State Custody related deaths
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February 12, 2026
Gareth Chumber-Kelly: Prevention of future deaths report
Date of report: 09/02/2026 Ref: 2026-0073 Deceased name: Gareth Chumber-Kelly Coroner name: Jonathan Stevens Coroner Area: North London Category: State Custody related deaths | Suicide (from 2015) This report is being sent to: HMP Pentonville | Serco | Ministry for Justice | HMPPS REGULATION 28: REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT […]
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February 12, 2026
Emmett Morrison: Prevention of future deaths report
Date of report: 06/02/2026 Ref: 2026-0071 Deceased name: Emmett Morrison Coroner name: David Reid Coroner Area: Worcestershire Category: State Custody related deaths This report is being sent to: Prison, Probation and Reducing Offending REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO:1) The Minister of State for Prisons, Probation and Reducing […]
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February 10, 2026
Josh Tarrant (3): Prevention of future deaths report
Date of report: 09/02/2026 Ref: 2026-0077 Deceased name: Josh Tarrant (3) Coroner name: Scott Matthewson Coroner Area: Mid Kent & Medway Category: Alcohol drugs and medication related deaths | State Custody related deaths This report is being sent to: HMP Elmley REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO:[REDACTED]GovernorHMP Elmley […]
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February 10, 2026
Josh Tarrant (2): Prevention of future deaths report
Date of report: 09/02/2026 Ref: 2026-0076 Deceased name: Josh Tarrant (2) Coroner name: Scott Matthewson Coroner Area: Mid Kent & Medway Category: Alcohol drugs and medication related deaths | State Custody related deaths This report is being sent to: Prisons, Probation and Reducing Reoffending REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING […]
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February 10, 2026
Josh Tarrant (1): Prevention of future deaths report
Date of report: 09/02/2026 Ref: 2026-0075 Deceased name: Josh Tarrant (1) Coroner name: Scott Matthewson Coroner Area: Mid Kent & Medway Category: Alcohol drugs and medication related deaths | State Custody related deaths This report is being sent to: NHS England REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO:[REDACTED]National Medical […]
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January 26, 2026
Scott Berry: Prevention of future deaths report
Date of report: 20/10/2025 Ref: 2026-0038 Deceased name: Scott Berry Coroner name: Sarah Middleton Coroner Area: City of Kingston Upon Hull and the County of the East Riding of Yorkshire Category: State Custody related deaths | Suicide (from 2015) This report is being sent to: HM Prison & Probation Service REGULATION 28 REPORT TO PREVENT […]
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January 20, 2026
Stuart Berry: Prevention of Future Deaths Report
Date of report: 01/12/2025 Ref: 2026-0015 Deceased name: Stuart Berry Coroner name: Sean Horstead Coroner Area: Essex Category: State Custody related deaths | Suicide(from 2015) | Community Health and Emergency services related deaths This report is being sent to: Essex Partnership University NHS Foundation Trust | MoJ | HMPPS | HCRG REGULATION 28 REPORT TO PREVENT […]
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December 18, 2025
Sundeep Ghuman: Prevention of future deaths report
Date of report: 15/12/2025 Ref: 2025-0625 Deceased name: Sundeep Ghuman Coroner name: David Manknell Coroner Area: London Inner South Category: State Custody related deaths This report is being sent to: Ministry of Justice | HMP Belmarsh REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Secretary of State for Justice, Governor, […]
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December 8, 2025
Oliver Mulangala: Prevention of future deaths report
Date of report: 08/12/2025 Ref: 2025-0610 Deceased name: Oliver Mulangala Coroner name: Jonathan Stevens Coroner Area: Surrey Category: State Custody related deaths | Alcohol, drug and medication related deaths This report is being sent to: Ministry of Justice | HMPPS | HMP High Down REGULATION 28: REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING […]
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December 1, 2025
Aminata Coulibaly: Prevention of future deaths report
Date of report: 26/11/2025 Ref: 2025-0596 Deceased name: Aminata Coulibaly Coroner name: Sonia Hayes Coroner Area: Essex Category: Alcohol, drug and medication related deaths | Emergency services related deaths (2019 onwards) | State custody related deaths This report is being sent to: Chief Constable of Essex Police REGULATION 28 REPORT TO PREVENT DEATHS […]