Inner South London

Coroner Area
Reports: 143 Earliest: Aug 2013 Latest: 1 Feb 2026

82% response rate (above 62% average).

Response Status
Responded 117 Historic 22 Pending 1
AI Classification
Action Taken 27%
Action Planned 45%
Noted 20%
Disputed 8%
Based on 49 classified responses
Top Categories
Hospital Death (Clinical Procedure… (56) Other related deaths (23) Community health care and emergenc… (17) Suicide (from 2015) (17) Child Death (from 2015) (15)
Quarterly Trend
Category Breakdown
How does this area compare?
vs London average: +7 reports · +24pp response rate
vs national average: +60 reports · +20pp response rate
Clear 80 results
Abiola Dosunmu
All Responded
2014-0209 9 May 2014
Kings College Hospital NHS Foundation T…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Critical test results were not communicated effectively between departments, to the patient, or to the GP, resulting in a missed diagnosis and suboptimal care, which was inadequately reviewed by a serious incident investigation.
Akua Anokye-Boateng
All Responded
2014-0211 9 May 2014
Medicines and Healthcare Products Regul…
Alcohol, drug and medication related deaths
Concerns summary There is a lack of clear guidance and awareness among clinicians about the risks of single-dose NSAIDs causing gastro-intestinal damage in children with sickle cell disease, particularly concerning routine GI protection.
Gary Richards
All Responded
2014-0212 9 May 2014
South London and Maudsley Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Psychiatric services failed to properly assess self-harm risk, communicate patient vulnerabilities, ensure follow-up due to unrecorded contact details, and implement crucial recommendations from a previous incident report.
Arthur Brockett-Deakins
All Responded
2014-0077 25 Feb 2014
Department of Health and Social Care National Institute for Clinical Excelle… Medicines and Health Regulatory Authori… +1 more
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Midwives failed to timely escalate abnormal CTG results due to misapplication of guidelines and inadequate training. Concerns also arose about CTG machines potentially misinterpreting maternal heart rate as fetal heart rate.
Louise Bailey
All Responded
2022-0200
Metropolitan Police Service College of Policing and The National Po…
Police related deaths Road (Highways Safety) related deaths
Concerns summary Police drivers lack critical information and training regarding closer units, preventing them from completing full risk assessments before responding to emergency calls.
Action taken summary The Metropolitan Police Service acknowledges a lack of formal instruction on radio self-assignment and is amending the Airwave manual to prohibit this. The MPS is also procuring a new Command …