A Clinician's Brief Guide to The Coroner's Court and Inquests
@briefguide.bsky.social
Please get in touch if you would like us to do a webinar.
Request a review copy:
https://www.cambridge.org/gb/universitypress/request-review-copy
Request a review copy:
https://www.cambridge.org/gb/universitypress/request-review-copy
Pinned
Navigating inquests #inquests
Our follow up paper is coming soon....
www.cambridge.org/core/journal...
www.cambridge.org/core/journal...
Violent behaviour in adolescents: assessment and formulation using a structured risk assessment tool | BJPsych Advances | Cambridge Core
Violent behaviour in adolescents: assessment and formulation using a structured risk assessment tool - Volume 30 Issue 3
www.cambridge.org
November 13, 2025 at 11:10 AM
Our follow up paper is coming soon....
www.cambridge.org/core/journal...
www.cambridge.org/core/journal...
Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests
📣 Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic improvement.
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
Welcome! You are invited to join a webinar: Learning from Preventable Deaths. After registering, you will receive a confirmation email about joining the webinar.
Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic im...
us02web.zoom.us
October 11, 2025 at 7:45 AM
📣 Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic improvement.
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests
It's ok not to feel ok.
Did you know you can access our Confidential Support and Advice Service (CSAS) 24/7? Whether you're experiencing work or personal problems, you can reach out and speak to someone any time.
More: https://ow.ly/1y9c50THL0n
#WorldMentalHealthDay
Did you know you can access our Confidential Support and Advice Service (CSAS) 24/7? Whether you're experiencing work or personal problems, you can reach out and speak to someone any time.
More: https://ow.ly/1y9c50THL0n
#WorldMentalHealthDay
October 14, 2025 at 8:30 AM
It's ok not to feel ok.
Did you know you can access our Confidential Support and Advice Service (CSAS) 24/7? Whether you're experiencing work or personal problems, you can reach out and speak to someone any time.
More: https://ow.ly/1y9c50THL0n
#WorldMentalHealthDay
Did you know you can access our Confidential Support and Advice Service (CSAS) 24/7? Whether you're experiencing work or personal problems, you can reach out and speak to someone any time.
More: https://ow.ly/1y9c50THL0n
#WorldMentalHealthDay
📣 Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic improvement.
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
Welcome! You are invited to join a webinar: Learning from Preventable Deaths. After registering, you will receive a confirmation email about joining the webinar.
Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic im...
us02web.zoom.us
October 11, 2025 at 7:45 AM
📣 Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic improvement.
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
us02web.zoom.us/webinar/regi...
@derektracy.bsky.social #MDDUS
'a valuable reference for trainees, consultants, and those in leadership or governance roles who may be involved in a
coronial investigation. It is highly applicable to those working in
anaesthesia and critical care..' #BJAnaesthesia
www.bjanaesthesia.org/article/S000...
coronial investigation. It is highly applicable to those working in
anaesthesia and critical care..' #BJAnaesthesia
www.bjanaesthesia.org/article/S000...
A Clinician’s Brief Guide to the Coroner’s Court and Inquests
Although co-published by the Royal College of Psychiatrists, A Clinician’s Brief Guide
to the Coroner’s Court and Inquests is of particular relevance to anaesthetists and
intensivists owing to their i...
www.bjanaesthesia.org
September 30, 2025 at 10:38 AM
'a valuable reference for trainees, consultants, and those in leadership or governance roles who may be involved in a
coronial investigation. It is highly applicable to those working in
anaesthesia and critical care..' #BJAnaesthesia
www.bjanaesthesia.org/article/S000...
coronial investigation. It is highly applicable to those working in
anaesthesia and critical care..' #BJAnaesthesia
www.bjanaesthesia.org/article/S000...
Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests
Reporting a possible side effect to a medicine – a guide for Children and Young People. A resource from @mhragovuk.bsky.social added to the hub this week. www.pslhub.org/learn/patien... #medicationsafety #patientsafety
MHRA: Reporting a possible side effect to a medicine – a guide for Children and Young People
The MHRA has produced a guide to help children and young people learn why it's important to report possible side effects of medication.
www.pslhub.org
September 18, 2025 at 12:00 PM
Reporting a possible side effect to a medicine – a guide for Children and Young People. A resource from @mhragovuk.bsky.social added to the hub this week. www.pslhub.org/learn/patien... #medicationsafety #patientsafety
If you found this guide useful, please consider leaving a short review on Amazon - it helps other clinicians find this resource.
September 18, 2025 at 11:55 AM
If you found this guide useful, please consider leaving a short review on Amazon - it helps other clinicians find this resource.
Suicide prevention in Scottish prisons. Joint inquiry into the deaths of William Brown/Lindsay and Katie Allan at HMP & YO Polmont. Sheriff Collins found that there were reasonable precautions by which both deaths might realistically have been avoided.
www.scotcourts.gov.uk/media/1olg15...
www.scotcourts.gov.uk/media/1olg15...
www.scotcourts.gov.uk
September 8, 2025 at 5:26 PM
Suicide prevention in Scottish prisons. Joint inquiry into the deaths of William Brown/Lindsay and Katie Allan at HMP & YO Polmont. Sheriff Collins found that there were reasonable precautions by which both deaths might realistically have been avoided.
www.scotcourts.gov.uk/media/1olg15...
www.scotcourts.gov.uk/media/1olg15...
Great programme for 2025-26, including Prof Chris Whitty (9th October), Dr Andrew Johns (11th December), Sir Brian Langstaff (11th March), Prof Guy Leschziner (9th April)...Join today.
www.medico-legalsociety.org.uk/programme/
www.medico-legalsociety.org.uk/programme/
Programme | The Medico-Legal Society
www.medico-legalsociety.org.uk
August 31, 2025 at 1:16 PM
Great programme for 2025-26, including Prof Chris Whitty (9th October), Dr Andrew Johns (11th December), Sir Brian Langstaff (11th March), Prof Guy Leschziner (9th April)...Join today.
www.medico-legalsociety.org.uk/programme/
www.medico-legalsociety.org.uk/programme/
Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests
Some stats from this paper:
A third died aged 26-35; half died aged 40 or less. Mean age at death was 38.
54.1% of deaths were hangings.
46.3% of recorded ligature points were window bars.
85.6% of all deaths concerned male prisoners.
The mean time from death to report was 1.9 years.
A third died aged 26-35; half died aged 40 or less. Mean age at death was 38.
54.1% of deaths were hangings.
46.3% of recorded ligature points were window bars.
85.6% of all deaths concerned male prisoners.
The mean time from death to report was 1.9 years.
I struggled to find a home for this, then was very busy hence forgetful, and presently am ill thus disinclined. It may be of wider value, hence uploading it to SSRN today: statistical and thematic analysis of all PFDs relating to state custody until late 2022.
papers.ssrn.com/sol3/papers....
papers.ssrn.com/sol3/papers....
DEATHS IN STATE CUSTODY AND THE CORONER: AN ANALYSIS OF PREVENTION OF FUTURE DEATH REPORTS 2013-2022
Since 2013, coroners have issued over 200 Prevention of Future Death (PFD) reports relating to state custody. These illustrate some of the worst deaths imaginab
papers.ssrn.com
November 20, 2024 at 5:59 PM
Some stats from this paper:
A third died aged 26-35; half died aged 40 or less. Mean age at death was 38.
54.1% of deaths were hangings.
46.3% of recorded ligature points were window bars.
85.6% of all deaths concerned male prisoners.
The mean time from death to report was 1.9 years.
A third died aged 26-35; half died aged 40 or less. Mean age at death was 38.
54.1% of deaths were hangings.
46.3% of recorded ligature points were window bars.
85.6% of all deaths concerned male prisoners.
The mean time from death to report was 1.9 years.
Despite refusing hospital transfer, no adequate assessment of the patient's decision-making capacity was carried out and no proper consideration of the impact of her mental health disorder on the decision. #FFLM #MCA #PFD
www.judiciary.uk/prevention-o...
www.judiciary.uk/prevention-o...
Tracey Ostler: Prevention of Future Deaths Report - Courts and Tribunals Judiciary
Date of report: 07/08/2025 Ref: 2025-0416 Deceased name: Tracey Ostler Coroners name: Caroline Topping Coroners Area: Surrey Category: Mental Health related deaths | Emergency services related de...
www.judiciary.uk
August 29, 2025 at 1:58 PM
Despite refusing hospital transfer, no adequate assessment of the patient's decision-making capacity was carried out and no proper consideration of the impact of her mental health disorder on the decision. #FFLM #MCA #PFD
www.judiciary.uk/prevention-o...
www.judiciary.uk/prevention-o...
Concern exists ...nationwide that there is not necessarily any clearly defined pathway that assists young persons making the transition between CAMHS (under 18) and adult psychiatric services, to ensure a smooth transit and continuity of care.
www.judiciary.uk/prevention-o...
www.judiciary.uk/prevention-o...
Chloe Barber: Prevention of Future Deaths Report - Courts and Tribunals Judiciary
Date of report: 12/08/2025 Ref: 2025-0421 Deceased name: Chloe Barber Coroners name: Paul Marks Coroners Area: City of Kingston Upon Hull and the County of the East Riding of Yorkshire Category: ...
www.judiciary.uk
August 21, 2025 at 1:02 PM
Concern exists ...nationwide that there is not necessarily any clearly defined pathway that assists young persons making the transition between CAMHS (under 18) and adult psychiatric services, to ensure a smooth transit and continuity of care.
www.judiciary.uk/prevention-o...
www.judiciary.uk/prevention-o...
Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests
One aim of this book was to help healthcare professionals feel more confident and prepared when facing inquests #inquest
A Clinician's Brief Guide to the Coroner's Court and Inquests.
A Clinician's Brief Guide to the Coroner's Court and Inquests.
April 28, 2025 at 5:52 PM
One aim of this book was to help healthcare professionals feel more confident and prepared when facing inquests #inquest
A Clinician's Brief Guide to the Coroner's Court and Inquests.
A Clinician's Brief Guide to the Coroner's Court and Inquests.
Sometimes families are surprised when there are journalists at an inquest. However, journalists are always allowed to go to inquests and have a legal right to do so.
www.ipso.co.uk/resources-gu...
www.ipso.co.uk/resources-gu...
Reporting of deaths
and inquests - IPSO
What to expect when newspapers and magazines report a death or an inquest, the rules around reporting of suicide as well as how we can help.
www.ipso.co.uk
August 17, 2025 at 12:36 PM
Sometimes families are surprised when there are journalists at an inquest. However, journalists are always allowed to go to inquests and have a legal right to do so.
www.ipso.co.uk/resources-gu...
www.ipso.co.uk/resources-gu...
Resuming an inquest (or not) after a homicide trial
www.ukinquestlawblog.co.uk/resumption-p...
www.ukinquestlawblog.co.uk/resumption-p...
» Resuming an inquest (or not) after a homicide trial
Post from UK Inquest Law Blog
www.ukinquestlawblog.co.uk
August 14, 2025 at 2:10 PM
Resuming an inquest (or not) after a homicide trial
www.ukinquestlawblog.co.uk/resumption-p...
www.ukinquestlawblog.co.uk/resumption-p...
Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests
Advance decisions to refuse treatment – what (not) to do when it appears one may be in play: www.mentalcapacitylawandpolicy.org.uk/advance-deci...
Advance decisions to refuse treatment – what (not) to do when it appears one may be in play
Re AB (ADRT: Validity and Applicability) [2025] EWCOP 20 (T3) is a (rare) example of a court having to grapple with advance decisions to refuse medical treatment. It is rare largely because ADRTs …
www.mentalcapacitylawandpolicy.org.uk
June 11, 2025 at 12:17 PM
Advance decisions to refuse treatment – what (not) to do when it appears one may be in play: www.mentalcapacitylawandpolicy.org.uk/advance-deci...
Anxiety was the top reason cited for accessing support, but low mood and symptoms of depression were rising factors, @nhsprachealth.bsky.social said in its latest annual report.
www.gponline.com/thousands-gp...
www.gponline.com/thousands-gp...
Thousands of GPs seeking support from specialist NHS mental health service
GPs make up more than half of health professionals receiving support from a confidential specialist NHS mental health service.
www.gponline.com
June 2, 2025 at 12:40 PM