Kent and Medway

Coroner Area
Reports: 145 Earliest: Sep 2013 Latest: 24 Mar 2026

70% response rate (above 63% average).

Response Status
Responded 102 No Response 3 Historic 39
AI Classification
Action Taken 61%
Action Planned 25%
Noted 14%
Disputed 0%
Based on 129 classified responses
Top Categories
Hospital Death (Clinical Procedure… (66) Suicide (from 2015) (22) State Custody related deaths (22) Mental Health related deaths (18) Other related deaths (14)
Quarterly Trend
Category Breakdown
How does this area compare?
vs South East average: +63 reports · +10pp response rate
vs national average: +61 reports · +7pp response rate
Clear 3 results
Robert Day
No Identified Response
2026-0169 24 Mar 2026
Department for Women’s Health and Metal… Department of Health and Social Care Home Office
Suicide (from 2015)
Concerns summary (AI summary) Frontline emergency services lack national guidance for managing complex, time-critical mental health crises where existing legal powers may be insufficient or unclear, risking patient lives.
Josh Tarrant (2)
No Identified Response
2026-0076 9 Feb 2026
Probation and Reducing Reoffending, Min… Prisons, Probation and Reducing Reoffen…
Alcohol, drug and medication related deaths State Custody related deaths
Concerns summary (AI summary) Healthcare and prison staff lacked training to identify Acute Behavioural Disturbance (ABD), risking physiological collapse and death for individuals subjected to prolonged restraint.
Sean Davies
No Identified Response CC
2024-0460 8 Aug 2024
HMP Swaleside Ministry of Justice
Suicide (from 2015)
Concerns summary (AI summary) Inadequate risk formulation for IPP prisoners and failures by prison officers to conduct welfare checks according to guidance. Furthermore, some operational support staff lacked proper training or adhered to it.