PFD · Category
Mental Health related deaths
636 reports
69 areas
Earliest: Aug 2013
Latest: 14 Apr 2026
79% response rate (above 63% average). 46% of classified responses show concrete action taken. Reports rose 94% from 33 (2023) to 64 (2024).
AI Classification
Action Taken
46%
Action Planned
37%
Noted
16%
Disputed
1%
PFD Reports
| Ref | Deceased | Date | Coroner area | Addressees | Responses identified |
|---|---|---|---|---|---|
| 2021-0125 | Darren Adams | 29 Apr 2021 | South Yorkshire (East) | Practice Plus Group and Resus… | 2/1 |
| 2021-0124 | Sean Kay | 28 Apr 2021 | Cambridgeshire & Peterborough | NHS Norfolk Waveney Clinical Commissionin… | 1/2 |
| 2021-0120 | Alan Massam | 26 Apr 2021 | Manchester South | SoS of Health and Social Care… | 3/1 |
| 2021-0180 | Kelly Hewitt | 22 Apr 2021 | Milton Keynes | Minister of State for Prisons | 1/1 |
| 2021-0117 | Mary Gwanyama | 21 Apr 2021 | Surrey | Surrey and Borders Partnership | 1/1 |
| 2021-0116 | Susan Adams | 21 Apr 2021 | Staffordshire South | St George’s Hospital | 1/1 |
| 2021-0109 | Saima Hussain Mann | 15 Apr 2021 | Manchester South | Greater Manchester Mental Hea… | 1/1 |
| 2021-0095 | Steven Costello | 31 Mar 2021 | West Sussex | Brighton and Sussex Universit… | 1/1 |
| 2021-0082 | Azra Hussain | 25 Mar 2021 | Birmingham and Solihull | Birmingham and Solihull Menta… | 4/1 |
| 2021-0078 | James Herbertson | — | West Sussex | Horsham District Council | 1/1 |
| 2021-0064 | Paula Speirs | 4 Mar 2021 | Inner North London | Weymouth Street Hospital | 1/1 |
| 2021-0063 | Grazyna Walczak | 4 Mar 2021 | Inner North London | St Pancras Hospital | 1/1 |
| 2021-0059 | Steven Stout | 3 Mar 2021 | East London | Department of Health and Soci… North East London NHS Foundat… | 2/2 |
| 2021-0048 | Jaden Francois-Espirit | 22 Feb 2021 | Inner North London | London Fire Brigade | 1/1 |
| 2021-0043 | Philippa Day | 12 Feb 2021 | Nottingham and Nottinghamshire | Capita Department for Work and Pensi… | 2/2 |
| 2021-0039 | Robert Hardy | 11 Feb 2021 | Greater Manchester South | Greater Manchester Police | 1/1 |
| 2021-0037 | Carole Mitchell | 11 Feb 2021 | Greater Manchester South | Department of Health and Soci… Greater Manchester Health and… | 2/2 |
| 2021-0035 | Michael Dobson | 11 Feb 2021 | Staffordshire South | HMP Dovegate | 1/1 |
| 2021-0171 | Lisa Thompson | 10 Feb 2021 | Oxfordshire | Oxford Health NHS Trust | 1/1 |
| 2021-0032 | Jason O’Rourke | 10 Feb 2021 | Inner South London | HMP Belmarsh and HMPS | 1/1 |
| 2020-0296 | Tina Murray | 22 Dec 2020 | Blackpool and Fylde | Belgravia Care Home Ltd | 1/1 |
| 2021-0010 | Jennifer Spencer | 18 Dec 2020 | East Sussex | NHS England | 1/1 |
| 2020-0290 | Andrew Gibbins | 17 Dec 2020 | Suffolk | West Suffolk Hospital and The… | 2/1 |
| 2020-0284 | Christopher Swain | 14 Dec 2020 | West Sussex | Sussex Partnership NHS Founda… | 1/1 |
| 2020-0297 | Claire Lilley | 11 Dec 2020 | Inner London South | Oxleas NHS Trust | 1/1 |