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 38%
Action Planned 41%
Noted 12%
Disputed 9%
Based on 34 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
131 results
Derrick Rivers
Historic (No Identified Response)
2014-0104 10 Mar 2014
Rochdale Metropolitan Borough Council Care Quality Commission Passmonds Care Home
Care Home Health related deaths
Concerns summary The care home had an inadequate, unspecific drugs administration protocol and lacked audit processes, with management unaware of non-compliance. Regulatory bodies also failed to identify these critical issues during inspections.
Victoria Meppen-Walter
Historic (No Identified Response)
2014-0083 27 Feb 2014
Department of Health and Social Care Medicines and Healthcare Products Regul…
Product related deaths
Concerns summary Concerns were raised regarding the easy online availability and regulation of chloroquine, along with the associated risks of its misuse.
Barry James Lewis
All Responded
2013-0314 26 Nov 2013
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Critical deficiencies exist in the emergency department, including inadequate availability and consistency of emergency airway equipment, insufficient backup instruments, poor out-of-hours theatre access, and inadequate night staffing.
Lisa Jane Clayton
Unknown
2013-0309 21 Nov 2013
Mental Health related deaths
Concerns summary Inadequate physical deterrents on a car park wall, insufficient CCTV monitoring and understaffed security, coupled with a history of similar incidents, highlight serious failures in suicide prevention measures.
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
Jack William Partington
All Responded
2013-0308 21 Feb 2013
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Neonatal care suffered from inadequate nurse handovers, isolated treatment decisions, and a lack of routine exhaled carbon dioxide detector use. There were also no national policies for managing paralysing agents or neonatal ventilation.