South Yorkshire (West)

Coroner Area
Reports: 102 Earliest: Aug 2013 Latest: 2 Feb 2026

73% response rate (above 62% average).

Response Status
Responded 74 No Response 1 Historic 25
AI Classification
Action Taken 75%
Action Planned 12%
Noted 6%
Disputed 6%
Based on 16 classified responses
Top Categories
Hospital Death (Clinical Procedure… (36) Other related deaths (18) Community health care and emergenc… (15) Suicide (from 2015) (11) Child Death (from 2015) (10)
Quarterly Trend
Category Breakdown
How does this area compare?
vs Yorkshire and the Humber average: +42 reports · +12pp response rate
vs national average: +19 reports · +11pp response rate
102 results
May Gibson
Historic (No Identified Response)
2013-0199 30 Aug 2013
Herries Lodge Care Home
Community health care and emergency services related deaths
Concerns summary The care home exhibited widespread systemic failures, including inadequate assessments, poor care planning, insufficient risk management, and a lack of cohesive management and staff training.
Jamie Bennett
All Responded
2022-0136
Alcohol, drug and medication related deaths State Custody related deaths
Concerns summary Lack of clear instructions for welfare checks, unclear task responsibility for agency night staff, and absent audit processes risk inadequate patient supervision and future deaths.
Action taken summary Practice Plus Group has developed and embedded a new information sharing process between HMP Moorlands and Norfolk Park Bail Hostel, using a standardised and quality-assured Medical Report template. T