Mia’s Inquest Day 2 – Dr O’Connell, The Children’s Trust (again)

We returned to Surrey Coroners Court on Wednesday 31 July for Day 2 of Mia Gauci Lamport’s inquest. Mia’s family and counsel for Bracknell Forest and The Children’s Trust were in court. I was attending remotely, so was not able to see who else was present in court. Dr John O’Connell who had given evidence […]

Mia’s Inquest: Laura Yapichi, Children’s Trust

After reading Emma Dickerson’s statement, the Coroner called Laura Yapici to the stand. She gave an affirmation. The coroner thanked her for attending and checks how to pronounce her name. She asks Ms Yapichi to explain who she is and her involvement with Mia. LY: I was a Child Support Assistant with The Children’s Trust. […]

Mia’s Inquest – Coroner’s opening and post mortem evidence

I’ve been reporting from coroner’s courts for almost a decade now, and it is very rare to see more than a couple of journalists in attendance. Walking into Surrey Coroner’s Court yesterday there were lots of people, including numerous members of the media. However, when I was asked to sign the media list, I was […]

Fern Foster – After the inquest

Three months ago the Senior Coroner for Buckinghamshire, Crispin Butler, concluded the inquest into the death of Fern Foster (almost concluded, at that point he was still to make a ruling on Prevention of Future Death matters**). You can find links to read my introduction to Fern, my coverage of her inquest and the coroner’s […]

Marcus Hanlin

Marcus Hanlin was born in July 1965 and was just 57 when he died in October 2022. When I spoke to his mother, Anna, early last year she told me when Marcus was born she had no idea that she could fight for him. “I had no idea I could fight for him. I said […]

Shane West’s Inquest

Monday and Tuesday this week Assistant Coroner for Swansea, Aled Gruffydd, heard evidence in the inquest touching on the death of Shane West. He concluded the inquest yesterday, and stated his intention to issue a Prevention of Future Death Report to reflect what the court had heard over the past few days. I haven’t had […]

Sally Lewis Inquest: Post mortem

Yesterday afternoon (Day 2), before calling another witness from Dimensions the coroner, Mr David Reid, summarised and read onto the record, the evidence from Sally’s post mortem conducted by Dr Terry Jones, who is a consultant histopathologist. The coroner said that Dr Jones had provided a report concerning his autopsy on Sally carried out on […]

Peter Seaby’s 2nd inquest – April 2018

Peter’s Eating, Drinking and Swallowing Care Plan has been referenced throughout his second inquest (and was also a key feature of his first inquest). There’s a post detailing it’s content, how the Speech and Language Therapist Ms Debbage assessed his swallow, and the staff’s understanding of it here: Peter’s SALT plan ends with clear instructions […]

Peter Seaby’s 2nd inquest – the SALT plan

On Monday we heard from Sally Debbage, the Speech and Language Specialist Lead for Learning Disability Services in Norfolk. She expedited an appointment, visiting Peter at the Oaks and Woodcroft home, within a day of him arriving. She explained that she felt she needed to conduct the swallowing assessment promptly as the “previous directions weren’t […]