I read 114 Prevention of Future Deaths Reports today, every one issued and uploaded to MoJ site this yr. I do this every few months and it never fails to make my nerves jangle. So much disregard for certain lives, with occasional glimmers of humanity.

Always such a mixed bag
1/
Emailed Kent Coroners Court earlier this week asking to attend a PIR remotely next Wednesday. Pointed out Chief Coroner's guidance on #OpenJustice. I'm in Devon and don't consider that it would be safe or proportionate for myself to attend court in person for a short hearing

2/
Doing so would involve at least 11 hours travelling on public transport and an overnight stay, and expose myself to what I consider to be approximately 30 hours of unnecessary risk.

Press perfectly able to attend remotely if Coroner allows.

3/
Got a response tonight:

'Please note that court is open and running and risk assessments have been undertaken so press and members of the public can have unfettered access to the inquest proceedings'.

4/
'In regards to your concerns surrounding travel, please note that the time taken to get to court is for your convenience alone and is not a sufficient reason for the Coroner to disapply section 9 of the Contempt of Court Act'.

Where to go with this.

5/
Time taken to get to court is for my convenience. What does that mean?

I live in Devon and under normal circumstances would travel to court to attend, but these are not normal circumstances.

I'm not choosing a pandemic. I am not imagining risk #OpenJustice #Covid19

6/
Also reference to having to vary the contempt of court act, like they have to fire up a cauldron, do a special dance, sprinkle some magic water.

It's simply a case of reading out a warning and providing an audio link. As so many others have managed. We are a year into this.

7/
I appreciate that some press may prefer 'unfettered access' to the court itself, but this removing being in court from travelling to court, from the other side of the country, IMO explicitly pays no regard to public safety, mine or others.

8/
It also allows zero regard for anyone who needs to shield (I don't) or who has caring responsibilities due to Covid19 (I do).

I'll just have to apply for a copy of the recording after the PIR has happened, but can't help feeling disappointed at this response.

9/
On a related note, to end, the thread I wrote this morning after Laura Booth's 8th PIR that I attended, remotely, on Monday

More on PFDs and the lottery of coronial open justice another time /END

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More from @GeorgeJulian

19 Mar
When @BBCNews feature on my live tweeting inquests aired [bbc.co.uk/news/av/uk-559… if you missed it] a number of people got in touch to share deaths they felt hadn't received sufficient public scrutiny.

A LD nurse got in touch to tell me about Julie Taylor. Please read on

1/25+
I'll share publicly available information only.

I'll start with the Prevention of Future Death Report issued by Senior Coroner for Greater Manchester South Alison Mutch at the conclusion of Julie's inquest in November 2019 judiciary.uk/wp-content/upl…

[Commentary in brackets]

2/
Julie died on 23 September 2019 at Stepping Hill Hospital. The Coroner concluded Julie died from:

'Complications of the chicken pox virus contracted whilst awaiting discharge from hospital to a suitable rehabilitation facility'.

3/
Read 60 tweets
18 Mar
I attended Laura Booth's 8th pre-inquest review meeting on Monday. PIR was remote, Coroner was in court at Sheffield Town Hall, everyone else online.

Laura died in October 2016, aged 21. Her parents, Ken and Patricia talked to @JayneMcCubbinTV here

1/25+
'We went in the hospital with our daughter for an eye operation, and we came out with a death certificate' Patricia told @JayneMcCubbinTV

An inquest was opened, 16mths after Laura died, after the BBC contacted the Coroner's Office to share their concerns.

2/
Laura liked jigsaws, colouring and doing craft activity, the only time she'd willingly wear her glasses. Laura liked watching TV, CBeebies, Mr Tumble and loved handbags and purses, bowling and being read to.

Laura's parents provided her with support 24/7, even in hospital.

3/ Image
Read 52 tweets
25 Feb
I've so many thoughts about the culture of celebrity and its impact on shaming government into action. I've stayed silent until now, not sure what my voices adds.

My skin itches and my heart aches when I hear some of the language used to describe learning disabled people

1/16
Language that is littered through healthcare and society at large, the othering implicit in describing someone's distress. It's hard to hear some of these words from a @mencap_charity ambassador.

But simultaneously you can feel the love, the very real love behind the words

2/
I'm left with some questions.

Why do healthcare professionals jump so quickly to discussing palliative care for some patients, when I've at times literally had to drag that discussion out of them, with my Dad's oncologist, as one example?

3/
Read 16 tweets
21 Feb
Gather round twitter, you know the drill, grab a brew and settle in to learn about Matthew Copestick, seen here on a water flume on a family holiday as a teenager.

This story doesn't have a happy ending, but it is important, and IMHO deserves your attention

1/25
Matthew was a summer baby, born in August 1997. He was just 21 when he died at his home in Rochdale, a little over two years ago.

Matt was polite and respectful, he took responsibility and loved his identification as a gentle giant. Matt was big on respect.

2/
He would never sit in the front of the car if there were older people in it, he always shook your hand when he met you and so should you, that sort of thing.

What my Gran would have called 'good old fashioned manners' that you don't see so much nowadays.

3/
Read 25 tweets
19 Feb
There may have been tears. Thank you so much @jesslinworld and also to @BexGoneWest @RoseUnwin for your contributions. Feel so humbled by the recognition of late 👊❤️🙌

'The light in the darkness. Each one has worth, each one has value, and each one is loved'

1/4 A black and white line draw...
This gift was sent with these, Becky is so talented.

I am so grateful for the support for my work; for the families who share their loved ones lives and deaths with me; for everyone who has supported my work financially; for those who keep sharing despite the horror.

2/ A black and white line draw...Handwritten card. Text read...
I can not express easily how grateful I am to those of you who look out for me. The kindness and gifts. The DMs checking in. The chat and humour. The photos of babies that I return to if I ever question why... because there's a brighter future ahead.

I have to believe that.

3/
Read 4 tweets
11 Feb
Senior Coroner for Worcestershire David Reid found that Rachel Johnston died as a result of complications of necessary surgery, to which neglect contributed

Full info here georgejulian.co.uk/2021/02/11/rac…

TLDR Lowlights (I can't bring myself to call them highlights) below

1/21
Coroner described Rachel as 'a lively and happy woman who loved music, theatre and the company of other people. She was blessed with a close family who would visit her regularly and bring her back home when there were family gatherings'

2/
The Coroner accepted that Rachel’s extensive dental surgery was necessary.

He ruled on a factual dispute, and found that on discharge Staff Nurse Kate Griffiths failed to provide a leaflet about dental surgery to the support worker who returned Rachel to her care home.

3/
Read 21 tweets

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