Somerset
Coroner Area
Reports: 32
Earliest: Aug 2013
Latest: 5 Mar 2026
59% response rate (below 63% average).
Malcolm Burge
Historic (No Identified Response)
2015-0072
27 Feb 2015
Newham Council
Suicide (from 2015)
Concerns summary (AI summary)
Council debt recovery procedures failed to accommodate a vulnerable individual's age, mental awareness, and inability to use modern communication methods, contributing significantly to his tragic death.
William France
Historic (No Identified Response)
2014-0409
18 Sep 2014
Network Rail
Railway related deaths
Concerns summary (AI summary)
Railway crossing barriers malfunctioned due to a single-arm treddle, causing long delays. Drivers also faced obstructed visibility and a poorly located emergency telephone.
Anthony Ponting
All Responded
2014-0332-wp24375
8 Jul 2014
Network Rail
Railway related deaths
Action Taken
(AI summary)
• The vegetation growth was cut back during the first week of August 2013.
• Vegetation will continue to be routinely checked at six-monthly inspections.
• The SLL sign on the down line was moved from 4.9 meters to 3 meters as recommended in the report.
M5 (Seven)
Historic (No Identified Response)
2014-0654
19 Jun 2014
Department for Transport
Directorate for Business Innovation and…
Directorate South West
+2 more
Road (Highways Safety) related deaths
Concerns summary (AI summary)
A firework display adjacent to the M5 caused greatly reduced visibility and a fatal multi-vehicle collision, highlighting a lack of preventative measures for such events.
Kevin Paul Sutton
Historic (No Identified Response)
2013-0375
14 Nov 2013
Somerset Partnership NHS Foundation Tru…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
The Trust failed to prepare essential care plans for patients discharged from its wards to other establishments, risking inadequate ongoing care.
Jack William Payton
All Responded
2013-0220
30 Aug 2013
Avon and Somerset Constabulary
Road (Highways Safety) related deaths
Concerns summary (AI summary)
Control room staff's judgement and handling of the matter were negatively affected by excessive working hours and heavy caseloads, raising concerns about operational capacity.
Action Planned
(AI summary)
The police are commissioning an independent assessment of current shift patterns and their effects on staff, anticipated to commence in January 2014, with recommendations to be considered at Force level.
Michael James Thornton
Historic (No Identified Response)
2013-0170
1 Aug 2013
Somerset County Council
Taunton Couthy Hall
County Surveyor
Road (Highways Safety) related deaths
Concerns summary (AI summary)
Vehicles leaving the carriageway and landing in a rhynne leads to death by drowning; however, retaining barriers may be too costly given the extent of roadway that would need protection.