Below is a list of our most frequently asked questions, along with some additional information about the Coroners' Court and the processes involved. Please click on the links below to be taken to a comprehensive answer. Should you require further information, please use the enquiry form to get in touch.
- What happens when someone dies?
- When is a death reported to a coroner?
- What is a coroner?
- What do coroners do?
- Are all deaths reported to a coroner?
- What happens after the coroner is notified of a death?
- What happens if the coroner decides to hold an inquest?
- What is a post-mortem examination?
- Medical records
- Post-mortem examination report
- Will tissue or organs be retained after a coroner's post- mortem examination?
- Can there be a second autopsy?
- Is consent necessary? Who may attend the autopsy?
- Is there an alternative to an autopsy?
- When is there a duty to hold an inquest?
- What is an inquest?
- What happens if somebody has been charged with causing the death?
- What is the role of a coroner's officer?
- Attendance at an inquest
- Evidence at inquest - oaths and affirmations; documentary evidence
- Will there be a jury at the inquest?
- Who decides which witnesses to call?
- Must a witness attend court? Witness summonses and contempt of court
- I can’t remember what I put in my statement, can I read it again?
- English is not my first language and I am concerned I will not understand the proceedings, will there be an interpreter?
- What do I call the Coroner?
- Who can ask witnesses questions?
- Who is a properly interested person?
- I know as a properly interested person I can ask questions but can someone ask them on my behalf?
- Rights of properly interested persons, including bereaved people
- Inquest verdicts
- What if future deaths may be prevented?
- What can you do if you are dissatisfied with the outcome of an inquest?
- Is it possible to obtain a record of the inquest?
- Will the inquest be reported by the press and media?
- Is Legal Aid available?
- What about other legal proceedings?
- Archive requests; finding out about long-dead relatives
- Further information
What happens when someone dies?
When a person dies in England or Wales, the death has to be registered. This is so even if they are a visitor to the country. There are only 2 ways in which the death can be registered. The first is if a doctor was in attendance during the final illness of the person who died and is able to issue a medical certificate of the cause of the death in a form acceptable to the local Registrar of Deaths. The second, if the first cannot be achieved, is for the death to be reported to a coroner.
When a death is reported to a coroner there are three ways in which s/he can deal with it. First, s/he might be able to authorise burial following a discussion with the doctor who attended the individual – this is often known as the “Pink Form A” procedure and it does not involve a post-mortem examination.
Secondly, where someone dies suddenly and the cause is unknown, the coroner may order the performance of a post-mortem examination (syn. autopsy or necropsy) by a pathologist whom s/he selects. If that examination yields a cause of death that is entirely natural, and there are no other circumstances that would make the death an “unnatural” death, the coroner may issue “Pink Form B” to the registrar of deaths that allows burial or cremation to take place. In such a case there will usually be no inquest hearing.
The third method for the coroner is to conduct an inquest into the death. His or her duty to do so arises from section 8 of the Coroners Act 1988, which states:
Where a coroner is informed that the body of a person (“the deceased”) is lying within his district and there is reasonable cause to suspect that the deceased—
(a)has died a violent or an unnatural death;
(b)has died a sudden death of which the cause is unknown; or
(c)has died in prison or in such a place or in such circumstances as to require an inquest under any other Act,
then, whether the cause of death arose within his district or not, the coroner shall as soon as practicable hold an inquest into the death of the deceased either with or, subject to subsection (3), without a jury.
When is a death reported to a coroner?
Any death that is violent or unnatural must be reported to the coroner. The term “unnatural” carries a wide meaning, It is not enough to say that someone has died of natural causes – even so the case may require an inquest if the surrounding circumstances are such as to make it unnatural or violent. The following list helps explain the types of death that will require a report to the coroner, but then list is illustrative, not exhaustive
A death should be reported to HM Coroner if*:
- The medical cause of death is unknown
- The death cannot readily be certified as being due to natural causes
- The deceased was not attended by a doctor during his or her last illness or was not seen within the 14 days prior to death
- There are any suspicious circumstances or any history of violence
- The death may be linked to an accident (whenever and wherever it might have occurred)
- The death may be due to acute alcohol poisoning
- There is any question of self neglect or neglect by others
- The death has occurred or the illness has arisen during or shortly after detention in police or prison custody (including voluntary attendance at a police station)
- The death has occurred whilst the patient is involuntarily detained under the provisions of the Mental Health Act
- The death is linked with abortion
- The death might have been contributed to by the actions of the deceased him/her self (e.g. drug abuse, solvent abuse, self injury or overdose)
- The death might be due to industrial disease or related in any way to the deceased’s former employment, however long ago.
- The death occurred during or within 14 days after an operation or comparable clinical procedure. This includes deaths that might in any way be related to an anaesthetic. If the operation was performed for an injury of any kind, irrespective of how or when it occurred, the coroner should be informed since the death may be consequent upon and not merely subsequent to the accident.
- The death may be related to a clinical procedure or treatment
- The death might be due to lack of medical care
- The death might be related to a blood transfusion
- The death might be related to an adverse reaction to a drug or to poisoning of any kind
- The death occurs within 24 hours of admission to hospital, unless the admission is solely to provide terminal care
- The death is unusual or raises disturbing features
- It is usually prudent to report any death where there have been allegations of medical mismanagement or alleged negligence.
*Taken from Dorries, C P; Coroners’ Courts – a guide to law and practice; [2nd ed. 2004, OUP]
Anyone who is concerned about the cause of a death can inform a coroner about it, but in most cases a death will be reported to the coroner by a doctor or the police.
What is a coroner?
The Office of Coroner is ancient, with records dating from 1184. A Coroner is an independent judicial office-holder, appointed by and paid by the relevant local authority. However, once appointed the Coroner is answerable only to the High Court for his/her judicial and administrative decisions. A Coroner must be an experienced lawyer or a doctor, and in some cases are both. Each Coroner has a Deputy and usually one or more Assistant Deputies. Either personally, or through a Deputy, the Coroner must be available at all times. The costs of the Coroners' service is met by the local authorities. The legislation governing coroners is contained in the Coroners Act 1988 (as amended); The Coroners Rules 1984 (as amended) and the Treasure Act 1996. There is also a considerable body of case law governing the way in which Coroners operate. A new act of parliament, the Coroners and Justice Act 2009, received Royal Assent in November 2009, but the part of the Act about Coroners has not yet been brought into force.
The Coroner’s Office
Most coroners have one or more Coroners Officers to help them carry out their duties. The usual contact between the public and the coroner will be through one of these Officers, who, on behalf of the Coroner, is responsible for investigating the death.
The Coroner is limited by law in what s/he may do. An inquest is a fact-finding inquiry. It is not a trial. The purpose of an inquest is set out in section 11(5) of the Coroners Act:
(b) shall set out, so far as such particulars have been proved –
(i) who the deceased was; and
(ii) how, when and where the deceased came by his death;
The relevant law is also contained in the Coroners Rules 1984:
Rule 36 (1) The proceedings and evidence at an inquest shall be directed solely to ascertaining the following, namely –
(a) Who the deceased was;
(b) How, when and where the deceased came by his death;
(c) The particulars … required by the Registration Act to be registered concerning the death
(2) Neither the coroner nor the jury shall express any opinion on any other matter”
No verdict shall be framed in such a way as to appear to determine any question of –
(a) criminal liability on he part of a named person
(b) civil liability
What do coroners do?
Coroners inquire into violent and unnatural deaths, sudden deaths of unknown cause, and deaths that have occurred in prison and certain other categories specified in the Coroners Act 1988. A coroner's authority to inquire flows from the report of the fact that a body lies within the Coroner's Jurisdiction; it does not depend on where the death occurred. The Coroner's inquiries may take one of several forms and may result in the holding of an inquest. It is a Coroner's duty at an inquest to establish who the deceased was, how, when and where the deceased came by his or her death. After an inquest the Coroner will send the necessary details to the Registrar of Births and Deaths so it can be registered when it occurred in England and Wales. An inquest is not permitted to determine or appear to determine criminal liability by a named person or civil liability. It is about what happened, not who was responsible for what happened, for which the civil and criminal courts have jurisdiction. It is also about how someone died, not why he or she died. In some cases a death may be referred by the Coroner to the police for investigation on his behalf. In other cases a separate investigation into a death may be undertaken by an independent body such as the Health and Safety Executive, the Prisons and Probation Ombudsman, the Care Quality Commission, the Independent Police Complaints Commission, the Air Accident or Marine Accident Investigation Branch, etc. The Coroner will be given the results of their investigation. Coroners also have jurisdiction over Treasure.
Are all deaths reported to a coroner?
Not all deaths need to be reported. In many cases the deceased’s own doctor, or a hospital doctor who has been treating him or her during the final illness, is able to issue a Medical Certificate of the Cause of Death (MCCD) without reference to a Coroner. The death can then be registered by the Registrar of Births and Deaths, who will issue the death certificate. Sometimes doctors may discuss the case with the Coroner and this may result in the Coroner deciding that he/she does not need to make further inquiries because the death is from natural causes. In the light of that discussion the doctor concerned may be able to issue the MCCD and the Coroner will issue a certificate (Pink Form A) to the Registrar stating that it is not necessary to hold an inquest. However, if the Coroner decides to investigate a death, the Registrar of Births and Deaths must wait for the Coroner to finish his or her inquiries before the death can be registered. These inquiries may take time, so it is always best to contact the Coroner's office before any funeral arrangements are made. In many cases, the decision to investigate will not hold up funeral arrangements.
What happens after the coroner is notified of a death?
The Coroner will usually deal with the case in one of three ways.
1. He may make some telephone and/or other inquiries to satisfy him/herself that no inquest or post-mortem examination is necessary. If satisfied, he may issue a certificate that authorises the Registrar of Deaths to register the death and release of the body. This is commonly referred to as the Coroner's Pink Form A procedure.
2. If the cause of death is unknown (e.g. because a doctor cannot certify a cause) the Coroner may ask a pathologist to carry out an autopsy (post-mortem examination). If that reveals a natural cause of death and there is no reason to suspect that the death was violent or unnatural, the Coroner may decide not to hold an inquest and will issue "Coroners Pink Form B". This allows the death to be registered and the body to be released.
3. In all other circumstances, the Coroner will usually open an inquest. It is usual for the body to be released promptly for burial or cremation, even if the inquest cannot be held for some time, but there might be some delay in releasing the body if the death was 'suspicious'.
What happens if the coroner decides to hold an inquest?
A Coroner must hold an inquest if the cause of death remains unknown, if there is cause for the Coroner to suspect that the deceased died a violent or unnatural death or died in prison. If there has been an autopsy (or post-mortem), the Coroner will normally issue the necessary authority permitting a burial or cremation, so that a funeral can be held, even though the inquest has not been concluded. In such circumstances the death cannot be registered. In order to assist the administration of the estate, an interim certificate of fact of death can be issued by the Coroner. This certificate should be acceptable to banks and financial institutions, unless it is important for them to know the outcome of the inquest (for example, for an insurance settlement). This interim certificate can also be used for benefit claims and National Insurance purposes. After the inquest has been resumed and concluded, the Coroner will notify the Registrar of deaths by issuing an after-inquest certificate so that the death can be registered by the Registrar and a death certificate obtained.
Taking a body abroad or bringing it back to this country In every case where someone wishes to take a body out of England or Wales (including cases of deaths from natural causes), written notice must be given to the Coroner in whose area the body is located. The Coroner will then consider whether an inquest or post-mortem examination is needed and will notify his/her decision within four days. If a body is being brought into England or Wales, the Coroner in the area to where the body is brought or is to be laid to rest may need to be involved. The Coroner may need to determine the cause of death and will be required to hold an inquest if the death was unnatural, violent, or sudden and of unknown cause. The Coroner will issue a Certificate for Cremation in all cases coming from abroad (including cases of deaths from natural causes) where the body is to be cremated. When death has occurred outside England and Wales and the body is returned to England or Wales, the death is not registered by the Registrar of Births and Deaths when the Coroner has finished investigating or has concluded the inquest. Further information about what to do when a death occurs abroad can be found on the Foreign and Commonwealth Office's website, at: www.fco.gov.uk/en/travel-and-living-abroad/when-things-go-wrong/death-abroad
What is a post-mortem examination?
A post-mortem examination is a medical examination of a body after death, carried out by a pathologist for a Coroner. Most examinations performed in England and Wales are autopsies (sometimes called necropsies) conducted by a histopathologist of the Coroner's choice. The purpose is to establish the medical cause of death. In cases of suspected crime (such as murder or manslaughter), the examination will usually be conducted by a specialist forensic pathologist on the “Home Office List”.
Medical records remain confidential after death but may be made available to the deceased's personal representatives or a person who may have a claim arising out of the deceased's death. There are some statutory restrictions. Coroners are entitled to obtain copies of medical information that is relevant and necessary to their inquiries. Medical information about the deceased may be disclosed at the inquest hearing if it is relevant to the cause of death.
Post-mortem examination report
The post-mortem examination or autopsy report gives details of the examination that was made of the body and it is sent to the Coroner by the person who carried out the post-mortem examination. It may also give details of any tests (e.g. histology or toxicology) that have been carried out to help determine the cause of death. Copies of the report are normally available only to properly interested persons. A fee for the copies may be payable. A Coroner may dispense with an inquest after a post-mortem examination if he/she thinks an inquest is unnecessary and there is no reason to suspect that the person died a violent or unnatural death and they did not die in prison. The Coroner will release the body for the funeral and send a form (Pink Form B) to the Registrar of Births and Deaths stating the cause of death as disclosed by the post-mortem examination report. The death can then be registered. Generally this will happen when the autopsy establishes that the person died of natural causes and the Coroner decides no further investigation into the death is necessary.
Will tissue or organs be retained after a coroner's post-mortem examination?
Pathologists cannot always determine a cause of death by macroscopic ("naked eye") examination at autopsy. They may need to perform further tests in order to ascertain the cause of death. This may involve taking small pieces of tissue to examine under the microscope, or it may involve taking blood or other body fluids for toxicological purposes. Sometimes it may be necessary to take whole organs for further examination e.g. the heart may need to be examined by a specialist cardiac pathologist in cases where apparently healthy young individuals die suddenly and unexpectedly. Pathologists may only take material that has a bearing on the cause of death. There are now strict rules about taking any material from a body at autopsy. The pathologist must inform the Coroner that he has done so and the Coroner must then inform the relevant properly interested persons and offer these persons three options. One option is for the material to be disposed of when it has served its purpose; the second option is for it to be returned to the deceased's family or representative if so requested; the third option is that, with consent, the material may be retained for medical research or other purposes. In cases involving homicide, tissue or whole organs may have to be retained by the Crown. Other statutory provisions apply, such as the Police and Criminal Evidence Act (PACE) or directions of the trial Judge. Further general information on tissue retention and the legal requirements relating to consent can be obtained from the Human Tissue Authority on: 020 7211 3400 or online at www.hta.gov.uk
Can there be a second autopsy?
If after the autopsy concerns remain about the cause of death, the relatives and others may ask the Coroner for a further post-mortem examination. Any such examination would be at their own expense. In cases where someone has died as a result of criminal activity (homicide, assault, etc.) and a suspect has been apprehended who may be charged with a serious criminal offence, that person or his/her legal representative may request a further autopsy. If no one has been apprehended, the Coroner may arrange a second autopsy.
Is consent necessary? Who may attend the autopsy?
The Coroner is not required to obtain the consent of relatives or others for a post-mortem examination to be made. The Coroner will inform certain "properly interested persons" of when and where the autopsy will take place if those persons have notified the Coroner of their desire to attend the autopsy, unless it is impractical to notify them or to do so would cause the examination to be unduly delayed. The people entitled to notify the Coroner of their desire to attend include the deceased's relatives and others with an interest in the death, for example, the deceased's regular medical practitioner. Such persons are not entitled personally to be present, but are entitled to be represented at the examination by a doctor of their choice, but they have to pay any fee the doctor may charge. The Chief Officer of Police may notify a Coroner of his wish to be represented at a post-mortem examination and is then entitled to be represented by a Police Officer.
Is there an alternative to an autopsy?
England and Wales has one of the highest autopsy rates in the world. Many people dislike autopsies for religious, cultural and other reasons. Alternative methods of examination of bodies after death, such as Magnetic Resonance Imaging (MRI) and computed tomography (CT) scans, are undergoing research but have not yet been confirmed scientifically as acceptable alternatives to conventional autopsy in establishing medical causes of death. If diagnostic imaging techniques are scientifically validated, they are likely only to be available to those who are prepared to pay privately. Imaging techniques may prove to be a valuable adjunct to conventional autopsy even if they will not replace conventional autopsy. Coroners’ will, where possible, take account of religious and cultural needs. However, if a medical practitioner cannot provide a medical certificate of cause of death, the law is such that the Coroner may have little or no alternative but to arrange an autopsy.
When is there a duty to hold an inquest?
The duty is set out in the Coroners Act 1988 (as amended). Where a Coroner is informed that the body of a person is lying within his Jurisdiction and there is reasonable cause to suspect that the deceased: - has died a violent or unnatural death; or - has died a sudden death of which the cause is unknown; or - has died in prison (or certain other places or circumstances) then, whether the cause of death arose within his Jurisdiction or not, the Coroner shall, as soon as practicable, hold an inquest into the death of the deceased.
What is an inquest?
An inquest is a fact-finding inquiry to establish who has died, how, when and where the death occurred. It is not a trial - no one is on trial in a Coroner's Court. Unlike other Courts, whether civil or criminal, there is no prosecution or defence. The Coroner's jurisdiction is inquisitorial rather than adversarial or accusatorial. The Coroner and others who are "properly interested persons" simply seek the answers to the above questions. An inquest is usually opened soon after a death to record that a death has occurred, to identify the deceased, and to enable the Coroner to issue the authority for the burial or cremation to take place without unnecessary delay. It will then be adjourned until other investigations and inquiries instigated by the Coroner have been completed. It usually takes between 3 and 9 months to conclude this work, but some cases can take longer than this if the inquiries prove to be complicated. Once all the investigations are complete, the inquest will be resumed and concluded.
What happens if somebody has been charged with causing the death?
Where a person has been sent for trial for causing a death, for example by murder, manslaughter, infanticide or certain types of road traffic deaths, the inquest is adjourned until the criminal trial is over. On adjourning an inquest, the Coroner sends the Registrar a certificate stating the particulars that are needed to register the death and for a death certificate to be issued. When the trial is over and the Coroner informed of the outcome, he/she will decide whether or not to resume the inquest. There may be no need if all the facts surrounding the death have emerged at the trial and,, in such cases the Coroner will send another certificate to the Registrar of Deaths, confirming the outcome of the Crown Court trial. If the inquest is resumed the finding of the inquest as to the cause of death cannot be inconsistent with the outcome of the criminal trial.
What is the role of a coroner's officer?
Coroners' Officers come from a variety of professional backgrounds. They work under the direction of the Coroner and liaise with bereaved families, pathologists, the police, doctors, witnesses, funeral directors and many others. They receive reports of deaths and make inquiries at the direction, and on behalf, of a Coroner.
Attendance at an inquest
When a Coroner's investigations into a death are complete, a date for a full inquest will be set. The 'properly interested persons' (see below) will be informed of the date by the Coroner's Officer and witnesses will be asked to attend to provide evidence. If they are unwilling to attend voluntarily they may be summoned. The inquest is held in the public interest and not on behalf of any individual. It is not always necessary for the bereaved relatives to attend the inquest and some prefer not to, as the details of the death may need to be dealt with in graphic terms. If you do attend the inquest a supporter, for example a friend, can accompany you. In many Coroners' Courts, volunteers from the Coroners Courts Support Service, (a registered charity) may be there to offer support.
Evidence at inquest - oaths and affirmations; documentary evidence
At inquests, evidence has to be 'sworn' and therefore, the witness will be asked either to swear an oath on his or her relevant religious book or to affirm. The Coroner's Officer will ask the witness his or her preference. Some evidence at an inquest may be admitted in documentary form. This happens if the evidence is undisputed and no properly interested person wishes to question or challenge it. If the evidence is admitted in this way, the witness need not personally attend Court.
Will there be a jury at the inquest?
Most (about 99%) of inquests are held without a Jury but there are particular circumstances when a Jury must be called, including: - if the death occurred in prison or resulted from an injury caused by a police officer in the purported execution of his duty; or if the death resulted from an accident at work. In every Jury inquest, the Coroner decides matters of law and procedure and the Jury decides the facts of the case and reaches a verdict. The Jury cannot blame someone for the death. If there is any blame, this can only be established by other legal proceedings in civil or criminal courts. However, the Jury can record facts that make it clear that the death was caused by a specific failure of some sort or by neglect.
Who decides which witnesses to call?
The Coroner decides who should be called to give evidence as a witness, and the order in which they give evidence, but the Coroner will listen to representations made to him by "properly interested persons" as to who should be called. Anyone who believes they may be of help or believes a particular witness should be called should inform the Coroner. The test is whether the witness is likely to provide evidence that is relevant to the matters that the Coroner has to investigate. The Coroner will decide whether the evidence is relevant to the investigation of the death.
Must a witness attend court? Witness summonses and contempt of court
If a witness lives in England and Wales and has evidence that the Coroner regards as relevant and important to help in establishing the facts of the death, he/she can be required to attend Court. A witness will usually be asked to attend the inquest voluntarily, but if they do not agree and their evidence is crucial, the Coroner may issue a witness summons to compel their attendance. If the witness then does not attend he/she may be arrested, brought before the Coroner and charged with contempt of Court. This is an offence that is punishable with a fine or a term of imprisonment. If a witness lives abroad they can be invited, but cannot be compelled to attend or to give evidence.
English is not my first language and I am concerned I will not understand the proceedings, will there be an interpreter?
If you are a witness or the next of kin please speak to the Coroner’s Officer before the Inquest date and they may be able to organise an interpreter for you.
Who can ask witnesses questions?
Witnesses will be first questioned by the Coroner and then by any properly interested person or their legal representative. Whether a question is relevant to the purpose of the inquest is something the Coroner decides. Where relevant, the Coroner will warn a witness that he or she is not obliged to answer any question which might incriminate him/herself.
Who is a properly interested person?
The categories of properly interested persons are set out in the Coroners Rules 1984 (as amended). They include: - a parent, spouse, child, civil partner or partner and any personal representative of the deceased; - any beneficiary of a life insurance policy on the deceased; - any insurer having issued such a policy; - a representative from a Trade Union to whom the deceased belonged at the time of death (if the death arose in connection with the person's employment or was due to industrial disease); - anyone whose action or failure to act may, in the Coroner's view, have contributed to the death;- the Chief Officer of Police (who may only ask witnesses questions through a lawyer);- any person appointed as an inspector or a representative of an enforcing authority or a person appointed by a Government Department to attend the inquest; or - anyone else who the Coroner may decide also has a proper interest. The Coroner decides who will be given properly interested person status.
I know as a properly interested person I can ask questions but can someone ask them on my behalf?
Please speak to the Coroner’s Officer about this before the date of the Inquest as it is the decision of the Coroner.
Rights of properly interested persons, including bereaved people
Properly interested persons involved in an inquest have certain rights; for example: - to be told the date, time and place of the inquest if one is needed; and- to question witnesses at the inquest, either in person or by a legally qualified representative. Bereaved people may also: - ask the Coroner, via the funeral director, for reasonable access to see the body before it is released for the funeral; - ask the Coroner for a copy of the post-mortem examination report (for which a fee may be payable), or to arrange for it to be seen free of charge; and- ask the Coroner about a separate post-mortem examination. The costs of this examination, including any fee of the registered medical practitioner and mortuary charges, would have to be self-funded.
All the details that are completed on the Inquisition by the Coroner (or by the Jury) at the end of the inquest are "the verdict". However, the short-form conclusion reached by the Coroner (or Jury) is commonly referred to as 'the verdict'. Commonly-used short form conclusions include: - natural cause(s) - accident or misadventure; - he/she killed him/herself (i.e. suicide); - unlawful killing; - lawful killing; - industrial (or occupational) disease or - open verdict (where there is insufficient evidence for any other verdict). The Coroner is not obliged to make use of a short form conclusion. He/she may use a variant or the Coroner may give a "narrative verdict" which sets out the facts surrounding the death in narrative form.
What if future deaths may be prevented?
Sometimes the evidence at an inquest will show that something could be done to prevent similar fatalities. If so, at the end of the inquest the Coroner may announce that he/she will draw this to the attention of any person or organisation that may have the power to take action. This is something referred to as a "Rule 43 Report" - as the power to make such a report is found in Rule 43 of the Coroners Rules 1984. This Rule was significantly changed in 2008. Now anyone who receives such a report must send the Coroner a written response. These reports and the responses to them, are copied to all interested persons and to the Lord Chancellor. A summary of the reports is published twice a year by the Ministry of Justice.
What can you do if you are dissatisfied with the outcome of an inquest?
There are two methods by which a Coroner's decision can be challenged but the grounds for doing so are complex and advice should be sought from a lawyer with expertise in this area of the law. One method is an application to the High Court for judicial review of a decision, but this must normally be done within three months of completion of the inquest. There is also a separate power under Section 13 of the Coroners Act 1988 by which the Attorney-General may initiate an application to the High Court for an inquest to be held if a Coroner has neglected or refused to hold one, or for another inquest to be held on the grounds that it is necessary or desirable (e.g. because new evidence has come to light). Once a Coroner has reached a conclusion at the end of an inquest, he is functus officio - i.e. he ceases to have any further jurisdiction in the case and so cannot re-open it or re-hear it or amend his conclusions. Anyone wishing to challenge the conclusion must do so by one or other of the above methods.
Is it possible to obtain a record of the inquest?
Once an inquest has been completed, a properly interested person may apply to inspect (without charge) the notes of evidence or any document put in evidence at the inquest, or a copy of any post-mortem examination report. Copies may be obtained following payment of a fee to the Coroner. The notes may be in the form of a transcript from a voice recording or the Coroner's own notes. The Coroner's manuscript notes may not be a full verbatim record.
Will the inquest be reported by the press and media?
Inquests must be held in public in accordance with the principle of open justice, so members of the public and journalists have the right to, and indeed may, attend the inquest and press reports may appear. The only exception is that parts of a very small number of inquests may be held in private for national security reasons. Whether journalists attend a particular inquest and whether they report on it is a matter for them. The Coroner cannot forbid them from attending Court. Press and media reports that are fair and accurate are unlikely to be actionable for defamation. Those working on newspapers or magazines must abide by the Editor's Code of Practice, upheld by the Press Complaints Commission, which sets out the guidance for print journalists in the UK. The Code, a copy of which is posted on the notice board outside the Coroner's Court and which can be seen at www.pcc.org.uk has requirements on accuracy, privacy and discrimination. It also has specific rules in cases involving grief and shock. For instance, publication in such circumstances must be handled sensitively and, when reporting suicide, care should be taken to avoid excessive detail about the method used. The Press Complaints Commission (PCC) mostly deals with complaints about published material. However, it can also help to prevent physical harassment by journalists and will sometimes be able to assist with problems related to material that has not yet appeared in print. Its staff are always happy to discuss matters informally; the PCC can be contacted on: 020 7831 0022 or 0845 600 2757. It also operates an out-of-hours number for emergencies only (07659 152656). The content of suicide notes and personal letters will not usually be read out at the inquest, unless the Coroner decides it is important to do so. If they are read out, their contents may be reported. Although every attempt is made to avoid any upset to people's private lives, sometimes it is unavoidable. Photographs taken of the deceased and of the scene of death may also form part of the evidence presented in Court, but the Coroner will always try to handle such material with sensitivity.
Is Legal Aid available?
Legal Aid is not generally available for representation at inquests because an inquest is a fact-finding process. Unlike other proceedings for which Legal Aid might be available, there are no parties in inquests, only properly interested persons. Witnesses are not expected to present legal arguments. The Coroner must ensure that the process is fair, impartial and thorough, and he or she should ensure that the relevant questions of properly interested persons are answered. Legal Aid may be available to cover representation at the inquest in exceptional cases. Applicants must qualify financially and meet strict criteria for representation to be funded. These criteria are that: - there is a significant wider public interest in the applicant being represented at the inquest; or - the circumstances of the death appear to be such that funded representation is likely to be necessary to enable the Coroner to investigate the case effectively and establish the facts, providing that the applicant was a member of the deceased's immediate family (as required by Article 2 of the European Convention on Human Rights). Legal advice - via the Legal Help scheme - may be available to those who qualify financially. Further information is available from the Legal Service Commission on: 0845 345 4345 or online at:www.legalservices.gov.uk
What about other legal proceedings?
Civil proceedings will normally follow (rather than precede) the inquest. When all the facts about the cause of death are known, it is possible that civil proceedings may be brought and a claim for damages made. A lawyer's advice should be sought about the time limits and procedures that apply. Inquest evidence cannot be used directly in other proceedings. Where criminal proceedings are to take place, they will sometimes take place before the inquest and sometimes after it - it depends on the type of case. The Coroner and his Officers will be pleased to advise on the matter.
Archive requests; finding out about long-dead relatives
There is much interest in tracing what happened to relatives but, by law, Coroners' files only have to be kept for 15 years. After this time only a 10% sample of files is kept. An archive search can be arranged at the discretion of the Coroner, and incurs a fee whether or not the search is successful. Local newspapers can be a source of information. The local archivist may be able to assist in tracing old news reports. Unless the death took place more than 75 years previously, the record may not be suitable for release, which is always at the discretion of the Coroner and would only be considered for those who could claim a proper interest. The boundaries of Coroners' Jurisdictions have altered over recent decades, making for problems in establishing the probable venue where any extant records are held.
Treasure is now governed by the Treasure Act 1996. All finders of gold and silver objects and groups of coins from the same finds over 300 years old, have a legal obligation to report such items. Now prehistoric base-metal assemblages found after 1st January 2003 also qualify as Treasure. Advice on reporting a find may be found on:http://www.finds.org.uk/treasure and a form downloaded from http://www.finds.org.uk/documents/treasurefinders.pdf The Coroner then has a duty to inquire and to determine whether or not the find is indeed treasure. No further advice on treasure will be found on this website, but anyone who requires more information should contact the relevant Coroner's Office or his/her local museum or the British Museum.
More information, including details of the 'Coroner's Charter', can be found elsewhere on this website or from the Coroner's Officers. Please see the LINKS tab on this website; clicking on the links should take you to other sources of information. A further source of general information is the pre-recorded Metropolitan Police Bereavement Information Line on: 0800 032 9996. This is available to listen to 24 hours a day. Jobcentre Plus publish a booklet “What to do after a death in England and Wales, (DWP 1027)” which covers legal and benefits procedures. Registrars of Births and Deaths will give a copy to people who register a death and Coroners may make copies available to bereaved families. The booklet can be viewed online at: www.dwp.gov.uk/publications/catalogue-of-information/all-products. Further information about Coroners, death registration and related matters are available online at www.direct.gov.uk