22 Prevention of Future Deaths reports written by Abigail Combes, 2019–2025. 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.
17 of 22 (77%) 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 | Category | Responses |
|---|---|---|---|
| 2025 | Samuel Brown | Alcohol, drug and medication related deaths | 1 |
| 2023 | Kyra Aslam | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Lee Bowman | Other related deaths | 1 |
| 2023 | Alex Dews | Other related deaths | 3 |
| 2023 | Lee Dryden | Hospital Death (Clinical Procedures and medical management) related deaths, Emergency services related deaths (2019 onwards) | 2 |
| 2023 | Mark Ravensdale | Suicide (from 2015) | 1 |
| 2023 | James Philliskirk | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Mojeri Adeleye | Child Death (from 2015) | 1 |
| 2023 | David Nash | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Margaret Russell | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2022 | Joan Rossington | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2022 | Chelsea Mooney | Community health care and emergency services related deaths, Mental Health related deaths | 2 |
| 2022 | Marjorie Grayson | Mental Health related deaths, Suicide (from 2015) | 2 |
| 2022 | Cassian Curry | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | 1 |
| 2022 | Millie-Rae Needham | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | |
| 2021 | Brian Rochell | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2021 | Laura Booth | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Anthony Wilkinson | Community health care, Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2020 | Thomas Rawnsley | Emergency Services related deaths, Community health care | 2 |
| 2020 | Eileen Pollard | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2020 | Joan Howard | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Patrick Kelly | Care Home Health related deaths | 1 |
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