Tag

Coroners

7 recommendations 86% accepted

Tag overview

Government Response

Accepted (4)

Accepted in Part (2)

Awaiting Response (1)

Recommendations in This Theme

recommendation across 3 inquiries

Across 3 inquiries

Allitt Inquiry Hillsborough Panel Mid Staffs Inquiry

Tagged Recommendations

7 total

F273 Accepted in Part Mid Staffs Inquiry

Information to coroners

The terms of authorisation, licensing and registration and any relevant guidance should oblige healthcare providers to provide all relevant information to enable the coroner to perform his function, unless a …

- Schedule 5 of the Coroners and Justice Act 2009 confers power on coroners to order the disclosure of evidence, including written statements and documents …

Healthcare providers

F274 Accepted Mid Staffs Inquiry

Information to coroners

There is an urgent need for unequivocal guidance to be given to trusts and their legal advisers and those handling disclosure of information to coroners, patients and families, as to …

- The National Medical Examiner stated in April 2025 that records of medical examiner scrutiny should be shared with bereaved families where possible, following an …

Department of Health and…

F284 Accepted Mid Staffs Inquiry

Appointment of assistant deputy coroners

The Lord Chancellor should issue guidance as to the criteria to be adopted in the appointment of assistant deputy coroners.

- DHSC and NHS England stated in April 2025 that action was taken regarding the appointment of assistant coroners following the conclusion of the Mid-Staffordshire …

F285 Accepted Mid Staffs Inquiry

Appointment of assistant deputy coroners

The Chief Coroner should issue guidance on how to avoid the appearance of bias when assistant deputy coroners are associated with a party in a case.

- DHSC and NHS England stated in April 2025 that the Thirlwall Inquiry has noted action taken in response to this recommendation regarding the appearance …

F45 Accepted in Part Mid Staffs Inquiry

Use of information about compliance by regulator from: Inquests

The Care Quality Commission should be notified directly of upcoming healthcare-related inquests, either by trusts or perhaps more usefully by coroners.

- The Department of Health and Social Care and NHS England stated in April 2025 that this recommendation was superseded by the statutory medical examiner …

CQC

1 Accepted Hillsborough Panel

Chief Coroner guidance on coroners' records

The Panel considers that the implementation of the Coroners and Justice Act 2009 should bring about a more consistent approach to the archiving and availability of transferred records and encourages …

Government reports this recommendation as delivered. Implemented.

Ministry of Justice

R2 Historic Allitt Inquiry

Coroners to send post mortem reports to consultants

We recommend that in every case Coroners should send copies of post mortem reports to any consultant who has been involved in the patient's care prior to death whether or …

No formal government response has been recorded for this recommendation. No independent verification has been carried out.

Home Office