Suffolk

Coroner Area
Reports: 93 Earliest: Apr 2014 Latest: 6 Apr 2026

77% response rate (above 63% average).

Response Status
Responded 72 No Response 4 Historic 16 Pending 1
AI Classification
Action Taken 35%
Action Planned 39%
Noted 26%
Disputed 0%
Based on 106 classified responses
Top Categories
Hospital Death (Clinical Procedure… (32) Suicide (from 2015) (20) Mental Health related deaths (13) Alcohol, drug and medication relat… (11) Other related deaths (10)
Quarterly Trend
Category Breakdown
How does this area compare?
vs East of England average: +22 reports · +9pp response rate
vs national average: +9 reports · +14pp response rate
Clear 4 results
Peter Pettit
No Identified Response
2026-0196 2 Apr 2026
Multi-Care Community Services Suffolk
Community health care and emergency services related deaths
Concerns summary (AI summary) Inadequate record keeping, poor medication management support, and deficient catheter management were identified in community care services. There were also concerns that training inadequacies had not been addressed.
David Abbot
No Identified Response
2026-0195 2 Apr 2026
West Suffolk NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Incorrect advice was given to a patient upon discharge from West Suffolk Hospital regarding weight bearing and mobilisation, potentially contributing to the development of a DVT; additionally, concerns were raised about ineffective communication processes between hospital staff and patients.
Georgia Scarff
No Identified Response
2026-0057 4 Feb 2026
Department for Education Minister for Women and Equalities Royal Hospital School
Road (Highways Safety) related deaths
Concerns summary (AI summary) School staff unfamiliarity with the safeguarding system led to missed recordings. The lack of a single national safeguarding information management tool for schools creates inconsistent practices and risks.
Catherine Moore
No Identified Response
2025-0486 25 Sep 2025
Secretary of State for Defence
Road (Highways Safety) related deaths
Concerns summary (AI summary) The MOD's vehicle maintenance system (JAMES) is complex, lacks audit capabilities, and has no formal processes for inspecting, testing, or providing feedback on repairs, risking vehicle safety.