35 Prevention of Future Deaths reports name this organisation, 2013–2026. Every report below links to the original on judiciary.uk.
25 of 35 reports (71%) have at least one response published on judiciary.uk.
For reports written in the same years, 71% of all PFD reports in the corpus have a published response — so this page is in line with the corpus rate — the difference is within what chance alone would produce for this few reports.
This is not a reply rate. It counts responses published against the report by anyone — the organisation named here, a government department, a regulator or another body — because most response letters do not identify their author in a form that can be resolved reliably. A report with no response listed does not mean nobody replied: publication is at the discretion of the Chief Coroner's office, is often delayed, and was far less consistent in the corpus's early years. Treat a low figure as a prompt to read the reports, not as a finding about this organisation.
| Date | Report | Category | Coroner | Response | |
|---|---|---|---|---|---|
| 6 May 2026 | Sunny Eymond | Simon Burge | NHS England | source | |
| 29 Apr 2026 | Alice Dearden | Nicholas Rheinberg | Ebay | source | |
| 29 Apr 2026 | Alice Dearden | Nicholas Rheinberg | none published | source | |
| 29 Apr 2026 | Alice Dearden | Nicholas Rheinberg | NHS England | source | |
| 19 Nov 2025 | Anna Burns | Alcohol drugs and medication related deaths | Grant Davies | none published | source |
| 21 Jul 2025 | Christopher O’Donnell | Alcohol, drug and medication related deaths | Ian Singleton | Home Group Limited | source |
| 2022 | Ami Mitchell | Suicide (from 2015) | Simon Fox | Avon and Wiltshire Mental Health Partnership | source |
| 8 Jul 2021 | Maria Stancliffe-Cook | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Maria Voisin | Avon and Wiltshire Mental Health Partnership NHS Trust, DHSC | source |
| 29 Jun 2021 | Katie Locke | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Police related deaths | Mental Health related deaths | Alison McCormick | none published | source |
| 28 Nov 2019 | Thomas Wedrychowski | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Nicholas Rheinberg | none published | source |
| 19 Nov 2019 | Shaun Dewey | Suicide (from 2015); State Custody related deaths | Maria Voisin | Director General of Prisons Redacted 1 | source |
| 10 Oct 2019 | Abdeslam Benelghazi | Alcohol, drug and medication related deaths; Mental Health related deaths | Maria Voisin | Department of Health and Social Care | source |
| 28 Jun 2019 | Heather Birchall | Alcohol, drug and medication related deaths | David Ridley | none published | source |
| 16 May 2019 | Natasha Abrahart | Mental Health related deaths; Suicide (from 2015) | Maria Voisin | University of Bristol, AWP, the Department for Health and Social Care | source |
| 10 Jan 2019 | Christopher Seal | Community health care related deaths; Mental Health related deaths | Maria Voisin | Avon and Wiltshire Mental Health NHS Trust | source |
| 14 Sep 2018 | Terence Bennett | Mental Health related deaths; Suicide (from 2015) | Nicholas Rheinberg | NHS Improvement | source |
| 21 May 2018 | Michalla Sweeting | Community health care and emergency services related deaths; State Custody related deaths | Maria Voisin | none published | source |
| 3 May 2018 | Martin Baker | Hospital Death (Clinical Procedures and medical management) related deaths | Andrew Cox | Bath North East Somerset NHS Trust | source |
| 13 Dec 2017 | Rebecca Romero | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Maria Voisin | none published | source |
| 7 Jun 2017 | Callum Smith | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Maria Voisin | Prison Health Services | source |
| 9 Feb 2017 | Matthew Roberts | Hospital Death (Clinical Procedures and medical management) related deaths | Bridget Dolan QC | Sussex Partnership NHS Trust | source |
| 14 Nov 2016 | Martyn Watkins | Suicide (from 2015); Mental Health related deaths | Dr Peter Harrowing | Care Quality Commission | source |
| 12 Oct 2016 | Calam Atour | State Custody related deaths | David Ridley | none published | source |
| 5 Sep 2016 | John Jones | Mental Health related deaths | Robert Sowersby | none published | source |
| 15 Aug 2016 | Oliver Ford | Mental Health related deaths | Maria Voisin | Avon and Wiltshire NHS Trust | source |
| 7 Aug 2016 | Rohan Fitzsimons | Community health care and emergency services related deaths | Peter Harrowing | Avon and Wiltshire NHS Trust | source |
| 29 Jul 2016 | Miles Abel | Community health care and emergency services related deaths; Suicide (from 2015) | Ian Singleton | Department of Health, The Endless Street Doctors Surgery | source |
| 27 Oct 2015 | Charlotte Bevan and Zaani Malbrouck | Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Maria Voisin | Respondent not named | source |
| 24 Jul 2015 | Simon Reynolds | Mental Health related deaths | Maria Voisin | none published | source |
| 17 Jul 2015 | Masoud Ghaderi | Hospital Death (Clinical Procedures and medical management) related deaths | Peter Harrowing | Avon and Wiltshire NHS Trust | source |
| 19 Jun 2015 | Elizabeth Godwin | Hospital Death (Clinical Procedures and medical management) related deaths | Ian Singleton | Wiltshire Council, Royal United Hospitals Bath NHS Trust, Avon and Wiltshire NHS Trust | source |
| 20 Apr 2015 | Andrew Farrow | Hospital Death (Clinical Procedures and medical management) related deaths | Peter Hatvany | Avon and Wiltshire NHS Trust | source |
| 4 Mar 2015 | Kimberley Parsons | Suicide (from 2015) | Peter Harrowing | Care Quality Commission, Avon Wiltshire NHS Trust | source |
| 8 Apr 2014 | Andrew Horgan | Hospital Death (Clinical Procedures and medical management) related deaths | David Ridley | Great Western Hospital NHS Foundation Trust | source |
| 12 Dec 2013 | Felix Cembrowicz | Mental Health related deaths | Terence Moore | Avon Wiltshire NHS | source |
These counts are a floor, not a total. A report is listed here only when it names the organisation in text our pipeline could read; scanned reports with poor OCR, and reports that name only a hospital site or an individual, are missed. Always check the source report.
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