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Summary of Rule 43 reports and responses2. Statistical Summary2.1. Rule 43 reports issued by coroners and trendsBetween 1 April 2012 and 30 September 2012 coroners in England and Walesissued 186 Rule 43 reports. Some reports included the lessons learned frominquests into the death of more than one person and therefore these 186reports include lessons learned from 196 inquests.Table 1: The number of Rule 43 reports issued by reporting periodReporting periodRule 43 reports issued17 July 2008 – 31 March 2009 2071 April 2009 – 30 September 2009 1641 October 2009 – 31 March 2010 1951 April 2010 – 30 September 2010 1751 October 2010 – 31 March 2011 1891 April 2011 – 30 September 2011 2101 October 2011 – 31 March 2012 2331 April 2012 – 30 September 2012 186Total 1559As in all previous summary bulletins Rule 43 reports were most commonlyissued in connection with hospital deaths (65 reports). Second most commonwere reports issued in connection with road deaths (22 reports) and third werethose in relation to mental health related deaths (18 reports). Whilst the totalnumber of reports has fallen the three most common categories remain thesame as the previous report covering 1 October 2011 to 31 March 2012.A list of the number of rule 43 reports for each category of death is shown inTable 2.4
Summary of Rule 43 reports and responsesTable 2: Rule 43 reports issued by coroners between 1 April 2012 and 30September 2012, by broad categoryCategoryNumber of inquests whereRule 43 reports were issuedHospital deaths 65Road deaths 22Highways safety 21Vehicle safety 1Mental health related deaths 18Community health care and emergency servicesrelated deathsAccidents at work and health and safety relateddeathsDeaths in custody 10Care home deaths 9Police procedures related deaths 8Drug and medication related deaths 7Product related deaths 6Service personnel deaths 5Railway related deaths 2Other 6Total 18616122.2. Number of Rule 43 reports received from each coroner districtBetween 1 April 2012 and 30 September 2012 Rule 43 reports were issued by68 of the 112 coroner districts. This is the highest number of individualjurisdictions to report in a six month period.In the six months covered by this bulletin, the Manchester South coroner’sdistrict issued 10 reports, the highest number by a single area. However,coroners generally issue far fewer reports than this.The number of reports a coroner issues is largely determined by the nature ofthe deaths he or she investigates and whether he or she believes that actioncould be taken to prevent future deaths. Often the coroner will be satisfied byevidence heard at an inquest that remedial action has already been taken, somay decide no useful purpose will be served by issuing a Rule 43 report afterthe inquest.5
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