18 Prevention of Future Deaths reports written by Laurinda Bower, 2019–2025. 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.
17 of 18 (94%) 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 | Anthony Binfield | Suicide (from 2015), State Custody related deaths | 1 |
| 2025 | Anthony Binfield, David Richards and Rolandas Karbauskas | State Custody related deaths, Suicide (from 2015) | 5 |
| 2024 | Kevin McDonnell | Suicide (from 2015), State Custody related deaths | 1 |
| 2024 | Bethany Langton | Suicide (from 2015) | 1 |
| 2024 | Arlo Lambert | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Kane Boyce | State Custody related deaths, Alcohol, drug and medication related deaths | 2 |
| 2024 | Tammy Watkins | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Carrianne Franks | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2023 | Wyndham Thomas | State Custody related deaths, Suicide (from 2015) | 1 |
| 2023 | Michelle Whitehead | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Mackenzie Cooper | Other related deaths | 2 |
| 2023 | Christopher Smith | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Nigel Saunders | State Custody related deaths | 2 |
| 2020 | Wynter Andrews | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2020 | Noah Poole | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Stanislawa Kmiecik | Other related deaths | 1 |
| 2019 | Maureen Woods | Emergency services related deaths (2019 onwards) | |
| 2019 | Alexander Davidson | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
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