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Other & emergent pillar
Clinical handover protocol standardization and compliance in mental health inpatient settings
169
Reports tagged with this theme
Sub-theme count: 0
PFD reports
169 reports
Luke Ashcroft
20 Mar 2026· Greater Lincolnshire
State Custody
Ruairi Stewart
10 Mar 2026· Cheshire
Alcohol drugs and medication
James Fitzpatrick
12 Feb 2026· Dorset
Hospital Death (Clinical Procedures and medical management)
Mansoor Zaman
6 Feb 2026· East London
Suicide (from 2015) | Mental Health
Bruce Caulfield
5 Feb 2026· Manchester South
Hospital Death (Clinical Procedures and medical management)
Simon Moss
1 Feb 2026· Inner South London
Suicide (from 2015)
Mark Turner
14 Jan 2026· Staffordshire
Hospital Death (Clinical Procedures and medical management)
Colin Brown
23 Dec 2025· North Yorkshire and York
Hospital Death (Clinical Procedures and medical management)
Wendy Eyles
22 Dec 2025· Northamptonshire
Railway related deaths | Suicide (from 2015)
William Roath
14 Oct 2025· Worcestershire
Hospital Death (Clinical Procedures and medical management)
William King
8 Oct 2025· Milton Keynes
Hospital Death (Clinical Procedures and medical management)
Pamela Honeybone
25 Sep 2025· North Yorkshire and York
Hospital Death (Clinical Procedures and medical management)
Steven Hart
24 Sep 2025· Bedfordshire and Luton
State Custody related deaths | Suicide (from 2015)
Gareth Jackson
8 Aug 2025· Inner London West
Suicide (from 2015)
Neil Clarke
2 Jul 2025· Manchester
Hospital Death (Clinical Procedures and medical management)
Jason Clemens
2 Jul 2025· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
Susan Young
24 Jun 2025· of Norfolk
Alcoholdrug and medication
David Heffer
4 Jun 2025· of Essex
Hospital Death (Clinical Procedures and medical management)
Julie Beasley
28 May 2025· of Essex
Alcoholdrug and medication related deaths | Mental Health
Shaun Bass
23 May 2025· of Manchester West.
Alcoholdrug and medication related deaths | Mental Health related deaths | Suicide (from 2015)
George Fraser
23 May 2025· of East London
Mental Health related deaths | Community health care and emergency services
Janet Anderson
9 May 2025· of Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
John Johnson
6 May 2025· Gateshead and South Tyneside
Hospital Death (Clinical Procedures and medical management)
Jonathan Hamer
10 Apr 2025· of West London
Suicide (from 2015) | Mental Health related deaths | Community health care and emergency services
Ida Lock
21 Mar 2025· of Lancashire & Blackburn with Darwen.
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management)
Darren Turner
17 Mar 2025· of Essex
Suicide (from 2015) | Mental Health
Sean Higgins
11 Mar 2025· of Mid Kent and Medway
State Custody related deaths | Mental Health related deaths | Suicide (from 2015)
Nicholas Gedge
11 Mar 2025· of West Yorkshire (Eastern).
Police related deaths | Alcoholdrug and medication
Mark Fernandez
4 Mar 2025· of Manchester North
Hospital Death (Clinical Procedures and medical management)
Javed Iqbal
3 Mar 2025· Birmingham and Solihull
Mental Health
Paul Dunne
21 Feb 2025· of South London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Shaun Hall
30 Jan 2025· of Northamptonshire
Suicide (from 2015) | Mental Health
Anugrah Abraham
14 Jan 2025· of Manchester North
Suicide (from 2015) | Police related deaths | Service Personnel
Jan Raciborski
10 Jan 2025· of Berkshire
Suicide (from 2015) | Mental Health
Eleanor Aldred-Owen
18 Dec 2024· of Liverpool and Wirral
Hospital Death (Clinical Procedures and medical management) related deaths | Child Death (from 2015)
Mary Whitlock
17 Dec 2024· of Essex
Hospital Death (Clinical Procedures and medical management)
Anne Leake
16 Dec 2024· of Staffordshire & Stoke-on-Trent.
Hospital Death (Clinical Procedures and medical management)
Karen Dack
10 Dec 2024· of Leicester City and South Leicestershire.
Hospital Death (Clinical Procedures and medical management)
Mnayea Al Basman
3 Dec 2024· of Inner North London.
Hospital Death (Clinical Procedures and medical management)
Alfie Hinton
2 Dec 2024· of West Yorkshire Western Coroner Area
Hospital Death (Clinical Procedures and medical management) related deaths | Child Death (from 2015)
Jamie Harding
29 Oct 2024· of Essex
Suicide (from 2015) | Mental Health
Chloe Every
25 Oct 2024· of East London
Hospital Death (Clinical Procedures and medical management)
Stephen Dulling
14 Oct 2024· of North Yorkshire and York
Hospital Death (Clinical Procedures and medical management)
Bryan and Mary Andrews
4 Oct 2024· of South Yorkshire (West).
Other related deaths | Mental health
Kelly Stevens
24 Sep 2024· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Suzanne Eccles
19 Sep 2024· Manchester
Hospital Death (Clinical Procedures and medical management)
Dave Onawelo
27 Aug 2024· of East London
Hospital Death (Clinical Procedures and medical management)
Matthew Gale
13 Aug 2024· of County Durham and Darlington
Suicide (from 2015)
David Thompson
12 Aug 2024· Manchester North
Mental Health
Sean Davies
8 Aug 2024· Mid Kent and Medway
Suicide (from 2015)
Gemima Christodoulou-Peace
22 Jul 2024· Suffolk
Suicide (from 2015) | Alcoholdrug and medication
Pauline Spedding
17 Jul 2024· Norfolk
Hospital Death (Clinical Procedures and medical management)
Arlo Lambert
2 Jul 2024· Nottingham City and Nottinghamshire
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management)
Christopher Larsen
13 Jun 2024· Rutland and North Leicestershire
Suicide (from 2015)
Yuri Hatton
11 Jun 2024· of Inner West London.
State Custody
Gillian Peacock
5 Jun 2024· County Durham and Darlington
Hospital Death (Clinical Procedures and medical management) related deaths | Alcoholdrug and medication
Frazer Williams
31 May 2024· Dorset
State Custody related deaths | Suicide (from 2015)
Christopher MacGillivray
29 May 2024· Newcastle and North Tyneside
Suicide (from 2015) | Alcoholdrug and medication
Miriam Stone
20 May 2024· Derby and Derbyshire
Suicide (from 2015)
Jordan Howarth
1 May 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Sabina Wood
12 Apr 2024· Blackpool and Fylde
Hospital Death (Clinical Procedures and medical management)
Meha Carneiro
3 Apr 2024· Nottingham City and Nottinghamshire
Child Death (from 2015)
Jacqueline Cobain
25 Mar 2024· London Inner (South)
Railway related deaths | Suicide (from 2015)
Richard Collins
7 Mar 2024· Dorset
Road (Highways Safety)
Kenneth Baylis
4 Mar 2024· Nottinghamshire
Suicide (from 2015)
Jennifer Trigger
1 Mar 2024· North Wales (East and Central)
Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)
Daniel Tucker
29 Feb 2024· Nottingham City and Nottinghamshire
Suicide (from 2015)
Nesta Jones
28 Feb 2024· North West Wales
Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)
Alissa Norton
26 Feb 2024· West Sussex, Brighton and Hove
Child Death (from 2015)
Rosie Young
16 Feb 2024· Worcestershire
Emergency services related deaths (2019 onwards)
Thomas Loxton
15 Feb 2024· Birmingham and Solihull
Suicide (from 2015)
Philip Taylor
2 Feb 2024· North Wales (East and Central)
Suicide (from 2015) | Wales prevention of future deaths reports (2019 onwards)
Marjorie McEvoy
2 Feb 2024· Liverpool and Wirral
Hospital Death (Clinical Procedures and medical management)
Nadia Wyatt
15 Jan 2024· Essex
Suicide (from 2015)
Rhys Hill
15 Jan 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Larry Spriggs
22 Dec 2023· Surrey
Mental Health related death
Amanda Hitch
19 Dec 2023· Essex
Suicide (from 2015) | Railway
Catherine Jones
8 Dec 2023· North Wales East and Central
Hospital Death (Clinical Procedures and medical management)
Ian Jacka
7 Dec 2023· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
Sarah Chappell
7 Dec 2023· Inner North London
Hospital Death (Clinical Procedures and medical management)
Patricia Walton
5 Dec 2023· Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management)
Teresa Chmielek
24 Nov 2023· Manchester North
Suicide (from 2015)
Michael Daft
24 Nov 2023· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Charlotte Burton
23 Nov 2023· Cambridgeshire and Peterborough
Hospital Death (Clinical Procedures and medical management)
Madeleine Savory
15 Nov 2023· Suffolk
Child Death (from 2015) | Suicide (from 2015) | Mental Health
Claire Homer
10 Nov 2023· Inner North London
Other
Scott Donoghue
28 Sep 2023· East Riding and Hull
Suicide (from 2015)
Brian Moreton
25 Sep 2023· Newcastle upon Tyne and North Tyneside
Hospital Death (Clinical Procedures and medical management)
Shaun Houghton
25 Sep 2023· Manchester West
Mental Health
Robert Leigh
25 Sep 2023· Manchester West
Suicide (from 2015)
Allison Aules
30 Aug 2023· East London
Child Death (from 2015) | Suicide (from 2015)
William Nichols
18 Aug 2023· Gateshead and South Tyneside
Hospital Death (Clinical Procedures and medical management)
Marie Zarins
14 Aug 2023· Leicester City and South Leicestershire
Suicide (from 2015)
Johanne Blackwood
27 Jul 2023· Essex
Suicide (from 2015) | Railway
Kenneth Rippon
19 Jul 2023· County Durham and Darlington
Mental Health
Carol Hatch
28 Jun 2023· West Yorkshire (Eastern)
Hospital Death (Clinical Procedures and medical management)
Vaughan Whalley
16 Jun 2023· Manchester North
Suicide (from 2015)
Hilary Guedalla
8 Jun 2023· Inner North London
Suicide (from 2015)
Conrad Colson
26 May 2023· East London
Suicide (from 2015)
Stuart Robinson
16 May 2023· Liverpool and Wirral
Suicide (from 2015)
Roy Walklet
15 May 2023· Stoke on Trent and North Staffordshire
Hospital Death (Clinical Procedures and medical management)
Odessa Carey
12 May 2023· North Northumberland and South Northumberland
Other
Caroline Forte
27 Apr 2023· West Sussex
Suicide (from 2015)
Elizabeth Hutchins
19 Apr 2023· Avon
Hospital Death (Clinical Procedures and medical management)
Keith Hodson
18 Apr 2023· Herefordshire
Hospital Death (Clinical Procedures and medical management)
Sara Jones
15 Apr 2023· Stoke on Trent and North Staffordshire
Road (Highways Safety)
Jai Singh
15 Mar 2023· Birmingham and Solihull
Suicide (from 2015) | State Custody
Evelina Vilkiene
6 Mar 2023· East London
Suicide (from 2015)| Mental Health
Felice Banfield
30 Jan 2023· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
Rita Flynn
3 Aug 2022· Black Country
Other
Natasha Adams
29 Apr 2022· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Zoe Zaremba
27 Apr 2022· North Yorkshire and York including North Yorkshire Western District
Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management)
Gemma Ingham
27 Apr 2022· Manchester City
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management)
Tracy Wood
26 Apr 2022· Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Yvonne Eaves
25 Apr 2022· Manchester City
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management)
Gary Ottway
22 Mar 2022· Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Melanie Elms
16 Mar 2022· County of Surrey
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Railway
Jason Lennon
21 Feb 2022· East London
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Other
Sheila Steggles
14 Feb 2022· Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Joy Burgess
7 Feb 2022· Greater Manchester South
Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Other
Brian Wareham
20 Jan 2022· Gwent
Wales prevention of future deaths reports (2019 onwards) | Community health care | Hospital Death (Clinical Procedures and medical management)
Darran Busby
20 Jan 2022· Cumbria
Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management)
Jan Goodliffe
20 Jan 2022· Essex
Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Other
Jane Bush
21 Oct 2021· Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Child Death (from 2015)
Kirsty Doodes
18 Oct 2021· Cornwall and Isles of Scilly
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015)
Cherry Dunn
2 Sep 2021· Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Stuart Tokam
19 Aug 2021· East London
Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health
Daniel Rennoldson
28 Jun 2021· City of Sunderland
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Angela Frost
2 Jun 2021· Manchester North
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Alcoholdrug and medication
Richard Burgess
24 May 2021· Sunderland
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Charlotte Swift
18 May 2021· West Sussex
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management)
Mary Mellor
18 May 2021· Manchester South
Hospital Death (Clinical Procedures and medical management)
Mina Topley-Bird
13 Apr 2021· County Durham and Darlington
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Azra Hussain
30 Mar 2021· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Ben O’Hara
24 Mar 2021· Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health
Claire Lilley
8 Jan 2021· Inner London South
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Kimberley Smith
6 Jan 2021· Surrey
Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths | Alcoholdrug and medication
Gordon Fenton
27 May 2020· Manchester
Hospital Death (Clinical procedures and medical management) related deaths; Mental Health
Thomas Wedrychowski
29 Dec 2019· Wiltshire and Swindon
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health
Nimo Younis
28 Dec 2019· Inner London North
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health
Samantha Higgins
13 Dec 2019· East London
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health
David Jukes
26 Jul 2019· Birmingham and Solihull
Mental Health related deaths; Hospital Death (Clinical Procedures and medical management)
Ann Corfield
9 Jun 2019· Manchester
Mental Health related deaths; Hospital Death (Clinical Procedures and medical management)
Heather Carey
24 May 2019· Manchester
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015)
Natalie Hunter
14 May 2019· Isle of Wight
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Alcoholdrug and medication related deaths; Suicide (from 2015)
Matthew Arkle
26 Apr 2019· Suffolk
Mental Health related deaths; Hospital Death (Clinical Procedures and medical management)
Sheila Hadfield
2 Mar 2019· Manchester
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health
Maximilien Kohler
23 Feb 2019· Inner London West
Mental Health related deaths; Child Death (from 2015)
Paliben Dullabh
11 Dec 2018· Inner London North
Hospital Death (Clinical Procedures and medical management)
Alan MacDonald
8 Jun 2018· Inner London North
Hospital Death (Clinical Procedures and medical management)
Elaine Bradbrook
7 Jun 2018· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Dorothy Breislin
11 Feb 2018· Central Lincolnshire
Hospital Death (Clinical Procedures and medical management)
Sian Witheridge
27 Nov 2017· Inner London North
Hospital Death (Clinical Procedures and medical management) related deaths; Other
Dianne Macrae
15 Sep 2017· Northamptonshire
Hospital Death (Clinical Procedures and medical management)
Dominic White
4 Aug 2017· Inner London North
Hospital Death (Clinical Procedures and medical management)
Grant Richards
5 Apr 2017· East London
Community health care and emergency services
Annabel Lewis
5 Apr 2017· Staffordshire and Stoke-on-Trent
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015)
Christopher Brennan
12 Feb 2017· South London
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management)
Georgina Lewis
12 Feb 2017· Gwent
Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health
Simon Harper
9 Feb 2017· South Yorkshire (Western)
Hospital Death (Clinical Procedures and medical management)
Michaela Thompson
2 Nov 2016· West Yorkshire (Eastern)
Suicide (from 2015)
Colin Garth
20 Oct 2016· Manchester
Hospital Death (Clinical Procedures and medical management)
Anthony Preston
11 Aug 2016· Rutland and North Leicestershire
Hospital Death (Clinical Procedures and medical management)
Peter Scott
26 May 2016· Nottinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services
Andrew Farrow
20 Apr 2015· Wiltshire and Swindon
Hospital Death (Clinical Procedures and medical management)
Lexie Harrison
20 Feb 2015· West Yorkshire (Eastern)
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related death
Joanne Nobbs
4 Dec 2014· Greater Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health
Martin McCabe
20 Nov 2014· Powys, Bridgend and Glamorgan Valleys
Hospital Death (Clinical Procedures and medical management)
Keiran Toman
12 May 2014· Inner London West
Mental Health