East London
Coroner Area
Reports: 183
Earliest: Sep 2013
Latest: 10 Mar 2026
69% response rate (above 62% average).
Louise Allen
All Responded
2022-0159
North East London NHS Foundation Trust …
Mental Health related deaths
Railway related deaths
Suicide (from 2015)
Concerns summary
An inadequate care plan resulted from severe failings in care coordination, stemming from insufficient, underpaid, and overworked care co-ordinators facing high caseloads and staff turnover.
Action taken summary
The Trust conducted a pay review in July 2021, upgrading all Band 5 Nurses to Band 6, and gave a £1000 payment to Band 6 Care Coordinators in October 2021. …
Michael Vince
All Responded
2022-0198
North East London Foundation Trust and …
Alcohol, drug and medication related deaths
Mental Health related deaths
Concerns summary
A patient was prescribed a short-term medication for 20 years against guidelines without meaningful review or monitoring of PRN use, and dependence evidence was not shared between health trusts.
Action taken summary
High Street Surgery conducted an audit of all patients prescribed Zopiclone, contacted all current patients for a structured medication review, and updated its Z-Drug Protocol. The surgery has also co
Daniel Xavier
All Responded
2022-0203
Barts Health NHS Trust
Department of Health and Social Care
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
Hospital staff failed to act on dangerously elevated blood test results and provided chaotic handovers to surgical teams. Insufficient consideration was given to the patient's learning disability.
Action taken summary
The Department of Health and Social Care has introduced a new legal requirement for CQC registered service providers to ensure employees receive learning disability and autism training, effective July