State Custody related deaths
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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 […]
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December 1, 2025
Diana Grant: Prevention of future deaths report
Date of report: 24/11/2025 Ref: 2025-0594 Deceased name: Diana Grant Coroner name: Richard Travers Coroner Area: Surrey Category: State Custody related deaths | Mental health related deaths This report is being sent to: [REDACTED] CEO, NHS England | [REDACTED] The Secretary of State for the Department of Health and Social Care. REGULATION 28 REPORT TO […]
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November 21, 2025
Steven Ruddick: Prevention of future deaths report
Date of report: 18/11/2025 Ref: 2025-0591 Deceased name: Steven Ruddick Coroner name: Crispin Oliver Coroner Area: County Durham and Darlington Category: State Custody related deaths This report is being sent to: REDACTED REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 [REDACTED] 1 CORONER I am Crispin OLIVER, Senior Assistant Coroner […]
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November 11, 2025
Matthew Singh: Prevention of future deaths report
Date of report: 05/11/2025 Ref: 2025-0567 Deceased name: Matthew Singh Prevention of future deaths report Coroner name: Kate Robertson Coroner Area: North Wales (East and Central) Category: State Custody related deaths | Wales prevention of future deaths reports (2019 onwards) This report is being sent to: The Governor, HMP Berwyn | Ministry of Justice c/o […]
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October 29, 2025
Declan Carr: Prevention of future deaths report
Date of report: 20/10/2025 Ref: 2025-0541 Deceased name: Declan Carr Coroner name: Sarah Middleton Coroner Area: East Riding of Yorkshire and City of Kingston Upon Hull Category: 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: 1. NHS England […]
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October 28, 2025
Steven Davidson: Prevention of future deaths report
Date of report: 21/10/2025 Ref: 2025-0536 Deceased name: Steven Davidson Coroner name: Stephen Simblet Coroner Area: Essex Category: Suicide (from 2015) | State Custody related deaths This report is being sent to: HCRG Care Group REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. HCRG CARE GROUP, The Heath Business […]
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October 14, 2025
Jamie Funnell: Prevention of future deaths report
Date of report: 13/10/2025 Ref: 2025-0508 Deceased name: Jamie Funnell Coroner name: Rachel Redman Coroner Area: East Sussex Category: State Custody related deaths | Alcohol, drug and medication related deaths This report is being sent to: Practice Plus Group REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO:1 Practice Plus Group 1 CORONER […]
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October 9, 2025
Richard Hunt: Prevention of future deaths report
Date of report: 08/10/2025 Ref: 2025-0498 Deceased name: Richard Hunt Coroner name: Fiona Butler Coroner Area: Rutland and North Leicestershire Category: State Custody related deaths This report is being sent to: The Governor HMP Stocken | His Majesty’s Prison & Probation Service | The Crown Premises Fire & Safety Inspectorate REGULATION 28 REPORT TO PREVENT […]
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October 9, 2025
Martin Collins: Prevention of future deaths report
Date of report: 17/09/2025 Ref: 2025-0497 Deceased name: Martin Collins Coroner name: Peter Taheri Coroner Area: Suffolk Category: State Custody related deaths | Suicide (from 2015) This report is being sent to: Minister of State for Prisons, Probation and Reducing Reoffending REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: […]