Capsticks' Guide to Inquests: Reg 28 Evidence
22/07/26Capsticks’ Inquest Podcast Series 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.
Regulation 28 reports can extend the impact of an inquest well beyond its conclusion, placing ongoing obligations on organisations and senior leaders. The final episode of our Inquest Podcast Series looks at when and why Regulation 28 reports are issued, and the key principles that underpin their use.
Amy Holden and Sara Lyle explore how the threshold for issuing a Prevention of Future Deaths report is applied in practice, including the limits on a coroner’s powers and the relevance of action already underway. They also consider how organisations can manage the risk of Regulation 28 findings, what makes an effective witness, their interaction with investigations carried out, and how to approach responses in a way that is proportional constructive and defensible.
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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 Amy Holden and Sara Lyle to find out more about how Capsticks can help.







