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 |
|---|---|---|---|---|---|
| 2019-0310 | Annette Hewins | 24 Sep 2019 | South Wales Central | Cwm Taf Morgannwg University … | 1/1 |
| 2019-0299 | Tyla Cook | 17 Sep 2019 | Norfolk | Norfolk and Suffolk NHS Trust Norfolk County Council +2 | 4/4 |
| 2019-0465 | Blaithin Buckley | 16 Sep 2019 | Northamptonshire | General Council | 1/1 |
| 2019-0357 | Maureen Jarvis | 11 Sep 2019 | Staffordshire South | Midland Partnership NHS Trust | 1/1 |
| 2019-0294 | Gurdeep Singh Dundhal | 10 Sep 2019 | Birmingham and Solihull | Birmingham City Council Birmingham Women’s and Childr… +2 | 3/4 |
| 2019-0499 | Shannon Quinn | 6 Sep 2019 | Black Country | Camino Healthcare Care Quality Commission +2 | 2/4 |
| 2019-0265 | Tony Dunne | 20 Aug 2019 | London Inner (North) | East London NHS Trust | 1/1 |
| 2019-0274 | Reece Lapina-Amarelle | 9 Aug 2019 | East Sussex | Department of Health and Soci… NHS England | 2/2 |
| 2019-0282 | Daniel Shorrocks | 1 Aug 2019 | Plymouth, Torbay and South Devon | Department for Education Department of Health and Soci… | 1/2 |
| 2019-0284 | Nigel Abbott | 31 Jul 2019 | Birmingham and Solihull | Birmingham and Solihull Menta… Birmingham City Council +4 | 1/6 |
| 2019-0254 | Hannah Bharaj | 24 Jul 2019 | Manchester (South) | Cheshire and Wirral Partnersh… Department for Education +3 | 0/5 |
| 2019-0287 | Richard Carlon | 22 Jul 2019 | Birmingham and Solihull | Birmingham and Solihull Menta… Birmingham City Council +1 | 2/3 |
| 2019-0329 | David Jukes | 12 Jul 2019 | Birmingham and Solihull | Birmingham and Solihull Clini… Birmingham and Solihull Menta… +3 | 5/5 |
| 2019-0245 | Peter Lawrence | 1 Jul 2019 | Black Country | Walsall Mental Health Partner… Walsall Metropolitan Borough … | 1/2 |
| 2019-0209 | Marcus McGuire | 23 Jun 2019 | Birmingham and Solihull | HMP Birmingham, MOJ, G45 | 2/1 |
| 2019-0203 | Michael Cox | 20 Jun 2019 | Cornwall and the Isles of Scilly | Cornwall Council | 1/1 |
| 2019-0200 | John Gogarty | 17 Jun 2019 | South Yorkshire (West) | National Probation Service RDaSH NHS Trust | 0/2 |
| 2019-0177 | Emily Inglis | 30 May 2019 | Camarthenshire and Pembrokeshire | Glangwili General Hospital Hywel Dda University Health B… | 0/2 |
| 2019-0504 | Natasha Abrahart | 16 May 2019 | Avon | Avon and Wiltshire NHS Mental… Department of Health and Soci… +2 | 3/4 |
| 2019-0140 | Georgia Nelson | 29 Apr 2019 | London Inner (West) | Central and North West London… Royal Borough of Kensington a… | 2/2 |
| 2019-0134A | Nyall Brown | 15 Apr 2019 | Norfolk | Norfolk & Suffolk NHS Trust | 1/1 |
| 2019-0150 | George Twiddy | 8 Apr 2019 | Portsmouth and South East Hampshire | Hampshire County Council southern Health NHS Trust | 1/2 |
| 2019-0107 | Ann Corfield | 29 Mar 2019 | Manchester (City) | Greater Manchester Mental Hea… Pennine Acute Hospitals NHS T… | 0/2 |
| 2019-0090 | Nora Bruton | 25 Mar 2019 | Birmingham and Solihull | Birmingham & Solihull Mental … | 1/1 |
| 2019-0460 | Meirion James | 4 Mar 2019 | Pembrokeshire & Camarthenshire | Dyfed Powys Police Hywel Dda Health Board +1 | 0/3 |