10 Prevention of Future Deaths reports written by Jonathan Stevens, 2020–2026. 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.
9 of 10 (90%) 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 | Gareth Chumber-Kelly | State Custody related deaths, Suicide (from 2015) | 2 |
| 2025 | Oliver Mulangala | State Custody related deaths, Alcohol, drug and medication related deaths | 1 |
| 2024 | David Mitchener | Other related deaths | 3 |
| 2024 | Rose Hollingworth | Care Home Health related deaths | 4 |
| 2023 | Kristopher Tilbury | State Custody related deaths, Alcohol, drug and medication related deaths | |
| 2022 | Van Tuyen | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Berenice Bell | Mental Health related deaths, Product related deaths | 1 |
| 2020 | Eddie Coffey | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | 2 |
| 2020 | Pauline Oakley | Other related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2020 | Flora Shen | Railway related deaths | 2 |
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