Stuart Fisher

9 Prevention of Future Deaths reports written by Stuart Fisher, 2013–2018. 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
20143
20154
2016
2017
20181

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 2State Custody related deaths 2Child Death (from 2015) 1Accident at Work and Health and Safety related deaths 1Road (Highways Safety) related deaths 1Community health care and emergency services related deaths 1Product related deaths 1Mental Health related deaths 1

Coroner areas

Lincolnshire Central 8Lincolnshire 1

Reports

DateReportCategoryResponses
2018Peter LettAccident at Work and Health and Safety related deaths1
2015Stuart KnightCommunity health care and emergency services related deaths1
2015Rubel AhmedState Custody related deaths1
2015Joshua BoothRoad (Highways Safety) related deaths1
2015Thor DalhaugHospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015)1
2014John StablerState Custody related deaths
2014Sean CunninghamProduct related deaths
2014Hazel PolkinghornMental Health related deaths
2013Susan Jill HammondHospital Death (Clinical Procedures and medical management) related deaths1

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