50 Prevention of Future Deaths reports written by Tom Osborne, 2013–2025. 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.
37 of 50 (74%) 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 |
|---|---|---|---|
| 2025 | Suzanne Edwards | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2025 | Jordan Babb | Community health care and emergency services related deaths | |
| 2025 | Karl Dunstan | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Florence Stewart | Suicide (from 2015), Mental Health related deaths | 1 |
| 2024 | Moira Farnell | Other related deaths | 1 |
| 2024 | Leah Croucher | Other related deaths | 1 |
| 2024 | Scott Rider | Suicide (from 2015) | 1 |
| 2023 | Jacqueline Carrey | Alcohol, drugs medication related deaths, Care Home Health related deaths | 1 |
| 2023 | Rohan Godhania | Other related deaths, Child Death (from 2015) | 2 |
| 2023 | Harry Stobie | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | David Wood | Suicide (from 2015), Mental Health related deaths | 1 |
| 2023 | Rita Taylor | Emergency services related deaths (2019 onwards) | |
| 2022 | Robert Kelly | Suicide (from 2015) | 2 |
| 2022 | Clifford Rose | Care Home Health related deaths | 2 |
| 2021 | Hedley Robinson | Police related deaths, Mental Health related deaths | |
| 2021 | Brooke Martin | Mental Health related deaths, Suicide (from 2015) | 1 |
| 2021 | Mark Culverhouse | State Custody related deaths, Mental Health related deaths | 1 |
| 2021 | Kelly Hewitt | Mental Health related deaths, Suicide (from 2015) | 1 |
| 2020 | Roy Curtis | Community health care, Suicide (from 2015) | 1 |
| 2020 | Reggie-Jay Payne | Child Death (from 2015), Community health care | |
| 2020 | Siân Hewitt | Community health care, Mental Health related deaths | |
| 2020 | Alana Cutland | Alcohol, drug and medication related deaths, Other related deaths | 1 |
| 2020 | Richard King | Emergency Services related deaths | |
| 2019 | Darren Williams | State Custody related deaths, Suicide (from 2015) | |
| 2019 | Thomas Smyth | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Iain Macinnes | Mental Health related deaths, Community health care | |
| 2019 | William Vickers | Emergency services related deaths (2019 onwards), State Custody related deaths | 2 |
| 2019 | Barbara Henderson | Road (Highways Safety) related deaths | 1 |
| 2019 | Thomas Collings | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2019 | Mark Kubiak | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2019 | Douglas Minns | Emergency services related deaths (2019 onwards) | 1 |
| 2014 | Peter White | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2014 | Aaron Vranas | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Sean Brock | State Custody related deaths | 1 |
| 2014 | Ashley Ponsonby | Other related deaths | 2 |
| 2014 | Aimee Varney | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Essa Shah | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Ross Boyd | Care Home Health related deaths | 1 |
| 2014 | Terence Fernandes | Alcohol, drug and medication related deaths | 1 |
| 2014 | Gianna Khan | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Sari Keen | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2014 | Kevin Scarlett | State Custody related deaths | 1 |
| 2014 | Albert James Hand | Community health care and emergency services related deaths | 1 |
| 2013 | Doris Phoebe Miller | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2013 | Sally King | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2013 | Yvonne Sydney Annie Perry | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2013 | Daniel Onley | Care Home Health related deaths | 1 |
| 2013 | Martin Leslie Brown | Road (Highways Safety) related deaths | 1 |
| 0000-00-00 | Poppy Harris | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 0000-00-00 | Sangeerth Girirathan | Hospital Death (Clinical Procedures and medical management) related deaths, Road (Highways Safety) related deaths | 2 |
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