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This virtual conference will focus on the role of the Coroner and preparing and attending Coroner’s Inquests. The conference will also update delegates on the implications of the 2024 Death Certification Reforms and roles, responsibilities and information flows under the new system.
“The coroner’s role is to find out who died and how, when, and where they died…. When a death is reported to a coroner, they:
• decide whether an investigation is needed; and if it is,
• investigate to establish the identity of the person who has died; how, when, and where they died; and any information they need to register the death; and,
• use information discovered during the investigation to help prevent other deaths.”
A Guide to Coroner Services for Bereaved People
“Supporting staff called to give evidence in coroner’s court is another area that can be improved”
Insights from a Just Culture NHS Improvement
“Engagement leads should ensure those affected are aware if there is to be a coroner’s inquest and give them information about what this will entail.”
Engaging and involving patients, families and staff following a patient safety incident NHS England
“A coroner must send a PFD (Prevent Future Deaths) report (also known as a Regulation 28 report) to the trust chief executive if they have heard evidence of a risk of death occurring in the future and believes there is something the trust can do about it.”
NHS Resolution
“These reforms focus on the experience for bereaved people and seek to support improvements to patient safety. Importantly for bereaved people, the introduction of a statutory medical examiner system provides an opportunity for them to raise questions or concerns with a senior doctor not involved in the care of the deceased. The statutory system will also help deter criminal activity, improve practice and ensure appropriate referrals to coroners for further investigation.
These reforms respond to multiple inquiry recommendations over many years and mark a significant change to processes for medical practitioners, registrars and coroners. Under these reforms all deaths will legally become subject to either a medical examiner’s scrutiny or a coroner’s investigation irrespective of whether the deceased is to be buried or cremated, delivering a more equal and comprehensive system of assurance. From today, all of the medical examiner system’s obligations, duties and responsibilities are enshrined in law.”
UK Parliament 9th September 2024
This conference will enable you to:
Understand the role of the Coroner
Reflect on a families experience and understand what families want from a Coroner investigation and inquest
Implications of the 2024 Death Certification Reforms
Learn from complex hospital inquests
Explore changes as a result of the Justice Committee’s Report on the Coroner’s Service
Understand the Coroner’s Investigation, Inquest & Duty to Investigate a Death
Develop your skills in preparing for attending an inquest including witness statements and giving evidence
Learn from the experience of Senior Coroners
Understand how you can improve support for staff who have to attend inquests
Identify key strategies for learning from Deaths and implementing Coroner PFD recommendations at a local level
Ensure you are up to date with the latest practice on which cases need to be referred to the coroner, and the role of the Medical Examiner in decision making
Self assess and reflect on your own practice
Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes
At our last event on this subject 100% of delegates would recommend the event to a colleague
