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This virtual conference focus on the role of the Coroner and preparing and attending Coroner’s Inquests. The conference will also update delegates on the implications of the 2024 Death Certification Reforms and roles, responsibilities and information flows under the new system. From preparing for an inquest, to ensuring change occurs as a result of the prevention of future death reports and local learning the conference will provide an important update on the coroner role and inquest process. The conference will discuss the changes to the Medical Examiner system and implications for coroner’s investigations. The conference will also reflect on the current position of the Terminally Ill Adults (End of Life) Bill, which remains in progress through Parliament in April 2026, and discuss the possible implications for coroners, medical examiners and death review processes should the legislation change.
“Coroners’ expectations can influence an organisation’s choice of learning response to an incident.”
Investigating under the Patient Safety Incident Response Framework (PSIRF): sharing HSSIB learning for future development HSSIB October 2025
“The coroner’s role is to find out who died and how, when, and where they died…. When a death is reported to a coroner, they: • decide whether an investigation is needed; and if it is, • investigate to establish the identity of the person who has died; how, when, and where they died; and any information they need to register the death; and, • use information discovered during the investigation to help prevent other deaths.”
A Guide to Coroner Services for Bereaved People
“Attending a Coroner’s court to give evidence can be worrying if this is something you have never done before, or if you have previously had a challenging experience.”
NHS Resolution
The conferences will enable you to:
Understand the role of the Coroner
Reflect on a families experience and understand what families want from a Coroner investigation and inquest
Implications of the Death Certification Reforms and the Terminally Il Adults (End of Life) Bill
Learn from complex hospital inquests
Explore changes as a result of the Justice Committee’s Report on the Coroner’s Service
Reflect on the perspective of a healthcare professionals experience of a coroners court
Understand the Coroner’s Investigation, Inquest & Duty to Investigate a Death
Develop your skills in preparing for attending an inquest including witness statements and giving evidence
Learn from the experience of Senior Coroners
Understand how you can improve support for staff who have to attend inquests
Identify key strategies for learning from Deaths and implementing Coroner PFD (prevention of future deaths) recommendations at a local level
Ensure you are up to date with the latest practice on which cases need to be referred to the coroner, and the role of the Medical Examiner in decision making
Self assess and reflect on your own practice
Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes
At our last event on this subject 100% of delegates would recommend the event to a colleague
