Suffolk

Coroner Area
Reports: 89 Earliest: Apr 2014 Latest: 11 Mar 2026

74% response rate (above 62% average).

Response Status
Responded 66 No Response 1 Historic 16 Pending 6
AI Classification
Action Taken 60%
Action Planned 40%
Noted 0%
Disputed 0%
Based on 5 classified responses
Top Categories
Hospital Death (Clinical Procedure… (31) Suicide (from 2015) (19) 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: +19 reports · +8pp response rate
vs national average: +6 reports · +12pp response rate
Clear 6 results
Janette Palmer
Response Pending
2026-0140 11 Mar 2026
Department of Health and Social Care
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary A housing association was unaware of the UK Power Networks Priority Services Register, risking vulnerable residents not receiving enhanced support during power outages.
Terrence Frost
Response Pending
2026-0135 9 Mar 2026
East Suffolk & North Essex NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary GPs and internal hospital staff experienced significant difficulties contacting the Medical Assessment Unit and A&E to pre-alert them about seriously unwell patients, causing dangerous delays in assessment.
Paul Thompson
Response Pending
2026-0066 6 Feb 2026
HM Prison Probation and reducing offending
Suicide (from 2015)
Concerns summary HMP Norwich had inadequate arrangements for releasing prisoners needing mental health care, leading to failures in ensuring follow-up and timely information sharing with Probation Services.
Roger Smith
Response Pending
2026-0069 6 Feb 2026
West Suffolk NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Ineffective electronic patient records failed to flag critical medication information, and poor communication led to anticoagulation being administered against patient wishes, without specialist stroke input.
Georgia Scarff
Response Pending
2026-0057 4 Feb 2026
Royal Hospital School Department for Education
Road (Highways Safety) related deaths
Concerns 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.
Lauren Moret-Dell
Response Pending
2026-0059 4 Feb 2026
Suffolk and North East Essex Integrated… West Suffolk NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Hospital staff lacked proficiency in timely TIA Clinic referrals. Additionally, out-of-hours stroke care lacked commissioned stroke consultant input, adversely impacting patient treatment outcomes.