Annex A > Chapter 18 - Medical and Clinical Audit > Audit: the national perspective > Reports sent to other organisations

Reports sent to other organisations

134 Although the principle of the `rider to the verdict' has been abolished, [158] Rule 43 of the Coroners Rules 1984 provides that a coroner who believes that action should be taken to prevent the recurrence of fatalities similar to that in respect of which the inquest is being held, may report the matter in writing to the person or authority who may have power to take such action.

135 In certain specified cases, not relevant to paediatric cardiac surgery, the coroner is obliged to report to the Secretary of State. [159]

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Footnotes

[158] By the Coroners (Amendment) Rules 1980

[159] Where a coroner holds an inquest into the death of a person who is proved to have been killed on a railway or to have died in consequence of injuries received on a railway, he must provide details including the cause of death to the Secretary of State, Coroners Act 1988, s11(8). The coroner is required to send notice to the Secretary of State of any inquest into a death following an accident occurring within Greater London or the City of London where it is alleged that the accident was due to the nature or character of a road or road surface or a defect in the design or construction of a vehicle, Coroners Act 1988, s18(1)