The Chief Coroner welcomes the publication by the Equality and Human Rights Commission of their inquiry report Preventing Deaths in Detention of Adults with Mental Health Conditions.
Coroners play an important role in the investigation of unnatural deaths of adults detained in prisons, hospitals and police custody. Coroners are judicial office holders who have a duty to investigate all such deaths ‘fully, fairly and fearlessly’
(Jamieson case). They also have a special responsibility in order to satisfy the state’s duty to investigate deaths where the right to life under Article 2 of the European Convention on Human Rights may have been breached. For all investigations, including inquests, coroners act independently of the state and any institution.