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PFD · Category

Mental Health related deaths

636 reports 69 areas Earliest: Aug 2013 Latest: 14 Apr 2026

79% response rate (above 65% average). 45% of classified responses show concrete action taken. Reports rose 94% from 33 (2023) to 64 (2024).

636 results

PFD Reports

636 results

William Armstrong

Reference 2025-0257Report dated 23 May 2025Manchester West

Addressed to: Home Office

0 responses identified · 1 indexed addressee · Chief Coroner confirmed non-response

Kelly Walsh

Reference 2025-0256Report dated 23 May 2025Manchester West

Addressed to: Home Office

0 responses identified · 1 indexed addressee · Chief Coroner confirmed non-response

Chantelle Williams

Reference 2025-0255Report dated 23 May 2025Manchester West

Addressed to: Home Office

1 response identified · 1 indexed addressee

Shaun Bass

Reference 2025-0253Report dated 23 May 2025Manchester West

Addressed to: Home Office

1 response identified · 1 indexed addressee

George Fraser

Reference 2025-0247Report dated 23 May 2025East London

Addressed to: North East London Foundation Trust

1 response identified · 1 indexed addressee

Robert Smith

Reference 2025-0240Report dated 21 May 2025South Wales Central

Addressed to: Cardiff & Vale University Health Board

1 response identified · 1 indexed addressee

Janet Anderson

Reference 2025-0219Report dated 9 May 2025Manchester South

Addressed to: Greater Manchester Integrated Care Board; Greater Manchester Mental Health; Manchester University NHS Foundation Trust

3 responses identified · 3 indexed addressees

Jacqueline Potter

Reference 2025-0200Report dated 24 Apr 2025Somerset

Addressed to: National Institute for Health and Care Excellence; NHS England; Royal College of General Practitioners; Royal College of Obstetricians and Gynaecologists; Somerset Foundation Trust

5 responses identified · 5 indexed addressees

Linda Sitch

Reference 2025-0201Report dated 17 Apr 2025Essex

Addressed to: Essex County Council

1 response identified · 1 indexed addressee

Jonathan Hamer

Reference 2025-0184Report dated 10 Apr 2025West London

Addressed to: South West London and St George’s Hospitals NHS Trust

1 response identified · 1 indexed addressee

Robert Smith

Reference 2025-0181Report dated 10 Apr 2025Manchester South

Addressed to: Greater Manchester Integrated Care Board; Greater Manchester Mental Health NHS Foundation Trust

1 response identified · 1 indexed addressee

Christopher McDonald

Reference 2025-0172Report dated 7 Apr 2025South London

Addressed to: South London and Maudsley NHS Foundation Trust

1 response identified · 1 indexed addressee

Loraine Cheesman

Reference 2025-0178Report dated 3 Apr 2025County Durham and Darlington

Addressed to: Department of Health and Social Care

1 response identified · 1 indexed addressee

James Masheter

Reference 2025-0167Report dated 3 Apr 2025Lancashire and Blackburn with Darwen

Addressed to: NHS Pathways

1 response identified · 1 indexed addressee

Oladeji Omishore

Reference 2025-0160Report dated 25 Mar 2025Inner West London

Addressed to: College of Policing; Metropolitan Police

1 response identified · 2 indexed addressees

Claire Driver

Reference 2025-0161Report dated 24 Mar 2025South Yorkshire West

Addressed to: South West Yorkshire Partnership NHS Foundation Trust

1 response identified · 1 indexed addressee

Leanne Carroll

Reference 2025-0153Report dated 19 Mar 2025North Wales (East and Central)

Addressed to: Betsi Cadwaladr University Health Board

1 response identified · 1 indexed addressee

Darren Turner

Reference 2025-0144Report dated 17 Mar 2025Essex

Addressed to: Essex Partnership University NHS Foundation Trust

1 response identified · 1 indexed addressee

Marta Vento

Reference 2025-0137Report dated 11 Mar 2025Dorset

Addressed to: College of Policing; HMPPS; National Police Chiefs’ Council; NHS Dorset; NHS England

5 responses identified · 5 indexed addressees

Sean Higgins

Reference 2025-0133Report dated 11 Mar 2025Mid Kent and Medway

Addressed to: HMP Rochester

1 response identified · 1 indexed addressee

Jean Pike

Reference 2025-0127Report dated 7 Mar 2025SWANSEA & NEATH PORT TALBOT

Addressed to: Swansea Bay University Health Board

1 response identified · 1 indexed addressee

John McLoughlin

Reference 2025-0131Report dated 6 Mar 2025West Sussex, Brighton and Hove

Addressed to: British Airline Pilots’ Association; Civil Aviation Authority

1 response identified · 2 indexed addressees · Chief Coroner confirmed non-response

Andrea Mann

Reference 2025-0130Report dated 6 Mar 2025West Yorkshire Western

Addressed to: Bradford District Care NHS Trust

1 response identified · 1 indexed addressee

Henok Gebrsslasie

Reference 2025-0124Report dated 6 Mar 2025Coventry

Addressed to: Coventry and Warwickshire Partnership NHS Trust

1 response identified · 1 indexed addressee

Matthew Lynch

Reference 2025-0119Report dated 4 Mar 2025Birmingham and Solihull

Addressed to: Birmingham and Solihull Mental Health NHS Foundation Trust; Birmingham City Council; Provident Housing

2 responses identified · 3 indexed addressees

AI Classification
Action Taken 45%
Action Planned 37%
Existing Practice 0%
Noted 16%
Disputed 1%
Based on 815 classified responses