47 Prevention of Future Deaths reports written by Caroline Saunders, 2017–2026. 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.
42 of 47 (89%) 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 |
|---|---|---|---|
| 2026 | Della Calvey | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2025 | Philip Hoggarth | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Marc Davies | Alcohol, drug and medication related deaths | 1 |
| 2025 | Steven Turzynski | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2025 | Isaac Ingle-Gillis | Alcohol, drug and medication related deaths, Suicide (from 2015) | 1 |
| 2025 | Robyn Chambers | Child Death (from 2015), Emergency services related deaths (2019 onwards) | 1 |
| 2025 | Marina Waldron | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2025 | Jeffrey Tyler | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Huw Erasmus | Wales prevention of future deaths reports (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Jean Thomas | Wales prevention of future deaths reports (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Kay Simmonds | Alcohol, drug and medication related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Marjorie Michael | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Sylvia Evans | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Neil Edwards | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2024 | Mouayed Bashir | Alcohol, drug and medication related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2023 | Catriona Martin | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Kaye McCoy | Suicide (from 2015), Mental Health related deaths | 1 |
| 2023 | Maria Shafighian | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Andrew Still | Road (Highways Safety) related deaths | 1 |
| 2023 | Dorothy Jones | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2023 | Lucy Jones | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Glenys Phipps | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Gareth Williams | Suicide (from 2015), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Gwynne Samuel | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Marvin Rue | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | |
| 2022 | Barbara Young | Emergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2022 | Brian Wareham | Wales prevention of future deaths reports (2019 onwards), Community health care | 2 |
| 2022 | Ian Miller | State Custody related deaths, Suicide (from 2015) | 1 |
| 2021 | Mustafa Abdelkarim | Wales prevention of future deaths reports (2019 onwards), Other related deaths | 1 |
| 2021 | Steven Evans | Other related deaths, Wales prevention of future deaths reports (2019 onwards) | 2 |
| 2021 | Siwan Smith | Community health care, Mental Health related deaths | 1 |
| 2021 | Valmai West | Hospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2021 | Lynne Lawrence | Road (Highways Safety) related deaths, Wales prevention of future deaths reports (2019 onwards) | 1 |
| 2021 | Elizabeth Robinson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Alan Jones | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | John Berrow | Other related deaths | 1 |
| 2020 | Rory Attwood | Mental Health related deaths, Alcohol, drug and medication related deaths | 1 |
| 2020 | John Tucker | Alcohol, drug and medication related deaths | |
| 2020 | Alyn Rees | Emergency Services related deaths, Wales prevention of future deaths reports (2019 onwards) | |
| 2019 | Gareth Williams | Road (Highways Safety) related deaths | |
| 2019 | Jamie Staley | Road (Highways Safety) related deaths | 2 |
| 2019 | Ahmed Motala | Road (Highways Safety) related deaths | 1 |
| 2019 | Barry Clow | Road (Highways Safety) related deaths | 1 |
| 2018 | Jonathan Earp | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Martin Tilley | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | |
| 2018 | David Sketchley | Care Home Health related deaths | 1 |
| 2017 | Shaun Carter | Accident at Work and Health and Safety related deaths | 1 |
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