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InquestIQ

Badge of Dishonour

Official List

The Chief Coroner’s official roll of shame — organisations that have failed to respond to Prevention of Future Death reports

About the Badge of Dishonour

In December 2024, Chief Coroner HHJ Alexia Durran introduced an unprecedented accountability mechanism: a public list of organisations that had failed to respond to Prevention of Future Death reports within the statutory 56-day deadline.

The list is published every six months and was the first formal enforcement tool for a duty that has otherwise carried no penalty since it was established in 2013.

Source: Courts and Tribunals Judiciary. Last synced to InquestIQ from the official publication.

63
Non-Responses Listed
47
Named Organisations
3
Reporting Periods

Repeat Non-Responders

Organisations named multiple times across reporting periods

Ministry of Justice7×
HMPPS5×
Royal College of Psychiatrists3×
College of Policing3×
Bradford Council2×
HMP Wandsworth2×

14 June 2025 - 12 December 2025

17 listed
John Franklin
Worcestershire County Council
Worcestershire16 Sep 2025due 24 NovSarah Murphy
Christopher Bird
White Horse Medical Practice
Wiltshire and Swindon23 Sep 2025due 18 NovDavid Ridley
Kwabena Amoateng
South East London ICB
East London18 Sep 2025due 14 NovGraeme Irvine
Kwabena Amoateng
South-East London Integrated Care System
East London18 Sep 2025due 14 NovGraeme Irvine
Luke Chatterton
Croydon University Hospital Medicines and Healthcare Products Regulatory Agency
South London19 Sep 2025due 14 NovAndrew Harris
Luke Chatterton
Department of Health and Social Care
South London19 Sep 2025due 14 NovAndrew Harris
Luke Chatterton
South London & Maudsley NHS Foundation Trust
South London19 Sep 2025due 14 NovAndrew Harris
Luke Chatterton
Royal College of Psychiatrists
South London19 Sep 2025due 14 NovAndrew Harris
Luke Chatterton
Royal College of Emergency Medicine
South London19 Sep 2025due 14 NovAndrew Harris
Walter Horton
Doncaster & Bassetlaw NHS Foundation Trust
South Yorkshire (East)10 Sep 2025due 6 NovNicola Mundy
Victoria Taylor
Tees Esk & Wear Valley NHS Foundation Trust
North Yorkshire and York5 Sep 2025due 31 OctCatherine Cundy
Cheryl Dawn Lorna Edwards
Hertfordshire County Council
Hertfordshire4 Sep 2025due 30 OctGeoffrey Sullivan
Benjamin Buckfield
Boomtown Festival
Hampshire, Portsmouthand Southampton1 Aug 2025due 26 SepNicholas Walker
Sean Fitzgerald
College of Policing
Coventry and Warwickshire8 Jul 2025due 2 SepSir John Saunders
Sean Fitzgerald
West Midlands Police
Coventry and Warwickshire8 Jul 2025due 2 SepSir John Saunders
Anthony Wood
Epsom and St. Helier University Hospitals NHS Trust
South London3 Jun 2025due 29 JulJohn Taylor
Tina Doig
Birmingham and Solihull Integrated Care Service
Birmingham and Solihull16 May 2025due 11 JulLouise Hunt

14 December 2024 - 13 June 2025

12 listed
Freddie Slater
Kent Police
North West Kent16 Apr 2025due 12 JunAlan Blunsdon
Oladeji Omishore
College of Policing
Inner West London25 Mar 2025due 21 MayFiona J Wilcox
Paul Dunne
Oxleas NHS Foundation Trust
South London21 Feb 2025due 8 MayAndrew Harris
Arsalan Baig
Bradford Council
West Yorkshire Western6 Mar 2025due 1 MayAngela Brocklehurst
John McLoughlin
British Airline Pilots’ Association
West Sussex,Brighton and Hove6 Mar 2025due 1 MayGareth Jones
Mohammed Khan
Bradford Council
West Yorkshire Western6 Mar 2025due 1 MayAngela Brocklehurst
Matthew Lynch
Provident Housing
Birmingham and Solihull4 Mar 2025due 29 AprLouise Hunt
Luke Worrell
Royal College of Psychiatrists
South London21 Feb 2025due 17 AprAndrew Harris
James Alderman
BSI Group
West London13 Dec 2024due 21 FebLydia Brown
Peter McCarthy
Care4U Healthcare
Surrey10 Dec 2024due 4 FebCaroline Topping
Margaret Feeney
Daynight Pharmacy
Derby and Derbyshire25 Nov 2024due 20 JanPeter Nieto
Janet Harrison
Southampton City Council
Hampshire, Southampton and Portsmouth5 Aug 2024due 18 DecSunyana Sharma

1 January 2024 - 13 December 2024

34 listed
Stephen Sleaford
Ministry of Justice
Leicester City and South Leicestershire14 Oct 2024due 9 DecI M Cartwright
Gordon Long
Havering & Redbridge University Trust
East London19 Sep 2024due 15 NovGraeme Irvine
Gordon Long
Barking
East London19 Sep 2024due 15 NovGraeme Irvine
Dave Onawelo
Barts Health NHS Foundation Trust
East London27 Aug 2024due 22 OctGraeme lrvine
Margaret Huntley
Royal College of General Practitioners
Teesside and Hartlepool13 Aug 2024due 8 OctPaul Appleton
Sean Davies
Ministry of Justice
Mid Kent and Medway8 Aug 2024due 3 OctPatricia Harding
Sean Davies
HMPPS
Mid Kent and Medway8 Aug 2024due 3 OctPatricia Harding
Matthew Braben
Ministry of Justice
West London1 Aug 2024due 26 SepAnton van Dellen
Matthew Braben
HMPPS
West London1 Aug 2024due 26 SepAnton van Dellen
Lamarah Scarlett
Local Government Association
Gloucestershire29 Jul 2024due 23 SepKaty Skerrett
Lamarah Scarlett
Traffic Commissioner for West of England
Gloucestershire29 Jul 2024due 23 SepKaty Skerrett
Elizabeth Holder
Barts Health Foundation Trust
East London25 Jul 2024due 20 SepGraeme Irvine
Jason Holland
National Open College Network (NOCN) as part of the Construction Plant Competence Construction Scheme (CPCS)
Rutland and North Leicestershire12 Jul 2024due 6 SepFiona Butler
Emily Collishaw
SE London Integrated Care Board
Outer South London27 Jun 2024due 22 AugAndrew Harris
Yuri Hatton
HMPPS
Inner West London11 Jun 2024due 7 AugPriya Malhotra
Daniel Beckford
HMPPS
Inner West London11 Jun 2024due 7 AugPriya Malhotra
Daniel Beckford
HMP Wandsworth
Inner West London11 Jun 2024due 7 AugPriya Malhotra
Yuri Hatton
HMP Wandsworth
Inner West London11 Jun 2024due 7 AugPriya Malhotra
Graham Faulkner
Health and Safety Executive
Cheshire13 Jun 2024due 26 JulElizabeth Wheeler
Hayley Cowan
Ministry of Justice
Manchester North29 May 2024due 24 JulJoanne Kearsley
Christopher MacGillivray
Ministry of Justice
Newcastle and North Tyneside29 May 2024due 24 JulKaren Dilks
Christine McDonald
Ministry of Justice
Cheshire21 May 2024due 16 JulCharlotte Keighley
Ashley Crews
College of Policing
Manchester City23 Apr 2024due 18 JunZak Golombeck
Ashley Crews
Independent Office for Police Conduct
Manchester City23 Apr 2024due 18 JunZak Golombeck
Darren Docherty
HMPPS
Staffordshire and Stoke on Trent14 Apr 2024due 11 JunEmma Serrano
Isabella Shere
Quora
Inner South London5 May 2024due 6 JunFleur Hallett
Mark Kinzley
Wanstead
East London26 Mar 2024due 22 MayGraeme Irvine
Mark Kinzley
The Cambridge Nursing Home Ltd
East London26 Mar 2024due 22 MayGraeme Irvine
Sarah Sutherland
Brainwaves
Surrey15 Mar 2024due 10 MayKaren Henderson
Sarah Sutherland
Royal College of Psychiatrists
Surrey15 Mar 2024due 10 MayKaren Henderson
Joshua Burgess
Brook Medical Centre
Staffordshire and Stoke on Trent13 Feb 2024due 9 AprDaniel Howe
Mark Pryor
Ministry of Justice
Derby and Derbyshire6 Feb 2024due 3 AprPeter Nieto
James Atkinson
Newcastle City Council
Newcastle and North Tyneside26 Jan 2024due 22 MarKaren Dilks
Matthew Wickes
University of Southampton
Hampshire, Portsmouth and Southampton19 Jan 2024due 15 MarChristopher Wilkinson

InquestIQ cross-references this official list with its own dataset. For a wider accountability view including organisations beyond the Chief Coroner’s list, see the Recipients Scorecard.