inner west london coroners court


I have only been here since May, but even from that short time, the vivid stories that Members from all parties have described are depressingly familiar to me from doing surgeries once a week for two hours. (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, It is extremely distressing for MPs not to be able to improve the situation. Found inside – 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 ... 16th December 2015, 5:14 pm, 33 Tachbrook Street Pimlico. It is a delight to serve under your chairmanship, Sir Roger. LONDON. She was found by a maid the morning after she checked into the hotel. In cases where performance has not been as expected, it is up to the JCIO to carry out investigations. For bereaved people and families, the most significant development under the 2009 Act was perhaps the “Guide to Coroner Services” booklet, a document published by the Ministry of Justice that sets out the standards of service that people can expect from coroners’ offices and what they can do if they feel that those standards are not being met. Inner West London Coroner's Court learned that Félicité had cocaine in her system the night she passed. Like all Members here, I have a catalogue of complaints about the operation of the coroner’s office, and they tend to fall into two categories. Their brother died in 2014, so we are approaching the two-year mark since it happened, since when they have been dealing with the case. According to her doctor, who gave testimony to the Inner West London Coroner's Court, the teen "refused to give up drugs in the knowledge they could kill her." 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. The debate is more in sorrow than in anger. Inner West London Coroner's Court. It is often considered a bit of a Cinderella service. The first-class English and Psychology graduate of Leicester University had also been diagnosed with multiple personality disorder, Inner West London Coroner's Court has heard. It has been failing, persistently, for some time. In other cases, the coroner has discretion as to whether to open an inquest, depending on the facts. No further details are. I understand that the situation has since improved somewhat. My hon. They are an utter disgrace.”, Some people know more about this issue than MPs: funeral directors. In those cases, the Court of Appeal gave a very broad definition of deprivation of liberty. Members have today raised issues of their own—disturbing and heart-breaking stories in many cases. By the coroner’s own admission, five months later they had not chased up the results, and he says now to the bereaved relatives, who have no death certificate at this stage, nine months later. Ronke Phillips from “ITV News London” has done a lot of work exposing the problems at West London coroner’s court. I congratulate James Berry on securing the debate and on the incredibly sensitive manner with which he presented his argument. Friend on securing this debate and on what he is saying. Address: The Coroner's Court, 65, Horse ferry Road, London. I am arguing that inquests should be opened at the coroner’s discretion; they should not be mandatory. 16th December 2015, 4:53 pm, My borough alone, Ealing, has 350,000 people, and the population of the six boroughs put together is getting on for a couple of million people, so maybe we should examine that unmanageable area. Felicite Tomlinson, 18, younger sibling of Louis Tomlinson, was found unresponsive by a friend at her west London flat at lunchtime on March 13. Investigations that are under way by the Judicial Conduct Investigations Office are not subject to the sub judice resolution, but I ask Members to exercise good sense in referring to such investigations. Rayshawn Collins was part of a five-strong knife-wielding gang who attacked Joao Ricardo Gomes trying to steal his bag as he left a music venue My officials and the Chief Coroner’s office have also been alerted to problems. The Minister has outlined where the funding lies and where responsibility for the overall policy and strategy lie. Wills and other probate documents can provide a fascinating picture of how your ancestor lived as well as providing details of their surviving relatives. What I think we are talking about here is a structural failure. I wrote to the chief executive of Hammersmith and Fulham Council, which is responsible for funding the coroner service in west London. I was also struck by my hon. LONDON- Louis Tomlinson's sister died from a deadly cocktail of drugs according to her autopsy report. A report from the Inner West London Coroner's Court obtained by Billboard has revealed that Félicité Tomlinson -- sister of singer Louis Tomlinson -- died of "drug toxicity." The 18 year-old . If the hon. Delays in death certificates cause huge disruption and pain to those coping with the death of a loved one. It is unfortunate that Boris Johnson has had to leave, because I would have been interested to hear an intervention from him. They had not received an acknowledgement of the email and no phone calls were answered or returned. Work T: 023 92 688 328/9. We wrote in February 2015, in March and in June—no answers did we receive. Looking at the number of Members present, I would be grateful if speakers apart from the opening speaker would curtail their remarks to no more than about three to four minutes. And she still has not had a death certificate or told why he died. The BBC reports that Felicite died from an accidental drug overdose, with cocaine, Xanax and Oxycontin found in her body. My constituent tried to ring the coroner’s office and was told that it shut at 4 o’clock —this was at 3.20 pm. 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. [email protected] There was not one shred of humour today, such is the seriousness of the case he was arguing. However, I will highlight a couple of cases to see whether lessons can be drawn from them whether we can find ways forward. In West London coroner's court, the figure is 50 weeks—the . We have phoned on numerous occasions and been kept in a queue for up to 2 hours. in England in 2014 was 28 weeks—a figure that has been effectively stable over the past five years. With that in mind, I have been speaking to the Minister for Community and Social Care. The guide is accompanied by a shorter leaflet that sets out the key aspects of an investigation. The aspiring fashion designer's death was a result of a fatal combination of drugs. It is not necessarily appropriate to go into the individual details of these cases today, but it is not sufficient to blame others for what is going wrong in the coroner’s office. The Inner West London Coroner's Court heard that Felicite and a friend took cocaine the night before her death, and though she . 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. There were unexplained delays, no updates, and a telephone service that was never answered and turned out not to be manned at all. 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. Coroners are now required, for example, to conclude an inquest within six months of a death being reported to them, or as soon as practicable afterwards. 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. Please call 0300 111 2141 or e-mail [email protected]. As far as I understand it, it is a rare occurrence to have a case completely transferred. I am grateful for the comment that the hon. A report by the police watchdog will be released at the inquest's close. Perhaps sensitivity could be shown in such situations, and if the coroner’s office is under pressure, perhaps there are things we can do to help. 16th December 2015, 4:40 pm, That experience is by no means unique. Gentleman that the telephone system has improved, and I would like to say that to my constituent Sally McMahon, whose mother died very recently, God rest her soul. They discussed the issues together and looked at ways to resolve them, and an action plan was agreed. We have all heard stories about people being made to wait for hours on the phone and then, when that draws a blank, physically turning up in person, only to receive rather brusque treatment. It covers a large geographical area, as we know. Friend Stephen Pound, who normally speaks with great humour and characteristically puts a lot of anecdote into his speeches. I will not go into specific cases in detail, but some of the comments that the families have made are useful in illustrating the problems. The right hon. Coroners and mortuary. Found inside – 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 ... The senior coroner, the local authority and the police all have a role to play in improving the service. Our emails now go unanswered. The case that I cited was unusual, because, as the hon. That is a common situation. Fax: 023 92 688 331. In terms of the telephone service, when I called up on behalf of a constituent very early on in my role as a new MP, I had to wait on the telephone for more than 45 minutes, and then it became clear that the call was never going to be answered. Geo: 50.797625 , -1.0928071. Found inside – Page 110( 2 ) unsafe and unsatisfactory ; the court does not have Although the cause of death could be aggravated by this power ... In particuR v INNER WEST LONDON CORONER , ex p De Luca lar , it is not a good ground for refusing consent that ... It’s awful when other calls come in and all people can hear in the background is ‘your call is number ** in the queue’!”. 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. A report from 2015 in the Kingston Guardian says that at another inquest in April, the coroner himself confessed that he was “deeply embarrassed” by the length of time it took for cases to appear in his court, and that cases should not be taking 18 months to appear in court. Gentleman then went on to point out some structural difficulties and problems within the system. APPELLATE. Dr Fiona Jane Wilcox. It was harrowing enough reading but the mistakes made me feel that my mum was just another body.”. – in Westminster Hall at 4:39 pm on 16th December 2015. Where does overall responsibility for the monitoring and reporting of performance of coroners’ courts lie? I concur with what other Members have said about the memory of his father and about seeing whether there is anything we can do to help the many people—our constituents and their families—who are going through such pain. He died in April 2014, and she waited 15 months for an inquest that only went ahead, so far as I understand, after my intervention. This coroner has said in his communications to me: “The Coroners Court is a court of law. 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. 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. I spent 25 years in local government, and we had systems, processes and accountability. Found inside57 1403 (Court of Appeal (Civil Division)). 40R. ... (Tainton) v HM Senior Coroner for Preston and West Lancashire (2016) EWHC 1396 (Admin). ... See R (Hicks) v Inner North London Senior Coroner (2016) EWHC 1726 (Admin). 58R. Investigates unexplained and sudden deaths and carries out inquests. The Senior Coroner for the City is an independent judicial officer appointed by the City of London Corporation to investigate reported deaths and cases of treasure found within the historic Square Mile of the City of London. The result of that decision has been that authorisations now have to be sought for deprivation of liberty in many more cases than they used to. I rang on 10 December and received the same message at 3 o’clock in the afternoon saying, “We are only open until 4 o’clock.” That is casual incompetence of a degree that piles Pelion on Ossa when it comes to the suffering of individuals. Fraser Chambers Whatever is going wrong and causing the problems we have heard about, it ultimately falls at the coroner’s door to resolve. That this House has considered standards of service at West London Coroner’s Court. Sadly, the same cannot be said for the experiences of many bereaved relatives of those living in Kingston, Richmond, Hounslow, Ealing, Hillingdon, and Hammersmith and Fulham, which are the boroughs that comprise the jurisdiction of West London coroner’s court. In my constituency, we have a nursing home in which 90% of the residents are subject to the deprivation of liberty safeguards. We need to improve that experience. It is for it to decide how to run and fund the coroner services. Friend’s flow, but I do not want to take up the House’s time by making a speech. 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. She has previously worked as an Assistant Deputy Coroner in East London, Southwark, North London and Kent. Each jurisdiction is locally funded and resourced by local authorities. ( Log Out /  Inner West London Coroner's Court heard the teen had a long history of drug use after the death of her mum Johannah Deakin, who died from leukaemia in 2016. That seems not to be the case in this example. If you have any queries regarding inquest dates please contact the Court Diary Administrator. Found inside – Page 271These rulings were challenged in the Administrative Court on the grounds that: (a) she did not have the authority to transfer jurisdiction ... 302 For an example, see R v Inner West London Coroner, exparte Dallaglio [1994] 4 All ER 139. If that means sitting at the weekend, as judges did after the riots, or if it means appointing additional assistant coroners to help clear the backlog, so be it. Friend Andy Slaughter is familiar with this, as I am sure the Minister is, but I had previously been unaware—I learned: “The Coroner’s Office is not run directly by the Coroner, staff and resources are provided by the Local Authority for the area and the Police service. James Berry referred to the ITV News investigation. The post mortem was carried out on 30 April. The student had completed a successful first year at . Inquest touching on the death of EB - inquest following failed treatment of a cerebral aneurysm causing a sub-arachnoid haemorrhage. Court case listing for London Inner South Coroner's Court Inner West London Coroners Court - Hallett LJ. Even when the incompetence is almost casual incompetence, the reverberations it causes throughout a family are so awful. Two weeks later, the family were still waiting. It is vital not only that coroners know what the standards are, but that bereaved people understand how a coroner’s investigation is likely to proceed. 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. He has already played a central role in providing guidance for coroners on the new national standards for coroners set out in the legislation. Although the registration process itself was clinical, because it was efficient it did not compound our distress as a family. 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. Friend James Berry not only on securing this important debate, but on the incredibly diligent work that he has done. 11 The fear arose because it was widely believed that the French and the Italians had invented poisons which could kill some years after administration. Gentleman for bringing that to my attention. Those complaints come not only from bereaved constituents, but from the council itself and, indeed, from our local newspaper, the Surrey Comet. Two years ago tomorrow, my father died unexpectedly. A judge can only make determinations based on evidence.”. Found inside – Page 252... H.M. Coroner psychiatric patients Scottish Medical Journal 15 , for Inner West London , whose help and co ... H. W. ( 1957 ) Jervis on Coroner's Officers , and to Drs N. Kreitman and P. the Office and Duties of Coroners . 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. Friend the Member for Kingston and Surbiton is not the only Member whose constituents have been unhappy with the level of service they have received from the West London coroner’s office, particularly with regard to the responsiveness of the office. Moving on to the subject of religious burials, Jewish and Muslim families have to bury their dead in a matter of days, and the pressure on those doing so is compounded by the situation at West London coroner’s court. Found inside – Page 213Coroners' courts differ from the rest of the English Legal System in one very important respect; they are inquisitorial rather than adversarial (see 1.3.2.1). ... v Assistant Deputy Coroner of Inner West London [2008] EWHC 713 (Admin)). It would help, but by no means resolve, the problems at the West London coroner’s court, to which I return in closing. The coroner's officers and coroner's officer manager are civilians provided by the Metropolitan Police Service. Friend Stephen Pound described such problems. Acted on behalf of Transport for London. On the current interpretation of the law, there would have to be an inquest into each and every one of those individuals’ death, even if they died entirely predictably in their sleep. R v Mohamed [2020] 10 WLUK 491 . The report has revealed that cocaine, Xanax and OxyCotin were found in Tomlinson's system. Friend the Member for Kingston and Surbiton raised concerns about additional distress caused to families and the pressure put on coroners’ workloads by their having to conduct inquests into the deaths of those who were under a deprivation of liberty safeguard when they died. Inner West London Coroner's Court also heard a pursuit across south London had not been authorised. The hon. Coroner services can and do go wrong from time to time, but they are an essential and ancient part of our judicial system. We are talking about people who are in agony, who are grieving and who are in pain, and they are hanging on the telephone. Found inside – Page 367Inner West London Dist . Dr P. A. Knapman , Coroner's Court 65 Horseferry Rd . London SW1P 2ED Tel . 0171-834 6515 , Tel . 0171-828 0041 Fax . 0171-828 2837 Wandsworth and Merton , Royal Borough of Kensington and Chelsea and the City of ... Email: [email protected] Position: Senior Coroner. 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. Change ), You are commenting using your Twitter account. Found inside – Page 656Justice of the Peace The Weekly Journal for those Using the Courts Established 1837 Registered at the Post Office as a Newspaper Price £ 2.60 ISSN 0141-5859 ... H.M. Coroner for Inner West London , ex parte Lockwood Croft Bates v . If you are a member of the press and have a query regarding an inquest, please contact the Coroner's Clerk. It takes almost double the national average time to process inquests. What the Minister is saying is very interesting, but we are talking about a service that has failed. Mid-Staffordshire NHS Foundation Trust Inquiry. Making it easy to keep an eye on the UK’s parliaments. Inner West London Coroner's Court (remote access only) Opening 7 April 2021, expected to last 2 days. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. I am aware that faith communities, particularly the Jewish and Muslim communities, are concerned about the lack of an out-of-hours service because that can delay the timely burial of their loved ones required by their faith. I would be most interested to know what is so particular about west London as to cause these immense problems, if indeed they are outside the coroner’s hands. Quite frankly, anything else would be wholly and utterly unacceptable. That is something the Minister will care deeply about and will want to put right. The responsibility for sorting out this shambles lays squarely with the senior coroner for west London. The right hon. There was no need for a coroner, so that sped up the process and the burial could take place. 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. 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. I have had experience of very similar situations, and what is distressing for us as MPs is that people’s grieving process is unnecessarily extended and made worse, so there are not just administrative consequences. Coke in 1615 (2 State Trials 1022) speaking in a case consequent on the Overbury poisoning thought that poisoning was a horrid and unEnglish practice: "from Edward III to 22 Henry VIII (which is a great lump of time) no mention is made of . Inner West London Coroner's Court heard Felicite had a long history of drug use following the death of her mum Johannah, who died from leukaemia in 2016. Friend the Member for Kingston and Surbiton about the provision of out-of-hours coroner services. All enquiries for those boroughs should be directed to Inner West London Coroner's Court I am pleased to note that, as a result, we are beginning to see signs of a more positive picture emerging from west London. 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. SW1P 2ED. That includes most cases where a person suffering from dementia lives in a care home and would be prevented from leaving if they attempted to. He understands, as do many of us, but perhaps not to the same degree, how much pain can be caused by even casual incompetence. mySociety is a registered charity in England and Wales (1076346) and a limited company (03277032). A lot of the reforms that were part of the changes over the past two or three years will begin to take effect soon. Found inside – 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 ... Louis Tomlinson's sister Felicite died at just 18 years of age.. Pic: Instagram/Felicite Tomlinson. The senior coroner has attempted to clear the backlog by making sure there are two courts running in parallel with his assistant coroners hearing cases alongside him. Inner West London coroners court heard Miss Ulvestad - who was known as Romy by her friends - had been a part-time model. In one of his communications with me, the coroner referred to the time when the coroner’s court in Uxbridge was in operation. Tomlinson was found unresponsive by a friend in her west London apartment on March 13th earlier this year.. That is exactly right. The delays are a shocking abrogation of the state’s responsibility to bereaved families, including those in my constituency. Felicite Tomlinson, 18, the sister of One Direction star Louis Tomlinson, was found unresponsive by a friend in her west London flat on 13 March. One of the emails I have from the coroner says that, “this complaint is fuelled by the recent unbalanced ITN news items.”. Column 597WH. I congratulate my hon. My hon. Although estranged, she was the next of kin. I cannot imagine the frustration that funeral directors must be experiencing. The estimated average time taken to process an inquest in England in 2014 was 28 weeks—a figure that has been effectively stable over the past five years. The Inner West London Coroner's Court has confirmed the cause of death of Félicité Tomlinson. 16th December 2015, 5:04 pm, However, we hear horror stories of bodies waiting in fridges and people being left in limbo. The Ministry of Justice has overall responsibility for coroner policy and law, but the responsibility for the delivery and funding of coroner services is a local matter for the appropriate local authority, in this case the London Borough of Hammersmith and Fulham. One said that, “my heart sinks when we have to call them. Frankly, that plumbs the depth of poor service for bereaved families. Found inside – Page 60The Home Office conducted an interdepartmental investigation into the roles of the public inquiry and the inquest following disaster in 1990.92 The ... 89 Rv . Inner West London Coroner , ex parte Dallaglio and others ( 1994 ) . Found inside – Page 1Coroners and Justice Bill, Eighth Report of Session 2008-09, Report, Together with Formal Minutes and Written ... HM Coroner for Inner North London ( 2006 ) 1 WLR 461 , paras 39 , 43 to 47 ; Inner West London Coroner v Channel 4 ... My hon. I was therefore particularly startled to receive the information from my constituent about the difficulties she was having with that coroner’s court, because it is so completely at variance with my experience of the other coroner’s courts that I have had to deal with. However, I have to advise colleagues that inquests, which are the subject of the House’s sub judice resolution, may not be referred to directly in this or, indeed, any other debate. Court case listing for London Inner South Coroner's Court I echo the feelings of everyone here today in thanking James Berry, and I express our sympathy for his personal loss. Please call 0300 111 2141 or e-mail [email protected]. I absolutely agree with everything he said. Found inside – Page 231231 GAVIN THURSTON CBE FRCP CORONER'S COURT HM CORONER INNER WEST LONOON 65 HORSEFERRY ROAD , LONDON SWIP 2ED 01-834 6515 SHEEPCOTE LANE LONDON SW11 SBW 01-228 6515 19 Dear Sir , With reference to the charge of murder / manslaughter ... The accounts those families gave of the distress they had been caused were quite moving. Rebecca Hursey, from Leicester, was tormented for years by 'constant intrusive thoughts' about foods, fluids and vitamins, her mother Ruth told Inner West London Coroner's Court today. I hear from the hon. 16th December 2015.
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