23 Prevention of Future Deaths reports written by Ian Pears, 2014–2024. 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.
17 of 23 (74%) 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 |
|---|---|---|---|
| 2024 | Geoffrey Cheney | Suicide (from 2015), Community health care and emergency services related deaths | 2 |
| 2023 | Ben Shipley | Mental Health related deaths, Railway related deaths | |
| 2021 | Maya Zab | Child Death (from 2015) | 2 |
| 2021 | Chloe English | Suicide (from 2015) | 1 |
| 2019 | Gwyneth Edwards | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Ryan Williams | Railway related deaths | |
| 2018 | Stephen Lawson | Other related deaths | 1 |
| 2018 | Andrew Hanahoe | Suicide (from 2015) | 1 |
| 2018 | Michael Berry | State Custody related deaths | |
| 2018 | Matthew Wilmot | Other related deaths | 2 |
| 2018 | Mavis Reeves | Other related deaths | 1 |
| 2017 | Harminder Dhillon | Railway related deaths | 1 |
| 2017 | Mark Vagnoni | State Custody related deaths | 1 |
| 2017 | Brian Betterton | Product related deaths | 1 |
| 2017 | Beryl Goode | Care Home Health related deaths | |
| 2017 | Andrew Codling | Community health care and emergency services related deaths, Suicide (from 2015) | 1 |
| 2017 | Patrick Woods | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2017 | Luke Moulding | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Etheline De-Gale | Care Home Health related deaths | 1 |
| 2016 | Brandon Arnold | Road (Highways Safety) related deaths | |
| 2016 | Stephen Cahill | Railway related deaths | 1 |
| 2016 | Susan Hamlett | Railway related deaths, Suicide (from 2015) | 1 |
| 2014 | Ernest Harper | Other related deaths | 1 |
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