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 |
|---|---|---|---|---|---|
| 2019-0069 | Peter Garvin | 27 Feb 2019 | London Inner (West) | Central and North West London… NHS England | 1/2 |
| 2019-0079 | Danyon Chesters | 26 Feb 2019 | Manchester (South) | Department of Health and Soci… | 1/1 |
| 2019-0057 | Janice Keelan | 19 Feb 2019 | Manchester (City) | Manchester City Council Manchester Mental Health NHS … | 1/2 |
| 2019-0046 | Heather Carey | 12 Feb 2019 | Manchester (South) | Department of Health and Soci… NHS Tameside and Glossop Clin… | 2/2 |
| 2019-0045 | Paul Gillam | 11 Feb 2019 | Cornwall & the Isles of Scilly | Cornwall NHS Trust Drug, Alcohol Action Team Cor… +1 | 1/3 |
| 2019-0042 | Robert Hughes | 11 Feb 2019 | Gloucestershire | 2gether NHS Trust | 1/1 |
| 2019-0039 | Stephen Kennedy | 7 Feb 2019 | Birmingham and Solihull | Birmingham and Solihull Menta… Birmingham Cross City Clinica… +1 | 3/3 |
| 2019-0077 | Stephen Harte | 1 Feb 2019 | Birmingham and Solihull | Birmingham and Solihull Clini… Care Quality Commission | 2/2 |
| 2019-0062 | David Squire | 25 Jan 2019 | Black Country | NHS England | 1/1 |
| 2019-0029 | Gareth Bickerstaff | 25 Jan 2019 | Manchester (North) | Joint Royal Colleges Ambulanc… | 0/1 |
| 2019-0024 | Neil Black | 21 Jan 2019 | Birmingham and Solihull | Birmingham Community Healthca… | 1/1 |
| 2019-0023 | Mark Harris | 17 Jan 2019 | Suffolk | Emergency Operation Centre No… Melbourne Ambulance Station | 0/2 |
| 2019-0143 | Catherine Horton | 15 Jan 2019 | London (South) | Metropolitan Police | 1/1 |
| 2019-0056 | Dane Pearson | 14 Jan 2019 | Manchester (South) | Greater Manchester Police Home Office | 1/2 |
| 2019-0021 | Amanda Briley | 11 Jan 2019 | Leicester City and Leicestershire South | East Leicestershire and Rutla… | 2/1 |
| 2019-0013 | Christopher Seal | 10 Jan 2019 | Avon | Avon and Wilshire Mental Heal… | 1/1 |
| 2019-0014 | Nicky Reilly | 4 Jan 2019 | Manchester (North) | Greater Manchester Mental Hea… HM Prisons and Probation Serv… | 2/2 |
| 2018-0395 | Ruth Edwards | 18 Dec 2018 | SouthWales Central | Cardiff and Vale University H… West Quay Surgery | 2/2 |
| 2018-0392 | Natalie Hunter | 18 Dec 2018 | Isle of Wight | St Mary’s Hospital NHS Trust | 0/1 |
| 2018-0365 | Matthew Craven | 22 Nov 2018 | Manchester (South) | Pennine Care NHS Trust | 1/1 |
| 2018-0363 | Ben Walmsley | 21 Nov 2018 | Manchester (North) | Department for Education | 0/1 |
| 2018-0301 | Eleanor Brabant | 16 Nov 2018 | Southampton and New Forest | Southern Health NHS Trust | 0/1 |
| 2018-0361 | Matthew Arkle | 13 Nov 2018 | Suffolk | Norfolk and Suffolk NHS Trust | 1/1 |
| 2018-0352-wp26415 | Thomas Jackson | 13 Nov 2018 | Staffordshire (South) | Department of Health and Soci… Midlands Partnership NHS Foun… | 1/2 |
| 2018-0339 | Karl Cassimjee | 2 Nov 2018 | Manchester (West) | Greater Manchester Mental Hea… Manchester Royal Infirmary | 0/2 |