What is it about?
Clinicians are increasingly required to attend the coroner’s court, yet many receive little formal training on the inquest process or their professional responsibilities within it. This article provides practical guidance for clinicians involved in coroner’s court proceedings in England and Wales. It explains the purpose of the coroner’s court, the legal framework governing inquests, and the role of healthcare professionals as witnesses. Common sources of anxiety for clinicians—including giving evidence, preparing written statements, and understanding conclusions such as narrative verdicts—are addressed. The article also outlines how inquests differ from other legal processes and clarifies the relationship between inquests, regulatory investigations, and civil claims. By improving understanding of the coroner’s court and the inquest process, this guide aims to help clinicians participate confidently, professionally, and effectively, while supporting transparency, learning, and patient safety.
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Why is it important?
All clinicians, at some point in their career, will be called to give evidence or support a colleague giving evidence at an inquest. It is important that the individual understands the processes to be able to fulfil their duty to the court competently.
Perspectives
The flow of the book is logical, taking the reader from the notification of death through mandatory NHS patient safety investigations to the actual coroner’s inquest, writing statements, giving oral evidence in the court and outcomes, including adverse outcomes and ways to handle the emotional impact. This is an intuitive and comprehensive journey that you can immerse yourself in prior to in vivo experiences. Psychiatric Bulletin, Hurlow (2025).
Dr Gabrielle Pendlebury
Private Psychiatrist
Read the Original
This page is a summary of: How to survive a coroner’s court: A clinician’s guide, Medico-Legal Journal, October 2025, SAGE Publications,
DOI: 10.1177/00258172251343843.
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