Inner North London

Coroner Area
Reports: 328 Earliest: Sep 2013 Latest: 3 Mar 2026

79% response rate (above 62% average).

Response Status
Responded 260 No Response 3 Historic 58 Pending 2
AI Classification
Action Taken 38%
Action Planned 36%
Noted 12%
Disputed 15%
Based on 128 classified responses
Top Categories
Hospital Death (Clinical Procedure… (137) Suicide (from 2015) (47) Other related deaths (43) Alcohol, drug and medication relat… (36) Community health care and emergenc… (31)
Quarterly Trend
Category Breakdown
How does this area compare?
vs London average: +192 reports · +21pp response rate
vs national average: +245 reports · +17pp response rate
Clear 58 results
Monique Whitbread
Historic (No Identified Response)
2014-0368 30 Jul 2014
University College Hospital
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary A gastric bypass procedure inadvertently led to hernia strangulation and death in a bariatric patient. The surgeon's revised practice of using sleeve gastrectomy for patients with hernias should be nationally disseminated.
Shayla Walmsley
Historic (No Identified Response)
2014-0323 14 Jul 2014
Medtronic Royal College of Pathologists Medicines and Healthcare Products Regul… +1 more
Other related deaths
Concerns summary Delays in obtaining medical device data from manufacturers, inconsistent distribution of safety notices, and a lack of post-mortem analysis of medical devices hinder investigations and timely safety interventions.
David O’Garro
Historic (No Identified Response)
2014-0270 16 Jun 2014
HMP Pentonville
State Custody related deaths
Concerns summary A critical failure to complete a cell sharing risk assessment for an epileptic prisoner, coupled with widespread staff unfamiliarity and unclear communication regarding such assessments, created an unsafe cell allocation system.
Michael Worrall
Historic (No Identified Response)
2014-0179 22 Apr 2014
Barnet Enfield and Haringey Mental Heal…
Mental Health related deaths
Concerns summary The limited availability of psychological therapy at Avesbury House risks adverse outcomes for patients, particularly upon discharge to the community if prior therapy is discontinued.
Rosemary Simpson
Historic (No Identified Response)
2014-0142 28 Mar 2014
London Borough of Camden
Road (Highways Safety) related deaths
Concerns summary The bus stop's location in a busy area creates poor visibility for buses, forcing unsafe lane changes and posing risks to pedestrians and vehicles.
Georgina Swindells
Historic (No Identified Response)
2014-0060 12 Feb 2014
Radiology Reporting Online LLP University College London Hospitals NHS…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Unexplained image transfer delays, lack of data for investigation, absence of backup systems, and unclear causes for erroneous scan reports indicate systemic failures in radiology services, risking recurrence and misdiagnosis.
Andrew Phrydas
Historic (No Identified Response)
2013-0301 15 Nov 2013
London Underground
Railway related deaths
Concerns summary London Underground lacked a process for simultaneous dual-line shutdown at intersecting stations and failed to alert the train driver directly and effectively when a person was on the track.
John William Wright
Historic (No Identified Response)
2013-0285 31 Oct 2013
North Middlesex University Hospital NHS…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary A patient fall was not investigated as a Serious Untoward Incident, and there was unclear training for doctors on fall policy and incident recording.