Reports to Prevent Future Deaths

Coroners and Justice Act 2009 sch 5 para 7 states:

(1) Where (a) a senior coroner has been conducting an investigation under this Part into a person's death, (b) anything revealed by the investigation gives rise to a concern that circumstances creating a risk of other deaths will occur, or will continue to exist, in the future, and (c) in the coroner's opinion, action should be taken to prevent the occurrence or continuation of such circumstances, or to eliminate or reduce the risk of death created by such circumstances, the coroner must report the matter to a person who the coroner believes may have power to take such action."
(2) A person to whom a senior coroner makes a report under this paragraph must give the senior coroner a written response to it.
(3) A copy of a report under this paragraph, and of the response to it, must be sent to the Chief Coroner.

The procedures for reports and responses respectively are found in regulations 28 and 29 Coroners (Investigations) Regulations 2013.

The website states that in most cases the Chief Coroner will publish the reports and responses, and that the Chief Coroner’s Office is working to upload all Reports made since 25 July 2013.

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