32 Prevention of Future Deaths reports written by Emma Serrano, 2019–2026. 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.
26 of 32 (81%) 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 | Dhananji Dona | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2026 | Mark Turner | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2025 | Lynsey Dearden | Suicide (from 2015) | 2 |
| 2025 | William Grieve | Suicide (from 2015) | 2 |
| 2025 | Christopher Bradbury | Hospital Death (Clinical Procedures and medical management) related deaths, Alcohol, drug and medication related deaths | 2 |
| 2025 | Kevin O’Reilly | Road (Highways Safety) related deaths | 1 |
| 2024 | Eleanor Curley-Bennett | Child Death (from 2015) | 1 |
| 2024 | Phyllis Hart | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Alix Knowles | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 3 |
| 2024 | Elizabeth Bury | Other related deaths | 1 |
| 2024 | Darren Docherty | State Custody related deaths, Suicide (from 2015) | 1 |
| 2023 | Kathleen Booth | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Myra Maxfield | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Sandra Finch | Emergency services related deaths (2019 onwards) | 1 |
| 2023 | Minaal Salam | Child Death (from 2015), Road Traffic Collision | 1 |
| 2022 | Eirwen Hollister | Emergency services related deaths (2019 onwards) | 2 |
| 2021 | Sky Rollings | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 2 |
| 2021 | Diana Reay | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2021 | Harold Blackshaw | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2021 | Rebecca Pykett | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 2 |
| 2021 | 2021-0205 | Community health care, Other related deaths | 1 |
| 2021 | Jamie Poole | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2020 | Steven Cooke | Community health care, Mental Health related deaths | |
| 2020 | David Ball | Suicide (from 2015), Mental Health related deaths | 2 |
| 2020 | Edward Cowey | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2020 | Christine Forbes | Community health care | 1 |
| 2020 | Kenneth Clarke | Care Home Health related deaths | |
| 2020 | Gordon Gillott | Emergency services related deaths (2019 onwards), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2020 | Maureen Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Raees Rauf | Suicide (from 2015) | |
| 2019 | Thomas Reid | Road (Highways Safety) related deaths | |
| 2019 | David Squire | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
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