PFD Response Tracker
Prevention of Future DeathsHow statuses are calculated — 56-day deadline, Judiciary.UK data
Recipients have 56 days to respond under Regulation 28. We use the deadline stated in the report where available, otherwise we calculate it from the report date.
We rely on Judiciary.UK for response data, so if a response has been provided but not yet published there, it may show incorrectly here.
"No identified response", "Pending", and "Historic" only count reports where no response at all has been identified as published on Judiciary.UK.
If at least one response has been published for a report, it counts as "Responded" — even if not every listed addressee has a separate published response.
This is because addressee data from Judiciary.UK can be unreliable: address fragments, job titles, and redacted names are sometimes parsed as separate addressees, and a single response PDF may cover multiple parties.
"Historic with no identified response" means we have not been able to identify a published response, but the report is more than two years old.
We do not mark these as overdue or pending because older reports may well have received a response that was simply never made public.
This is a neutral status indicating absence of an identified published record, not confirmed non-compliance.
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a non-response confirmed by the Chief Coroner.
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6,254 reports
· Page 126 of 126
| Date | Deceased | Addressee(s) | Status | Responses |
|---|---|---|---|---|
| — |
Lauren Murdock
A GP miscalculated a patient's clot and cardiovascular risk when prescribing contraception due to misinterpreting guidelines and overlooking …
|
All Responded | 3/0 | |
| — |
Irene Esaw
There was a fundamental failure to assess mental capacity by local authority staff, undermining discharge planning. Assumptions about …
|
All Responded | 1/0 | |
| — |
Vhari Ingall and Mary Johnson
Paramedics are inappropriately applying Do Not Resuscitate documents to non-natural deaths, such as overdoses, leading to a failure …
|
All Responded | 5/0 | |
| — |
Zsolt Kirjak
The patient received an incomplete psychiatric and risk assessment that failed to appraise his serious suicide risk factors …
|
Central and North West London … Imperial College health Care NHS … Portland Practice | Response Pending | 0/3 |
Lauren Murdock
All Responded
A GP miscalculated a patient's clot and cardiovascular risk when prescribing contraception due to misinterpreting guidelines and overlooking critical information, highlighting a need for improved …
Irene Esaw
All Responded
There was a fundamental failure to assess mental capacity by local authority staff, undermining discharge planning. Assumptions about responsibility between clinical and integrated care teams …
Vhari Ingall and Mary Johnson
All Responded
Paramedics are inappropriately applying Do Not Resuscitate documents to non-natural deaths, such as overdoses, leading to a failure to intervene appropriately and placing them in …
Zsolt Kirjak
Response Pending
The patient received an incomplete psychiatric and risk assessment that failed to appraise his serious suicide risk factors and previous self-harm attempts. His wife was …
Central and North West …
Imperial College health Care …
Portland Practice