13 Prevention of Future Deaths reports written by Paul Smith, 2015–2026. 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.
8 of 13 (62%) 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 | Benjamin Rowley | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2026 | Luke Ashcroft | State Custody related deaths | 2 |
| 2026 | Robert Gracey | Police related deaths | 3 |
| 2025 | Jean Dye | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2022 | Adam Simms | Road (Highways Safety) related deaths | 1 |
| 2021 | Christopher Taylor | Road (Highways Safety) related deaths | |
| 2020 | Ashley Holden | Other related deaths, Accident at Work and Health and Safety related deaths | 2 |
| 2019 | Terence Penney | Product related deaths | |
| 2019 | Gail Bailey | Hospital Death (Clinical Procedures and medical management) related deaths, Emergency services related deaths (2019 onwards) | |
| 2018 | Harry Jellicoe | Road (Highways Safety) related deaths | |
| 2016 | Joan Green | Road (Highways Safety) related deaths | 1 |
| 2016 | Robert Dearing | Road (Highways Safety) related deaths | |
| 2015 | Robert Spring | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
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