Prevention of Future Death Reports
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July 15, 2025
David Gifford: Prevention of Future Deaths Report
Date of report: 07/07/2025 Ref: 2025-0339 Deceased name: David Gifford Coroners name: Debbie Rookes Coroners Area: Avon Category: Emergency services related deaths (2019 onwards) This report is being sent to: Association of Ambulance Chief Executives REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Association of Ambulance Chief Executives (AACE) 1 CORONER I […]
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July 15, 2025
Frank Ospina: Prevention of Future Deaths Report
Date of report: 25/10/2024 Ref: 2025-0338 Deceased name: Frank Ospina Coroners name: Lydia Brown Coroners Area: West London Category: State Custody related deaths This report is being sent to: Home Office | NHS England | MITIE REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Home Office, [REDACTED], Home Secretary2. NHS […]
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July 15, 2025
Sarah Lewis: Prevention of Future Deaths Report
Date of report: 07/07/2025 Ref: 2025-0337 Deceased name: Sarah Lewis Coroners name: Debbie Rookes Coroners Area: Avon Category: Suicide (from 2015) | Alcohol, drug and medication related deaths This report is being sent to: Department of Health and Social Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Secretary of State […]
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July 15, 2025
Jason Clemens: Prevention of Future Deaths Report
Date of report: 02/07/2025 Ref: 2025-0336 Deceased name: Jason Clemens Coroners name: Guy Davies Coroners Area: Cornwall & the Isles of Scilly Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Royal Cornwall Hospital REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: [REDACTED], Chief Executive […]
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July 15, 2025
Ann Caldicott: Prevention of Future Deaths Report
Date of report: 07/06/2025 Ref: 2025-0335 Deceased name: Ann Caldicott Coroners name: Sarah Clarke Coroners Area: North East Kent Category: Community health care and emergency services related deaths | Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: East Kent University Hospitals Foundation Trust | The Manor Clinic Folkestone Kent […]
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July 15, 2025
Daniel Hatchett: Prevention of Future Deaths Report
Date of report: 04/07/2025 Ref: 2025-0334 Deceased name: Daniel Hatchett Coroners name: Nadia Persaud Coroners Area: East London Category: Suicide (from 2015) This report is being sent to: Department of Health & Social Care | Queen Mary’s University of London REGULATION 28: REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Department of Health & Social […]
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July 15, 2025
Thomas Mallinson: Prevention of Future Deaths Report
Date of report: 30/06/2025 Ref: 2025-0333 Deceased name: Thomas Mallinson Coroners name: Nicholas Shaw Coroners Area: Cumbria Category: Emergency services related deaths (2019 onwards) | Community health care and emergency services related deaths This report is being sent to: SSP Health Ltd | Cumbria Health Limited | North West Ambulance Service NHS Trust | Department of Health […]
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July 14, 2025
Neil Clarke: Prevention of Future Deaths Report
Date of report: 02/07/2025 Ref: 2025-0332 Deceased name: Neil Clarke Coroners name: Christopher Murray Coroners Area: Manchester South Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Department of Health and Social Care | NHS England | Stepping Hill Hospital REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT […]
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July 14, 2025
Barry Spooner: Prevention of Future Deaths Report
Date of report: 01/07/2025 Ref: 2025-0331 Deceased name: Barry Spooner Coroners name: Nathanael Hartley Coroners Area: Nottingham and Nottinghamshire Category: Police related deaths This report is being sent to: Nottinghamshire Police REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Chief Constable of Nottinghamshire Police 1 CORONER I am Nathanael Hartley, […]
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July 14, 2025
Jody Robb: Prevention of Future Deaths Report
Date of report: 01/07/2025 Ref: 2025-0330 Deceased name: Jody Robb Coroners name: Crispin Oliver Coroners Area: County Durham and Darlington Category: Suicide (from 2015) | Railway related deaths This report is being sent to: Network Rail REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: [REDACTED]Network RailEast Coast Route Director George Stephenson House Toft […]