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).

Responses identified
Responses identified 500 0 responses identified 6 Historic 126
AI Classification
Action Taken 46%
Action Planned 37%
Noted 16%
Disputed 1%
Based on 815 classified responses
Clear 427 results

PFD Reports

427 results
Ref Deceased Date Coroner area Addressees Responses identified
2022-0053 Jane Shilton 22 Feb 2022 Leicester City and South Leicestershire Hamilton Community Homes Ltd 1/1
2022-0049 Theo Brennan-Hulme 15 Feb 2022 Norfolk Hellesdon Hospital 1/1
2022-0044 Matthew McManus 11 Feb 2022 Greater Manchester South Department of Health and Soci… Greater Manchester Health and… 2/2
2022-0042 Sheila Steggles 10 Feb 2022 Norfolk Hellesdon Hospital 1/1
2022-0038 Joy Burgess 4 Feb 2022 Greater Manchester South Department of Health and Soci… 1/1
2022-0037 Sarah Gilbert-Jones 4 Feb 2022 South Wales Central Welsh Ambulance NHS Trust 1/1
2022-0033 Carol Cole 2 Feb 2022 Dorset Dorset Council Dorset Police 2/2
2022-0031 Oskar Nash 31 Jan 2022 Surrey Department for Education Department of Health and Soci… +4 4/6
2022-0029 Jack Taylor 28 Jan 2022 West Sussex Sussex Partnership NHS Founda… Sussex Police 2/2
2022-0026 Adam Stone 27 Jan 2022 Birmingham and Solihull College of Paramedics, The As… 4/1
2022-0023 Finnian Kitson 27 Jan 2022 Manchester City Universities and Colleges Adm… 1/1
2022-0030 Ketheeswaren Kunarathnam 26 Jan 2022 West London Home Office 1/1
2022-0020 Idris Habib 24 Jan 2022 Mid Kent and Medway HMP Swaleside 1/1
2022-0016 Michelle Whitehead 19 Jan 2022 Nottinghamshire Nottinghamshire Healthcare NH… 1/1
2022-0015 Luke Wilden 16 Jan 2022 Bedfordshire and Luton East London NHS Foundation Tr… NHS England 2/2
2022-0005 Maziellie Mackenzie 31 Dec 2021 Lancashire and Blackburn with Darwen Lancashire and South Cumbria … 1/1
2021-0429 Gregory Barber 24 Dec 2021 West Yorkshire (Eastern) Network Rail 1/1
2021-0423 Saul Thomas 21 Dec 2021 Worcestershire HMP Birmingham 1/1
2021-0407 Alexander Tostevin 6 Dec 2021 Dorset Ministry of Defence 1/1
2021-0419 Terence Talbot 3 Dec 2021 Mid Kent and Medway Department for Work and Pensi… Kent & Medway Social Care Par… +1 3/3
2021-0398 Joel Robinson 25 Nov 2021 Berkshire Army Headquarters 1/1
2021-0396 Malcolm Dixon 25 Nov 2021 Manchester South Department of Health and Soci… 1/1
2021-0397 Darrell Devlin 23 Nov 2021 Cumbria Greater Manchester Mental Hea… 2/1
2021-0382 Emma Burbury 11 Nov 2021 Cornwall and Isles of Scilly Cornwall Council Kernow Clinical Commissioning… 2/2
2021-0381 Daniel Hall 10 Nov 2021 South Wales Central University of South Wales 1/1