London (South)

Coroner Area
Reports: 52 Earliest: Aug 2013 Latest: 11 Dec 2025

58% response rate (below 63% average).

Response Status
Responded 30 No Response 4 Historic 17
AI Classification
Action Taken 44%
Action Planned 31%
Noted 25%
Disputed 0%
Based on 55 classified responses
Top Categories
Community health care and emergenc… (11) Hospital Death (Clinical Procedure… (11) Suicide (from 2015) (10) Mental Health related deaths (8) Alcohol, drug and medication relat… (8)
Quarterly Trend
Category Breakdown
How does this area compare?
vs London average: -86 reports · +1pp response rate
vs national average: -32 reports · -5pp response rate
Clear 4 results
Evelyn Rae Le Masurier-O’Sullivan
No Identified Response
2025-0597 26 Nov 2025
Crown Commercial Services NHS England
Child Death (from 2015) Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Midwifery staff failed to elicit and act upon parental concerns about a baby's breathing and crying during postnatal contacts, leading to missed neonatal assessments and escalation.
Luke Chatterton
No Identified Response CC
2025-0470 19 Sep 2025
Croydon University Hospital Medicines and Healthcare Products Regul… Royal College of Emergency Medicine +3 more
Alcohol, drug and medication related deaths
Concerns summary (AI summary) Significant delays in accessing advanced life support in a mental health hospital and a lack of national guidelines for managing antipsychotic-induced bowel obstruction in emergency departments were identified.
Miles Robinson
No Identified Response
2025-0340 8 Jul 2025
Emergency Call Prioritisation Advisory … London Ambulance Service NHS Trust
Emergency services related deaths (2019 onwards)
Concerns summary (AI summary) The ambulance triage system's rigidity incorrectly categorised a heart attack call as less urgent, lacking specific determinants for heart attack symptoms and risking delayed response if a cardiac arrest occurs.
Anthony Wood
No Identified Response CC
2025-0282 3 Jun 2025
Epsom and St. Helier University Hospita…
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) A high-risk, severely frail patient fell due to inadequate falls prevention, including missing crash mats, a lowered bed-rail, and only one staff member attending when two were required.