Review of the Coroner Service - The Department of Justice and ...

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ContentsTerms of Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10List of Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 Background and History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201.1 Establishment of Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211.2 Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221.3 History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221.4 Development to modern times . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .231.5 Current structures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .241.6 The office of the coroner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .251.7 The coroner cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24- Notification- The post mortem- The inquest2 International Practice and Experience . . . . . . . . . . . . . . . . . . . .302.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.2 England and Wales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.3 Northern Ireland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.4 Scotland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.5 Australia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.6 New Zealand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.7 Hong Kong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.8 Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.9 USA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.10 Germany . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.11 Switzerland2.12 The Irish perspective
3 Issues and Responses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2 The position of the coroner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2.1 Appointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2.2 Retirement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2.3 Residence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2.4 Deputies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2.5 Qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2.6 Removal from office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2.7 Flexibility of jurisdiction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3 The cycle of coroner work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3.1 General coroner procedures and rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3.2 Information provision by the coroner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3.3 Reporting of deaths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3.4 Issues related to the body of a deceased person . . . . . . . . . . . . . . . . . . . . . . . . .3.3.5 Post-mortems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3.6 Inquests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3.7 Review of coroner decisions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4 Organisation and management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.1 Organisation and numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.2 Personnel infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.3 Critical support services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.4 Histology and toxicology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.5 Post mortem facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.6 A new Coroner Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.7 Industrial relations issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4.8 Financing the new service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.5 Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.5.1 Treasure trove . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.5.2 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Page 2: Reviewof theCORONER SERVICEReport o
Page 5: AcknowledgmentsThe Group wish to ac
Page 10 and 11: Terms of ReferenceTéarmaí Tagarth
Page 15 and 16: EXECUTIVE SUMMARYISSUES (CONT.)RESP
Page 17 and 18: EXECUTIVE SUMMARYISSUES (CONT.)RESP
Page 19 and 20: LIST OF RECOMMENDATIONS3.2 THE POSI
Page 21 and 22: LIST OF RECOMMENDATIONS25. As far a
Page 23 and 24: LIST OF RECOMMENDATIONSwhenever it
Page 25 and 26: LIST OF RECOMMENDATIONSfrivolous or
Page 27 and 28: LIST OF RECOMMENDATIONS• producin
Page 30 and 31: 1BACKROUND AND HISTORY21
Page 32 and 33: 1. BACKROUND AND HISTORY1.1 ESTABLI
Page 34 and 35: BACKROUND AND HISTORYcase loads var
Page 36: BACKROUND AND HISTORYoccurring sudd
Page 40 and 41: 2. INTERNATIONAL PRACTICE AND EXPER
Page 42 and 43: INTERNATIONAL PRACTICE AND EXPERIEN
Page 51 and 52: 3.1 INTRODUCTION . . . . . . . . .
Page 53 and 54: ISSUES AND RESPONCESensure that cor
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ISSUES AND RESPONCESIn order to mee
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ISSUES AND RESPONCESRECOMMENDATIONS
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ISSUES AND RESPONCESFig. B* Points
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ISSUES AND RESPONCESin the context
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ISSUES AND RESPONCESResponsibility
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ISSUES AND RESPONCESprotection to v
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ISSUES AND RESPONCEScycle of corone
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ISSUES AND RESPONCESconsidered by t
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ISSUES AND RESPONCESInquest adjourn
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ISSUES AND RESPONCESRECOMMENDATION6
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ISSUES AND RESPONCESthe system come
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ISSUES AND RESPONCESIn summary, the
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ISSUES AND RESPONCES• that the is
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ISSUES AND RESPONCESat the same lev
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ISSUES AND RESPONCES• be in a pos
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ISSUES AND RESPONCESEstablishing a
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ISSUES AND RESPONCES• preparation
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ISSUES AND RESPONCESobjectives set
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IMPLEMENTATION• The availability
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5APPENDICES91
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APPENDIX AGROUP AND SUBGROUP MEMBER
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APPENDIX BPUBLIC ADVERTISEMENT FOR
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APPENDICESIrish Association for Cou
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APPENDIX DGUIDE TO THE 1962 CORONER
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APPENDICESPart II - Sections 6 to 1
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APPENDICESSection Heading Sub-secti
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APPENDICESPart III - Sections 17 to
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Page 118 and 119:
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Section1. Short title and commencem
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APPENDICESNumber 9 of 1962.CORONERS
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APPENDICESsection in like manner as
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APPENDICES(7) Where an appeal is ta
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APPENDICES14.-(1) No person shall b
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APPENDICESor misconduct or malpract
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APPENDICES(2) Whenever an inquest i
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APPENDICESpreserved by him under th
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APPENDICES38.-(1) A coroner may exa
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APPENDICES45.-An inquest which has
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APPENDICES51.-The power conferred b
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APPENDICES58.-(1) A coroner may, in
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APPENDIX FLIST OF OTHER RELEVANT LE
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APPENDICES(B)Mr. Thomas Francis Gre
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APPENDICES(C)Dr. Brian Farrell, Dub
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APPENDICES(D)Mr. Denis Desmond & MC
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APPENDIX HLIST OF CORONER DISTRICTS
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APPENDICESDistrict Deaths reported
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APPENDICESNotes for assistance of R
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APPENDICESA hospital pathologist wi
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APPENDICES6.11 PROTOCOLS FOR EXAMIN
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APPENDIX KDRAFT FORM FOR INCLUSION
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APPENDICESPart II To be completed a
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