Home / Sources / Prevention of Future Deaths / By Coroner Area / Plymouth, Torbay and South Devon
PFD · Coroner area

Plymouth, Torbay and South Devon

122 reports Earliest: Sep 2013 Latest: 12 Aug 2026

80% response rate (above 65% average).

Clear 82 results

Katie Williams

Reference 2023-0512Report dated 24 Nov 2023Plymouth, Torbay and South Devon

Addressed to: Intensive Care Medicine

1 response identified · 1 indexed addressee

Stewart Stanley

Reference 2023-0341Report dated 19 Sep 2023Exeter and Greater Devon

Addressed to: Exeter Prison

1 response identified · 1 indexed addressee

Geoffrey Brooks

Reference 2023-0351Report dated 15 Sep 2023Exeter and Greater Devon

Addressed to: Royal Devon University Healthcare Foundation Trust

1 response identified · 1 indexed addressee

Maxine Davison, Lee Martyn, Sophie Martyn, Stephen Washington and Kate Shepherd

Reference 2023-0085DeceasedReport dated 8 Feb 2023Plymouth, Torbay and South Devon

Addressed to: Approved Clubs; self-governing schools; Chief Constables; College of Policing; Department for Education and Employment; Home Office; National Police Chiefs’ Council; independent schools

34 responses identified · 8 indexed addressees

David Hulme

Reference 2022-0199Plymouth, Torbay and South Devon

Addressed to: University Hospitals Plymouth NHS Trust

1 response identified · 1 indexed addressee

Frances Ollis

Reference 2022-0276Report dated 6 Sep 2022Plymouth, Torbay and South Devon

Addressed to: Devon NHS Integrated Care Commission

1 response identified · 1 indexed addressee

Archi Johnson

Reference 2022-0231Report dated 26 Jul 2022Exeter and Greater Devon

Addressed to: Devon Partnership NHS Trust

1 response identified · 1 indexed addressee

Harry Simmons

Reference 2022-0028Report dated 3 Feb 2022Plymouth, Torbay and South Devon

Addressed to: Plymouth City Council

1 response identified · 1 indexed addressee

Carl Walters

Reference 2021-0256Report dated 28 Jul 2021Exeter and Greater Devon

Addressed to: HMP Exeter

1 response identified · 1 indexed addressee

Corin Bonaparte

Reference 2021-0143Report dated 7 May 2021Exeter and Greater Devon

Addressed to: HMP Dartmoor

1 response identified · 1 indexed addressee

Glenn Macmartin

Reference 2021-0142Report dated 7 May 2021Plymouth Torbay and South Devon

Addressed to: Care Quality Commission, Devon Partnership Trust and Plymouth Safeguarding Adult Partnership

3 responses identified · 1 indexed addressee

Clara Freeman

Reference 2021-0085Report dated 26 Mar 2021Plymouth Torbay and South Devon

Addressed to: Hart Care Nursing and Residential Home

1 response identified · 1 indexed addressee

Benjamin Popovach

Reference 2020-0214Report dated 23 Oct 2020Plymouth, Torbay and South Devon

Addressed to: Devon Partnership NHS Trust

1 response identified · 1 indexed addressee

Paul Reynolds

Reference 2020-0178Report dated 21 Sep 2020Plymouth, Torbay and South Devon

Addressed to: Derriford Hospital

1 response identified · 1 indexed addressee

Lewis Francis

Reference 2020-0074Report dated 23 Mar 2020Exeter and Greater Devon

Addressed to: Avon and Somerset Police; Cornwall Partnership NHS Foundation Trust; Cygnet Healthcare; Devon and Cornwall Police; Devon Partnership NHS Trust; Elysium Healthcare; Gloucestershire Police; Livewell Southwest; Prison and Probation service; Somerset Partnership NHS Foundation Trust; Wiltshire Police

2 responses identified · 11 indexed addressees

Daniel Shorrocks

Reference 2019-0282Report dated 1 Aug 2019Plymouth, Torbay and South Devon

Addressed to: Department for Education; Department of Health and Social Care

1 response identified · 2 indexed addressees

Allan Joslin

Reference 2019-0241Report dated 17 Jul 2019Exeter and Greater Devon

Addressed to: NHS England

1 response identified · 1 indexed addressee

Clive Jones

Reference 2019-0217Report dated 30 Apr 2019Plymouth, Torbay and South Devon

Addressed to: Department for Transport

1 response identified · 1 indexed addressee

Stuart Clark

Reference 2019-0125AReport dated 2 Apr 2019Exeter and Greater Devon

Addressed to: Royal Devon and Exeter NHS Trust

1 response identified · 1 indexed addressee

Kenneth Brincombe

Report dated 25 Aug 2018Plymouth Torbay and South Devon

Addressed to: Devon County Council; Guinness Care and Support

2 responses identified · 2 indexed addressees

Karl Willis

Reference 2018-0256Report dated 24 Aug 2018Exeter and Greater Devon

Addressed to: NHS England

1 response identified · 1 indexed addressee

Patricia Cragg

Reference 2018-0255Report dated 23 Aug 2018Plymouth Torbay and South Devon

Addressed to: Plymouth Hospitals NHS Trust

1 response identified · 1 indexed addressee

David Travers

Reference 2018-0188Report dated 22 Jun 2018Plymouth Torbay and South Devon

Addressed to: Devon Local Medical Committee; NHS Northern Eastern and Western Devon Clinical Commissioning Group

1 response identified · 2 indexed addressees

Darren Trewin

Reference 2018-0138Report dated 8 May 2018Exeter and Greater Devon

Addressed to: Devon Highways

1 response identified · 1 indexed addressee

Martin Baker

Reference 2018-0130Report dated 3 May 2018Plymouth, Torbay and South Devon

Addressed to: Livewell South West

1 response identified · 1 indexed addressee

AI Classification
Action Taken 45%
Action Planned 39%
Existing Practice 0%
Noted 11%
Disputed 4%
Based on 168 classified responses

Quarterly trend & categories

Quarterly Trend
Category Breakdown

How does this area compare?

vs South West average: +38 reports · +14pp response rate
vs national average: +35 reports · +15pp response rate