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).

PFD Reports

636 results

Bryan and Mary Andrews

Reference 2024-0532Report dated 4 Oct 2024South Yorkshire West

Addressed to: Sheffield Health and Social Care NHS Foundation Trust

1 response identified · 1 indexed addressee

Alix Knowles

Reference 2024-0528Report dated 2 Oct 2024Staffordshire

Addressed to: University Hospitals of Derby and Burton NHS Foundation Trust; NHS England; University Hospitals of North Midlands NHS Trust

3 responses identified · 3 indexed addressees

Sean Heath

Reference 2024-0524Report dated 2 Oct 2024Manchester South

Addressed to: Care Quality Commission; Department of Health and Social Care; Greater Manchester Mental Health NHS Foundation Trust; Greater Manchester Police; Home Office; NHS England; North West Ambulance Service NHS Trust; College of Policing; Trafford Council

9 responses identified · 9 indexed addressees

Leighton Dickens

Reference 2024-0522Report dated 29 Sep 2024South Wales Central

Addressed to: South Wales Police

1 response identified · 1 indexed addressee

Charne Petit

Reference 2024-0514Report dated 26 Sep 2024Surrey

Addressed to: NHS England; Surrey and Borders Partnership Trust

2 responses identified · 2 indexed addressees

David Power

Reference 2024-0499Report dated 18 Sep 2024Greater Manchester South

Addressed to: Pennine Care NHS Trust

1 response identified · 1 indexed addressee

Helen Kerr

Reference 2024-0498Report dated 18 Sep 2024Surrey

Addressed to: Surrey and Borders Partnership; Surrey County Council; Surrey Police

3 responses identified · 3 indexed addressees

Carol Guest

Reference 2024-0493Report dated 5 Sep 2024South Yorkshire East

Addressed to: Rotherham, Doncaster and South Humber NHS Foundation Trust

1 response identified · 1 indexed addressee

David Thompson

Reference 2024-0443Report dated 12 Aug 2024Manchester North

Addressed to: NHS Greater Manchester Integrated Care Board; Pennine Care NHS Foundation Trust; Priory Group

3 responses identified · 3 indexed addressees

Sophie Wilson

Reference 2024-0427Report dated 2 Aug 2024Durham and Darlington.

Addressed to: North East Ambulance Service

1 response identified · 1 indexed addressee

Stephen Lindsay

Reference 2024-0420Report dated 1 Aug 2024Cumbria

Addressed to: North East and North Cumbria Integrated Care Board

1 response identified · 1 indexed addressee

Danny Anderson

Reference 2024-0405Report dated 25 Jul 2024East London

Addressed to: Essex Partnership University NHS Foundation Trust

1 response identified · 1 indexed addressee

Paul Roberts

Reference 2024-0383Report dated 18 Jul 2024North Wales (East & Central)

Addressed to: Betsi Cadwaladr University Health Board

1 response identified · 1 indexed addressee

Jessica de Souza

Reference 2024-0407Report dated 16 Jul 2024Surrey

Addressed to: BMJ Group; National Institute for Health and Clinical Practice; Royal Pharmaceutical Society

3 responses identified · 3 indexed addressees

Phephisa Mabuza

Reference 2024-0487Report dated 15 Jul 2024Central and South East Kent

Addressed to: Essex Partnership University NHS Foundation Trust

1 response identified · 1 indexed addressee

Miles Hurley

Reference 2024-0364Report dated 9 Jul 2024West Sussex, Brighton & Hove

Addressed to: Midlands Partnership University NHS Foundation Trust; Mitie; National Police Chiefs’ Council; NHS England; Sussex Police

5 responses identified · 5 indexed addressees

Shelemiah Peterkin

Reference 2024-0332Report dated 20 Jun 2024Birmingham and Solihull

Addressed to: Birmingham and Solihull Mental Health Foundation Trust

1 response identified · 1 indexed addressee

Hayley Cowan

Reference 2024-0291Report dated 29 May 2024Manchester North

Addressed to: Department of Health and Social Care; Ministry of Justice

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

Harry Hall

Reference 2024-0234Report dated 1 May 2024Northumberland

Addressed to: Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

1 response identified · 1 indexed addressee

Mohamed Ellaboudy

Reference 2024-0232Report dated 30 Apr 2024Berkshire

Addressed to: Berkshire Healthcare NHS Foundation Trust

1 response identified · 1 indexed addressee

Charlie Millers

Reference 2024-0225Report dated 26 Apr 2024Manchester North

Addressed to: Department of Health and Social Care

1 response identified · 1 indexed addressee

Nicholas Harrison

Reference 2024-0224Report dated 24 Apr 2024Swansea Neath and Port Talbot

Addressed to: City and County of Swansea; NHS Wales; Swansea Bay University Health Board

4 responses identified · 3 indexed addressees

Daniela Pani

Reference 2024-0664Report dated 28 Mar 2024Berkshire

Addressed to: Berkshire Healthcare NHS Foundation Trust; British Transport Police; South Western Railways

2 responses identified · 3 indexed addressees

Ellen Woolnough

Reference 2024-0184Report dated 28 Mar 2024Suffolk

Addressed to: NHS England; Norfolk and Suffolk NHS Foundation Trust

2 responses identified · 2 indexed addressees

Mark Kinzley

Reference 2024-0168Report dated 26 Mar 2024East London

Addressed to: London Borough of Redbridge; Cambridge Nursing Home Ltd; Evergreen Surgery; Integrated Care Board (ICB) for North-East London

2 responses identified · 4 indexed addressees · Chief Coroner confirmed non-response

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