Exercising judicial discretion and the emergence of common sense

I’m going to try and keep this brief, a feat I rarely manage. Two weeks ago I had to travel from Devon to Kent to report on the third pre-inquest review hearing into the death of Sammy Alban-Stanley. I say I had to, I had applied to the court to attend via audio link and […]

Rachel Johnston PFD Hearing

I was in court this morning for the resumption of Rachel Johnston’s inquest. It was part heard as one of the witnesses suffered a bereavement and it was agreed that it would be resumed to hear remaining evidence which spoke to the Coroner’s responsibility to issue a Prevention of Future Deaths report if he had […]

The Life and Death of Matthew Copestick

Last month the inquest into the death of Matthew Copestick concluded, two years to the day that he died, on 8 January 2019. I spoke with Matthew’s mum Helen and had the pleasure of reading the eulogy from his funeral. I wanted to share a little about Matthew with you before getting into his inquest. […]

Rachel Johnston Inquest Determination

This afternoon, Senior Coroner for Worcestershire David Reid found that Rachel Johnston died as a result of complications of necessary surgery, to which neglect contributed. In the summing up of his evidence the Coroner said: Despite all the challenges which Rachel had to face she was a lively and happy woman who loved music, theatre […]

Rachel Johnston Inquest – Day 4

The final evidence was heard in Rachel Johnston’s inquest today. There was a discussion before we heard from the expert witness about how to handle the evidence of the Registered Manager at Pirton Grange, who’s evidence was part heard on Tuesday. She’d described Rachel as ‘a personality that brightened up any room… a joy to […]

Rachel Johnston Inquest – Day 3

At the third day of Rachel Johnston’s inquest we heard evidence from Gill Bennett, a registered nurse who was working at Pirton Grange, Rachel’s care home that she was discharged to following dental surgery to extract all her teeth. We also heard evidence from Dr Monica Nuvoloni, Deputy National Medical Director for Practice Plus Group, […]

Rachel Johnston Inquest – Day 2

We heard evidence today from an agency nurse working at Pirton Grange, on Day 2 of Rachel Johnston’s inquest. On Friday 26 October 2018 Rachel returned to her care home, Pirton Grange, following a full dental clearance (removing 19 teeth or tooth fragments). Around about the time she arrived back, approximately 8pm, registered nurse Sheeba […]

Rachel Johnston Inquest – Day 1

I’m not live tweeting Rachel’s inquest as I didn’t get to speak to her family in advance and don’t have their permission. I do wish to report on what happened in court as I think it’s highly likely it’s of wider relevance and interest to others. Day 1 has just finished and I’ve written over […]