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Inquests


Inquests – Compassionate Representation in the Coroner’s Court



When a loved one dies in unexpected or unexplained circumstances, an inquest can feel overwhelming. We provide specialist legal representation to ensure families are heard, treated with dignity, and supported throughout the inquest process. 


We understand that inquests are not only about establishing facts, but also about accountability, transparency, and learning to prevent future deaths.



Our Approach



We take a trauma-informed, client-centred approach, recognising the emotional impact of the inquest process. We work collaboratively with families and other interested persons to ensure your perspective is fully represented.


Our approach means we:


  • Advocate for fairness at every stage
  • Challenge discriminatory assumptions and systemic bias
  • Ensure respectful treatment of bereaved families
  • Centre the lived experiences of those affected
  • Promote accountability in public bodies and institutions






Our Inquest Services



We represent families and other interested persons in a wide range of inquests, including:


  • Deaths in custody and detention
  • Healthcare-related deaths, including maternity and mental health services
  • Domestic abuse and violence-related deaths
  • Workplace fatalities
  • Deaths involving police contact
  • Deaths of vulnerable adults and children
  • Multi-agency failures and safeguarding concerns



We can assist with:


  • Early advice following a death and referral to the coroner
  • Applications for legal aid and funding 
  • Engagement with the coroner’s office
  • Drafting written submissions and requests for scope
  • Disclosure review and evidence gathering
  • Identifying and instructing expert witnesses
  • Representation at pre-inquest review hearings
  • Advocacy at the final inquest hearing
  • Submissions on conclusions and Prevention of Future Deaths reports
  • Advice following the inquest, including next steps






Expertise in the Coroner’s Courts



Our solicitors have extensive experience representing interested persons in the Coroner’s Courts across England and Wales. We regularly act in complex and sensitive cases involving multiple public authorities, expert evidence, and Article 2 investigative duties.


We understand:


  • The procedural framework governing inquests
  • The role and powers of coroners
  • The rights of interested persons
  • The importance of Article 2 (right to life) inquests
  • The evidential issues that arise in institutional deaths
  • The strategic use of expert evidence and disclosure



We are skilled in robust advocacy while maintaining a sensitive and respectful approach to bereaved families and witnesses.





Supporting Families Through a Difficult Process



We recognise that many families seek answers, accountability, and meaningful change. We provide clear, accessible advice at every stage, ensuring you understand:


  • What an inquest can and cannot determine
  • The possible outcomes and conclusions
  • Your rights as an interested person
  • How to participate effectively in proceedings



We aim to reduce the burden on families so you can focus on remembrance while we focus on representation. 





Contact Us



If you would like advice about an inquest, please contact our team for an initial discussion. We can advise on funding, next steps, and how we can support you through the process.




Case Study - 1


We represented the family of a vulnerable individual who died by suicide shortly after contact with police officers. The inquest examined whether opportunities to identify risk and take preventative action were missed, and whether the response complied with duties to protect life.


This type of case engages the investigative duty under Article 2 of the European Convention on Human Rights, requiring a thorough examination of whether state authorities knew, or ought to have known, of a real and immediate risk to life and failed to take reasonable steps to prevent it.


Our work included:


  • Obtaining and reviewing custody and incident records
  • Securing body-worn video, call logs, and dispatch communications
  • Identifying relevant police policies on welfare checks and suicide risk
  • Instructing experts in policing practice and mental health risk assessment
  • Making submissions on the scope of the inquest, including Article 2 engagement
  • Questioning officers and supervisory witnesses at the hearing
  • Making submissions on conclusions and potential Prevention of Future Deaths recommendations


Outcome

The inquest examined missed opportunities for intervention and the adequacy of police training and procedures. The coroner made findings about failures to identify and respond to suicide risk, and issued a Prevention of Future Deaths report recommending improvements to risk assessment and inter-agency communication.


How we supported the family

We ensured the family’s concerns about missed warning signs were fully explored, helped them understand complex operational evidence, and put their questions directly to officers. We also advised on the meaning of the conclusion and any further steps following the inquest.


Case Study - 2


S went to Hospital due a suspected perforated Bowel following routine surgery, she was admitted and tragically her condition deteriorated and she died. The Family Instructed London Solicitors as they had concerns as to the conduct of the Hospital and the Surgeon who had performed the repair surgery. We were able to guide them through the process and attended the Pre Inquest Review Hearings as well as the Inquest which lasted 3 days. We assisted with the gathering of information and checked disclosures, instructed experts and prepared questions for the Persons of Interest (witnesses) who appeared before the coroner. 


As a result of the submissions made, the Coroner issued a Prevention from Future  Deaths  report (under Schedule 5 of Coroners and Justice Act 2009). The issues which were identified confirmed the worst fears and suspicions of the family but no doubt will prevent a repeat of matters and will save lives. 

Case Study - 3


Mr P suffered from late Dementia, he had been cared for diligently and lovingly by his wife and family. He was placed in a care home for Respite Care. The Care home offered high dependency services. Sadly Mr P gained access to another residents room and an unlocked door to a balcony, he fell from height and tragically died from his injuries. 


We represented the family at the inquest and were able to establish from the Police investigation, Social Services and the Regulator's (CQC's) intervention report that there had been a systemic failure to provide high dependency care, including a lack of supervision and failure to prevent access to the balcony. A prevention from Future Deaths Report was not required due to the CQC Regulator intervening and took over running of the care home.


Our Team was then able to successfully negotiate significant compensation for the family.