21 Prevention of Future Deaths reports written by Sean Horstead, 2017–2026. 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.
18 of 21 (86%) 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 | Janet Daniels | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2026 | Suzanne Pemberton | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Stuart Berry | State Custody related deaths, Suicide (from 2015) | 3 |
| 2025 | Stephen Neville | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Jack Peatling | Suicide (from 2015), Mental Health related deaths | 2 |
| 2025 | Susan Barrett | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Mark Smith | Alcohol, drug and medication related deaths | 1 |
| 2025 | Michael Barry | Alcohol, drug and medication related deaths | 3 |
| 2025 | Linda Sitch | Suicide (from 2015), Mental Health related deaths | 1 |
| 2025 | Darren Turner | Suicide (from 2015), Mental Health related deaths | 1 |
| 2024 | Jamie Harding | Suicide (from 2015), Mental Health related deaths | 1 |
| 2024 | Michael Waite | Emergency services related deaths (2019 onwards) | 3 |
| 2023 | Johanne Blackwood | Suicide (from 2015), Railway related deaths | 1 |
| 2023 | Ronald Ashdown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Stephanie Moyce | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | |
| 2022 | John Moore | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2021 | Fiona Humberstone | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care | |
| 2021 | Alvin Black | State Custody related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2021 | Sean Kay | Mental Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Averil Hart | Hospital Death (Clinical Procedures and medical management) related deaths | 4 |
| 2017 | Peter Saint | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
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