Friday, 15 July 2016

Correcting An Imbalance

For help on acting as your own family''s representative at an Inquest arising out of the death of a loved one whilst they were in the healthcare system, please view my video . It gives you advice on how to prepare for the Inquest and tips on how to ask questions.


As Liz Truss becomes the new Secretary of State for Justice, I wonder whether she would care to address the way the state funds representation at Inquests.

As a clinical negligence barrister I shall address only the imbalance in funding legal representation at Inquests involving healthcare related deaths but similar considerations arise in other Inquests where a citizen has died unexpectedly whilst in the care of a public body.

I made Freedom of Information Act requests of the Ministry of Justice and of the National Health Service Litigation Authority ("NHSLA") in relation to their funding of Inquests. As a result of their responses I can share with you the following information:

  • In the financial year 2013-14 the total expenditure on representation at Inquests by way of exceptional public funding was £43,010. This is the MOJ budget for bereaved families.

  • In the same year the NHSLA spent £907,055 on representation at Coroner's Inquests. This is the money spent on representation for NHS Trusts at Inquests where a patient has died unexpectedly.

Thus the taxpayer spend 21 times on lawyers to represent the NHS than on lawyers to represent bereaved families.

Of course the £43,010 was not just for bereaved families at healthcare inquests. That was the total for all exceptional funding that year, whatever the circumstances of the death. So the imbalance as between deceased patients' families and the NHS trusts who were caring for those patients is even greater than a factor of 21.

The Coroner is of course impartial. He or she cannot "represent" a particular interested party. 

Healthcare Inquests almost always involve technical medical evidence. Medical and nursing witnesses have all their experience and professional knowledge to call upon. Families are likely to find the hearings distressing and difficult even when they do not have to question witnesses, scrutinise evidence, learn about the legal issues and follow procedures. It is a significant additional burden to have to manage these hearings without help.

One of the cliched images of justice is a pair of balance scales. In this corner of the justice system there is an imbalance. The way to correct the imbalance is to provide entitlement to bereaved families to adequate, publicly funded legal representation at all Inquests when the deceased died whilst in the care of the NHS or any other public body. At present there is no entitlement, as of right, even to funded representation at Article 2 Inquests.

It would cost less than £1m per year to provide equality of funding for representation at Inquests.

Perhaps the new Secretary of State can find a way to help these bereaved families.