As @davidallengreen argues, its all very well #coroners' courts doing detailed work to find out why people have died, but this good work is to partly wasted if there is no mechanism by which the implementation of (or response to) recommendations for change can be properly assessed.

In his post there is link to a new campaign from Inquest to try & resolve this issue by the setting up of a formal agency to do exactly that - I encourage you to read & support the campaign!

https://davidallengreen.com/2023/06/how-did-this-person-die-and-what-lessons-can-we-learn/

Canadian #coroners starting to #reject #ExcitedDelirium as cause of #police-related #deaths — North American doctors and psychiatrists are also questioning contentious explanation for sudden deaths

https://www.cbc.ca/news/health/coroners-excited-delirium-1.6811083

covid19 #coronavirus #global #pandemic #healthcare #coroners #inquests #courts #ppe #uk #politics #democracy

NHS staff coronavirus inquests told not to look at PPE shortages

My view is that coroners should simply ignore the guidance. Indeed they should go further and ensure that systemic failures in the provision of PPE are very much centre stage in all inquests. I may be wrong, but I strongly suspect that Dominic Cummings is well up in the mix here.

Link here:

https://www.theguardian.com/society/2020/apr/29/inquests-nhs-staff-deaths-ppe-shortages