Crispin Oliver

27 Prevention of Future Deaths reports written by Crispin Oliver, 2014–2025. 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.

Reports per year

20142
20153
20164
2017
20181
2019
20203
20211
20223
20233
20242
20255

Responses published

23 of 27 (85%) 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.

What the reports are about

State Custody related deaths 6Other related deaths 4Mental Health related deaths 4Alcohol, drug and medication related deaths 4Road (Highways Safety) related deaths 4Hospital Death (Clinical Procedures and medical management) related deaths 3Suicide (from 2015) 3Community health care and emergency services related deaths 2Care Home Health related deaths 1Emergency services related deaths (2019 onwards) 1Community health care 1Child Death (from 2015) 1Railway related deaths 1Product related deaths 1

Coroner areas

County Durham and Darlington 19West Yorkshire Western 6County Durham & Darlington 2

Reports

DateReportCategoryResponses
2025Steven RuddickState Custody related deaths1
2025Myles ScrivenCommunity health care and emergency services related deaths4
2025Myles ScrivenHospital Death (Clinical Procedures and medical management) related deaths1
2025Jody RobbSuicide (from 2015), Railway related deaths1
2025Loraine CheesmanProduct related deaths, Mental Health related deaths1
2024Sean CrawfordAlcohol, drug and medication related deaths3
2024Peter StajicEmergency services related deaths (2019 onwards)1
2023Alfie Mains-ForsterChild Death (from 2015)1
2023John HoareHospital Death (Clinical Procedures and medical management) related deaths1
2023Joseph PriceOther related deaths, State Custody related deaths1
2022Michael SmithSuicide (from 2015), State Custody related deaths1
2022Kate HyattMental Health related deaths, Suicide (from 2015)1
2022Jane AllisonCommunity health care, Alcohol, drug and medication related deaths4
2021Philip EllisAlcohol, drug and medication related deaths1
2020Claire RichardsMental Health related deaths, Alcohol, drug and medication related deaths1
2020William TurnerRoad (Highways Safety) related deaths1
2020Daphne McKennaOther related deaths
2018John MayhewState Custody related deaths
2016Micael McMonigleMental Health related deaths
2016Leslie MatthewsHospital Death (Clinical Procedures and medical management) related deaths, Other related deaths2
2016Nathan CharmanRoad (Highways Safety) related deaths1
2016Elsie RaperCommunity health care and emergency services related deaths, Care Home Health related deaths2
2015Derek ThomasState Custody related deaths4
2015Charles RaynerRoad (Highways Safety) related deaths
2015Kenneth McCurdy and Mary McCurdyRoad (Highways Safety) related deaths1
2014Edward DevlinState Custody related deaths1
2014Richard WhiteOther related deaths1

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