Essex
Coroner Area
Reports: 115
Earliest: May 2014
Latest: 18 Mar 2026
73% response rate (above 63% average).
Julie Pytches
All Responded
2026-0164
18 Mar 2026
Nuffield Health
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Issues included unshared anaesthetist limitations, staff confusion over emergency protocols and local variations, and unclear procedures for ambulance calls to private hospitals.
1 response
from Nuffield Health
Viviana-Ray Butnaru
Partially Responded
2026-0122
4 Mar 2026
Basildon Hospital (Mid & South Essex NH…
Royal College of Paediatrics and Child …
Child Death (from 2015)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
A lack of national guidelines exists for assessing paediatric heart conditions like myocarditis, coupled with insufficient awareness of Parvovirus. Locally, critical radiology reports were delayed, metabolic acidosis causes were not fully explored, and documentation of observations and handovers was incomplete.
Action Taken
(AI summary)
• The Director of Nursing for the Clinical Division of Clinical & Support Services undertook a review of the patient's imaging timeline.
David Fenn
Partially Responded
2026-0145
27 Feb 2026
Colchester General Hospital
East Suffolk and North Essex NHS Founda…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Sepsis was not recognised or managed correctly, consultant review was delayed and hampered by poor communication, and junior staff felt unable to challenge decisions, leading to critical omissions in care.
Action Taken
(AI summary)
• The Trust implemented a new electronic patient record system, Epic, in October 2025.
• The system consolidates patient notes into one record for clinical and administrative data.
Elise Sebastian
All Responded
2026-0078
8 Feb 2026
Essex University Partnership Trust
Child Death (from 2015)
Concerns summary (AI summary)
Mental health ward staff lacked neurodiversity training and were inexperienced, leading to insufficient staffing, missed patient observations, and incorrect medication charting.
Action Taken
(AI summary)
• The Trust has implemented the 'Oliver McGowan' training module.
• Tier 1 provides training on LD and ASD for those who require general awareness of the support Autistic People or those with LD may need.
• Tier 2 delivers the above alongside providing di
Scott Taylor
All Responded
2026-0092
2 Feb 2026
Association of Ambulance Chief Executiv…
East of England Ambulance NHS Trust
Essex Police
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Ambulance service triage for Acute Behavioural Disturbance suffered from incorrect call categorisation and confusing, inconsistent training. Police training for Special Constables on ABD recognition also needs addressing.
Noted
(AI summary)
• All officers—regular and Special Constabulary—now receive the same level of training in relation to ABD.
• ABD training has been moved from the First Aid Learning Programme refresher sessions into the College of Policing’s Scenario-Based Training programme.
Janet Daniels
All Responded
2026-0202
2 Feb 2026
East Suffolk and North Essex NHS Founda…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
There was a failure to communicate effectively with the patient and her family regarding critical clinical decision-making and the basis for such decisions relating to her transition to end-of-life care; clinical and nursing staff were insufficiently familiar with the principles in the Trust's policies and guidance.
1 response
from East Suffolk and North Essex NHS Foundation Trust
Martin Bryant
All Responded
2026-0030
19 Jan 2026
Essex University Partnership Trust
NHS England
Suicide (from 2015)
Concerns summary (AI summary)
Mental health crisis patients face dangerously long waits in open reception areas due to a severe lack of local and national mental health beds, and inadequate facilities for appropriate waiting.
Action Taken
(AI summary)
NHS England is rolling out dedicated 24/7 neighbourhood mental health centres and specialist Mental Health Emergency Departments, and has reinforced patient flow improvement as a key priority in its 2025/26 operational planning guidance, with plans to reduce Out of Area Placements. EPUT has changed management processes to include risk assessments for patients waiting in reception, secured capital funding for Mental Health Urgent Care Department (MHUCD) refurbishment with approved plans for dedicated spaces, and implemented a Therapeutic Acute Inpatient Operating Model.
Suzanne Pemberton
All Responded
2026-0003
5 Jan 2026
East Suffolk and North Essex NHS Founda…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
The hospital lacks any specialist dietetic service outside weekday working hours, risking delays in crucial nutritional interventions like naso-gastric feeding and potential non-adherence to re-feeding guides.
Action Planned
(AI summary)
The Trust has undertaken a project to ensure all relevant ward areas receive consistent and compliant training related to dietetic care planning, will monitor adherence with dietetic care planning in real time, is carrying out a therapeutic review of processes, and is seeking to develop an escalation process for out of hours periods.
Stuart Berry
Partially Responded
2026-0015
1 Dec 2025
Essex Partnership University NHS Founda…
HCRG
HMPPS
+1 more
Community health care and emergency services related deaths
State Custody related deaths
Suicide (from 2015)
Concerns summary (AI summary)
Multiple failures by mental health services and serious deficiencies in prison suicide risk assessment, including poor ACCT completion, inadequate observations, and accessible ligature points, contributed to the death.
Action Planned
(AI summary)
HMPPS is reviewing national prison officer training, developing interim upskilling sessions on recognising risks and triggers, and considering upgrading Victorian-style windows to anti-ligature designs. They are concluding a project to convert 50 cells across 13 locations to a fully ligature‑resistant standard. HCRG is retraining reception nurses, introducing an Early Days in Custody (EDiC) Nurse role, improving identification and escalation of urgent mental health referrals, and reviewing the Mental Health Operational Standard Operating Procedures and referral processes.
Warren Green
All Responded
2026-0011
1 Dec 2025
Essex Partnership University NHS Trust
Mid & South Essex NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
High-risk self-harm patients could leave the acute ward without assessment or staff knowledge. The Mental Health Liaison Service lacks clear escalation criteria to consultants, leading to insufficient oversight for vulnerable patients.
Action Planned
(AI summary)
Mid and South Essex NHS Foundation Trust has updated relevant policies and flowcharts to assist staff with managing patients at high risk of self-harm. The Trust's Mental Health Lead and Prevent Lead Nurse is undertaking a program to raise awareness of this updated staff guidance and has added content to existing training. Essex Partnership University NHS Foundation Trust states that its Mental Health Liaison Team includes nurses, health care assistants, psychologists and occupational therapists and that patients can be reviewed by a consultant if needed. The Trust is currently reviewing its Standard Operating Procedure (SOP) in order to cover the above provisions, which will be completed by May 2026.
Evie Muir
All Responded
2025-0600
26 Nov 2025
Mid and South Essex NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Hospital reviews of unusual cardiac deaths are not sufficiently shared across specialties, and patients with cardiac and rheumatological conditions are inadequately assessed for associated risks.
Action Planned
(AI summary)
The Trust is undertaking a quality improvement program to improve processes for learning from deaths and will allow sharing of learning between teams and across hospital sites. The Rheumatology team will invite Cardiology colleagues to their meetings and present Miss Muir’s case at the Essex Rheumatology meeting to raise awareness.
Aminata Coulibaly
All Responded
2025-0596
26 Nov 2025
Chief Constable of Essex Police
Alcohol, drug and medication related deaths
Emergency services related deaths (2019 onwards)
State Custody related deaths
Concerns summary (AI summary)
Police failed to share critical self-harm information with mental health services and contact handlers inadequately recorded severe welfare concerns, hindering appropriate assessment and response.
Action Taken
(AI summary)
Essex Police has implemented several measures, including mandatory reflective practice, updated training for contact handlers, improved hate crime investigation supervision, and a mental health triage team that shares information with EPUT and develops Mental Health Risk Management Briefings.
Paolino Amico
All Responded
2025-0585
17 Nov 2025
NHS England
Princess Aleandra Hospital
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Multiple serious medication errors, including non-administration of pain relief and prescription mistakes, occurred. There were also critical failures in the discharge plan for oxygen and delays in escalating a deteriorating patient's condition.
Action Planned
(AI summary)
NHS England's Regional Chief Nurse is overseeing a system-wide review with the provider trust, looking at medication safety incidents and clinical incidents. The Patient Safety Group has strengthened leadership challenge and is monitoring medicines safety and deterioration. The Princess Alexandra Hospital is reviewing this incident under its governance processes and considering additional measures, including enhanced training and monitoring. The Mandatory Learning Oversight Group is actively reviewing the training framework, including whether medicines management training should move from essential to mandatory status.
Stephen Neville
All Responded
2025-0556
24 Oct 2025
Essex Partnership NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Nursing staff failed to properly conduct and record therapeutic observations due to misunderstanding and training deficits. The quality assurance and auditing processes for these critical observations were also found to be severely inadequate.
Action Taken
(AI summary)
The Trust has implemented changes including revisions to policy, training, and audits related to patient observations and therapeutic engagement. An interim measure was introduced pending a longer-term review involving matrons to understand necessary changes to the Tendable audit programme and strengthen governance processes.
Steven Davidson
All Responded
2025-0536
21 Oct 2025
HCRG Care Group
State Custody related deaths
Suicide (from 2015)
Concerns summary (AI summary)
Healthcare staff at HMP Chelmsford lack proficiency in navigating System One records to find critical past self-harm information, or are unaware of its importance during prisoner health assessments, indicating training deficiencies.
Action Taken
(AI summary)
HCRG Care Group has amended its training provision so that all new staff receive structured SystmOne training as part of their induction and will provide refresher training to existing staff within three months. The Performance and Quality teams are embedding SystmOne training into existing governance and supervision processes.
Jack Peatling
All Responded
2025-0510
13 Oct 2025
Department of Health and Social Care
NHS England
Community health care and emergency services related deaths
Mental Health related deaths
Suicide (from 2015)
Concerns summary (AI summary)
A chronic lack of available in-patient mental health beds for high-risk patients who cannot be safely managed in the community led to an avoidable suicide.
Action Planned
(AI summary)
NHS England is making £75 million of additional capital available for local systems to invest in improving local bed capacity and reduce the use of Out of Area Placements. The therapeutic acute inpatient operating model for adults and older adults, will be introduced. The Department of Health and Social Care outlines plans to reduce mental health waiting times, improve management of bed capacity, and expand community mental health services. It has committed £26 million in capital investment to open new mental health crisis centres.
Jillian Steedman
All Responded
2025-0506
10 Oct 2025
Essex County Council
Essex Partnership NHS Foundation Trust
Mental Health related deaths
Suicide (from 2015)
Concerns summary (AI summary)
Failures in information sharing, incomplete care plans, and inadequate risk assessments led to an inappropriate discharge placement that was not adequately monitored, despite repeated crises and professional warnings.
Action Planned
(AI summary)
Essex County Council will revise the Section 117 policy, undertake a full review of community mental health social work arrangements, and examine the operational configuration of their Approved Mental Health Professional service. Essex Partnership University NHS Foundation Trust held a debrief regarding information sharing, implemented structured professional supervision, reviewed the lone worker policy, provided additional training to staff, and introduced a new role to strengthen patient safety incident reports.
Susan Barrett
All Responded
2025-0590
29 Sep 2025
East Suffolk and North Essex NHS Founda…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Serious concerns exist regarding the absence of embedded Tissue Viability Nurses and a Tissue Viability Service in community hospitals, leading to inadequate care for pressure ulcers and an increased risk of future deaths.
Action Planned
(AI summary)
The Trust has confirmed funding for a 0.6wte Band 6 Tissue Viability CNS as a substantive post and is actively recruiting for the role to embed a TVS across community hospital sites.
Mark Smith
All Responded
2025-0478
24 Sep 2025
Addison House Surgery
Alcohol, drug and medication related deaths
Concerns summary (AI summary)
The GP practice lacked a system or policy to ensure appropriate medication reviews for vulnerable patients with addiction or self-harm history, risking stockpiling and misuse of prescribed drugs.
Action Taken
(AI summary)
Addison House Health Centre has reviewed and updated its prescribing policy, enhanced IT system alerts related to self-harm risk, and is restricting repeat medications for high-risk patients; these changes have been escalated to the ICB.
Resmije Ahmetaj
All Responded
2025-0424
12 Aug 2025
Basildon Car Park Management
Essex Partnership NHS Foundation Trust
Mental Health related deaths
Concerns summary (AI summary)
Mental health services exhibited inadequate clozapine monitoring, poor communication and escalation regarding subtherapeutic medication levels, and delayed management of critical side effects, increasing psychosis relapse risk. Additionally, a car park's penultimate floor lacked adequate safety barriers.
Action Planned
(AI summary)
Basildon Car Park Management is arranging for contractors to install mesh coverings over stairways and extend railings on the pedestrian link walkway and expect to instruct a contractor to proceed immediately, subject to lead times. The Trust disseminated an updated Clozapine policy in January 2025 and provided a teaching session on October 2nd, 2025, to reinforce best practices in monitoring and documenting Clozapine side effects, particularly constipation.
Quy Thi Pham
Partially Responded
2025-0425
11 Aug 2025
National Institute for Health and Care …
NHS England
NHS Improvement - NHS Cervical Screenin…
Community health care and emergency services related deaths
Concerns summary (AI summary)
Strict adherence to national cervical screening guidance led to delayed smear tests for a vulnerable patient, with the guidance potentially excluding a cohort of women and delaying crucial cancer diagnosis.
Noted
(AI summary)
NHS England is funding research expected to conclude by September 2027, to collect evidence on the safety and reliability of cervical screening tests within 3 months of birth, after which national guidance will be considered and updated accordingly. NICE clarifies that the recommendation to delay cervical screening post-partum comes from Public Health England (PHE) guidelines, not NICE guidance, and that NICE guidance recommends a suspected cancer pathway referral for a cervix with an appearance consistent with cervical cancer.
Michael Barry
All Responded
2025-0296
12 Jun 2025
Department of Health and Social Care
Mid and South Essex Integrated Care Boa…
NHS England & NHS Improvement
Alcohol, drug and medication related deaths
Concerns summary (AI summary)
There is a critical lack of commissioned specialist services for GPs to safely manage patients reducing or withdrawing from prescribed dependency-forming medications, risking avoidable deaths.
Noted
(AI summary)
NHS England acknowledges the concern and highlights its national role in providing guidance and support, specifically through Controlled Drugs Accountable Officers (CDAOs). The response notes that commissioning of services now lies with ICBs. An Opioid Reduction/Discontinuation Pathway is planned within the Community Musculoskeletal (MSK) Service, due for implementation in February 2026. The ICB Executive Committee has endorsed a proposal to scale up the Aegros Primary Care Network (PCN)-based model across the ICB. The Minister acknowledges the concerns about the lack of specialist services for managing dependency-forming medicines and outlines national initiatives, including NHS England's work and the MHRA's review of codeine. It also described actions being taken for those with substance use and mental health needs.
Carol Taylor
All Responded
2025-0294
12 Jun 2025
Essex Partnership University NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
No system prevents staff non-compliant with mandatory training, including basic life support, from working on inpatient wards, posing a particular risk to vulnerable elderly patients.
Noted
(AI summary)
The Trust has implemented measures to ensure staff are competent, including mandatory training checks and escalation procedures. They have also formed a Physical Health Task and Finish Group to review physical health provision on inpatient wards, piloted a Physical Health Secondary Care planning Cycle, and provided staff training. The Minister acknowledges the concerns and offers condolences, deferring to the Director General of Operations at HMPPS for a detailed response. HMPPS published guidance on managing self-neglect in prisons in July 2024. They implemented a new booking tool for ACCT reviews in August 2024, introduced a new shift pattern for key workers in September 2024, and issued a Notice to Staff mandating ambulance calls for emergency codes.
Nicholas Gray
All Responded
2025-0283
5 Jun 2025
Essex Partnership University NHS Trust
Alcohol, drug and medication related deaths
Suicide (from 2015)
Concerns summary (AI summary)
The Trust's PSIRF Decision Monitoring Tool contained inaccurate and incomplete information regarding patient contact and self-harm, undermining potential investigation requirements.
Action Taken
(AI summary)
The Trust has amended its PSIRF Decision Monitoring Tool (DMT) template following clinical staff feedback. Every DMT now has a Care Unit leadership Multi-disciplinary Team discussion and sign off process, and is subject to further final scrutiny by central Patient Safety and Executive Director level.
David Heffer
All Responded
2025-0274
4 Jun 2025
East Suffolk and North Essex NHS Founda…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
The treating doctor was not informed of the patient's readmission for a complication, and medical records were incomplete and illegible, hindering proper care and investigation.
Action Taken
(AI summary)
The Trust has implemented a new escalation procedure which requires the on-call consultant for the week, to be contacted when an emergency patient is readmitted following a procedure. The Trust is implementing a new electronic patient record system, provided by EPIC, to transition their patient records system to an electronic system by October 2025.