NHS England
Coroner Sean Horstead · Essex
No published response from this organisation found.
Coroner Judith Leach · Oxfordshire
No published response from this organisation found.
Coroner Christopher Long · Lancashire and Blackburn with Darwen · in 4 recurrence links
No published response from this organisation found.
Coroner John Thompson · Northumberland
No published response from this organisation found.
Coroner Edward Steele · East Riding of Yorkshire and City of Kingston Upon Hull · in 1 recurrence link
No published response from this organisation found.
Coroner Karen Henderson · Surrey · in 1 recurrence link
No published response from this organisation found.
Coroner Andrew Cox · Cornwall and Isles of Scilly
No published response from this organisation found.
Coroner Adam Hodson · Birmingham and Solihull
No published response from this organisation found.
Coroner Samantha Marsh · Somerset
Response · 1 stated action
2025-0324-Response-from-Kenny-Murphy-Ltd.pdf ↗“I have taken steps to discuss with the tenants the concerns raised by yourself regarding working safely around electricity and have also provided the tenants with the NGED”
Response · 1 stated action
2025-0200-Response-from-NHS-England.pdf ↗“In 2024, NHS England published specific Menopause Educational resources to enhance learning for practice nurses.”
Response · 1 stated action
2025-0200-Response-from-NICE.pdf ↗“We have outlined the concerns below, detailing NICE's response to each in turn.”
Coroner Ellie Oakley · Inner West London
No published response from this organisation found.
Coroner Robert Simpson · Berkshire
No published response from this organisation found.
Coroner Penelope Schofield · West Sussex, Brighton and Hove
No published response from this organisation found.
- Ida Lock: Prevention of Future Deaths Report21 Mar 2025
Coroner James Adeley · Lancashire & Blackburn with Darwen
No published response from this organisation found.
Coroner Philip Spinney · Devon, Plymouth and Torbay · in 5 recurrence links
No published response from this organisation found.
Coroner Jyoti Gill · Manchester South
No published response from this organisation found.
Coroner Lisa Milner · West Sussex, Brighton and Hove · in 2 recurrence links
No published response from this organisation found.
Coroner Rachael Griffin · Dorset
No published response from this organisation found.
Coroner Emma Serrano · Staffordshire
No published response from this organisation found.
Coroner Heath Westerman · Shropshire, Telford & Wrekin
No published response from this organisation found.
Coroner Karen Henderson · Surrey · in 1 recurrence link
Response · 1 stated action
2025-0107-Response-from-NHSE.pdf ↗“NHS England has published a summary of existing guidance on the deployment of medical associate professions for NHS organisations. This guidance makes it clear that all staff should introduce themselves and their role clearly and be supported by their employer to do so.”
Response · 1 stated action
2025-0107-Response-from-CQC.pdf ↗“We will ask the trust for the action they intend to take because of this Prevention of Future Deaths Report and monitor those actions as part of our ongoing monitoring and engagement with them.”
Response · 1 stated action
2025-0107-Response-from-RCEM.pdf ↗“RCEM issued a position statement in October 2024 regarding patients who may require a laparotomy [7]; this statement highlights that some patients are at greater risk of requiring surgery and part of this group includes the older person and those with cognitive impairment.”
Response · 1 stated action
2025-0107-Response-from-DHSC.pdf ↗“the Department notes that the report has been sent to a number of medical Royal Colleges and professional bodies relating to anaesthesia. We think these organisations are best placed to respond to points 6, 7 and 8 of your report which relate specifically to guidelines around anaesthesia therefore our response focuses on points 1 - 5 only.”
Coroner Andrew Harris · London South · in 2 recurrence links
Response · 1 stated action
2025-0123-Response-from-DHSC.pdf ↗“The MHRA will engage with stakeholders to ensure the regulatory documents for clozapine meet the needs of both patients and prescribers.”
Coroner Andrew Harris · South London · in 1 recurrence link
No published response from this organisation found.
Coroner Daniel Howe · Staffordshire and Stoke on Trent
Coroner Paul Appleton · Teesside and Hartlepool · in 8 recurrence links
No published response from this organisation found.
Coroner Jacques Howell · Hertfordshire
No published response from this organisation found.