When I use a word . . . Preventable deaths and public awareness

Preventing future deathsAs I have previously described,1 Rule 43 of the Coroners Rules 1984, titled “Prevention of future fatalities,”2 described the concept of preventing future deaths, whereby a coroner who has conducted an inquest, the findings of which suggest that action should be taken to prevent the recurrence of deaths for reasons similar to those that emerged from the inquest, could decide to write to any person or authority who might have the power to take such action, suggesting that they do so.Rule 43 was amended in 2008, under The Coroners (Amendment) Rules,3 removing the restriction that Rule 43 reports should relate to similar types of death that had given rise to the coroner’s concerns. Then, in 2009, The Coroners and Justice Act,4 at Paragraph 7 in Schedule 5, turned the writing of reports of this kind into a legal duty. If, in the coroner’s opinion, “anything revealed by the…
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