Simon Milburn

11 Prevention of Future Deaths reports written by Simon Milburn, 2016–2025. 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

20161
2017
2018
2019
2020
20211
2022
20233
20244
20252

Responses published

9 of 11 (82%) 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

Road (Highways Safety) related deaths 5Hospital Death (Clinical Procedures and medical management) related deaths 4Child Death (from 2015) 2Mental Health related deaths 2Alcohol, drug and medication related deaths 1State Custody related deaths 1

Coroner areas

Cambridgeshire and Peterborough 9Cambridgeshire & Peterborough 2

Reports

DateReportCategoryResponses
2025Fallon AdamsAlcohol, drug and medication related deaths1
2025Judith HughesHospital Death (Clinical Procedures and medical management) related deaths1
2024Declan MorrisonHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths3
2024Richard RoeHospital Death (Clinical Procedures and medical management) related deaths1
2024Colin McCallumRoad (Highways Safety) related deaths1
2024Brian ChapmanRoad (Highways Safety) related deaths1
2023Louis ThoroldChild Death (from 2015), Road (Highways Safety) related deaths2
2023Milan HamzaRoad (Highways Safety) related deaths, Child Death (from 2015)1
2023Vivien RadoczRoad (Highways Safety) related deaths
2021Jonathan KingsmanHospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths1
2016Peter LawrenceState Custody related deaths

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