Shropshire, Telford and Wrekin
Coroner Area
Reports: 30
Earliest: Dec 2013
Latest: 10 Apr 2026
70% response rate (above 63% average).
Daniel Hodgin
Partially Responded
2015-0146
20 Apr 2015
Senior Lawyer Professional Support
Legal Services, Warrington
Shropshire Council
Other related deaths
Concerns summary (AI summary)
A crucial towpath gate, intended to be locked during high river levels, was open due to the absence of an effective notification system between agencies, posing ongoing flood safety risks.
Noted
(AI summary)
The Environment Agency explains its flood warning system and provides a direct warning service to those who sign up when the river level exceeds 2.7m ALD. They provided a technical note to Shropshire County Council to help them implement a system for closing the gate at Dorset Street using live river level information. Shropshire Council is looking to provide CCTV cameras, one looking up from the Railway Bridge to the English Bridge, one looking down the Weir. The Town Council are halfway through a programme of upgrading the light and have increased the number of columns.
Martin Hill
Historic (No Identified Response)
2014-0362
6 Aug 2014
Shrewsbury and Telford Hospital NHS Tru…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Critical abdominal X-ray findings indicating small bowel obstruction were overlooked, leading to an inappropriate discharge and delayed re-admission. Additionally, prescribed discharge medication was not provided.
Peter Farebrother
Historic (No Identified Response)
2014-0274
20 Jun 2014
South Stafford and Shropshire Healthcar…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Failures in patient transfer, handover of observation status, and returning a ligature risk item (belt) led to an unsafe environment. The effectiveness of the "sloping door" design against hanging was also questioned.
Valerie Hancox
Historic (No Identified Response)
2014-0144
31 Mar 2014
AGCO Ltd
Product related deaths
Concerns summary (AI summary)
Farm bale chutes are routinely left lowered and unmarked on public highways, contrary to manufacturer instructions, posing a significant, unlit obstruction hazard to other road users.
Christine Williamson
All Responded
2013-0371
18 Dec 2013
South Staffordshire and Shropshire Heal…
Telford and Wrekin Clinical Commission …
Telford and Wrekin Council
+1 more
Other related deaths
Concerns summary (AI summary)
Failure to assess the deceased as a vulnerable adult at risk from domestic violence and a critical lack of information sharing between agencies hindered preventative measures.
Action Planned
(AI summary)
Telford & Wrekin Council has compiled a plan of action building upon recommendations made in the Domestic Homicide Review report, and the implementation of the action plan will be formally monitored by the Safeguarding Adults Board. The Adult Safeguarding Policy and Thresholds has been recirculated, domestic abuse leaflets and guidance has been circulated, and an education and training event for Telford & Wrekin GPs and Practice Nurses will be funded and delivered with a focus on safeguarding requirements and domestic abuse. West Mercia Police will provide a reminder regarding the requirement to complete DASH; Crime Reports and Vulnerable Adult documentation to all operational staff. The tactical equality and diversity advisor has recently attended a Dementia Friends workshop to scope the feasibility of additional awareness sessions, and the arrangement of a joint working group will be tasked by the Safer Communities Partnership to the Safeguarding Adults Board.