Other related deaths
PFD Category
Reports: 776
Areas: 72
Earliest: Aug 2013
Latest: 6 Mar 2026
75% response rate (above 62% average). 48% of classified responses show concrete action taken. Reports fell 26% from 91 (2023) to 67 (2024).
PFD Reports
478 resultsChristine Williamson
All Responded
2013-0371
18 Dec 2013
Shropshire, Telford & Wrekin
Telford and Wrekin Clinical Commission …
South Staffordshire and Shropshire Heal…
West Mercia Police
+1 more
Concerns summary
Failure to assess the deceased as a vulnerable adult at risk from domestic violence and a critical lack of information sharing between agencies hindered preventative measures.
Action taken summary
Telford & Wrekin Council has compiled and endorsed an action plan, with many actions already underway, building on recommendations from a Domestic Homicide Review. The implementation of this plan will
Khalid Yousef
All Responded
2022-0193
Birmingham and Solihull
Birmingham and Solihull Mental Health
West Midlands Police
Home Office
+1 more
Concerns summary
Police custody L&D services lack commissioned psychiatrists, leaving junior staff unable to adequately assess serious mental illness. This is compounded by misunderstanding of L&D's role and a reduction in qualified Forensic Medical Examiners.
Action taken summary
West Midlands Police has instructed the creation of a formal escalation process for Liaison and Diversion (L&D) decisions, a review of mental health training for custody officers/staff, and the provis
Hannah Booth
All Responded
2025-0615
Derby and Derbyshire
NHS England
Sett Valley Medical Centre
Derbyshire Community Health Services NH…
+2 more
Concerns summary
Fragmented IT systems and poor information sharing between and within services meant crucial mental health information about the mother was not readily accessible or understood.
Action taken summary
The Trust has implemented an auto-consultation function in SystmOne to cross-reference mother and baby notes, briefed locality managers on inquest findings, and shared a document clarifying record-kee