Capsticks’ Guide to Inquests brings together our leading inquest and advisory specialists from our Advisory team to share practical, experience-led insight across every key stage of the inquest process. 

Across six focused episodes, we explore the strategic decisions, procedural challenges, and common pressure points that organisations face, from early pre-inquest review hearings through to conclusions and Regulation 28 considerations. Designed for those involved in managing inquests, governance, and patient safety, as well as those called to give evidence at inquests, the series provides guidance on preparation, evidence and disclosure grounded in real-world experience of inquest proceedings.

Inquest conclusions bring together the evidence, submissions and legal framework to determine how a death is formally recorded and understood. Episode 4 sees Jeremy Loran, Adam Hartrick and Jessica-Jane Naysmith examine the considerations that shape conclusions and the issues organisations commonly encounter at the final stage of the inquest process.

Their discussion covers the role of the Medical Certificate of Cause of Death and how this links to the final outcomes, alongside the approach to submissions and the application of the Chief Coroner’s Guidance, including the three-stage process. Areas that frequently present challenge are also addressed, including neglect findings.

Stay tuned for Episode 5 – coming soon.

This podcast is also available on: 

• Apple Podcasts 
• Pocket Casts 
• RadioPublic 
• Spotify 

How Capsticks can help 

If you have any queries around what is discussed in this podcast, and the impact on your organisation, please speak to Jeremy Loran, Adam Hartrick or Jessica-Jane Naysmith to find out more about how Capsticks can help.