Prevention of Future Deaths reports · 2014
Regulation 28 report to prevent future deaths, reference 2014-0231, written 16 May 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 16 May 2014 |
|---|---|
| Reference | 2014-0231 |
| Deceased | William Piercy |
| Coroner | Paul Marks |
| Coroner area | Kingston upon Hull & the East Riding of Yorkshire |
| Category | Road (Highways Safety) related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.
ANNEX A REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) NOTE: This form is to be used after an inquest. REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Chairman of the Royal Society for the Prevention of Accidents, Birmingham 1. | CORONER I am Professor Paul MARKS, senior coroner, for the coroner area of Kingston upon Hull and the East Riding of Yorkshire 2. | CORONER’S LEGAL POWERS I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. [HYPERLINKS] 3. | INVESTIGATION and INQUEST On 9" of August 2013 I commenced an investigation into the death of William PLERCY otherwise known as Billy PIERCY, aged 52 years The investigation concluded at the end of the inquest on 3 April 2014. The conclusion of the inquest was a Road Traffice Collision and the medical cause of death at Ia) Pneumonia Ib) Blunt force neck injury If) Downs syndrome with congenital heart disease. 4. | CIRCUMSTANCES OF THE DEATH William PIERCY otherwise known as Billy died on the 25" of July 2013 at Hull Royal Infirmary, Anlaby Road, Kingston upon Hull. He died from pneumonia as a result of an injury sustained during a road traffic collision which occurred on the 21* of July 2013. 5. | CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. — [BRIEF SUMMARY OF MATTERS OF CONCERN] (1) Seat belt was disengaged thereby allowing a passenger to be unrestrained and when vehicle came to an abrupt halt, he was thrown forward and fractured his neck. A seat belt alarm would have alerted his carers to the disengagement of the seat belt. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you [AND/OR your organisation] have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by [DATE]. I, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed. COPIES and PUBLICATION [have sent a copy of my report to the Chief Coroner, His Hon. Judge Peter Thornton QC, and to the following Interested Persons :- l- Messrs. Capsticks Solicitors, Leeds 2 3- ER Claims & Legal Services Department, Hull Royal Infirmary I have also sent it to :- 1- fs Ministry of Justice, London 2- EEE Sunderland Civic Centre who may find it useful or of interest. I am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. 16 May 2014 SIGNED.BY 3 L/L Professor Paul MARKS Senior Coroner
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