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Trial by inquest?


23 July 2008


Simon Tait and Barbara Anthony of law firm Browne Jacobson examine the impact of the Human Rights Act and the potential impact of the forthcoming Coroner’s Bill.

Inquests can be an uncomfortable process for public bodies  and their staff. The Human Rights Act 1998 has had a profound impact on the way that inquests are conducted, particularly when the circumstances surrounding a patient’s death are challenging.  The recent MOD inquests, concerning the deaths of soldiers in Iraq, have clearly shown the prominence of inquest verdicts within the media.  Those cases illustrate that a Coroner's verdict can refer to a public body's failure if the evidence demonstrated that a failure occurred. 

The extent of the inquiry

Since the introduction of the Human Rights Act, attempts have been made to use Article 2 to broaden the scope of the Coroner's inquiry.  Article 2 requires the Coroner to carry out a more lengthy and detailed inquiry when a person dies whilst they are in the care of the State.  In such cases, Trusts are at risk that the inquest may become a mini-trial with families requiring disclosure of sensitive information.

Arguments are sometimes made that NHS patients should be treated as being in the care of the state.  Normal hospital deaths usually do not fall within this category, unless the circumstances surrounding the death are so serious that they merit a more robust investigation. 

Deaths involving prisoners will always require an Article 2 inquest. But what about deaths involving patients detained under the Mental Health Act 1983?  The recent case of Savage v South Essex Partnership NHS Foundation Trust may now make it easier for families to argue that detained patients who die should receive an “Article 2” inquest.  This follows the Court of Appeal’s decision that the position of a detained patient is more akin to the position of a prisoner than an ordinary hospital patient.   Therefore Trusts involved in the treatment of prisoners or detained patients for any healthcare condition need to be prepared for Article 2 inquests. 

The Coroner's Bill and disclosure

Another important aspect of the Human Rights Act is the requirement of the Coroner, under Article 6, to carry out a fair hearing and request disclosure of documents. 

The Government has recently announced that it intends to bring the Coroner’s Bill before parliament as soon as parliamentary time allows.  Coroners do not currently have the power to compel disclosure of information and have to apply to the High Court for a disclosure order.  The Bill will rectify this by giving Coroners powers equivalent to the High Court.  It is therefore important that Trusts have in place proper systems for providing information and documents to the Coroner.

Rule 43 recommendations

Currently, Rule 43 of the Coroner's Rules 1984 permits Coroners to make recommendations to an authority with power to take appropriate action where they believe such action could prevent similar fatalities.  The Coroner's Bill will now require organisations that receive Rule 43 recommendations to respond to the Coroner.  The Chief Coroner is tasked with monitoring this process and to provide a summary of them in his annual report to parliament. 

Trusts should therefore expect to see more Rule 43 recommendations from Coroners.  It is vital that Trusts carry out their own investigations promptly following a death of a patient.  Adverse publicity can often be minimised if the Trust can demonstrate at the inquest that lessons have already been learned from the death. 

Inquests in the Future

The combined effect of the Human Rights Act and introduction of the Coroner's Bill, may mean that Trusts will increasingly face more detailed and potentially challenging inquiries.  It is clear that the Coroners Bill is intended to ensure that an Inquest is an inquiry for the family’s benefit, and Healthcare providers need to ensure that they are fully prepared for hearings.

Trusts should liaise with their legal advisors as soon as issues regarding disclosure or the extent of the inquiry arise.  Inquests are becoming increasingly important to the outcome of future claims.  Preparation for them will be key. 

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