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).

Responses identified

Responses identified 500 0 responses identified 6 Historic 126

AI Classification

Action Taken 46%

Action Planned 37%

Noted 16%

Disputed 1%

Based on 815 classified responses

PFD Reports

636 results

Ref	Deceased	Date	Coroner area	Addressees	Responses identified
2021-0076	Timothy Steele	15 Mar 2021	City of Brighton and Hove	Sussex Partnership NHS Founda…	0/1
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
2021-0050	Sarah Smith	22 Feb 2021	Hampshire, Portsmouth and Southampton	Institute for Health and Care… National General Medical Coun… +1	0/3
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
2021-0034	Valeria Biggs	11 Feb 2021	Inner West London	Acute Mental Health Services,…	0/1
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
2020-0300	James Taylor	—	East London	Continuing Care Continuing Care, Redbridge Cl… +1	2/3
2020-0302	Steven Cooke	30 Dec 2020	Stoke-on-Trent and North Staffordshire Coroner’s Court	NHS England	0/1
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
2020-0282	Katy Samuels	11 Dec 2020	Coventry	Chief Executive and Mental He…	1/1
2021-0086	Rory Attwood	10 Dec 2020	Gwent	Aneurin Bevan University Heal…	1/1
2020-0279	Kimberley Smith	9 Dec 2020	Surrey	Surrey and Borders Partnershi…	1/1
2020-0272	Roy Curtis	4 Dec 2020	Milton Keynes	Milton Keynes Council and Soc…	1/1
2020-0268	Andrew Westlake	3 Dec 2020	County Durham and Darlington	Jet2.com Ltd and Civil Aviati…	2/1