Prevention of Future Deaths Reports

Judiciary

Browse 6,327 coroners' Regulation 28 reports by year, region, organisation, category, or keyword.

Data sourced from judiciary.uk under the Open Government Licence.

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6,327 reports · Page 317 of 317
Showing 20 at a time
Date Report Region / area Addressee(s) Status Responses
5 Aug 2013 Joseph Burrell
2013-0194 · John Taylor
The road junction lacked adequate pedestrian safety features, including no clear view of traffic lights, no 'red man/green man' signals, and no …
London
London (North)
 Harrow Council Traffic and Harrows Network Management … Partially Responded 1/2
1 Aug 2013 Michael James Thornton
2013-0170 · Michael Rose
Vehicles leaving the carriageway and landing in a rhynne leads to death by drowning; however, retaining barriers may be too costly given …
South West
West Somerset
 Somerset County Council Taunton Couthy Hall County Surveyor Historic (No Identified Response) 0/3
1 Aug 2013 Annie Rose Gibson
2013-0171 · David Hinchcliff
The coroner raises concerns about a lack of clarity in Saga Homecare's procedures, specifically regarding the recording and communication of observations after …
Yorkshire and the Humber
West Yorkshire (East)
 Saga Homecare Historic (No Identified Response) 0/1
1 Aug 2013 David George White
2013-0172 · M A Beresford
The coroner requests consideration of specific measures to reduce road traffic injuries at or on the approach to a bend on the …
Yorkshire and the Humber
South Yorkshire (East)
 Regeneration and Environment Historic (No Identified Response) 0/1
30 Jul 2013 Phillip Pratt
2013-0174 · Elisabeth Bussey-Jones
A Root Cause Analysis Investigation Report identified a number of areas of concern arising from the investigation.
South East
West Sussex
 Western Sussex Hospitals NHS Trust Historic (No Identified Response) 0/1
30 Jul 2013 Derek Edward Bartlett Twivey
2013-0175 · Elisabeth Bussey-Jones
The coroner's concern relates to circumstances that could create a risk of future deaths, and action should be taken to prevent such …
South East
West Sussex
 Fairlight Nursing Home Historic (No Identified Response) 0/1
21 Feb 2013 Jack William Partington
2013-0308 · Lisa Hashmi
Neonatal care suffered from inadequate nurse handovers, isolated treatment decisions, and a lack of routine exhaled carbon dioxide detector use. There were …
North West
Manchester North
 Department of Health Pennine Acute Hospitals NHS Trust Partially Responded 1/2
Joseph Burrell Partially Responded
5 Aug 2013 London 1/2 responses
The road junction lacked adequate pedestrian safety features, including no clear view of traffic lights, no 'red man/green man' signals, and no pedestrian control …
Harrow Council Traffic and Harrows Network …
Michael James Thornton Historic (No Identified Response)
1 Aug 2013 South West 0/3 responses
Vehicles leaving the carriageway and landing in a rhynne leads to death by drowning; however, retaining barriers may be too costly given the extent …
Somerset County Council Taunton Couthy Hall County Surveyor
Annie Rose Gibson Historic (No Identified Response)
1 Aug 2013 Yorkshire and the Humber 0/1 responses
The coroner raises concerns about a lack of clarity in Saga Homecare's procedures, specifically regarding the recording and communication of observations after a client …
Saga Homecare
David George White Historic (No Identified Response)
1 Aug 2013 Yorkshire and the Humber 0/1 responses
The coroner requests consideration of specific measures to reduce road traffic injuries at or on the approach to a bend on the A19 at …
Regeneration and Environment
Phillip Pratt Historic (No Identified Response)
30 Jul 2013 South East 0/1 responses
A Root Cause Analysis Investigation Report identified a number of areas of concern arising from the investigation.
Western Sussex Hospitals NHS …
Derek Edward Bartlett Twivey Historic (No Identified Response)
30 Jul 2013 South East 0/1 responses
The coroner's concern relates to circumstances that could create a risk of future deaths, and action should be taken to prevent such occurrences.
Fairlight Nursing Home
Jack William Partington Partially Responded
21 Feb 2013 North West 1/2 responses
Neonatal care suffered from inadequate nurse handovers, isolated treatment decisions, and a lack of routine exhaled carbon dioxide detector use. There were also no …
Department of Health Pennine Acute Hospitals NHS …