3 Prevention of Future Deaths reports written by Philip Holden, 2016–2021. 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.
2 of 3 (67%) 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 |
|---|---|---|---|
| 2021 | Maziellie Mackenzie | Hospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015) | 1 |
| 2018 | Michael Drewell | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Max Haigh | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths |
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