East Sussex
Coroner Area
Reports: 31
Earliest: Jan 2014
Latest: 27 Feb 2026
87% response rate (above 62% average).
Dean Barrell
Unknown
11 Oct 2018
State Custody related deaths
Concerns summary
A seven-day delay in communicating a vulnerable prisoner's actual release date to HMP Lewes contributed to his suicide, highlighting unacceptable communication delays for vulnerable individuals.
Gustavo Da Cruz, Mohit Dupar, Inthushan Sriskantharasa, Gurushanth Srithavarajah, Kenugen Saththiyanathan, Kobikanthan Saththiyanathan and Nitharsan Ravi
All Responded
2023-0105Deceased
24 Jul 2017
Sussex Police
Royal National Lifeboat Institution
Birnberg Peirce Solicitors
+7 more
Other related deaths
Concerns summary
There is a lack of formal governance and risk management for beach safety. A national review of safety regimes and potential government powers to restrict beach access is needed.
Sabrina Walsh
All Responded
2017-0449
14 Jul 2017
Department of Health and Social Care
Sussex Partnership NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
The absence of CCTV in corridors and communal areas at the acute care facility delayed locating vulnerable patients, risking timely intervention.
Amy El-Keria
All Responded
2016-0347
3 Oct 2016
Department of Health and Social Care
Hounslow Borough Council
Child Death (from 2015)
Mental Health related deaths
Suicide (from 2015)
Concerns summary
Hounslow Social Services misunderstood their ongoing welfare role for a child placed far from home and failed to assess for support, neglecting family contact issues.
Mustafa Cicek
Partially Responded
2014-0116
13 Jan 2014
Department for Transport
National Highways
Road (Highways Safety) related deaths
Concerns summary
Highway safety issues include a collision black spot with inadequate warning signage and a potentially hazardous eucalyptus sapling. "SLOW" warnings are also needed on the carriageway approach.
Action taken summary
The Highways Agency has installed 'SLOW' road markings on the carriageway and removed an obscuring eucalyptus tree. They are also advanced in plans to install three chevron signs with yellow …
Jennifer Dyer
All Responded
2022-0168
East Sussex County Council
Road (Highways Safety) related deaths
Concerns summary
East Sussex's pothole categorisation system is flawed, as a "low risk" pothole led to a fatality, indicating the need for a significant review of risk assessment criteria.
Action taken summary
East Sussex County Council has introduced an enhanced risk-based approach to safety inspections, allowing inspectors to re-categorise potholes based on location, road usage, size, and depth. This new