Sarah Ormond-Walshe

9 Prevention of Future Deaths reports written by Sarah Ormond-Walshe, 2013–2019. 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

20132
20141
2015
2016
20172
20182
20191

Responses published

6 of 9 (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.

What the reports are about

Hospital Death (Clinical Procedures and medical management) related deaths 4Road (Highways Safety) related deaths 2Community health care and emergency services related deaths 2Railway related deaths 1Other related deaths 1Mental Health related deaths 1State Custody related deaths 1

Coroner areas

West London 3London Inner South 2London South 2Birmingham and Solihull 1Birmingham & Solihull 1

Reports

DateReportCategoryResponses
2019Catherine HortonMental Health related deaths1
2018Kevin FreelyCommunity health care and emergency services related deaths
2018John O’MearaState Custody related deaths1
2017Alice Gibson-WattHospital Death (Clinical Procedures and medical management) related deaths1
2017Esther HartsilverRoad (Highways Safety) related deaths2
2014Christopher AjayiCommunity health care and emergency services related deaths, Hospital Death (Clinical Procedures and medical management) related deaths2
2013George Leonard ParkesHospital Death (Clinical Procedures and medical management) related deaths
2013Alfie-Scott Harris, Mohammed Mohinudeen and Caitlyn BennetHospital Death (Clinical Procedures and medical management) related deaths
0000-00-002021-0337Railway related deaths, Road (Highways Safety) related deaths8

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