41 Prevention of Future Deaths reports written by Ian Potter, 2023–2026. 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.
36 of 41 (88%) 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 | David Roomes | ||
| 2026 | Robert Day | Suicide (from 2015) | 3 |
| 2026 | Thomas Ruggiero | State Custody related deaths | |
| 2026 | Thomas Ruggiero | State Custody related deaths | |
| 2026 | Thomas Ruggiero | State Custody related deaths | |
| 2026 | Sean Williams | Other related deaths | 2 |
| 2025 | Stephen Page | Suicide (from 2015) | 1 |
| 2025 | Walter Pollyn | Community health care and emergency services related deaths | 1 |
| 2025 | Mark Vidler | Community health care and emergency services related deaths, Mental Health related deaths | 1 |
| 2025 | Costas Chrysostomou | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | [REDACTED] | Mental Health related deaths | 1 |
| 2025 | Louise Crane | Suicide (from 2015), Mental Health related deaths | 2 |
| 2025 | Louise Crane | Suicide (from 2015), Mental Health related deaths | 1 |
| 2025 | Ian Simpson | Care Home Health related deaths | 2 |
| 2025 | Paul Reeves | Alcohol, drug and medication related deaths | 1 |
| 2025 | Ivy Dixon | Care Home Health related deaths | 1 |
| 2025 | Carl Eastman | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | REDACTED | Suicide (from 2015) | 1 |
| 2025 | Sheila Wexler | Product related deaths | 2 |
| 2025 | Joseph Forbes Black | Alcohol, drug and medication related deaths | 2 |
| 2024 | Mnayea Al Basman | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Miranda Avanzi | Suicide (from 2015) | 2 |
| 2024 | Kashim Ali | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Ian Hegarty | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | George Kyriacos Petrou | Mental Health related deaths, State Custody related deaths | 1 |
| 2024 | Michael Crane | Police related deaths, Mental Health related deaths | 2 |
| 2024 | Sophie Dean | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Elizabeth Van Der Drift | Product related deaths | 4 |
| 2024 | Nimo Osman | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Brian Colby | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Tracy McCarthy | Alcohol, drug and medication related deaths | 1 |
| 2024 | Alan Soane | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2024 | Sandra Senior | Suicide (from 2015) | 1 |
| 2024 | Vanessa Ford | Railway related deaths | 2 |
| 2024 | Nicholas Cork | Community health care and emergency services related deaths | 1 |
| 2024 | Bernadette Faulkner | Other related deaths | 2 |
| 2024 | Bobby Lee | Other related deaths, Product related deaths | 1 |
| 2023 | Kimberley Liu | Alcohol, drug and medication related deaths | 1 |
| 2023 | Luke Whitelaw | Suicide (from 2015) | 1 |
| 2023 | Glenn Lockwood | Alcohol, drug and medication related deaths | 2 |
| 2023 | Musa Konteh | Other related deaths |
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