Home / Inquiries / Fuller Inquiry / P2-70
← P2-69 P2-71 →
P2-70

Chief Coroner review practice consistency

Fuller Inquiry · Fuller Inquiry Phase 2 Report · Issued 15 July 2025 · Addressed to: Ministry of Justice

Government responseDepartment of Health and Social Care: Under consideration (Dec 2025)

DeliveryNo statement from Ministry of Justice found

Recommendation, verbatim from the inquiry

●Inquiry recommendation

The Chief Coroner should review the difference in practice between coronial areas as soon as possible to ensure that: All coroners are informed of the findings of this Inquiry. All coroners are aware of the prevalence of offending by David Fuller against deceased people who were formally under the control of the coroner. All coroners understand the importance of a consistent approach to ensuring the security and dignity of deceased people who are under their control. This is likely to require guidance from the Chief Coroner to ensure that there is a consistent approach nationally, and it should be considered an area for further training for all coroners and their staff.

Fuller Inquiry, Fuller Inquiry Phase 2 Report · 15 Jul 2025 Source PDF →

Published evidence summary

AI-generated evidence summary

In its interim progress update published in December 2025, the Department of Health and Social Care stated that this recommendation addressed to the Ministry of Justice remained under consideration (Department of Health and Social Care response, Dec 2025). The department grouped the measure among 21 recommendations from the phase 2 report that were still being considered by the government, offering no specific commentary on this recommendation alone (Department of Health and Social Care response, Dec 2025). The record holds no update since the department's response of December 2025 (Department of Health and Social Care response, Dec 2025).

AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026.

Government response

●Department of Health and Social Care · Under consideration · 16 Dec 2025

Words of: Department of Health and Social Care, Interim update on government progress in responding to the Fuller inquiry phase 2 report, 16 December 2025

For the remaining 21 recommendations, these remain under consideration.

Extract from: Interim update on government progress in responding to the Fuller inquiry phase 2 report

Site note: This is the Department of Health and Social Care's interim update on government progress in responding to the phase 2 report, published on 16 December 2025. It sorts the 75 recommendations into those the government has accepted in full (11), accepted in principle (43) and is still considering (21), and gives words of its own only on the 11 accepted in full. Every word is the Department's, so the rows are filed under it, including where the passage reports what another body has done.

Site note: The recommendation is addressed to the Ministry of Justice; the passage is the Department's account, not that body's. The update gives this sentence once, under its heading "Recommendations under consideration", and lists this recommendation there among the 21 it covers. It says nothing about this recommendation alone.

Delivery

No statement on delivery from Ministry of Justice has been found in the sources searched. This is separate from the response above.

How this page is built

The recommendation and the government responses are verbatim from primary documents. Delivery statements and other bodies' findings are shown in their own words, each with its source. The summary is written by this site and labelled as such. The Index does not paraphrase sources or characterise intent; it records what has been published.