Manchester North

Coroner Area
Reports: 131 Earliest: Feb 2013 Latest: 4 Feb 2026

79% response rate (above 62% average).

Response Status
Responded 103 Historic 27
AI Classification
Action Taken 41%
Action Planned 38%
Noted 14%
Disputed 7%
Based on 58 classified responses
Top Categories
Hospital Death (Clinical Procedure… (48) Other related deaths (23) Community health care and emergenc… (20) Mental Health related deaths (19) Suicide (from 2015) (16)
Quarterly Trend
Category Breakdown
How does this area compare?
vs North West average: +12 reports · +17pp response rate
vs national average: +48 reports · +17pp response rate
Clear 76 results
Derek Brierley
All Responded
2013-0244 20 Aug 2013
Pennine Acute Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary The suprapubic procedure was performed by a consultant after a long hiatus with inadequate preparation, likely incorrect insertion, and a lack of Trust guidelines for competence and training.
Action taken summary The Trust has re-drafted and shared a pathway for managing urinary retention, making supra-pubic aspiration a first-line intervention. They have initiated a training program for staff on catheter inse