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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · 1d

www.inquest.org.uk/oliver-mcgow...

Coroner concludes care of Oliver McGowan was ‘appropriate’ despite parents pleas not to use medication which led to the teenagers death

20 April 2018

www.inquest.org.uk

Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests

The Royal College of Surgeons of England @collegeofsurgeons.bsky.social · 1d

It's ok not to feel ok.

Did you know you can access our Confidential Support and Advice Service (CSAS) 24/7? Whether you're experiencing work or personal problems, you can reach out and speak to someone any time.

More: https://ow.ly/1y9c50THL0n

#WorldMentalHealthDay

An illustration of two surgeons facing each other. The text over the top reads 'Confidential Support and Advice Service'

Followed by the number: 0800 028 0199
You can call any time.

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · 4d

📣 Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic improvement.

us02web.zoom.us/webinar/regi...

@derektracy.bsky.social #MDDUS

Welcome! You are invited to join a webinar: Learning from Preventable Deaths. After registering, you will receive a confirmation email about joining the webinar.

Join us for a thought-provoking 90-minute webinar that explores how coroners' inquests can be approached not only to reduce stress for clinicians but also to foster meaningful learning and systemic im...

us02web.zoom.us

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · 15d

'a valuable reference for trainees, consultants, and those in leadership or governance roles who may be involved in a
coronial investigation. It is highly applicable to those working in
anaesthesia and critical care..' #BJAnaesthesia

www.bjanaesthesia.org/article/S000...

A Clinician’s Brief Guide to the Coroner’s Court and Inquests

Although co-published by the Royal College of Psychiatrists, A Clinician’s Brief Guide to the Coroner’s Court and Inquests is of particular relevance to anaesthetists and intensivists owing to their i...

www.bjanaesthesia.org

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · 22d

cdn.bsky.app/img/feed_thu...

Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests

Patient Safety Learning @patientsafetylearning.org · 27d

Reporting a possible side effect to a medicine – a guide for Children and Young People. A resource from @mhragovuk.bsky.social added to the hub this week. www.pslhub.org/learn/patien... #medicationsafety #patientsafety

MHRA: Reporting a possible side effect to a medicine – a guide for Children and Young People

The MHRA has produced a guide to help children and young people learn why it's important to report possible side effects of medication.

www.pslhub.org

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · 27d

If you found this guide useful, please consider leaving a short review on Amazon - it helps other clinicians find this resource.

A brief guide for all healthcare professionals giving evidence at an inquest or supporting colleagues, going through this process #inquest

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Sep 8

Suicide prevention in Scottish prisons. Joint inquiry into the deaths of William Brown/Lindsay and Katie Allan at HMP & YO Polmont. Sheriff Collins found that there were reasonable precautions by which both deaths might realistically have been avoided.
www.scotcourts.gov.uk/media/1olg15...

www.scotcourts.gov.uk

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 31

Great programme for 2025-26, including Prof Chris Whitty (9th October), Dr Andrew Johns (11th December), Sir Brian Langstaff (11th March), Prof Guy Leschziner (9th April)...Join today.

www.medico-legalsociety.org.uk/programme/

Programme | The Medico-Legal Society

www.medico-legalsociety.org.uk

Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests

Harry Hudson @drhhudson.bsky.social · Nov 20

Some stats from this paper:
A third died aged 26-35; half died aged 40 or less. Mean age at death was 38.
54.1% of deaths were hangings.
46.3% of recorded ligature points were window bars.
85.6% of all deaths concerned male prisoners.
The mean time from death to report was 1.9 years.

Harry Hudson @drhhudson.bsky.social · Nov 19

I struggled to find a home for this, then was very busy hence forgetful, and presently am ill thus disinclined. It may be of wider value, hence uploading it to SSRN today: statistical and thematic analysis of all PFDs relating to state custody until late 2022.
papers.ssrn.com/sol3/papers....

DEATHS IN STATE CUSTODY AND THE CORONER: AN ANALYSIS OF PREVENTION OF FUTURE DEATH REPORTS 2013-2022

Since 2013, coroners have issued over 200 Prevention of Future Death (PFD) reports relating to state custody. These illustrate some of the worst deaths imaginab

papers.ssrn.com

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 29

Despite refusing hospital transfer, no adequate assessment of the patient's decision-making capacity was carried out and no proper consideration of the impact of her mental health disorder on the decision. #FFLM #MCA #PFD

www.judiciary.uk/prevention-o...

Tracey Ostler: Prevention of Future Deaths Report - Courts and Tribunals Judiciary

Date of report: 07/08/2025 Ref: 2025-0416 Deceased name: Tracey Ostler Coroners name: Caroline Topping Coroners Area: Surrey Category: Mental Health related deaths | Emergency services related de...

www.judiciary.uk

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 26

Useful paper to understand how to negotiate processes effectively and professionally.

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 21

Concern exists ...nationwide that there is not necessarily any clearly defined pathway that assists young persons making the transition between CAMHS (under 18) and adult psychiatric services, to ensure a smooth transit and continuity of care.
www.judiciary.uk/prevention-o...

Chloe Barber: Prevention of Future Deaths Report - Courts and Tribunals Judiciary

Date of report: 12/08/2025 Ref: 2025-0421 Deceased name: Chloe Barber Coroners name: Paul Marks Coroners Area: City of Kingston Upon Hull and the County of the East Riding of Yorkshire Category: ...

www.judiciary.uk

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 19

media.licdn.com/dms/image/v2...

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 19

www.tandfonline.com/doi/full/10....

A systematic review and critique of publicly available guidance for mental health practitioners called to a coroner’s inquest

Mental health practitioners may be called to an inquest after the unexpected death of a patient. Our review aimed to synthesise publicly available guidance written for practitioners working in ment...

www.tandfonline.com

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 17

www.cambridge.org/core/journal...

What the psychiatrist needs to know about the coroner's court in England and Wales | BJPsych Advances | Cambridge Core

What the psychiatrist needs to know about the coroner's court in England and Wales - Volume 28 Issue 3

www.cambridge.org

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Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Apr 28

One aim of this book was to help healthcare professionals feel more confident and prepared when facing inquests #inquest
A Clinician's Brief Guide to the Coroner's Court and Inquests.

Feedback from a reader - A Clinician's Brief Guide to the Coroner's Court and Inquests.

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 17

Sometimes families are surprised when there are journalists at an inquest. However, journalists are always allowed to go to inquests and have a legal right to do so.

www.ipso.co.uk/resources-gu...

Reporting of deaths and inquests - IPSO

What to expect when newspapers and magazines report a death or an inquest, the rules around reporting of suicide as well as how we can help.

www.ipso.co.uk

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 14

Resuming an inquest (or not) after a homicide trial
www.ukinquestlawblog.co.uk/resumption-p...

» Resuming an inquest (or not) after a homicide trial

Post from UK Inquest Law Blog

www.ukinquestlawblog.co.uk

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Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests

A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Dec 4

Navigating inquests #inquests

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Aug 14

Being a Witness in Coroners Court www.hempsons.co.uk/events/from-...
@hempsons.co.uk

From statement to stand: being a witness in Coroners Court

Hempsons inquest specialists provide a basic introduction to the inquest process, offer tips on how to be an 'effective' witness and...

www.hempsons.co.uk

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Reposted by A Clinician's Brief Guide to The Coroner's Court and Inquests

Alex Ruck Keene @capacitylaw.bsky.social · Jun 11

Advance decisions to refuse treatment – what (not) to do when it appears one may be in play: www.mentalcapacitylawandpolicy.org.uk/advance-deci...

Advance decisions to refuse treatment – what (not) to do when it appears one may be in play

Re AB (ADRT: Validity and Applicability) [2025] EWCOP 20 (T3) is a (rare) example of a court having to grapple with advance decisions to refuse medical treatment. It is rare largely because ADRTs …

www.mentalcapacitylawandpolicy.org.uk

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Jun 11

Supporting clinicians through effective CPD - please get in touch if your organisation or trust would benefit #medsky

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A Clinician's Brief Guide to The Coroner's Court and Inquests @briefguide.bsky.social · Jun 2

#medsky

GPonline @gponline.bsky.social · Jun 2

Anxiety was the top reason cited for accessing support, but low mood and symptoms of depression were rising factors, ‪@nhsprachealth.bsky.social‬ said in its latest annual report.
www.gponline.com/thousands-gp...

Thousands of GPs seeking support from specialist NHS mental health service

GPs make up more than half of health professionals receiving support from a confidential specialist NHS mental health service.

www.gponline.com