Chief Coroner review practice consistency
Fuller Inquiry · Fuller Inquiry Phase 2 Report · Issued 15 July 2025 · Addressed to: Ministry of Justice
Source — 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 →
Response — verbatim from government
●Ministry of Justice
This recommendation is under consideration.
Ministry of Justice · 1 Dec 2025
Evidence trail — what's actually happened since
- 1 Dec 2025 Under consideration. The government will continue to work on its response to the recommendations and provide a full response to the Fuller inquiry phase 2 report by summer 2026. (Source: Interim update on government progress in responding to the Fuller inquiry phase 2 report, December 2025)
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Source and Response are verbatim from primary documents. The Evidence trail records published activity since — written statements, consultation outcomes, inspection findings, parliamentary references. The Index does not paraphrase or characterise intent; it tracks what has been published. Where the evidence is the absence of action (a missed deadline, a slipped timetable), that absence is documented from primary sources rather than inferred.
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