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 |
|---|---|---|---|---|---|
| 2021-0155 | Stephen Thurm | 17 May 2021 | Manchester South | Greater Manchester Mental Hea… NHS England | 2/2 |
| 2021-0150 | Charlotte Swift | 11 May 2021 | West Sussex | NHS England | 1/1 |
| 2021-0148 | Parys Lapper | 10 May 2021 | West Sussex | NHS England | 1/1 |
| 2021-0143 | Corin Bonaparte | 7 May 2021 | Exeter and Greater Devon | HMP Dartmoor | 1/1 |
| 2021-0142 | Glenn Macmartin | 7 May 2021 | Plymouth Torbay and South Devon | Care Quality Commission, Devo… | 3/1 |
| 2021-0224 | Sarah Brady | 5 May 2021 | Black Country | Sandwell and West Birmingham … | 1/1 |
| 2021-0136 | Hannah Bampfylde | 5 May 2021 | Surrey | Sussex Partnership NHS Founda… | 1/1 |
| 2021-0134 | Rohan Singh | 30 Apr 2021 | East London | Dept. of Health and Social Ca… | 3/1 |
| 2021-0128 | Jade Rayner | 30 Apr 2021 | Greater Manchester South | Greater Manchester Health and… Greater Manchester Police | 2/2 |
| 2021-0126 | Joanna Leven | 30 Apr 2021 | Greater Manchester (South) | Department of Health and Soci… | 1/1 |
| 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 |
| 2021-0106 | Hannah Browning | 13 Apr 2021 | North Wales (East and Central) | Betsi Cadwaladr University He… Wrexham County Borough Council | 1/2 |
| 2021-0100 | Mina Topley-Bird | — | County Durham and Darlington | Tees, Esk and Wear Valley NHS… Department of Health and Soci… +1 | 2/3 |
| 2021-0095 | Steven Costello | 31 Mar 2021 | West Sussex | Brighton and Sussex Universit… | 1/1 |
| 2021-0099 | Bathsheba Shepherd | 28 Mar 2021 | London (West) | Central and North West London… | 0/1 |
| 2021-0083 | Sean Fegan | 25 Mar 2021 | Nottingham City and Nottinghamshire | GP GP, Change Grow Live, Notting… | 1/2 |
| 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 |
| 2021-0077 | Ben O’Hara | 17 Mar 2021 | Inner North London | Camden & Islington NHS Founda… St Pancras Hospital | 1/2 |