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Workforce & NHS pressures pillar
Staffing shortages
Deaths linked to inadequate staffing levels or skill mix
224
Reports tagged with this theme
Sub-theme count: 25
PFD reports
224 reports
Thomas Ruggiero
24 Mar 2026· Kent and Medway
State Custody
Summer Mant
27 Feb 2026· South Wales Central
Child Death (from 2015) | Wales prevention of future deaths reports (2019 onwards)
Rajwinder Singh
19 Feb 2026· Inner West London
State Custody
Edward Hands
17 Feb 2026· Bedfordshire and Luton
State Custody
Edward Jones
13 Feb 2026· West Yorkshire East
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management)
Gareth Chumber-Kelly
9 Feb 2026· North London
State Custody related deaths | Suicide (from 2015)
Elise Sebastian
8 Feb 2026· Essex
Child Death (from 2015)
Joan Read
4 Feb 2026· South Wales Central
Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)
Ryan Harding
4 Feb 2026· South Wales Central
Alcoholdrug and medication related deaths | Wales prevention of future deaths reports (2019 onwards)
Heather Parkhill
2 Feb 2026· North Wales (East and Central)
Alcoholdrug and medication related deaths | Emergency services related deaths (2019 onwards)
Nigel Feckey
28 Jan 2026· Leicester City and South Leicestershire
Suicide (from 2015)
Patricia Walker
28 Jan 2026· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Community health care and emergency services
Pippa Gillibrand
27 Jan 2026· Cheshire
Child Death (from 2015)
George Ritchie
21 Jan 2026· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Rory Williams
13 Jan 2026· North Wales (East and Central)
Hospital Death (Clinical Procedures and medical management)
David Dugdale
8 Jan 2026· East Sussex
Hospital Death (Clinical Procedures and medical management)
Edward Jones
18 Dec 2025· West Yorkshire Eastern
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management)
Valerie Gibson
17 Dec 2025· Sunderland
Hospital Death (Clinical Procedures and medical management)
Debapriya Ghosh and David Ward
17 Dec 2025· Inner West London
Hospital Death (Clinical Procedures and medical management)
Oliver Mulangala
8 Dec 2025· Surrey
State Custody related deaths | Alcoholdrug and medication
Alan Peet
5 Dec 2025· Manchester South
Care Home Health
Jack Brown
18 Nov 2025· Northamptonshire
Hospital Death (Clinical Procedures and medical management)
Derrion Adams
18 Nov 2025· Birmingham and Solihull
Alcoholdrug and medication
Barry Loxston
12 Nov 2025· Inner West London
Hospital Death (Clinical Procedures and medical management)
Jacqueline Aarons
10 Nov 2025· North London
Care Home Health
Aaron Taylor
6 Nov 2025· Lancashire and Blackburn with Darwen
Suicide (from 2015)
Aaron Taylor
6 Nov 2025· Lancashire and Blackburn with Darwen
Suicide (from 2015)
Raymond Leake
28 Oct 2025· East Riding of Yorkshire and City of Kingston Upon Hull
Hospital Death (Clinical Procedures and medical management)
Shannon Lee
28 Oct 2025· Black Country
Suicide (from 2015)
Alexander Lewis
24 Oct 2025· Swansea Neath & Port Talbot
Road (Highways Safety) related deaths | Wales prevention of future deaths reports (2019 onwards)
Melanie Walker
17 Oct 2025· Manchester West
Alcoholdrug and medication
Pauline Stirling
9 Oct 2025· Gateshead and South Tyneside
Hospital Death (Clinical Procedures and medical management)
Imogen Nunn
7 Oct 2025· West Sussex, Brighton and Hove
Suicide (from 2015) | Mental Health
Susan Barrett
29 Sep 2025· Essex
Hospital Death (Clinical Procedures and medical management)
Naomi Aylott
29 Sep 2025· Hampshire, Portsmouth and Southampton
Suicide (from 2015)
Keith Reynolds
10 Sep 2025· Newcastle and North Tyneside
Hospital Death (Clinical Procedures and medical management)
Brian Burrows
9 Sep 2025· West Yorkshire (East)
Suicide (from 2015)
Khalif Mohammed
4 Sep 2025· Birmingham and Solihull
Suicide (from 2015) | Alcoholdrug and medication related death
Lee Stammers
22 Aug 2025· South Yorkshire East
Hospital Death (Clinical Procedures and medical management)
Mary Fitzpatrick
20 Aug 2025· Inner North London
Hospital Death (Clinical Procedures and medical management)
Quy Thi Pham
11 Aug 2025· Essex
Community health care and emergency services
Evelyn Chancellor
25 Jul 2025· North London
Care Home Health
Patryk Gladysz
18 Jul 2025· Inner London West
State Custody related deaths | Mental Health
Susan Clissold
27 Jun 2025· of Norfolk
Community health care and emergency services
Jordanne Roberts
26 Jun 2025· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Callan Atkins
26 Jun 2025· of Gloucestershire
Suicide (from 2015)
Louise Crane
23 Jun 2025· of Inner North London.
Suicide (from 2015) | Mental Health
Finlay Roberts
20 Jun 2025· Inner London North
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management)
Pamela Brand
18 Jun 2025· Suffolk
Hospital Death (Clinical Procedures and medical management)
Anthony Wood
3 Jun 2025· South London
Hospital Death (Clinical Procedures and medical management)
Mark Villers
3 Jun 2025· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Sarah Hill
26 May 2025· Cumbria
Hospital Death (Clinical Procedures and medical management)
Raihana Oluwadamilola Awolaja
2 May 2025· of Inner West London
Child Death (from 2015) | Care Home Health
Peter Anzani
1 May 2025· Birmingham and Solihull
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
Bernard Lyon
9 Apr 2025· of Manchester South
Care Home Health
Leanne Carroll
19 Mar 2025· North Wales
Mental Health related deaths | Wales prevention of future deaths reports (2019 onwards)
Renate Mark
18 Mar 2025· North Northumberland
Hospital Death (Clinical Procedures and medical management)
Billie Wicks
17 Mar 2025· Inner London North
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Alcoholdrug and medication
Marta Vento
11 Mar 2025· of Dorset.
Other related deaths | Mental Health
Lady Lola Crouch
21 Feb 2025· of Essex
Hospital Death (Clinical Procedures and medical management)
Margaret Rodgers
19 Feb 2025· Surrey
Hospital Death (Clinical Procedures and medical management)
Philip Unwin
19 Feb 2025· of Staffordshire and Stoke-on- Trent
Hospital Death (Clinical Procedures and medical management)
Diana Fairweather-Purkis
17 Feb 2025· of Teesside and Hartlepool
Emergency services related deaths (2019 onwards)
Leslie Hurwood
5 Feb 2025· of Northamptonshire.
Hospital Death (Clinical Procedures and medical management)
Wyllow-Raine Swinburn
3 Feb 2025· of Oxfordshire
Child Death (from 2015) | Emergency services related deaths (2019 onwards)
Naomi Suleyman
29 Jan 2025· Inner London South
Hospital Death (Clinical Procedures and medical management)
Cynthia Gilbert
24 Jan 2025· Somerset
Hospital Death (Clinical Procedures and medical management)
Jackson Yeow
17 Jan 2025· of South Wales Central.
Child Death (from 2015) | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)
Gemma Marshall
2 Jan 2025· of West Yorkshire Western Coroner Area
Hospital Death (Clinical Procedures and medical management)
Michael Jervis
30 Dec 2024· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
Edith Pye
20 Dec 2024· Worcestershire
Care Home Health
Mary Whitlock
17 Dec 2024· of Essex
Hospital Death (Clinical Procedures and medical management)
Susan Evans
13 Dec 2024· of Hampshire, Portsmouth and Southampton
Hospital Death (Clinical Procedures and medical management)
Junior Powell
2 Dec 2024· of Inner West London
Hospital Death (Clinical Procedures and medical management)
Jonathon Lawlor
25 Nov 2024· Mid Kent and Medway
State Custody related deaths | Alcoholdrug and medication
Nicolette McCarthy
22 Nov 2024· of East Sussex.
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
John Doyle
12 Nov 2024· of Coventry and Warwickshire
Hospital Death (Clinical Procedures and medical management)
Ian Hegarty
28 Oct 2024· of Inner North London.
Hospital Death (Clinical Procedures and medical management)
Leslie Swindells
17 Oct 2024· of South Manchester
Community health care and emergency services related deaths | Suicide (from 2015) | Mental Health
David Martin
8 Oct 2024· of Cornwall and the Isles of Scilly.
Hospital Death (Clinical Procedures and medical management)
Philip Ross
16 Sep 2024· Surrey
Emergency services related deaths (2019 onwards)
Felix Hartley
30 Aug 2024· of West Sussex, Brighton
Child Death (from 2015)
Juliette Sewell
19 Aug 2024· Birmingham and Solihull
Suicide (from 2015)
Daphne Austin
13 Aug 2024· Cumbria
Hospital Death (Clinical Procedures and medical management)
Craig Steadman
12 Aug 2024· Hampshire, Portsmouth and Southampton
Suicide (from 2015) | State Custody
Matthew Braben
1 Aug 2024· West London
Suicide (from 2015) | State Custody
Benjamin Harrison
19 Jul 2024· Mid Kent & Medway
State Custody related deaths | Alcoholdrug and medication
Anna Elliot
18 Jul 2024· Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015)
James Cockburn
2 Jul 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Isobel Stapleton
25 Jun 2024· South Wales Central
Suicide (from 2015) | Wales prevention of future deaths reports (2019 onwards)
Shelemiah Peterkin
20 Jun 2024· Birmingham and Solihull
Suicide (from 2015) | Mental Health
Aaron Deeley
19 Jun 2024· Essex
Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management)
Selina Samarina
19 Jun 2024· Essex
Child Death (from 2015)
Amina Ismail
14 Jun 2024· Manchester South
Suicide (from 2015)
Harry Vass
13 Jun 2024· Avon
Hospital Death (Clinical Procedures and medical management)
Sailor Court
10 Jun 2024· South London
Suicide (from 2015) | Child Death (from 2015)
Isabella McCreadie
3 Jun 2024· Surrey
Hospital Death (Clinical Procedures and medical management)
Elizabeth McCann
29 May 2024· Manchester South
Other
Hayley Cowan
29 May 2024· Manchester North
Mental Health
George Broadhurst
29 May 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
John Hartey
29 May 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Clara Winter
28 May 2024· South Wales Central
Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)
Margaret Clement
14 May 2024· Lancashire and Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management)
Brandon Turner
9 May 2024· Cornwall and the Isles of Scilly
Suicide (from 2015)
Nicholas Harrison
24 Apr 2024· Swansea Neath and Port Talbot
Other related deaths | Mental Health related deaths | Wales prevention of future deaths reports (2019 onwards)
Ronald Spencer
23 Apr 2024· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Margaret Burman
17 Apr 2024· Wiltshire and Swindon
Hospital Death (Clinical Procedures and medical management)
Edith Alden
16 Apr 2024· Norfolk
Care Home Health
Stevyn Carr
15 Apr 2024· Gateshead and South Tyneside
Suicide (from 2015)
Scott Rider
12 Apr 2024· Milton Keynes
Suicide (from 2015)
Tracey Farndon
5 Apr 2024· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Meha Carneiro
3 Apr 2024· Nottingham City and Nottinghamshire
Child Death (from 2015)
Alan Soane
2 Apr 2024· Inner North London
Hospital Death (Clinical Procedures and medical management)
Jonathan Harris
20 Mar 2024· Surrey
Suicide (from 2015)
Sydney Piper
15 Mar 2024· East London
Alcoholdrug and medication
Elizabeth Brown
12 Mar 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Peter Beresford
12 Mar 2024· Manchester South
Emergency services related deaths (2019 onwards)
Adrian Green
28 Feb 2024· Plymouth and South Devon
Hospital Death (Clinical Procedures and medical management)
Ethel Reed
8 Feb 2024· East Riding and Hull
Hospital Death (Clinical Procedures and medical management)
Michael Waite
31 Jan 2024· Essex
Emergency services related deaths (2019 onwards)
Michael Pender, Jan Klempar and Paul Mullen
31 Jan 2024· Cornwall and the Isles of Scilly
Other
Nicolas Gerasimidis
30 Jan 2024· Cornwall and the Isles of Scilly
Suicide (from 2015)
Thomas Ithell
22 Jan 2024· North Wales (East and Central)
Hospital Death (Clinical Procedures and medical management)
Elizabeth Roberts
4 Jan 2024· Manchester South
Hospital Death (Clinical Procedures and medical management)
Karmchand Gulzar
29 Dec 2023· Black Country
Hospital Death (Clinical Procedures and medical management)
Shaun Parks
20 Dec 2023· South Yorkshire (Western)
Emergency services related deaths (2019 onwards)
Margaret Waylett
19 Dec 2023· East London
Hospital Death (Clinical Procedures and medical management)
Carl Owston
18 Dec 2023· West Sussex, Brighton and Hove
Hospital Death (Clinical Procedures and medical management)
Vivienne Greener
18 Dec 2023· North Wales East and Central
Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management)
David Hemmings
18 Dec 2023· Inner West London
Care Home Health
Reece Nelson
12 Dec 2023· North Lincolnshire and Grimsby
Suicide (from 2015)
Samuel Jones
5 Dec 2023· Dorset
State Custody
Catriona Martin
4 Dec 2023· Gwent
Hospital Death (Clinical Procedures and medical management)
David Briggs
1 Dec 2023· South Yorkshire (Western)
Emergency services related deaths (2019 onwards)
Samantha Shillito
1 Dec 2023· West Yorkshire (Eastern)
Hospital Death (Clinical Procedures and medical management)
Kathleen Booth
22 Nov 2023· Staffordshire and Stoke on Trent
Hospital Death (Clinical Procedures and medical management)
Terri Harris, John-Paul Bennett, Lacey Bennett and Connie Gent
7 Nov 2023· Derby and Derbyshire
Other
Myra Maxfield
25 Oct 2023· Stoke on Trent and North Staffordshire
Hospital Death (Clinical Procedures and medical management)
Scott Donoghue
28 Sep 2023· East Riding and Hull
Suicide (from 2015)
Robert Leigh
25 Sep 2023· Manchester West
Suicide (from 2015)
Stewart Stanley
19 Sep 2023· Exeter and Greater Devon
State Custody related deaths | Suicide (from 2015)
Amarjit Singh
18 Sep 2023· Inner North London
State Custody
James Jones
6 Sep 2023· North West Wales
Hospital Death (Clinical Procedures and medical management)
Miss C
25 Aug 2023· Northamptonshire
Hospital Death (Clinical Procedures and medical management)
Eileen Walsh
31 Jul 2023· Norfolk
Care Home Health
Marion Nickson
21 Jul 2023· Manchester South
Hospital Death (Clinical Procedures and medical management)
Marianne Erika
20 Jul 2023· Manchester South
Hospital Death (Clinical Procedures and medical management)
Philip Hawkins
18 Jul 2023· North Wales East and Central
Hospital Death (Clinical Procedures and medical management)
Oleg Khala
6 Jul 2023· Inner West London
Suicide (from 2015)
Liam Bentley
3 Jul 2023· Mid Kent and Medway
State Custody related deaths | Suicide (from 2015)
Hilary Thomas
28 Jun 2023· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Christopher Stevens
22 Jun 2023· Cornwall and the Isles of Scilly
Suicide (from 2015)
Tamsin Dolamore
12 May 2023· Cornwall and the Isles of Scilly
Other
Julie Nolan
11 May 2023· North Northumberland and South Northumberland
Care Home Health
Nicholas Pennicott
11 May 2023· West Sussex
Hospital Death (Clinical Procedures and medical management)
Sandra Finch
9 May 2023· Stoke on Trent and North Staffordshire
Emergency services related deaths (2019 onwards)
Janet Smith
26 Apr 2023· Leicester City and South Leicestershire
Care Home Health
Joseph Maunick
20 Apr 2023· Suffolk
Hospital Death (Clinical Procedures and medical management)
Benjamin Hart
31 Mar 2023· Central and South East Kent
Suicide (from 2015)
Veronica Jenkins
31 Mar 2023· Surrey
Emergency services related deaths (2019 onwards)
Charlotte Comer
13 Mar 2023· Worcestershire
Suicide (from 2015)
Molly-Ann Sergeant
19 Feb 2023· Essex
Suicide (from 2015) | Child Death (from 2015)
Twm Bryn
17 Feb 2023· North West Wales
Wales prevention of future deaths reports (2019 onwards) | Suicide (from 2015)
Celia Sanderson
10 Feb 2023· Manchester South
Road (Highways Safety) related deaths | Hospital Death (Clinical Procedures and medical management)
Patricia Green
4 Feb 2023· Manchester South
Emergency services related deaths (2019 onwards) |Hospital Death (Clinical Procedures and medical management)
Mary White
2 Feb 2023· Gwent
Wales prevention of future deaths reports (2019 onwards) | Hospital Death (Clinical Procedures and medical management)
Donald Brown
31 Jan 2023· Gloucestershire
Hospital Death (Clinical Procedures and medical management)
Matthew Dale
26 Jan 2023· Liverpool and Wirral
Care Home Health
Rita Taylor
25 Jan 2023· Milton Keynes
Emergency services related deaths (2019 onwards)
Anthony Blower
31 Dec 2022· Hampshire, Portsmouth and Southampton
Hospital Death (Clinical Procedures and medical management)
Michael Smith
10 Nov 2022· County Durham and Darlington
Suicide (from 2015) | State Custody
Rowan Thompson
1 Nov 2022· Manchester North
Hospital Death (Clinical Procedures and medical management)
Terri Malone
24 Oct 2022· Herefordshire
Alcoholdrug and medication
Robert Howell
26 Sep 2022· East Riding and Hull
Care Home Health
Christopher Ryan
22 Jul 2022· West London
Alcoholdrug and medication related deaths | Hospital Death (Clinical Procedures and medical management)
Margaret Greenacre
27 Apr 2022· North Northumberland and South Northumberland
Care Home Health
Daphne Holloway and Ivy Spriggs
14 Feb 2022· Hertfordshire
Care Home Health
Connor Hoult
30 Nov 2021· West Yorkshire (Eastern)
State Custody related deaths | Suicide (from 2015)
Murray Hyslop
18 Oct 2021· Nottinghamshire
Care Home Health
Eldine Lashley
17 Sep 2021· East London
Care Home Health
Steven Kirkham
26 Aug 2021· South Yorkshire (East)
Mental Health related deaths | Care Home Health
Peter Harte
26 Aug 2021· Birmingham and Solihull
Care Home Health
Paula Speirs
8 Mar 2021· Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Alcoholdrug and medication
Trinder Birdi
29 Dec 2020· East London
Mental health related deaths; Community healthcare
Benjamin Popovach
4 Dec 2020· Plymouth, Torbay and South Devon
Mental heath related deaths; Other
Jane Jowers
19 Nov 2020· East London
Care home health
Macloud Nyeruke
19 Nov 2020· West Yorkshire (East)
Accident at Work and Health and Safety related deaths; Other
Gary Etherington
14 Sep 2020· Inner South London
Mental Health related deaths; Community healthcare related deaths; Suicide
Dylan Henty
10 Nov 2019· Cornwall and the Isles of Scilly
Care Home Health
Ryan Trimmer
23 Aug 2019· East Sussex
State Custody
Ruth Perkins
23 Sep 2018· Coventry
Care Home Health
Kenneth Brincombe
25 Aug 2018· Plymouth, Torbay and South Devon
Care Home Health
Andrew Crane
8 Jul 2018· Northamptonshire
State Custody
Thomas Ratchford
1 Jul 2018· Manchester
Care Home Health
Philip Ashton
1 Jul 2018· Milton Keynes
Care Home Health
Patricia Heslop
17 Jun 2018· Sunderland
Care Home Health
Paul Mullen
15 Feb 2018· Manchester
Mental Health related deaths; Other
Kenneth Cottam
11 Feb 2018· Derby and Derbyshire
Care Home Health
Maureen Colclough
3 Dec 2017· Cheshire
Care Home Health
James Harris
2 Dec 2017· Birmingham and Solihull
Care Home Health
Ida Toole
15 Aug 2017· Milton Keynes
Care Home Health
Rebecca Gilbank
26 Jul 2016· Surrey
Care Home Health
Harold Goulding
14 Jul 2016· East London
Care Home Health
Malcolm Bennett
22 Jun 2016· Manchester
Care Home Health
Julie Rose
14 Dec 2015· Mid Kent and Medway
Mental Health
Elsie Brown
4 Dec 2015· Nottinghamshire
Care Home Health
Marie Quinn
2 Nov 2015· Manchester
Care Home Health
Thomas Nicholls
11 Sep 2015· Manchester
Care Home Health
May Hall
3 Sep 2015· Manchester
Care Home Health
Phyllis Broomhead
6 Jul 2015· South Yorkshire (Eastern)
Care Home Health
Walter Willows
10 Jun 2015· Manchester
Care Home Health
Michael Lyons
20 Feb 2015· East London
Care Home Health
Dorothy Clarkson
26 Sep 2014· Preston and West Lancashire
Care Home Health
Samarjit Singh
23 May 2014· Liverpool and Wirral
Mental Health
Ross Boyd
23 May 2014· Milton Keynes
Care Home Health
Mark Bartholomew
21 May 2014· Manchester
Mental Health
Doris Taylor
9 Apr 2014· Manchester
Care Home Health
Roy Frank Fletcher
20 Dec 2013· Blackpool and Fylde
Mental Health
Winston Llewellyn Johns
30 Oct 2013· Powys, Bridgend and Glamorgan Valleys
Care Home Health
Douglas Grey
3 Oct 2013· East London
Care Home Health
Linda Hudson
24 Sep 2013· County Durham and Darlington
Community Healthcare Death
Peter Pattinson
6 Sep 2013· Sunderland
Care Home Health
Ronald Sherlock
9 Aug 2013· Greater Norfolk
State Custody