Grief and Reform in the Coroners’ Court

Ashes to Ashes; and the Dust on the Coroners Court

Lycoris Bower

This short report first outlines the current legislation surrounding the function of the Coroners’ Court before launching into four key recommendations to address these failures: implementing standardised bereavement care and training for coroners; expanding legal education and accessible guidance on the inquest process; strengthening the use of narrative conclusions and Prevention of Future Death reports to drive systemic change. Throughout the report also weaving personal experience from time spent volunteering with citizens advice and drawing comparisons between systems of grief and humanity.

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