When a loved one passes away unexpectedly, families are often left with many unanswered questions. In cases where there are concerns about the standard of medical care received, a coroner may become involved to determine the cause of death. Understanding the role of the coroner can help families navigate this difficult time and consider whether medical negligence played a part in their loss.
A coroner is an independent public official responsible for investigating certain deaths, particularly those that are sudden, unexplained, or occur under medical care. Their primary role is to determine the cause of death and whether it was due to natural causes.
A coroner will usually request a post-mortem examination to establish the cause of death. If the findings indicate that the death was due to unnatural causes, the coroner may hold an inquest to examine the circumstances.
The coroner essentially establishes the “who, when, where, and how” of an unexplained death. However, they do not assign blame or determine civil or criminal liability—only the facts.
Not all deaths require a coroner’s involvement, but they are typically notified when:
Once a death is reported, the coroner will decide whether further investigation is necessary. This may involve obtaining medical records, speaking with healthcare professionals, or ordering a post-mortem examination.
An inquest is a formal legal inquiry into the cause of death. It is not about assigning blame but rather about establishing the facts. During an inquest, the coroner may hear evidence from doctors, medical experts, and other witnesses.
While an inquest does not determine civil or criminal liability, its findings can be significant in a potential medical negligence claim.
The coroner’s investigation and inquest findings can provide crucial insights into whether medical errors contributed to a person’s death. If the inquest highlights failures in care, families may have grounds to pursue a medical negligence claim.
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