“identified during an investigation which, in the coroner’s opinion, give rise to a risk…”
Dated 1 May 2026, from the coroner for Birmingham and Solihull. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
All responses publishedOrganisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
- Report dated1 May 2026
- Deadline26 Jun 2026
- Published on judiciary.uk30 Jun 2026
- Today22 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| University Hospitals Birmingham NHS Foundation TrustNamed in the report as “University Hospitals of Birmingham NHS Foundation Trust” | Response publishedPublished on judiciary.uk in June 2026. |
The coroner’s concerns
identified during an investigation which, in the coroner’s opinion, give rise to a risk of future deaths. It is designed to promote clarity, ensure that reports are formulated in a way that enables recipients to understand and address the concerns raised, and to support good practice across jurisdictions. The template does not fetter judicial independence: coroners remain responsible for determining the facts, identifying the matters of concern, and drafting reports that accurately reflect the circumstances of each individual case. The template may be adapted as necessary to ensure that the report properly and precisely records the coroner’s views. In accordance with the Chief Coroner’s PFD Publication Policy (2026) any applications for redactions to content or general publication of the report must be sent to the coroner. The coroner will provide the representations to the Chief Coroner for a decision. REPORT TO PREVENT FUTURE DEATHS REGULATION 28 OF THE CORONERS (INVESTIGATIONS) REGULATIONS 2013 (Please do not include any living persons’ names in this document, in accordance with the Chief Coroner’s PFD Publication Policy (2026)) CORONER 1 I am Emma Brown HM Area Coroner for the coroner area of Birmingham and Solihull DATE OF REPORT 2 1st May 2026 CORONER’S LEGAL POWERS 3 I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. THIS REPORT IS BEING SENT TO 1. University Hospitals of Birmingham NHS Foundation Trust 2. 4 3. 4. You are under a duty to respond to this report within 56 days of the date of this report, namely by 26 June 2026. I, the coroner, may extend the period if an appropriate application is made.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2026-0243
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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