Plymouth, Torbay and South Devon
Coroner Area
Reports: 119
Earliest: Sep 2013
Latest: 9 Mar 2026
72% response rate (above 62% average).
Taylor Maddox
Response Pending
2026-0136
9 Mar 2026
North Devon Council
Suicide (from 2015)
Concerns summary
Psychiatric patients discharged from hospital face inadequate housing support due to poor communication with housing services and assessment processes that do not sufficiently account for mental health vulnerabilities.
David Thompson
Response Pending
2026-0080
10 Feb 2026
Devon & Cornwall Police
Suicide (from 2015)
Concerns summary
Police widely use the term 'suicidal ideation' which is not understood by the public or consistently by officers, risking critical information being missed in missing person reports.
Linda Books
Response Pending
2026-0085
6 Feb 2026
Torbay and South Devon NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
The Trust showed a lack of staff training in escalating serious clinical incidents, no effective process for reviewing notes to identify issues, and confusion about Serious Incident Report procedures.
Pamela George
Response Pending
2026-0049
30 Jan 2026
Cann House
Premiere Health Ltd
Community health care and emergency services related deaths
Concerns summary
The care home failed to conduct regular blood tests, inadequately managed infections, and lacked clear policies for medical escalation, capacity assessment, and documentation, despite patient needs exceeding capacity.