My Lords, we move now to another part of the Bill which addresses the outcome of investigations. I refer to another Bill that addresses the issue of deaths in prison—the corporate manslaughter Bill. This House voted for the Prison Service to be included in that legislation and said that any managerial failure that resulted in death should be subject to the conditions of that legislation.
The issue in an inquest is responsibility for death and not liability; it is not up to the inquest to establish that. Currently there is a prohibition on inquests naming persons publicly. Although we think that that prohibition should be retained, a coroner or a jury should be free to describe acts or omissions by the particular public service—and I admit that I speak mainly from experience of prisons—responsible for that death. That emphasises the responsibility aspect of inquests. To protect the parties who might be criticised, the Bill should contain a clause that underscores the fact that a determination of the inquest should not affect anyone’s criminal or civil liability and that a determination should not be admissible as evidence in any subsequent legal proceedings. In other words it would distance the matter from further action once responsibility has been laid.
It is difficult entirely to separate an inquest from all the duties on the state to learn about how deaths have occurred. In its briefing to us on this matter, Inquest has said that Scotland has a much better system. Under its fatal accident inquiry procedures, the sheriff is allowed to determine, among other things, where and when the death and any accident resulting in the death took place; the cause or causes of the death and any such accident; the reasonable precautions, if any, whereby the death and any accident resulting in the death might have been avoided; the defects, if any, in any system of working which contributed to the death or any accident resulting in the death; and any other facts relevant to the circumstances of the death.
In an earlier debate we discussed the fact that something that might be applicable in England and Wales was not applicable in Scotland. I have always thought it inexplicable that such clear direction and definition should be available in Scotland but not in England and Wales. I would certainly like to see that in any improved legislation, which this is.
There is also a debate as to whether a coroner may or may not use judgmental words such as "serious" or "unreasonable". Frankly, that debate is probably not worth having, because the various checks and balances that have been put in place have moved us on from that. All that is needed is merely a clear statement from a coroner that something has happened and that someone is responsible.
On investigations, and bearing in mind our previous brief discussion on the representation of families, I have always been concerned about the attendance of families at inquests. Frequently, they do not know anything other than that a relative has died. They expect an inquest to be an inquiry. They think that they will learn far more than they otherwise might. That is not a fault of the coronial system; that is a fault of the prison system, which does not pass on sufficient information. It is important that the coroners bear in mind the possibility that the families appearing before them are not as well informed as they might expect, or as well informed by the state as they might expect them to be. The families will always expect more to come out. The naming of names is prohibited but I believe that families will feel better served by the system if it is possible to name the acts or omissions that might have contributed to the death. And that is one of the intentions of the Bill. I beg to move.
Coroners and Justice Bill
Proceeding contribution from
Lord Ramsbotham
(Crossbench)
in the House of Lords on Wednesday, 21 October 2009.
It occurred during Debate on bills on Coroners and Justice Bill.
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Proceeding contribution
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713 c750-1 
Session
2008-09
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