Births, marriages, deaths and nationality The inquest system

Preventing future deaths

The Coroner has a legal power and duty to write a report following an inquest if it appears there is a risk of other deaths occurring in similar circumstances.  This is known as a 'report under regulation 28' or a Preventing Future Deaths report because the power comes from regulation 28 of the Coroners (Inquests) Regulations 2013. 

The report is sent to the people or organisations who are in a position to take action to reduce the risk.  They then must reply within 56 days to say what action they plan to take.

We will send a copy of the Coroner's report and the replies we receive to the family. The report, or a summary or its key findings, will be posted on the Chief Coroner's website.

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