11 Prevention of Future Deaths reports written by David Lewis, 2017–2025. 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.
11 of 11 (100%) 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 | Dorothy Macdonald | Care Home Health related deaths | 1 |
| 2025 | Gloria Simon (1) | Care Home Health related deaths | 1 |
| 2025 | Gloria Simon (2) | Care Home Health related deaths | 1 |
| 2025 | Robert Evans | Police related deaths | 2 |
| 2024 | Douglas Armstrong | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care and emergency services related deaths | 1 |
| 2023 | Ross Ballatine, Carl McGrath, Alan Minard | Other related deaths | 1 |
| 2022 | Katherine Tyrer | Suicide (from 2015) | 1 |
| 2021 | Albert Rowlands | Care Home Health related deaths | 1 |
| 2021 | Brian Jackson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Kate Pierce | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Douglas McTavish | Product related deaths | 1 |
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