| 2016 | Luke Ayres | Emma Brown | Suicide (from 2015), Mental Health related deaths | 1 |
| 2016 | Steven May | Andrew Mcnamara | State Custody related deaths | 2 |
| 2016 | Lee Rushton | State Custody related deaths | ||
| 2015 | Imran Douglas | Melanie Williamson | State Custody related deaths | 4 |
| 2015 | Derek Thomas | Crispin Oliver | State Custody related deaths | 4 |
| 2015 | Daniel Byrne | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | ||
| 2015 | Dean Boland | Louise Hunt | State Custody related deaths | 1 |
| 2015 | Thomas Black | Wendy James | State Custody related deaths | |
| 2015 | Richard Green | David Roberts | State Custody related deaths | 1 |
| 2015 | Kevin Forster | Andrew Tweddle | Alcohol, drug and medication related deaths, State Custody related deaths | 2 |
| 2015 | Carl Foot | Mary Hassell | State Custody related deaths | |
| 2015 | Samuel Gale | John Sleightholme | State Custody related deaths | 2 |
| 2015 | Liam Smith | Geraint Williams | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Adil Habib | Mary Hassell | State Custody related deaths, Community health care and emergency services related deaths | 2 |
| 2015 | Ian Emsley | State Custody related deaths | ||
| 2015 | Andrew Frere | State Custody related deaths | ||
| 2015 | Craig Chappell | State Custody related deaths | ||
| 2015 | Rubel Ahmed | Stuart Fisher | State Custody related deaths | 1 |
| 2015 | Carl Smith | Elizabeth Earland | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2015 | Luke Myers | Andre Rebello | State Custody related deaths | 1 |
| 2015 | Douglas Birch | Patricia Harding | State Custody related deaths | 1 |
| 2015 | David Hallett | Andrew Barkley | State Custody related deaths | |
| 2015 | Blaise Farry | Sean Cummings | State Custody related deaths | |
| 2015 | Davin Short | David Osborne | State Custody related deaths | 2 |
| 2015 | Greg Revell | Lydia Brown | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2015 | Laurence Boyens | Andrew Harris | State Custody related deaths | 2 |
| 2015 | Sharon Butcher | Andrew Tweddle | State Custody related deaths | 1 |
| 2015 | Keith Murphy | Simon Wickens | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Stuart Baumber | David Heming | State Custody related deaths, Suicide (from 2015) | |
| 2015 | Kingsley Burrell | Louise Hunt | Mental Health related deaths, State Custody related deaths | 3 |
| 2015 | Paul Hardy | Stephanie Haskey | State Custody related deaths | |
| 2015 | Darren Wright | Jacqueline Lake | State Custody related deaths | 3 |
| 2015 | Jason Lawson | Robert Chapman | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | |
| 2014 | Alex Kelly | Patricia Harding | State Custody related deaths | 5 |
| 2014 | John Stabler | Stuart Fisher | State Custody related deaths | |
| 2014 | Connor Smith | Andre Rebello | State Custody related deaths | 2 |
| 2014 | Garry Gilbey | Karen Harrold | State Custody related deaths | 2 |
| 2014 | Geraldine Kilborn | Andrew Tweddle | State Custody related deaths | 3 |
| 2014 | Peter Mackie | Richard Hulett | State Custody related deaths | 1 |
| 2014 | Colin Ireland | David Hinchliff | State Custody related deaths | |
| 2014 | Barry Horrocks | David Hinchliff | State Custody related deaths | |
| 2014 | William Davies | Mary Hassell | State Custody related deaths | 1 |
| 2014 | Cherylin Norrell-Goldsmith | Richard Travers | State Custody related deaths | 1 |
| 2014 | William Anderson | Melanie Williamson | State Custody related deaths | |
| 2014 | Seweryn Glowinski | Geraint Williams | State Custody related deaths | |
| 2014 | Vincent Oliver | Tony Brown | State Custody related deaths | 1 |
| 2014 | Satheeskumar Mahatheaven | Mary Hassell | State Custody related deaths | 1 |
| 2014 | Yohannes Kidane | Louise Hunt | State Custody related deaths | 2 |
| 2014 | Sean Brock | Tom Osborne | State Custody related deaths | 1 |
| 2014 | Edward Devlin | Crispin Oliver | State Custody related deaths | 1 |
| 2014 | Marcin Stoga | Darren Salter | State Custody related deaths | 1 |
| 2014 | Adam Williams | Andrew Haigh | State Custody related deaths | 1 |
| 2014 | Jake Hardy | Alison Hewitt | State Custody related deaths | |
| 2014 | Wilfred Aspinwall | Andre Rebello | State Custody related deaths | |
| 2014 | Lloyd Butler | Louise Hunt | State Custody related deaths | 1 |
| 2014 | Redmond Johnson | Peter Dean | Hospital Death (Clinical Procedures and medical management) related deaths, State Custody related deaths | |
| 2014 | David O’Garro | Mary Hassell | State Custody related deaths | |
| 2014 | Matthew Purser | Philip Rogers | State Custody related deaths | |
| 2014 | Kevin Scarlett | Tom Osborne | State Custody related deaths | 1 |
| 2014 | David Oldfield | Melanie Williamson | State Custody related deaths | 1 |
| 2014 | Andrew Hall | Anthony Eastwood | State Custody related deaths | 1 |
| 2014 | Christopher Shapley | Christopher Woolley | State Custody related deaths | |
| 2014 | Lee MacPherson | Elizabeth Pygott | State Custody related deaths | |
| 2014 | Lee Curran | Jennifer Leeming | State Custody related deaths | |
| 2014 | Amy Friar | Richard Travers | State Custody related deaths | |
| 2014 | Zeeyad Hamadi | Andrew Tweddle | State Custody related deaths | 1 |
| 2014 | Billy Paul Thomas Salton | Joanne Kearsley | State Custody related deaths | 2 |
| 2013 | Adrian Johnson | Andrew Harris | State Custody related deaths | 1 |
| 2013 | Kirk Duboise | Andrew Tweddle | State Custody related deaths | 1 |
| 2013 | Michael James Meyler | Caroline Sarah Sumeray | State Custody related deaths | 1 |
| 2013 | Anthony Brian Flynn | Jennifer Leeming | State Custody related deaths | 1 |
| 2013 | Damion Anthony Andre Martin | Martin Fleming | State Custody related deaths | |
| 2013 | Reggie John | Geraint Williams | State Custody related deaths | 2 |
| 2013 | Jordan Buckton | Sheriff Payne | State Custody related deaths | |
| 2013 | Ronald Sherlock | William Armstrong | State Custody related deaths | |
| 0000-00-00 | Jamie Bennett | Tanyka Rawden | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
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