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NHS England and NHS Improvement

NHS England

PFD history and published report responses

39
Total PFD reports
Reports received
37
With response
Report answered by any body
2
No published response
Private replies may exist
94.9%
Report response coverage
With response ÷ total reports × 100

These counts describe the reports addressed to this organisation. A response from another body counts for the report; it does not establish that this organisation answered or that every recipient has responded.

How these numbers are counted

PFD reports and published responses

PFD reports
Separate PFD reports in InquestIQ, each counted once. A report can concern several people or be addressed to several organisations. This is not a count of deaths, inquests or PDF files.
With response
Reports with at least one linked published response. The reply can come from any body, including a parent body or someone answering on another organisation's behalf. Several letters still count as one report with a response.
No published response
Reports for which no published response is linked in InquestIQ. A private reply, an unpublished reply or a reply not yet identified may exist.
Response coverage
Reports with a published response divided by total reports, multiplied by 100. For example, 3 out of 4 is 75%. Percentages are rounded. Coverage does not measure whether every recipient answered, replied on time or took adequate action.

Organisation figures

Organisations
Name entries in InquestIQ's recipient directory. Different spellings, historical names, individual sites and parent bodies may have separate entries. The total is not a verified count of distinct legal bodies.
Reports per organisation
Reports addressed to that name entry, counted once for that entry. A report addressed to several organisations appears in each organisation's row, so adding the rows would count some reports more than once.
Combined views
A combined view counts each report once across the selected names. Selecting names does not establish that they are the same organisation. Any published response to the report counts, regardless of sender.
Directory results
The organisation directory initially loads the 500 entries with most reports and displays up to 200 at a time. Searching a name searches all entries. Filtered totals describe the entries in the current result set, not the whole directory.

Dates and annual figures

Reports per year
Reports grouped by the report date recorded in InquestIQ, each counted once in its recorded year. Recent years may cover only part of the year. Dates and labels can still need checking against the original source.
Response percentage by year
On organisation charts, the percentage of that year's listed reports with a linked published response. It does not measure how many replies arrived during that year or within a deadline.

Themes and categories

Theme links
Assignments of reports to themes. A report can have several themes, so the number of links can exceed the number of reports. Tags include automated analysis and editorial changes, rather than new findings by a coroner.
Pillars and theme pages
A pillar groups related themes. Pillar cards count distinct reports across their themes, rather than adding the child counts. A theme page's main number counts the distinct reports in its displayed list. A report can appear under more than one pillar.
Category charts
Each category counts reports assigned to it. Reports can appear in several categories, so category bars should not be added to obtain a total of unique reports. Organisation profile charts use the categories recorded on their listed reports.

Figures reflect records currently held in InquestIQ and may change as sources are added or corrected. Read the full counting guide.

Possible name variants

Select names to explore together. Suggestions and community selections have not been verified as the same organisation. A parent body, individual site or predecessor may have different responsibilities. Grouping does not establish that one body has answered for another.

39
Total PFD reports
37
Reports with response
2
No published response
95%
Report response coverage

Showing stats for this recipient only. The combined scorecard page deduplicates PFD reports addressed to multiple variants.

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Opens a dedicated page with deduplicated totals, charts, and the full combined report list.

PFD Reports Received

39 reports addressed to this organisation

Conrad Colson
26 May 2023· East London
Published response
Kevin Lovatt
20 Jan 2021· Staffordshire South
Published response
Rohan Godhania
9 Aug 2023· Milton Keynes
Published response
Tamara Davis
15 Oct 2024· West Sussex, Brighton
Published response
Michael Barry
12 Jun 2025· Essex
Published response
Anthony McLellan
5 Jul 2022· North Yorkshire and York
Published response
Nicholas Pennicott
11 May 2023· West Sussex
Published response
Charles Stonley
20 Aug 2025· Liverpool and Wirral
Published response
William Stockil
29 Apr 2024· West Sussex, Brighton and Hove
Published response
Anthony Clacher
22 Oct 2021· Dorset
Published response
Ben Shipley
27 Apr 2023· West Yorkshire Western
No published response
David Riley
7 May 2024· Warwickshire
Published response
James Masheter
3 Apr 2025· Lancashire and Blackburn with Darwen
Published response
Zoe Zaremba
27 Apr 2022· North Yorkshire and York including North Yorkshire Western District
Published response
Joanna Flynn
9 Dec 2019· Essex
Published response
Stephen Richardson
22 Jun 2023· Liverpool and Wirral
Published response
Morris Reddington
23 Sep 2021· Nottingham and Nottinghamshire
Published response
Alexandra Briess
6 Apr 2023· Berkshire
Published response
Alfred Jones
5 May 2021· Greater Manchester South
Published response
Ashana Charles
11 Dec 2025· South London
Published response
Shaun Mansell
18 Nov 2021· Stoke-on-Trent and North Staffordshire Coroner’s Court
Published response
Chimezie Daniels
3 Aug 2021· Inner North London
Published response
Joel Colk
13 Nov 2024· West Sussex, Brighton
Published response
Jacqueline Aarons
10 Nov 2025· North London
Published response
Richard Green
2 Nov 2015· Cumbria
Published response
Patricia Genders
28 Oct 2025· West Sussex, Brighton and Hove
Published response
Nicola Owens
31 Jan 2025· Liverpool and Wirral
Published response
Susan Skillen
16 Nov 2022· Liverpool and Wirral
No published response
Sandra Kirk
26 Sep 2022· Surrey
Published response
Ellame Ford-Dunn
3 Feb 2026· West Sussex, Brighton and Hove
Published response
Thomas Smith
16 Jul 2022· Bedfordshire and Luton
Published response
Neil Yates
4 Nov 2024· Liverpool and Wirral
Published response
Shanté Turay-Thomas
13 Aug 2020· Inner North London
Published response
Stephen Oakes
23 Apr 2021· Stoke-on-Trent & North Staffordshire Coroner’s Court
Published response
Sapphire Bernard
5 Feb 2025· West Sussex, Brighton and Hove
Published response
Peter Hussey
23 Apr 2021· Stoke-on-Trent & North Staffordshire Coroner’s Court
Published response
Zachary Klement
26 Jan 2023· Surrey
Published response
Adam Stone
31 Jan 2022· Birmingham and Solihull
Published response
Neville McNair
5 Nov 2019· East Sussex
Published response