Graeme Hughes

20 Prevention of Future Deaths reports written by Graeme Hughes, 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

20141
2015
20162
2017
20183
20193
20202
20211
20224
20232
2024
20252

Responses published

15 of 20 (75%) 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

Wales prevention of future deaths reports (2019 onwards) 12Hospital Death (Clinical Procedures and medical management) related deaths 7Emergency services related deaths (2019 onwards) 5Suicide (from 2015) 5Mental Health related deaths 3Road (Highways Safety) related deaths 2Alcohol, drug and medication related deaths 2Community health care and emergency services related deaths 1Care Home Health related deaths 1Other related deaths 1

Coroner areas

South Wales Central 19Powys Bridgend & Glamorgan Valleys 1

Reports

DateReportCategoryResponses
2025Valerie HillCare Home Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths1
2025Valerie HillEmergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards)1
2023Lynda BlackmoreEmergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards)3
2023Bronwen MorganSuicide (from 2015), Wales prevention of future deaths reports (2019 onwards)
2022Susan PerryAlcohol, drug and medication related deaths, Wales prevention of future deaths reports (2019 onwards)1
2022John WhiteSuicide (from 2015), Wales prevention of future deaths reports (2019 onwards)
2022Samuel GommMental Health related deaths, Suicide (from 2015)1
2022Sarah Gilbert-JonesEmergency services related deaths (2019 onwards), Mental Health related deaths1
2021David BlinmanRoad (Highways Safety) related deaths, Other related deaths1
2020Lewys CrawfordHospital Death (Clinical Procedures and medical management) related deaths, Wales prevention of future deaths reports (2019 onwards)
2020Deborah LamontSuicide (from 2015), Wales prevention of future deaths reports (2019 onwards)2
2019Paul McleanEmergency services related deaths (2019 onwards), Wales prevention of future deaths reports (2019 onwards)1
2019Annette HewinsHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths1
2019Matthew LewisEmergency services related deaths (2019 onwards), Suicide (from 2015)2
2018Janice DaviesHospital Death (Clinical Procedures and medical management) related deaths1
2018Joseph PageHospital Death (Clinical Procedures and medical management) related deaths
2018Howard WinterHospital Death (Clinical Procedures and medical management) related deaths1
2016Imad HassanHospital Death (Clinical Procedures and medical management) related deaths2
2016Ronald HamerCommunity health care and emergency services related deaths1
2014Stephen OwensRoad (Highways Safety) related deaths

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