Manchester South
Coroner Area
Reports: 504
Earliest: Aug 2013
Latest: 4 Mar 2026
77% response rate (above 62% average).
Mark Hughes
Response Pending
2026-0123
4 Mar 2026
Greater Manchester Mental Health NHS Fo…
Suicide (from 2015)
Concerns summary
Systemic delays in urgent mental health referrals to Home Based Treatment Teams, combined with the inability of general practice professionals to make direct referrals for high-risk patients, created dangerous gaps, particularly over weekends.
Maisie Almond
Response Pending
2026-0119
27 Feb 2026
NHS Blood and Transplant Service
Department of Health and Social Care
Child Death (from 2015)
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
A national shortage of donor livers, particularly for "super urgent" children, is exacerbated by clinical guidance. This has led to extended waiting times, significantly increasing the risk of lives being lost due to organ unavailability.
Yunus Hoque
Response Pending
2026-0113
26 Feb 2026
North West Ambulance Service
Child Death (from 2015)
Emergency services related deaths (2019 onwards)
Concerns summary
NWAS failed to communicate significant ambulance delays to callers, even when a patient's condition deteriorated from Category 2 to 1. This lack of follow-up risks further deaths.
Lesley Krommendijk
Response Pending
2026-0109
25 Feb 2026
Stockport NHS Foundation Trust
Community health care and emergency services related deaths
Mental Health related deaths
Suicide (from 2015)
Concerns summary
Discharge assessment processes led to an unrealistic impression of the patient's mobility, potentially compromising patient safety.
Patrick Griffin
Response Pending
2026-0114
24 Feb 2026
Caring UK
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
A patient with advanced dementia became dehydrated and severely constipated at a care facility, despite recognized needs for dietary, fluid, and personal care support.
Bruce Caulfield
Response Pending
2026-0062
5 Feb 2026
Manchester University NHS Foundation Tr…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary
Concerns include delays in medical reviews after family concerns, insufficient intentional rounding impacting vulnerable patient hydration, and inconsistent communication practices for fall prevention across the Trust.