Prevention of Future Death Reports
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July 16, 2025
Liliwen Thomas: Prevention of Future Deaths Report
Date of report: 08/07/2025 Ref: 2025-0352 Deceased name: Liliwen Thomas Coroners name: Rachel Knight Coroners Area: South Wales Central Category: Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards) This report is being sent to: NICE REGULATION 28 REPORT TO PREVENT FUTURE […]
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July 16, 2025
Gemma Poterajko: Prevention of Future Deaths Report
Date of report: 10/07/2025 Ref: 2025-0351 Deceased name: Gemma Poterajko Coroners name: Elizabeth Didcock Coroners Area: Nottinghamshire Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Nottingham University Hospitals NHS Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: The Chief Executive, Nottingham University Hospitals […]
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July 16, 2025
Gavin Wheale: Prevention of Future Deaths Report
Date of report: 10/07/2025 Ref: 2025-0350 Deceased name: Gavin Wheale Coroners name: Ian Dreelan Coroners Area: Birmingham and Solihull Category: Alcohol, drug and medication related deaths | State Custody related deaths This report is being sent to: HM Prison & Probation Service REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: HM […]
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July 16, 2025
Jairus Earl: Prevention of Future Deaths Report
Date of report: 10/07/2025 Ref: 2025-0349 Deceased name: Jairus Earl Coroners name: Rachael Griffin Coroners Area: Dorset Category: Child Death (from 2015) | Suicide (from 2015) This report is being sent to: Home Office | Department of Health and Social Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Secretary […]
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July 16, 2025
Shaun Marriott: Prevention of Future Deaths Report
Date of report: 09/07/2025 Ref: 2025-0348 Deceased name: Shaun Marriott Coroners name: Joanne Andrews Coroners Area: West Sussex, Brighton and Hove Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Surrey and Sussex Healthcare NHS Trust REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1. […]
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July 16, 2025
Peter Ramsden: Prevention of Future Deaths Report
Date of report: 08/07/2025 Ref: 2025-0347 Deceased name: Peter Ramsden Coroners name: Paul Marks Coroners Area: City of Kingston Upon Hull and the County of the East Riding of Yorkshire Category: Police related deaths | Emergency services related deaths (2019 onwards) This report is being sent to: Home Office REGULATION 28 REPORT TO PREVENT FUTURE DEATHS […]
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July 16, 2025
Andrew Kenward: Prevention of Future Deaths Report
Date of report: 09/07/2025 Ref: 2025-0346 Deceased name: Andrew Kenward Coroners name: Anna Loxton Coroners Area: Surrey Category: Alcohol, drug and medication related deaths | Suicide (from 2015) This report is being sent to: Home Office | Department of Health and Social Care A Regulation 28 Report – Action to Prevent Future Deaths THIS REPORT IS […]
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July 16, 2025
George Emmett: Prevention of Future Deaths Report
Date of report: 08/07/2025 Ref: 2025-0345 Deceased name: George Emmett Coroners name: Crispin Butler Coroners Area: Buckinghamshire Category: State Custody related deaths | Alcohol, drug and medication related deaths This report is being sent to: [REDACTED] | HM Prison & Probation Service | Ministry of Justice | HMP Woodhill REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS […]
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July 16, 2025
John Kirkman: Prevention of Future Deaths Report
Date of report: 08/07/2025 Ref: 2025-0344 Deceased name: John Kirkman Coroners name: Paul Marks Coroners Area: Kingston Upon Hull and the County of the East Riding of Yorkshire Category: Suicide (from 2015) | Mental Health related deaths This report is being sent to: NHS England REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT […]
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July 16, 2025
Patrick Coffey: Prevention of Future Deaths Report
Date of report: 07/07/2025 Ref: 2025-0343 Deceased name: Patrick Coffey Coroners name: Robert Simpson Coroners Area: Berkshire Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Frimley Health NHS Foundation Trust REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1. CEO – Frimley Health NHS […]