We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
The purpose of an inquest is to determine the four statutory questions: who, when, where and how. This chapter also looks at the difference between a traditional inquest (‘Jamieson Inquest’ or ‘Non-Article 2 Inquest’) and an Article 2 inquest (also known as a ‘Middleton Inquest’), the conclusions available to the coroner and when a jury is required.
Individuals less closely professionally connected to the deceased may simply be a witness of fact at court instead of being an interested person. Some people worry that being an interested person means that they are in ‘trouble’ with the coroner or more likely to face censure. This is not usually the case. This chapter gives an understanding of what an interested person is, in the context of an inquest, and the advantages and disadvantages of that position.
Risks or vulnerabilities can arise from any death and part of any professional’s role is to be alert to remediating them as part of patient safety. This chapter will look at how to identify these risks. It will also consider what to do when criticism occurs, and how to remediate to allow for a satisfactory or moderated outcome.
This chapter will briefly describe the outcomes of a coroner’s inquest: the findings available to the coroner, and the types of concerns that they can express. It will also explain Regulation 28 (Prevention of Future Death) reports.
People reasonably expect their healthcare professionals to avoid causing harm. In the UK, there are various clinical and governance checks and balances to ensure that the individual is safe and treated with appropriate evidence-based care, and safeguards by the state to explore and investigate when these appear to have been breached. These include internal organisational disciplinary proceedings, public complaints processes, ombudsman investigations, civil claims for compensation, and criminal prosecutions, among others. In England and Wales, the coroner’s inquest is one such check and balance.
The coroner decides which witnesses to call and their designation. This chapter gives practical advice for the professional who is called as a witness of fact.