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Responses > Coroners’ Prevention of Future Deaths Reports

Freedom of Information request Coroners’ Prevention of Future Deaths Reports

Response published: 4 June 2025
Serious Incidents

FOI Request

I am writing to request information under the Freedom of Information Act 2000. The request relates to Coroners’ Prevention of Future Deaths Reports (PFDs or Reg 28 letters) issued for deaths ruled to have been caused by suicide. Please provide the following information for the time period between 1st January 2019 (or the date of inception for your trust) and 5th May 2025, inclusive.   1. Please send me a copy of every PFD relating to suicide that the Trust received. Please include PFDs received where the Trust was a listed addressee and/or where the Trust was copied for information as an ‘interested person’. 2. Please also send me a copy of the Trust’s response to each PFD, clearly marking to which PFD the response refers. 3. Please send me a copy of any internal correspondence which relates to each PFD, clearly marking to which PFD the correspondence refers. This should include: Minutes from meetings Email conversations between staff and contractors Details of any staff training undertaken Memos sent

FOI Response

Freedom of Information Request – Ref: FOI 047-2025

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

I am writing to request information under the Freedom of Information Act 2000. The request relates to Coroners’ Prevention of Future Deaths Reports (PFDs or Reg 28 letters) issued for deaths ruled to have been caused by suicide.

Please provide the following information for the time period between 1st January 2019 (or the date of inception for your trust) and 5th May 2025, inclusive.

  1. Please send me a copy of every PFD relating to suicide that the Trust received. Please include PFDs received where the Trust was a listed addressee and/or where the Trust was copied for information as an ‘interested person’.
  2. Please also send me a copy of the Trust’s response to each PFD, clearly marking to which PFD the response refers.
  3. Please send me a copy of any internal correspondence which relates to each PFD, clearly marking to which PFD the correspondence refers. This should include:

Minutes from meetings

Email conversations between staff and contractors

Details of any staff training undertaken

Memos sent

Please note that I am aware of the website https://www.judiciary.uk/courts-and-tribunals/coroners-courts/reports-to-prevent-future-deaths/  . However, the search function on this website does not effectively filter for the information I have requested. Specifically, it does not turn up all relevant results, a fact I have checked against PFDs which I already know exist, and search terms which exist within them. Therefore, the information is not reasonably accessible by other means, and so a Section 21 exemption should not be applied.

 Our response:

We do not hold the information requested.

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.