Kirsty Gomersal

8 Prevention of Future Deaths reports written by Kirsty Gomersal, 2019–2026. 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.

Reports per year

20191
2020
2021
20222
20232
2024
20252
20261

Responses published

8 of 8 (100%) 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

Alcohol, drug and medication related deaths 4Product related deaths 2Child Death (from 2015) 1Suicide (from 2015) 1Road (Highways Safety) related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths 1Other related deaths 1

Coroner areas

Cumbria 7County of Cumbria 1

Reports

DateReportCategoryResponses
2026Charlotte JonesAlcohol, drug and medication related deaths1
2025John OatesOther related deaths1
2025Mark FosterHospital Death (Clinical Procedures and medical management) related deaths1
2023Kevin GaleSuicide (from 2015)1
2023Chester MossopChild Death (from 2015), Product related deaths2
2022Peter MoorbyAlcohol, drug and medication related deaths4
2022Edward CapovilaAlcohol, drug and medication related deaths, Product related deaths1
2019Michael HendersonRoad (Highways Safety) related deaths, Alcohol, drug and medication related deaths2

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