Worcestershire

Coroner Area
Reports: 83 Earliest: Sep 2013 Latest: 1 Apr 2026

77% response rate (above 63% average).

Response Status
Responded 64 No Response 4 Historic 15
AI Classification
Action Taken 66%
Action Planned 27%
Noted 7%
Disputed 0%
Based on 85 classified responses
Top Categories
Hospital Death (Clinical Procedure… (36) State Custody related deaths (16) Suicide (from 2015) (10) Mental Health related deaths (9) Care Home Health related deaths (9)
Quarterly Trend
Category Breakdown
How does this area compare?
vs West Midlands average: +9 reports · +13pp response rate
vs national average: -1 reports · +14pp response rate
Clear 4 results
Lucy Phelan
No Identified Response
2026-0209 1 Apr 2026
NHS Wales NHS England Worcestershire Acute Hospital NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The use of the "latching" facility on patient monitoring equipment may contribute to alarm fatigue, making it difficult for staff to respond to different alarms; the manufacturer no longer recommends its use on Emergency Department monitors.
Surendrakumar Patel
No Identified Response
2026-0141 10 Mar 2026
Government Legal Department Midlands Partnership NHS Foundation Tru… Practice Plus Group
Community health care and emergency services related deaths
Concerns summary (AI summary) Healthcare staff lacked awareness of the food refusal policy and failed to conduct necessary mental capacity assessments for patients refusing food.
George Ritchie
No Identified Response
2026-0039-wp117787 21 Jan 2026
Cardinal Healthcare
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The nursing home had inadequate falls risk assessments and care plans, lacking oversight and supervision. Additionally, low night-time staffing was not addressed, risking residents in this and other facilities.
John Franklin
No Identified Response CC
2025-0474 16 Sep 2025
Worcestershire County Council
Other related deaths
Concerns summary (AI summary) A high-risk falls patient was discharged home before a careline pendant was confirmed as installed, with conflicting records on its provision, raising concerns about safety post-discharge.