9 Prevention of Future Deaths reports written by Ian Brownhill, 2021–2025. 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.
8 of 9 (89%) 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 | Azroy Dawes-Clarke | State Custody related deaths | 1 |
| 2025 | Azroy Dawes-Clarke | State Custody related deaths | 3 |
| 2025 | Azroy Dawes-Clarke | State Custody related deaths | 1 |
| 2024 | John Eyre | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | John Henderson | State Custody related deaths | 1 |
| 2022 | Kathryn Millard | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2021 | Hadley Savory | Alcohol, drug and medication related deaths | |
| 2021 | James Devenny | State Custody related deaths, Mental Health related deaths | 1 |
| 0000-00-00 | Hadley Savory | Alcohol, drug and medication related deaths, Other related deaths | 1 |
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