PFD · Category

Mental Health related deaths

636 reports 69 areas Earliest: Aug 2013 Latest: 14 Apr 2026

79% response rate (above 65% average). 45% of classified responses show concrete action taken. Reports rose 94% from 33 (2023) to 64 (2024).

PFD Reports

636 results

Sky Rollings

Reference 2021-0354Report dated 16 Oct 2021Stoke-on-Trent & North Staffordshire Coroner’s Court

Addressed to: NHS England; North Staffordshire Combined Healthcare

2 responses identified · 2 indexed addressees

Darren Lawrence

Reference 2021-0349Report dated 15 Oct 2021Manchester City

Addressed to: Prestwich Hospital and The Droylsden Road Family GP Practice

2 responses identified · 1 indexed addressee

Alexandra Tolley

Reference 2021-0344Report dated 14 Oct 2021West Yorkshire (East)

Addressed to: Leeds and York Partnership NHS Foundation Trust

1 response identified · 1 indexed addressee

Kirsty Doodes

Reference 2021-0343Report dated 14 Oct 2021Cornwall and Isles of Scilly

Addressed to: Cornwall Partnership (Foundation) Trust

1 response identified · 1 indexed addressee

Paul Barton

Reference 2021-0338Report dated 14 Oct 2021Nottinghamshire

Addressed to: Aviva Insurance; Nottinghamshire Healthcare NHS Foundation Trust; Nottinghamshire Police

1 response identified · 2 indexed addressees

Leon Briggs

Reference 2021-0330Report dated 4 Oct 2021Bedfordshire and Luton

Addressed to: Association of Ambulance Chief Executives; Bedfordshire Police; EEAST; National Police Chiefs’ Council

3 responses identified · 4 indexed addressees

Jude Lloyd

Reference 2021-0329Report dated 4 Oct 2021Manchester City

Addressed to: Greater Manchester Mental Health NHS Trust

1 response identified · 1 indexed addressee

Stephen Cope

Reference 2021-0332Report dated 30 Sep 2021Inner London South

Addressed to: Department of Health and Social Care; HMP Belmarsh; Ministry of Justice; Oxleas NHS Foundation Trust

2 responses identified · 4 indexed addressees

Robert Walaszkowski

Reference 2021-0325Report dated 27 Sep 2021East London

Addressed to: Patient Transport UK Ltd

0 responses identified · 1 indexed addressee

Antony Schofield

Reference 2021-0324Report dated 27 Sep 2021Manchester City

Addressed to: Greater Manchester Mental Health NHS Trust

1 response identified · 1 indexed addressee

Anthony Preston

Reference 2021-0319Report dated 23 Sep 2021Essex

Addressed to: Essex Police; National Police Chiefs’ Council

0 responses identified · 2 indexed addressees

Uyapo Theodore Hayunga-Macha

Reference 2021-0314Report dated 20 Sep 2021Liverpool and Wirral

Addressed to: Cheshire Wirral Partnership; North West Ambulance Service; Wirral University Teaching Hospital

2 responses identified · 3 indexed addressees

Colin Blackburn

Reference 2021-0311Report dated 17 Sep 2021Worcestershire

Addressed to: HMP Hewell; Practice Plus Group

1 response identified · 2 indexed addressees

Siwan Smith

Reference 2021-0306Report dated 14 Sep 2021Gwent

Addressed to: Taff’s Well Medical Centre

1 response identified · 1 indexed addressee

Lee Thrumble

Reference 2021-0304Report dated 10 Sep 2021Mid Kent and Medway

Addressed to: Department of Health and Social Care

0 responses identified · 1 indexed addressee

Bituin Pimlott

Reference 2021-0293Report dated 6 Sep 2021Greater Manchester South

Addressed to: NHS England; Stockport Clinical Commissioning Group

2 responses identified · 2 indexed addressees

Fadhia Seguleh

Reference 2021-0287Report dated 27 Aug 2021Greater Manchester South

Addressed to: Department of Health and Social Care; Greater Manchester Health and Social Care Partnership

0 responses identified · 2 indexed addressees

Cherry Dunn

Reference 2021-0286Report dated 26 Aug 2021Leicester City and South Leicestershire

Addressed to: NHS Quality, Safety and Investigations

0 responses identified · 1 indexed addressee

Stanislaw Zielinski

Reference 2021-0277Report dated 20 Aug 2021Greater Manchester South

Addressed to: Department of Health and Social Care; NHS England; Secretary of State of Health; Tameside Clinical Commissioning Group

3 responses identified · 4 indexed addressees

Hadley Savory

Reference 2021-0270North East Kent

Addressed to: Kent County Council

1 response identified · 1 indexed addressee

Steven Kirkham

Reference 2021-0280Report dated 18 Aug 2021South Yorkshire (East)

Addressed to: Instastop Ltd

1 response identified · 1 indexed addressee

Steven Regoli

Reference 2021-0273Report dated 17 Aug 2021Essex

Addressed to: Essex Partnership University NHS Foundation Trust; NHS England

0 responses identified · 2 indexed addressees

Stuart Tokam

Reference 2021-0271Report dated 13 Aug 2021East London

Addressed to: Department of Health and Social Care; St Pancras Hospital

1 response identified · 2 indexed addressees

Terence Tuttle

Reference 2021-0265Report dated 9 Aug 2021Norfolk

Addressed to: Hellesdon Hospital; Queen Elizabeth Hospital

1 response identified · 2 indexed addressees

Amanda Dunn

Reference 2021-0261Report dated 30 Jul 2021Staffordshire South

Addressed to: Staffordshire Police

2 responses identified · 1 indexed addressee

AI Classification
Action Taken 45%
Action Planned 37%
Existing Practice 0%
Noted 16%
Disputed 1%
Based on 815 classified responses