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 |
|---|---|---|---|---|---|
| 2021-0354 | Sky Rollings | 16 Oct 2021 | Stoke-on-Trent & North Staffordshire Coroner’s Court | NHS England North Staffordshire Combined … | 2/2 |
| 2021-0349 | Darren Lawrence | 15 Oct 2021 | Manchester City | Prestwich Hospital and The Dr… | 2/1 |
| 2021-0344 | Alexandra Tolley | 14 Oct 2021 | West Yorkshire (East) | Leeds and York Partnership NH… | 1/1 |
| 2021-0343 | Kirsty Doodes | 14 Oct 2021 | Cornwall and Isles of Scilly | Cornwall Partnership (Foundat… | 1/1 |
| 2021-0338 | Paul Barton | 14 Oct 2021 | Nottinghamshire | Aviva Insurance Nottinghamshire Healthcare NH… +1 | 1/3 |
| 2021-0330 | Leon Briggs | 4 Oct 2021 | Bedfordshire and Luton | Association of Ambulance Chie… Bedfordshire Police +2 | 3/4 |
| 2021-0329 | Jude Lloyd | 4 Oct 2021 | Manchester City | Greater Manchester Mental Hea… | 1/1 |
| 2021-0332 | Stephen Cope | 30 Sep 2021 | Inner London South | Department of Health and Soci… HMP Belmarsh +2 | 2/4 |
| 2021-0325 | Robert Walaszkowski | 27 Sep 2021 | East London | Patient Transport UK Ltd | 0/1 |
| 2021-0324 | Antony Schofield | 27 Sep 2021 | Manchester City | Greater Manchester Mental Hea… | 1/1 |
| 2021-0319 | Anthony Preston | 23 Sep 2021 | Essex | Essex Police National Police Chiefs’ Counc… | 0/2 |
| 2021-0314 | Uyapo Theodore Hayunga-Macha | 20 Sep 2021 | Liverpool and Wirral | Cheshire Wirral Partnership North West Ambulance Service +1 | 2/3 |
| 2021-0311 | Colin Blackburn | 17 Sep 2021 | Worcestershire | HMP Hewell Practice Plus Group | 1/2 |
| 2021-0306 | Siwan Smith | 14 Sep 2021 | Gwent | Taff’s Well Medical Centre | 1/1 |
| 2021-0304 | Lee Thrumble | 10 Sep 2021 | Mid Kent and Medway | Department of Health and Soci… | 0/1 |
| 2021-0293 | Bituin Pimlott | 6 Sep 2021 | Greater Manchester South | NHS England Stockport Clinical Commission… | 2/2 |
| 2021-0287 | Fadhia Seguleh | 27 Aug 2021 | Greater Manchester South | Department of Health and Soci… Greater Manchester Health and… | 0/2 |
| 2021-0286 | Cherry Dunn | 26 Aug 2021 | Leicester City and South Leicestershire | NHS Quality, Safety and Inves… | 0/1 |
| 2021-0277 | Stanislaw Zielinski | 20 Aug 2021 | Greater Manchester South | Department of Health and Soci… NHS England +2 | 3/4 |
| 2021-0270 | Hadley Savory | — | North East Kent | Kent County Council | 1/1 |
| 2021-0280 | Steven Kirkham | 18 Aug 2021 | South Yorkshire (East) | Instastop Ltd | 1/1 |
| 2021-0273 | Steven Regoli | 17 Aug 2021 | Essex | Essex Partnership University … NHS England | 0/2 |
| 2021-0271 | Stuart Tokam | 13 Aug 2021 | East London | Department of Health and Soci… St Pancras Hospital | 1/2 |
| 2021-0265 | Terence Tuttle | 9 Aug 2021 | Norfolk | Hellesdon Hospital Queen Elizabeth Hospital | 1/2 |
| 2021-0261 | Amanda Dunn | 30 Jul 2021 | Staffordshire South | Staffordshire Police | 2/1 |