However, I will highlight a couple of cases to see whether lessons can be drawn from them whether we can find ways forward. What does she think she might need to do to ensure that we do not have this kind of delay in taking action should such a situation arise again in future? I understand that the staff member may have left, but the case could have been passed on for inquest in June 2014. It is surprising to families when they discover that it is difficult to know where to complain. Gareth Powell is Managing Director of Surface Transport at Transport for London.. On 25th July 2018 (nearly two years ago) he wrote a letter to the Assistant Coroner of the Inner West London Coroner's Court, to explain what Transport for London was going to do to prevent a repeat of the avoidable killing of Lucia Ciccioli on Lavander Hill in October 2016. Inquests Experience in the full range of inquests, including those involving unrepresented Interested Persons through to inquests involving multiple legally represented Interested Persons and jury inquests. It is a pleasure to serve under your chairmanship, Sir Roger. I know the Minister will care deeply about this and will want to respond and put this matter right as quickly as she possibly can. I am grateful for the comment that the hon. It was not a controversial death, so there was no cause to contest anything, but for those who do have problems, we need to make the experience better. I will chop my speech because we have limited time. Since the Mental Capacity Act 2005 came into force, the definition of whether someone is detained or deprived of their liberty has been tested in the courts on numerous times. The next morning, Félicité was still breathing, but by the time her friend woke up in . I hear from the hon. It is the oldest Court in the country. Dr Fiona Jane Wilcox. In my borough, Kingston upon Thames, the target for registering a death is five days from the date of death, or seven days in a case where a post mortem is required. The responsibility for sorting out this shambles lays squarely with the senior coroner for west London. The Inner West London Coroner's Court also stated that Félicité had traces of Xanax and OxyContin in her system at the time of death. Section 1 of the Coroners and Justice Act 2009 requires that a coroner holds an inquest in certain defined circumstances such as a death in state detention, or a violent or unnatural death. I hope that the Minister can respond with a plan of action for us and our constituents. Finally on the delays at West London coroner’s court, it would be easy to blame the situation on cuts, but they are not to blame. List of names and contact details of regional coroners. Wills. It is clear that something must be done to improve the terrible standards of service in that coroner’s court. However, in west London and in inner south London, the average time taken to process an inquest is 50 to 53 weeks. Theresa from east Acton was administering funeral arrangements for a 97-year-old deceased friend who had no relatives. The post mortem was carried out on 30 April. The court also heard that brother . Two years ago tomorrow, my father died unexpectedly. Mr D Horsley. Limerick singer and Cranberries front woman Dolores O'Riordan has died suddenly in London at the age of 46. I declare an interest, because I chaired the panel that appointed the previous coroner, Alice Thompson, some 15 years ago—I was then the leader of Hammersmith and Fulham Council. Found inside â Page 224Court , Tennis St. , London , SEI TYD . Western .-- Dr . J. D. K. Burton , Hammersmith Coroner's Greenwich , Lambeth , Lewisham and Southwark . Court , 77 Fulham Palace Rd . , London , W6 8JA . Inner West London . As I said earlier, bereaved people must be at the heart of the coroner service, and that was the key aim of the reforms in the Coroners and Justice Act 2009. Description. A constituent of mine, Roniel Mulchan, died on 28 November last year. It is currently investigating the conduct of the West London senior coroner, including the case that the hon. (Citation: HC Deb, 16 December 2015, c596WH), (Citation: HC Deb, 16 December 2015, c597WH), (Citation: HC Deb, 16 December 2015, c598WH), (Citation: HC Deb, 16 December 2015, c599WH), (Citation: HC Deb, 16 December 2015, c600WH), (Citation: HC Deb, 16 December 2015, c601WH), (Citation: HC Deb, 16 December 2015, c602WH), (Citation: HC Deb, 16 December 2015, c603WH), (Citation: HC Deb, 16 December 2015, c604WH), (Citation: HC Deb, 16 December 2015, c605WH), (Citation: HC Deb, 16 December 2015, c606WH), (Citation: HC Deb, 16 December 2015, c607WH), (Citation: HC Deb, 16 December 2015, c608WH), (Citation: HC Deb, 16 December 2015, c609WH), (Citation: HC Deb, 16 December 2015, c610WH), All Westminster Hall debates on 16 Dec 2015, 4:39 pm, I cannot think of anything more distressing for someone having lost someone dear to them than having to deal with such poor administration as some constituents have had to endure. An "extremely kind, thoughtful and talented" former teacher who suffered from a severe eating disorder took her own life while awaiting clinical decisions regarding her psychiatric care, an . The fact that she says that certainly adds weight to the point, and I am even more concerned given that she makes those comments. The Coroner's Office must be available at all times to address matters relating to an investigation which must be dealt with immediately and cannot wait until the next working day. She was submerged face up in the bath, wearing a long-sleeved vest . I will be brief, not least because this matter, although it is not sub judice, is potentially subject to an investigation by the Judicial Conduct Investigations Office, which is the appropriate body to deal with it. I am grateful to the hon. Address: 33 Tachbrook Street Pimlico LONDON SW1V 2JR: Telephone: 020 7641 1212 : Email: hdavies@westminster.gov.uk: Contact: Coroner's Officer: Mailing Address: 33 Tachbrook Street SW1V 2JR These include bereaved families not being able to access death certificates in a timely manner; delays in holding inquests, which is particularly stressful for bereaved families when they are already going through a very upsetting time; and not having staff at the end of the phone to deal with queries and concerns when they are needed. What my hon. An inquest this month at the Inner West London coroners court heard that a number of offices and departments at the university were aware that Ulvestad was struggling academically and suffering from mental health issues but there was no "holistic" response. I am not impressed by the fact that, at different times, the local authority, administrative staff, the coroner’s officer, the Metropolitan police and even the previous coroner have been passed the buck. Found inside â Page 10042 Jamieson [1994] 3 All ER 972, 990: [1995] QB 1, 25. 43 See R (Scott) v Inner West London Coroner (2001) 165 JP 417, where the Court ruled that the jury were entitled to take a common sense approach to the expression ... It would help, but by no means resolve, the problems at the West London coroner’s court, to which I return in closing. His daughter died on 17 April 2013. The Westminster coroner is not here to defend himself, so I will cite the case of James Rodriguez that I mentioned earlier. Court case listing for London Inner South Coroner's Court Found inside â Page 277. R(T) v. HM Senior Coroner for West Yorkshire [2017] England and Wales Court of Appeal (EWCA)Civ 318. 8. R v. Inner N. London Coroner ex p Touche [2001] EWCA Civ 383. 9. www.hta.gov.uk./ (accessed 4 October 2018). Coroner services can and do go wrong from time to time, but they are an essential and ancient part of our judicial system. There were unexplained delays, no updates, and a telephone service that was never answered and turned out not to be manned at all. Before I call Mr Berry to move the next motion, I want to make it plain that it is neither my intention nor my desire to curtail debate. The safeguards frequently occur in care homes or in long-term hospital care, even when someone quite plainly dies of natural causes. Kensington and Chelsea which is part of the Inner West London Corner's Court is set to have a new coroner, Dr Fiona Wilcox, who will take up her post on Friday 1 April.. Dr Wilcox, who is qualified as both a doctor and barrister, has been an inner city GP for twenty-one years and has practiced as a barrister in criminal law, professional negligence and personal injury. The figure of 53 weeks is the worst in the country. He was found unresponsive by members of the public in London's Green Park at 10.30am on 9 July 2019. Inquest touching on the death of EB - inquest following failed treatment of a cerebral aneurysm causing a sub-arachnoid haemorrhage. He made it clear that although the council has had to make cuts to various areas, the coroner service has been protected from those cuts. I will not speak for too much longer, because I want to give the Minister as much time as possible to explain what she intends to do to put that right. Karon Monaghan QC, assistant coroner for Inner West London Coroner's Court, said that there had been "very few" experienced staff on the day of Ms Whyatt's death, with some staff being new or only having a few days of experience. In order to make arrangements for the funeral, the family rang the coroner’s office to establish timings for the release of his body. One Direction member Louis Tomlinson's sister Felicite passed away in March at age 18, and her cause of death has now been revealed by the coroner. It was harrowing enough reading but the mistakes made me feel that my mum was just another body.”. This coroner has said in his communications to me: “The Coroners Court is a court of law. Ronke Phillips from “ITV News London” has done a lot of work exposing the problems at West London coroner’s court. One is the most basic administrative errors. Found inside â Page 29In Scotland, the Procurator Fiscal and the sheriff courts investigate suspicious deaths under the Fatal Accidents and ... Lord Justice Scott Baker was appointed as Assistant Deputy Coroner for Inner West London for the purposes of the ... Found inside â Page 210UK,136 the European Court of Human Rights dismissed as ill founded the allegation of bias from a deputy judge who had used a particular firm of ... Inner West London Coroner exparte Dallaglio [1994] 4 All ER 139; R (Butler) v. However, in west London and in inner south London, the average time taken to process an inquest is 50 to 53 weeks. We are absolutely united here. The debate is more in sorrow than in anger. The complaints include: long delays in issuing death certificates; inordinate delays in bringing on inquests; a telephone service that is never answered when relatives call for advice; crass errors on death certificates, such as getting the age or sex of the deceased wrong; and general rudeness to boot. A report by the police watchdog will be released at the inquest's close. 16th December 2015, 4:40 pm, As my hon. We still haven’t been getting full responses to emails and it’s only been 4 1/2 months since my father died, so I expect they won’t have the inquest in the next year, let alone get a full death certificate. In a small number of cases, they want answers or an inquest is required by law, but in all cases, they want to have the system explained to them, and to be kept informed of the reason for and the length of any delays. – in Westminster Hall at 4:39 pm on 16th December 2015. 020 7641 1212. Gentleman—I place no blame whatever at his step—said that the West London senior coroner, who has been referred to obliquely today, telephoned my constituent, as he says, “on or around 1 April”— he cannot be sure—. We have sent hard copies of the guide and the leaflet to every coroner’s office in England and Wales so that they can be given to every bereaved person or family. The court listings are updated regulary. The right hon. Friend on securing this debate and on what he is saying. Found inside â Page 364For example, in 2007 Scott Baker LJ was appointed as Assistant Deputy Coroner for Inner West London for the purposes of hearing the inquests into the deaths in 1997 of Diana, Princess of Wales and Emad El-Din Mohamed Abdel Moneim Fayed ... I do not know what happened there, but perhaps such a wide geographical area is unmanageable for one coroner. I absolutely agree with everything he said. Along with him were representatives from the local authority, which provides the funding and infrastructure for the local coroner service, and also representatives from the Metropolitan police, which provide the coroners officers, who are the front-line staff who deal with bereaved people. In October, ITV London brought a number of families affected by services at West London coroner’s court to Parliament to speak to their MPs, a number of whom are here today. Simon Hughes, and received a response from Chris Grayling in April 2015. Found inside â Page 21Rv Cardiff Coroner ( 1970 ) 1 WLR 1475 . 17. R v Inner West London Coroner , ex parte De Luca [ 1988 ] 3 All ER 414 . 18. Jervis on the Office and Duties of Coroners , 9th ed ( 1957 ) at p 181 . 19. Rv Portsmouth Coroner , ex parte ... While the review was ongoing, we also worked with London local authorities and the Metropolitan and City of London police to develop a pan-London out-of-hours service. He highlights some of the issues very well. I want to put something seriously on the record, bearing in mind what my hon. Found inside â Page 579patronage of William ( later Sir William ) Bentley Purchase , so he attended the coroner's court at St Pancras from 1952 to 1956 , eventually achieving appointment at Westminster ( Inner West London district ) in 1956 , a post he ... Gentleman for bringing that to my attention. All those matters are of concern to many people. Leaving an important case file containing sensitive information on a train is not good practice; I believe that case has now been transferred to Westminster coroner’s court. How on earth can we say to our constituents, “Trust the system, trust the coroner’s office”, when we have this constant, almost ceaseless, list or catalogue of incompetence? Found inside â Page 13Coroners - a few points By Gavin Thurston H.M. Coroner , Inner West London The Coroner's Court is frequently criticized in the popular press . Here the Honorary Secretary of the Coroners ' Society presents a balanced view of their ... Found inside â Page 28For ex- about both by perhaps contacting to be tape - recorded or profession- IR ( Scott ) v HM Coroner for Inner ample , the coroner may be more the coroner's office . It may be ally transcribed . In the author's West London ( 2001 ) ... The coroner’s court deals with people at a time of great stress and in extremis. As Members have said, it will be at a moment when people are raw, grieving and going through a healing process, so heavy-handedness is not what is needed. It was a devastating experience for my family, as death is for every family, but the seamless service from the local council and the coroner made the whole experience just that bit more bearable. It was only when my staff got involved that the case was looked at again. The third point I would like to make is on the matter of national application—the requirement to hold an inquest when someone dies while subject to deprivation of liberty safeguards. Member for Ealing North has raised about his own experiences with the telephone service. It is unfortunate that Boris Johnson has had to leave, because I would have been interested to hear an intervention from him. Friend’s flow, but I do not want to take up the House’s time by making a speech. I do not intend to go into the technicalities of the Coroners and Justice Act 2009, but it is a matter of interpretation as to whether the local council or the police are responsible for providing administrative staff. Please call 0300 111 2141 or e-mail helpline@ccss.org.uk. Court case listing for London Inner South Coroner's Court To stand a chance of getting a reply we call at 7am and they answer around 3pm! I simply observe that in diverse communities, such as those served by the West London coroner’s court and by MPs here, a reliable out-of-hours process for death certificates that are required over the weekend would seem to be the most sensible way forward. That is something the Minister will care deeply about and will want to put right. James Berry referred to the ITV News investigation. In the end, the buck does have to stop with the West London coroner. Her inquest was told a number of university departments had known she was struggling with mental health issues and her work but had not warned her family. My officials, together with their counterparts from the Department of Health, are looking at how we can remove the burden while maintaining the protections put in place for those who truly are in state custody. With that inquest being brought forward quickly, it will have meant someone else waiting longer. 16th December 2015, 5:21 pm, Work T: 023 92 688 328/9. London Inner West coroner Dr. Shirley Radcliffe found O'Riordan's death to have been an accident, caused by alcohol intoxication and drowning. It takes almost double the national average time to process inquests. I completely understand that it is not helpful to bring up individuals and hang people out to dry, and it is not my intention to do that today. We have no information about the circumstances of my brother’s death. Friend the Member for Kingston and Surbiton has written to the council’s chief executive on this matter as well. That is what I mean by the inability to take criticism—someone who is grieving has been pooh-poohed by the coroner saying that it is media manipulation. Inner West London Coroner's Court heard that Felicite had a history of drug use following the death of her mum Johannah, who passed away from leukaemia in 2016. They were held in a queue for more than 50 minutes without reply and directed to send an email. Two years after this child’s death, the inquest had not taken place, and we were told that there were various reasons for that. With that in mind, I have been speaking to the Minister for Community and Social Care. Member for Kingston and Surbiton on securing this debate and expressing my sympathy to him. It is a pleasure to serve under your chairmanship, Sir Roger, and to see so many colleagues here who have been so vocal on this important issue for their constituents and mine. Friend has just said, before the Minister responds. As my hon. It is extremely distressing for MPs not to be able to improve the situation. Found inside â Page 88PARA R v Inner London North District Coroner , ex p Linnane ( 1989 ) 2 All ER 254 , ( 1989 ) 1 WLR 395 , 133 Sol Jo 389 ... Coroners ' Court , ex p Kendall 153 JP 117 1030 , 1033 , 1038 R ( on the application of S ) v Inner West London ... What the Minister is saying is very interesting, but we are talking about a service that has failed. Acted on behalf of Transport for London. and learned Gentleman also speaks from a position of great authority. She had more than a decade of distinguished service and conducted some of the most difficult and complex inquests. Since I was elected in May, I have received numerous complaints about the standards of service at West London coroner’s court and about the senior coroner there.
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