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 […]

Peter Seaby’s 2nd inquest “I have stood on my own in this”

Siobhan Cator, a former support worker at the Priory Oaks and Woodcroft home, gave evidence to the coroner today at Peter’s second inquest. She was questioned for 1hrs 45minutes by the coroner Jacqueline Lake, Mr Cridland for Peter’s family and Ms Sutton for the Priory Group. She ended her evidence with Ms Sutton asking her […]

Day 5 Gaia Pope Sutherland’s inquest – apathy and apology

When I’m reporting from an inquest I try to just share the testimony that’s given. Which is much easier with live tweeting because you don’t select any, I just splurge as much out there as possible and readers can make their own minds up. For Gaia’s inquest I’ve decided not to live tweet because I […]

Day 4 Gaia Pope Sutherland’s Inquest

This morning was the fourth day of Gaia’s inquest and the morning was taken up with one witness, Professor Matthew Walker, a Professor of Neurology at the National Hospital for Neurology and Neurosurgery in London and at UCL. Most of the questioning came from counsel to the inquest, Sarah Clarke, and the Coroner. Professor Walker […]

Day 3 Gaia Pope Sutherland’s Inquest

This morning the jury at Gaia’s inquest heard from the pathologist, Dr Russell Delaney, who conducted her post mortem and ascertained her cause of death. Dr Delaney has been a Home Office Registered Pathologist since March 2009, and he undertook Gaia’s post mortem on 19 November 2017 at Holly Tree Lodge mortuary in Boscombe, Bournemouth. Senior Coroner Rachael […]

Day 2 Gaia Pope Sutherland’s Inquest

Gaia’s full inquest hearing was opened yesterday with a jury of thirteen sworn in to assist the Senior Coroner for Dorset, Rachael Griffin. The Coroner introduced in broad terms what happened to Gaia, I’m not sure anyone who has followed the pre-inquest review hearings would have necessarily learnt anything knew, but there’s coverage from Steven […]