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 |
|---|---|---|---|---|---|
| 2016-wp25385 | Nicholas Sullivan | 22 Aug 2016 | Manchester City | Manchester Mental Health and … North Manchester General Hosp… | 0/2 |
| 2016-0289 | Micael McMonigle | 15 Aug 2016 | County Durham and Darlington | Tees, Esk and Wear Valley NHS… | 0/1 |
| 2016-0236 | Anielka Jennings | 27 Jun 2016 | Gloucestershire | Gloucestershire Clinical Comm… Gloucestershire County Council | 0/2 |
| 2016-0221 | Christina O’Brien | 14 Jun 2016 | London Inner (South) | Department of Health and Soci… South London and Maudesley NH… | 0/2 |
| 2016-0174 | Carole Lovett | 6 May 2016 | London Greater North | North Middlesex Hospital | 0/1 |
| 2016-0164 | Steven Murphy | 27 Apr 2016 | Portsmouth and South East Hampshire | South West Trains | 0/1 |
| — | Julie Rose | 14 Dec 2015 | Kent (Central and South East) | Kent and Medway NHS and Socia… | 0/1 |
| 2015-0296 | Simon Reynolds | 24 Jul 2015 | Avon | Avon and Wiltshire Mental Hea… | 0/1 |
| 2015-0066 | Huseyin Erdogan | 17 Feb 2015 | London (North) | Barnet Enfield and Haringey M… | 0/1 |
| 2015-0039 | Shannon Gee | 3 Feb 2015 | Cornwall | Department of Health and Soci… Kernow Clinical Commissioning… | 0/2 |
| 2014-0307 | Liam Hardy | 2 Jul 2014 | London (South) | South West London and St Geor… | 0/1 |
| 2014-0237 | Mark Bartholomew | 21 May 2014 | Manchester (North) | Broudie Jackson Canter DAC Beachcroft +2 | 0/4 |
| 2014-0225 | Keiran Toman | 12 May 2014 | London Inner (West) | Hafod Community Mental Health… NHS England +2 | 0/4 |
| 2014-0179 | Michael Worrall | 22 Apr 2014 | London Inner (North) | Barnet Enfield and Haringey M… | 0/1 |
| 2014-0078 | Hazel Polkinghorn | 26 Feb 2014 | Central Lincolnshire | Ministry of Justice | 0/1 |
| 2014-0050 | Gareth Slater | 30 Jan 2014 | Manchester (South) | Oldham Borough Council Pennine Care NHS Foundation T… | 0/2 |
| 2014-0019 | James Stokoe | 16 Jan 2014 | Sunderland | Department of Health and Soci… | 0/1 |
| 2013-0362 | Roy Frank Fletcher | 20 Dec 2013 | Blackpool & Fylde | Lancashire Care NHS Foundatio… | 0/1 |
| 2013-0374 | Sean Seabourne | 17 Dec 2013 | Worcestershire | Worcestershire Health and Car… | 0/1 |
| 2013-0310 | Peter Galea | 21 Nov 2013 | City of Sunderland | Department of Health | 0/1 |
| 2013-0309 | Lisa Jane Clayton | 21 Nov 2013 | Manchester North | Kennedy Wilson Europe (as Lan… Public Protection, Oldham Cou… +2 | 0/4 |
| 2013-0291 | Peter Patrick Adrian Barnes | 8 Nov 2013 | West Yorkshire (West) | Cygnet Healthcare Ltd. | 0/1 |
| 2013-0229 | Matthew Dunham | 12 Sep 2013 | Norfolk | Norfolk and Suffolk NHS Found… | 0/1 |
| 2013-0227 | Ricky Anderson | 9 Sep 2013 | Mid Kent and Medway | Kent and Medway NHS Social Care Partnership Trust | 0/2 |
| 2013-0224 | Michael Irlam | 4 Sep 2013 | Manchester South | Improving Access to Psycholog… Trafford Crisis Resolution an… | 0/2 |