Two weeks ago I reported on the conclusion of Nonita’s inquest, you can read that post here. Nonita has stuck with me since. We’re told, repeatedly, to ask for help if you’re struggling with your mental health – Nonita did that. She raised her concerns with pretty much any adult who’d pay attention to her […]
As stated in our pen portrait of our beautiful Meme, we are learning to live with the unimaginable. Mia has left a large size Meme hole in our hearts and lives; we all miss her more and more as each day passes. Mia was the most beautiful little girl and left an imprint on everyone […]
The Assistant Coroner for Surrey, Dr Karen Henderson, came into court shortly after half past nine, and the hearing to sum up the evidence and conclude the inquest into the death of Mia Louise Gauci Lamport lasted an hour. The coroner introduced herself for the benefit of the recording, gave the date and venue and […]
After Dr O’Connell had been released from his oath for a second time, the coroner explained that she had some more Rule 23 evidence, that she wished to read onto the record. This included a number of statements that had been taken by the investigator as part of the Blue Box Associates report. [As a […]
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 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 […]