Worcestershire
Coroner Area
Reports: 82
Earliest: Sep 2013
Latest: 10 Mar 2026
73% response rate (above 62% average).
Surendrakumar Patel
Response Pending
2026-0141
10 Mar 2026
Practice Plus Group
Government Legal Department
Midlands Partnership NHS Foundation Tru…
Community health care and emergency services related deaths
Concerns summary
Healthcare staff lacked awareness of the food refusal policy and failed to conduct necessary mental capacity assessments for patients refusing food.
John Franklin
Response Pending
2026-0110
8 Feb 2026
Worcestershire County Council
Mental Health related deaths
Concerns summary
A high-risk falls patient was discharged home before a careline/lifeline pendant was provided, delaying assistance when the patient subsequently fell.
Emmett Morrison
Response Pending
2026-0071
6 Feb 2026
Prison
Probation and Reducing Offending
State Custody related deaths
Concerns summary
HMP Long Lartin suffered from a continued influx of illicit drugs. There were also systemic failures in the ACCT process, with no support actions recorded for a prisoner with a history of self-harm.
Timothy Reading
Response Pending
2026-0101
21 Nov 2025
NHS England
Birmingham and Solihull Mental Health F…
Suicide (from 2015)
Concerns summary
The lack of formal, agreed S.117 plans for mental health discharge creates disjointed patient support. There is also no national guidance clarifying the required components for S.117 plans.