Prevention of future deaths report

Last updated

A prevention of future deaths report, also known as a regulation 28 report or PFD report, is a report made by a coroner in the United Kingdom to relevant authorities to attempt to prevent future deaths from causes uncovered during an inquest. [1] The powers relevant to these reports were created by schedule 5, paragraph 7 of the Coroners and Justice Act 2009 [2] and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. [3] [4]

Contents

The government has commissioned a report about the relevance of PFDs to suicide prevention. [5]

Related Research Articles

Inquests in England and Wales are held into sudden or unexplained deaths and also into the circumstances of and discovery of a certain class of valuable artefacts known as "treasure trove". In England and Wales, inquests are the responsibility of a coroner, who operates under the jurisdiction of the Coroners and Justice Act 2009. In some circumstances where an inquest cannot view or hear all the evidence, it may be suspended and a public inquiry held with the consent of the Home Secretary.

A coroner is a government or judicial official who is empowered to conduct or order an inquest into the manner or cause of death, and to investigate or confirm the identity of an unknown person who has been found dead within the coroner's jurisdiction.

<span class="mw-page-title-main">Constitutional Reform Act 2005</span> Constitutional reform of the UK Judiciary

The Constitutional Reform Act 2005 is an Act of the Parliament of the United Kingdom, relevant to UK constitutional law. It provides for a Supreme Court of the United Kingdom to take over the previous appellate jurisdiction of the Law Lords as well as some powers of the Judicial Committee of the Privy Council, and removed the functions of Speaker of the House of Lords and Head of the Judiciary of England and Wales from the office of Lord Chancellor.

<span class="mw-page-title-main">Scottish Courts and Tribunals Service</span> Independent public body

The Scottish Courts and Tribunals Service (SCTS) is an independent public body which is responsible for the administration of the courts and tribunals of Scotland. The Service is led by a board which is chaired by the Lord President of the Court of Session, and employs over 1000 staff members in the country's 39 sheriff courts, 34 justice of the peace courts, the Court of Session and the High Court of Justiciary, and at the service's headquarters in Edinburgh. The day-to-day administration of the service is the responsibility of its Chief Executive and Executive Directors. The Scottish Courts and Tribunals Service is also responsible for providing administrative services for the Judicial Office for Scotland, the Office of the Public Guardian, the Accountant of Court, the Criminal Courts Rules Council, and the Scottish Civil Justice Council.

<span class="mw-page-title-main">Judiciary of Hong Kong</span> Law courts in the special administrative region of China

The Judiciary of the Hong Kong Special Administrative Region is the judicial branch of the Hong Kong Special Administrative Region. Under the Basic Law of Hong Kong, it exercises the judicial power of the Region and is independent of the executive and legislative branches of the Government. The courts in Hong Kong hear and adjudicate all prosecutions and civil disputes, including all public and private law matters.

<span class="mw-page-title-main">Fatal accident inquiry</span> United Kingdom legislation

A fatal accident inquiry is a Scottish judicial process which investigates and determines the circumstances of some deaths occurring in Scotland. Until 2009, they did not apply to any deaths occurring in other jurisdictions, when the Coroners and Justice Act 2009 extended the Fatal Accidents and Sudden Deaths Inquiry (Scotland) Act 1976 to service personnel at the discretion of the Chief Coroner or the Secretary of State. The equivalent process in England and Wales is an inquest. A major review of the fatal accident inquiries was undertaken by Lord Cullen of Whitekirk, at the request of the Scottish Government, which resulted in the passing of the Inquiries into Fatal Accidents and Sudden Deaths etc. (Scotland) Act 2016.

<span class="mw-page-title-main">Judiciary of England and Wales</span>

There are various levels of judiciary in England and Wales—different types of courts have different styles of judges. They also form a strict hierarchy of importance, in line with the order of the courts in which they sit, so that judges of the Court of Appeal of England and Wales are given more weight than district judges sitting in county courts and magistrates' courts. On 1 April 2020 there were 3,174 judges in post in England and Wales. Some judges with United Kingdom-wide jurisdiction also sit in England and Wales, particularly Justices of the United Kingdom Supreme Court and members of the tribunals judiciary.

The law of Northern Ireland is the legal system of statute and common law operating in Northern Ireland since the partition of Ireland established Northern Ireland as a distinct jurisdiction in 1921. Prior to 1921, Northern Ireland was part of the same legal system as the rest of Ireland.

In English law, unlawful killing is a verdict that can be returned by an inquest in England and Wales when someone has been killed by one or more unknown persons. The verdict means that the killing was done without lawful excuse and in breach of criminal law. This includes murder, manslaughter, infanticide and causing death by dangerous driving. A verdict of unlawful killing generally leads to a police investigation, with the aim of gathering sufficient evidence to identify, charge and prosecute those responsible.

<span class="mw-page-title-main">Coroners Court of Queensland</span>

The Coroners Court of Queensland is a court in the court hierarchy of Queensland, Australia. The Court has exclusive jurisdiction in Queensland over the remains of a person and to make findings about the cause of death of a person.

<span class="mw-page-title-main">Ministry of Justice (United Kingdom)</span> Ministerial department of the UK Government

The Ministry of Justice (MoJ) is a ministerial department of His Majesty's Government, headed by the Secretary of State for Justice and Lord Chancellor. Its stated priorities are to reduce re-offending and protect the public, to provide access to justice, to increase confidence in the justice system, and to uphold people's civil liberties. The Secretary of State is the minister responsible to Parliament for the judiciary, the court system, prisons, and probation in England and Wales, with some additional UK-wide responsibilities, e.g., the UK Supreme Court and judicial appointments by the Crown. The department is also responsible for areas of constitutional policy not transferred in 2010 to the Deputy Prime Minister, human rights law, and information rights law across the UK.

An inquest is a judicial inquiry in common law jurisdictions, particularly one held to determine the cause of a person's death. Conducted by a judge, jury, or government official, an inquest may or may not require an autopsy carried out by a coroner or medical examiner. Generally, inquests are conducted only when deaths are sudden or unexplained. An inquest may be called at the behest of a coroner, judge, prosecutor, or, in some jurisdictions, upon a formal request from the public. A coroner's jury may be convened to assist in this type of proceeding. Inquest can also mean such a jury and the result of such an investigation. In general usage, inquest is also used to mean any investigation or inquiry.

<span class="mw-page-title-main">Coroners and Justice Act 2009</span> United Kingdom legislation

The Coroners and Justice Act 2009 is an Act of the Parliament of the United Kingdom. It changed the law on coroners and criminal justice in England and Wales.

In many legal jurisdictions, the manner of death is a determination, typically made by the coroner, medical examiner, police, or similar officials, and recorded as a vital statistic. Within the United States and the United Kingdom, a distinction is made between the cause of death, which is a specific disease or injury, versus manner of death, which is primarily a legal determination versus the mechanism of death which does not explain why the person died or the underlying cause of death and can include cardiac arrest or exsanguination. Different categories are used in different jurisdictions, but manner of death determinations include everything from very broad categories like "natural" and "homicide" to specific manners like "traffic accident" or "gunshot wound". In some cases an autopsy is performed, either due to general legal requirements, because the medical cause of death is uncertain, upon the request of family members or guardians, or because the circumstances of death were suspicious.

<span class="mw-page-title-main">Suicide in the United Kingdom</span> Statistics and causes of suicide in the UK (England and Wales figures only)

Suicide is a significant national social issue in the United Kingdom. In 2019 there were 5,691 registered deaths by suicide in England and Wales, equating to an average of 18 suicides per day. Suicide is the single biggest killer of men under the age of 45 in the country.

Inquest Charitable Trust is a charity concerned with state related deaths in England and Wales. It was founded in 1981. Inquest provides support on state-related deaths, including deaths in custody and their investigation, to bereaved people, lawyers, advice and support agencies, the media and parliamentarians. Their policy, parliamentary, campaigning and media work is grounded in the day-to-day experience of working with bereaved people.

<span class="mw-page-title-main">Scottish Sentencing Council</span>

The Scottish Sentencing Council is an advisory non-departmental public body in Scotland that produces sentencing guidelines for use in the High Court of Justiciary, sheriff courts and justice of the peace courts. Judges, sheriffs, and justices of the peace must use the guidelines to inform the sentence they pronounce against a convict, and they must give reasons for not following the guidelines.

<span class="mw-page-title-main">Death of Awaab Ishak</span> UK death of a child from indoor mould

Awaab Ishak, a two-year old child living in a one-bedroom flat at the Ilminster block on Rochdale's Freehold estate, died in December 2020 as a result of a severe respiratory condition. In 2022, a coroner at Rochdale coroner's court ruled that this was caused by prolonged exposure to black mould in his home which had "inadequate ventilation and was not equipped for normal day-to-day living activities which led to excess damp and condensation". Awaab's death led to a change in the law, known as "Awaab's Law".

The Coroners (Investigations) Regulations 2013 is a statutory instrument of the United Kingdom. Regulations 28 and 29 of this statutory instrument provide powers for coroners to create prevention of future deaths reports.

References

  1. "Reports to Prevent Future Deaths". Courts and Tribunals Judiciary. Retrieved 2023-09-07.
  2. "Coroners and Justice Act 2009; schedule 5, paragraph 7". legislation.gov.uk. Retrieved 2023-09-07.
  3. "The Coroners (Investigations) Regulations 2013, part 7: Action to prevent other deaths". legislation.gov.uk. Retrieved 7 September 2023.
  4. "Revised Chief Coroner's Guidance No.5 Reports to Prevent Future Deaths[i]". Courts and Tribunals Judiciary. 2020-11-20. Retrieved 2023-09-07.
  5. "Qualitative analysis of Prevention of Future Death reports for suicide submitted to coroners in England and Wales: January 2021 to October 2022". GOV.UK. Retrieved 2023-09-07.

See also