Simon Fox

12 Prevention of Future Deaths reports written by Simon Fox, 2013–2024. 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

20131
2014
2015
2016
20173
2018
20191
2020
2021
20222
20232
20243

Responses published

10 of 12 (83%) 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 5Care Home Health related deaths 2Alcohol, drugs medication related deaths, Care Home Health related deaths 1Community health care and emergency services related deaths 1Suicide (from 2015) 1Emergency services related deaths (2019 onwards) 1Child Death (from 2015) 1Alcohol, drug and medication related deaths 1

Coroner areas

Avon 11Gloucestershire 1

Reports

DateReportCategoryResponses
2024Lisa GaleHospital Death (Clinical Procedures and medical management) related deaths4
2024Romeo EspositoEmergency services related deaths (2019 onwards), Child Death (from 2015)1
2024Gillian BaumgardtHospital Death (Clinical Procedures and medical management) related deaths1
2023Stephen CassidyAlcohol, drugs medication related deaths, Care Home Health related deaths2
2023Clinton FearHospital Death (Clinical Procedures and medical management) related deaths
2022Donald GoreHospital Death (Clinical Procedures and medical management) related deaths1
2022Ami MitchellSuicide (from 2015)1
2019Antonis HannidesHospital Death (Clinical Procedures and medical management) related deaths2
2017Irene BakerCare Home Health related deaths1
2017Shaun BerrymanCommunity health care and emergency services related deaths1
2017Terence WhiteCare Home Health related deaths1
2013Alan Stanfield BrowningAlcohol, drug and medication related deaths

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