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James Holgate

3 Jan 2024 · Coroner Lorraine Harris · East Riding and Hull
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The coroner's concerns

  1. 1. proceeding to inquest without post mortem

    “it is entirely suitable to proceed to inquest without the need for a post mortem examination”

  2. 2. unnecessary post mortem examination

    “the deceased should not have undergone a post mortem examination”

  3. 3. misinterpretation of Human Tissue Act

    “the medical research/training establishments are stating that they are prevented from accepting people that are to be the subject of an inquest due to the Human Tissue Act”

  4. 4. delayed release of deceased

    “the coroner must also ensure that the deceased is returned back to the care of the family/personal representative/funeral director as soon as practicable”

  5. 5. unfulfilled body donation wish

    “The family indicated that it had been Mr HOLGATE's wishes, and indeed something that they supported, for his body to be donated for medical science/research”

Responses

2024-0004-Response-from-Department-of-Health-and-Social-Care.pdf ↗

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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James Holgate · Recurance