7 Prevention of Future Deaths reports written by Fiona Butler, 2022–2025. 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.
7 of 7 (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 | Richard Hunt | State Custody related deaths | 2 |
| 2024 | Jason Holland | Accident at Work and Health and Safety related deaths | 7 |
| 2024 | Lily Jahany | Suicide (from 2015) | 2 |
| 2024 | Nazerine Anderson | Alcohol, drug and medication related deaths, Mental Health related deaths | 1 |
| 2023 | Samantha Boazman | Suicide (from 2015), Mental Health related deaths | 1 |
| 2022 | Colleen Fletcher | Other related deaths | 1 |
| 2022 | Jane Shilton | Care Home Health related deaths, Mental Health related deaths | 1 |
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