As HM Assistant Coroner in West London, responsibility for inquests involving the full range of inquests, including those involving unrepresented Interested Persons through to inquests involving multiple legally represented Interested Persons and jury inquests.

Experience in bringing Judicial Reviews against coroners in relation to adjournment of and refusal to hold inquests, as well as refusals to hold inquests under Article 2 and with a jury.

Matulionis v HM Assistant Coroner for Bedfordshire and Luton [2017] EWHC 3477 – test for an Article 2 inquest and a jury in an inquest involving medical systemic failures.

Inquests:

Inquest touching upon the deaths of Anthony Walgate, Gabriel Kovari, Daniel Whitworth and Jack Taylor – inquest following the deaths of the victims of Stephen Port, a serial killer in Barking.  East London coroner’s court sitting at the Old Bailey (HHJ Sarah Munro QC).

Inquest touching on the death of PL – inquest following opiate and benzodiazepine toxicity whilst under the care of a Local Authority and community mental health care.  Issues as to the extent of involvement of Social Services.  West Sussex Coroner’s Court.

Inquest touching on the death of TO.- inquest involving a hanging of a young man with mental health problems who was living in supported accommodation.  Issues as to the extent of involvement of Social Services.  North London Coroner’s Court.

Inquest touching on the death of OH – inquest involving a death in which a young driver was involved in a collision on the A52.  I represented the driver who collided with her.  Conclusion of road traffic collision.  Rutland and North Leicestershire Coroner’s Court.

Inquest touching on the death of AA – Article 2 inquest on the death in the community of a patient under a Community Treatment Order (CTO).  The coroner ordered that Article 2 was engaged by analogy with Rabone.  North London Coroner’s Court.

Inquest touching on the death of AG – inquest raising interesting questions as to how to record the gender following the death of a transsexual person.  Bristol Coroner’s Court.

Inquest touching on the death of GP – Article 2 inquest of a vulnerable child who died whilst residing in a Local Authority placement under a Care Order.  Legal aid granted after drafting a Judicial Review of the LAA’s decision.  Teesside and Hartlepool coroner’s court.

Inquest touching on the death of BC – inquest following surgical treatment on a neonate with congenital abnormalities.  Extensive further disclosure ordered following submissions made as to inadequacy of disclosure.  Inner West London coroner’s court.

Inquest touching on the death of EB – inquest following failed treatment of a cerebral aneurysm causing a sub-arachnoid haemorrhage.  Inquest initially refused to be held, before an expert report identified potential culpable failings.  Inner West London coroner’s court.

Inquest touching on the death of FS – inquest following failed diagnosis of childhood cancer.  Judicial Review of the previous Senior Coroner’s initial refusal to hold an inquest settle by consent.  Preventing Future Death report after submissions.  South London coroner’s court.

Inquest touching upon the death of GW – Article 2 inquest following a hanging in prison.  Oxford coroner’s court.

Inquest touching upon the death of GR – inquest following death on board ship.  Inquest adjourned and referral made to the CPS for consideration of a charge of corporate manslaughter.  Winchester coroner’s court.

Inquest touching upon the death of GJ – inquest following the death of a 6-year old from chickenpox where the deceased had contact with several different NHS agencies.  Judicial Review of coroner’s refusal to hold and Article 2 inquest.  Bedfordshire coroner’s court.

Inquest touching up the death of MA – inquest following the death of a 5-day old child from Hypoxic Ichaemic Encephalopathy (HIE) and Meconium Aspiration Pneumonia.  Two Judicial Reviews issued against several coronial decisions.  Winchester coroner’s court

Inquest touching upon the death of LK – inquest following the death of a mental health patient after discharge from a mental health hospital.  Berkshire coroner’s court.