Fern was a quiet, thoughtful, introverted and unassuming individual who was never happier than when she was curled up with a book. Fern loved reading. She found peace and comfort in character’s lives, walking in their shoes, living in other fantasy universes. Fern was an excellent student and loved literature so much her dream was […]
This is the final post recapping the Prevention of Future Deaths Reports issued following the conclusion of inquests into the deaths of autistic and/or learning disabled people in 2023. Stefan Kluibenschadl was just 15 when he died in April 2022. Assistant Coroner for North East Kent, Catherine Wood, concluded “He died as a consequence of […]
There were 16 PFDs following conclusions of inquests relating to autistic people in 2023, and I’ve reviewed some here and others here. This is the next three deaths, with one further post to follow. Liam Bentley was 25 when he died in June 2022. The Senior Coroner for Mid Kent and Medway, Patricia Harding, who […]
This is the second post of three relating to Prevention of Future Death Reports issued in 2023 relating to the deaths of autistic people, the first can be found here. Jessica Eastland Seares was 19 when she died at Millview Hospital in Hove in May 2022. You can read my reporting of Jessie’s inquest, and […]
This weekend I finished reviewing the 11 Prevention of Future Deaths Reports that I had identified were issued to people with a learning disability in 2023. I did that across four blog posts, the first of which included an introduction to what a PFD Report is and when it is issued. You can read those […]
Previous posts as follows: Post 1: Lugh Baker and David Hemmings Post 2: Owen Garnett, Steven Duquemin and Matthew Dale Post 3: Claire Twinn, Mark McKessy and Shane West This is the final post reviewing 2023 Prevention of Future Death Reports into people with a learning disability (with/without autism). At some stage I will review […]
Continuing with the exploration of Prevention of Future Death reports issued in 2023 for learning disabled and/or autistic people, today I cover three more reports relating to learning disabled people. You can find the first post here and the second here. Claire Twinn Claire was 47 when she died in December 2022. She had Downs […]
This is my second post about Prevention of Future Death reports published in 2023 relating to learning disabled and autistic people. You can read the first one, which includes an explanation of what PFDs are here. In this post I’ll cover the PFDs issued following the deaths of Owen Garnett, Steven Duquemin and Matthew Dale […]
What is a Prevention of Future Deaths report? Coroners have a duty to take action, when they become aware of circumstances during the course of their investigation that they consider creates a risk of deaths occurring. The duty is quite broad and is not restricted to matters revealed in evidence at the inquest. Paragraph 7 […]
HHJ Smith indicated early in today’s hearing that he would make his sentencing remarks available once the case had concluded. I am immensely grateful as it ensures the accuracy in what I report here. I’ll post them here in their entirety without my comment. That may follow at a later date. The only change I […]