About this deal
https://www.gov.uk/government/publications/chief-coroners-combined-annual-report-2018-to-2019-and-2019-to-2020 ↩ An open conclusion will be given if there is insufficient evidence to determine a cause of death, to record any other suggested conclusion or where there is other evidence but the required standard of proof is not reached. Narrative conclusions are given where a short-form conclusion would not be sufficient or, if there is evidence of very serious failings, a coroner might combine a short-form conclusion with the phrase ‘contributed to by neglect’.
On 24 September 1997, the Treasure Act 1996 came into force and replaced the common law of Treasure Trove in England and Wales. The 1996 Act introduced new requirements for reporting and dealing with finds. Not all finds need be the subject of an inquest. For more information please see: www.legislation.gov.uk/ukpga/1996/24/contents The coroner found that other alternative placements had not been considered and that Children’s Social Care had not been involved in the discharge planning, as they should have been. The expert described the discharge into Jane’s care as abrupt, precarious and inappropriate without considering alternative placements. Under the Coroners and Justice Act 2009 (“the 2009 Act”), each coroner area has one senior coroner, and one or more assistant coroners. A coroner area may also have an area coroner (who may function as a deputy to the senior coroner).Only deaths occurring within England and Wales are included in the calculation. Statistics are not collected on the time taken for inquests where the death occurred outside England and Wales. Deaths occurring abroad are often significantly delayed because of the difficulty, for example, of obtaining reports from other countries. 2.8 Treasure
There were 94,004 deaths reported to coroners where there was neither a post-mortem nor an inquest. This type of case has decreased by 14% in the current year and the number of cases reported is the lowest level since 2000. This continues the decreasing trend seen since 2017. The proportion of all deaths reported where there was neither an inquest nor a post-mortem examination has decreased by five percentage points to 48% in 2021. This proportion has been declining since 2018. The proportion of deaths reported to coroners in England and Wales continues to fall. 2021 recorded the second highest number of registered deaths in England and Wales since 1995 (the highest being in 2020), largely due to the continued impact of Covid-19. However, deaths reported to Coroners, which form only a proportion of all registered deaths, decreased to their lowest level since 1995. Marshall had twice been a sectioned inpatient in a children’s mental health unit, Cove in Heysham, most recently in January 2020, four months before his death. At the time of his death, he was under the care of the local Early Intervention Service. A review of his care was scheduled in March 2020 but was delayed due to the pandemic and not rescheduled. INQUEST has produced two invaluable resources for families and friends going through an inquest, and for those who would like to know more about their rights following a death.
Depth and temperature of River Wyre discussed
In 2015 and 2016, there were significant increases in natural causes conclusions, driven by deaths of individuals subject to DoLS authorisations where the majority (94%) had an inquest conclusion of natural causes. In line with the reduction in the number of inquests opened and inquest conclusions following the removal of the requirement to report DoLS deaths, there was also a corresponding decrease in the number of natural causes conclusions in 2017 and 2018. In 2021, natural causes decreased by 4%. In 2021, a total of 580 deaths which occurred in state detention were reported to coroners [footnote 3], an increase of 18 deaths (3%) on the previous year and representing less than 1% of all deaths reported to coroners. www.gov.uk/government/collections/coroners-and-burials-statistics. The bulletin also includes statistics on investigations regarding finds reported to coroners.