Non-responses to Prevention of Future Death (PFD) reports

Chief CoronerCoroners' CourtReports

These reports have been compiled after receiving confirmation from coroner’s offices that these responses have not been received.

The reports are published every 6 months.

If you have any questions or concerns please email: chiefcoronersoffice@judiciary.uk

The below table covers responses due between 14 December 2024 – 13 June 2025. Published 30 June 2025.

Name of DeceasedDate of ReportCoronerCoroner AreaSent ToResponse Due Date
Janet Harrison05/08/2024Sunyana SharmaHampshire, Southampton and PortsmouthSouthampton City Council18/12/2024

Margaret Feeney25/11/2024Peter NietoDerby and DerbyshireDaynight Pharmacy20/01/2025
Peter McCarthy10/12/2024Caroline ToppingSurreyCare4U Healthcare04/02/2025
James Alderman13/12/2024Lydia BrownWest LondonBSI Group21/02/2025
Kenton Beasley07/02/2025Joseph TurnerWest Sussex, Brighton and HoveDVLA04/04/2025
Luke Worrell21/02/2025Andrew HarrisSouth LondonRoyal College of Psychiatrists | Care Quality Commission17/04/2025
Chloe Burgess04/03/2025Nicholas WalkerHampshire, Portsmouth and SouthamptonNational Institute for Health and Care Excellence28/04/2025
Marta Vento11/03/2025Rachael GriffinDorsetHMPPS06/05/2025
Paul Dunne21/02/2025Andrew HarrisSouth LondonOxleas NHS Foundation Trust | Care Quality Commission08/05/2025
Oladeji Omishore25/03/2025Fiona J WilcoxInner West LondonMetropolitan Police | College of Policing21/05/2025
John McLoughlin06/03/2025Gareth JonesWest Sussex,
Brighton and Hove
British Airline Pilots’ Association31/05/2025
Freddie Slater16/04/2025Alan BlunsdonNorth West KentKent Police12/06/2025

The below table covers responses due between 1 January 2024 – 13 December 2024. Published 31 Dec 2024.

Name of DeceasedDate of ReportCoronerCoroner DistrictSent ToResponse Due Date
Matthew Wickes19/01/2024Christopher WilkinsonHampshire, Portsmouth and SouthamptonUniversity of Southampton15/03/2024
James Atkinson26/01/2024Karen DilksNewcastle and North TynesideNewcastle City Council22/03/2024
Mark Pryor06/02/2024Peter NietoDerby and DerbyshireMinistry of Justice03/04/2024
Joshua Burgess13/02/2024Daniel HoweStaffordshire and Stoke on TrentBrook Medical Centre09/04/2024
Sarah Sutherland15/03/2024Karen HendersonSurreyRoyal College of Psychiatrists | Brainwaves10/05/2024
Mark Kinzley26/03/2024Graeme IrvineEast LondonThe Cambridge Nursing Home Ltd, Wanstead22/05/2024
Darren Docherty14/04/2024Emma SerranoStaffordshire and Stoke on TrentHMPPS11/06/2024
Ashley Crews23/04/2024Zak GolombeckManchester CityCollege of Policing | Independent Office for Police Conduct18/06/2024
Hayley Cowan29/05/2024Joanne KearsleyManchester North Ministry of Justice24/07/2024
Christopher MacGillivray29/05/2024Karen DilksNewcastle and North TynesideMinistry of Justice24/07/2024
Daniel Beckford11/06/2024Priya MalhotraInner West LondonHMPPS | HMP Wandsworth07/08/2024
Yuri Hatton11/06/2024Priya MalhotraInner West LondonHMPPS | HMP Wandsworth07/08/2024
Graham Faulkner13/06/2024Elizabeth WheelerCheshireHealth and Safety Executive26/07/2024
Emily Collishaw27/06/2024Andrew Harris Outer South LondonSE London Integrated Care Board22/08/2024
Elizabeth Holder25/07/2024Graeme IrvineEast LondonBarts Health Foundation Trust20/09/2024
Lamarah Scarlett29/07/2024Katy SkerrettGloucestershireLocal Government Association | Traffic Commissioner for West of England23/09/2024
Matthew Braben01/08/2024Anton van DellenWest LondonMinistry of Justice | HMPPS26/09/2024
Sean Davies08/08/2024Patricia HardingMid Kent and MedwayMinistry of Justice | HMPPS03/10/2024
Margaret Huntley13/08/2024Paul AppletonTeesside and HartlepoolRoyal College of General Practitioners 08/10/2024
Hannah Jacobs 20/08/2024Shirley RadcliffeEast LondonRoyal College of Paediatrics  15/10/2024
Dave Onawelo27/08/2024Graeme lrvine East LondonBarts Health NHS Foundation Trust22/10/2024
Gordon Long19/09/2024Graeme IrvineEast LondonBarking, Havering & Redbridge University Trust 15/11/2024
Stephen Sleaford 14/10/2024I M CartwrightLeicester City and South LeicestershireMinistry of Justice | HMPPS09/12/2024