David has extensive experience in coronial law, having regularly represented properly interested persons and families of a deceased. He has acted in various Article 2 inquests (both with and without juries), on issues such as deaths in custody, apparent suicide of a child under remit of social care/schools, clinical negligence etc.
In 2021 David was appointed Junior Counsel to the Crown, with a focus on inquest and personal injury work.
Inquest touching upon the death of CD: Representation of family. Death of an elderly patient who was being treated with immunosuppressant chemotherapy drugs who went on to contract PJP. Prevention of Future Deaths report made to Trust with respect of recording of prescriptions on different systems and lack of consistency of approach to record keeping.
Inquest touching upon the death of GL: Representation of family. Death of a vulnerable formerly detained MH inpatient with a history of paranoid schizophrenia, learning difficulties and illicit drug use, whose body was discovered in a reservoir some weeks after being reported missing with the presence of drugs in his system. Previously discharged into the care of his mother under a rarely used Nearest Relative power. Prevention of Future deaths report in respect of primary legislation issued to inter alia the Secretary of State for Health and Social Care and Secretary of State for Justice in respect of concerns surrounding the use of Nearest Relative powers under MHA1983.
Inquest touching upon the death of CG: Representation of managing agents for a housing complex. Issues relating to sufficiency of inspection and maintenance of carpeting on stairs which was allegedly loose and further issues with lighting.
Inquest touching upon the death of JW: Representation of a prison. Article 2 jury inquest into the death of inmate due to psychoactive substances (‘spice’) who was used by other prisoners as a ‘guinea pig’ to test illicit substances, following a throwover of drugs into the prison establishment and circulation of a ‘bad batch’. Issues relating to sufficiency of compliance with welfare log (‘illicit substances misuse document’) requirements, compliance with policy for welfare checks on unlock, collaboration between prison, healthcare and substance misuse services, support for vulnerable prisoners, examination of security arrangements for ingress and circulation of drugs, drug reduction and prevention strategies.
Inquest touching upon the death of CT: Representation of a prison. Issues relating to conduct of officers on escort duty and use of restraints.
Inquest touching upon the death of HM: Representation of a care home in an inquest relating to the death of a resident who died of an ischemic stroke. Issues relating to engagement of Article 2, prescription of anti-coagulants, systems for sharing information between primary care providers and secondary care, CQC inspection.
Inquest touching upon the death of DS: Representation of a local authority, death of a voluntary mental health patient who took his own life whilst on leave from a MH ward. Issues relating to provision of LA funded care support package and inter-agency communication.
Inquest touching upon the death of EC: Representation of a prison in an Article 2 jury inquest, delayed diagnosis of cancer.
Inquest touching upon the death of O: Representation of a governmental office in an Article 2 inquest relating to the self-inflicted death of a teenager in a children’s home. Preliminary issue on whether the death was a ‘notifiable accident’ such that a jury should be called. Salient issues relating to the adequacy of post-death inspection of the children’s home relevant to the exercise of Regulation 28.
Inquest touching upon the death of PR: Representation of a Locum Consultant Anaesthetist. Issues relating to alleged misinterpretation of chest X-Rays leading to incorrect treatment and consequent premature withdrawal of CPR. Vascular injury found to have been caused during the course of necessary treatment which was rare but recognisable complication of the procedure, no finding of neglect, withdrawal of treatment not unreasonable in circumstances.
Inquest touching upon the death of WM: Representation of a local authority who had secured a placement in a residential care home for a former MH patient upon being discharged from hospital, who subsequently went on to take his own life. Article 2 held not to be engaged following legal argument. Arguments on adequacy of handover information, clinical assessment of suicide risk, reduction in observations and effect of CQC inspection.
Inquest touching upon the death of HM: Representation of a residential care home in an inquest relating to the death of a resident who died of an ischemic stroke. Issues relating to an anti-coagulant Edoxaban not being repeat prescribed, systems for sharing information between primary care providers and secondary care, CQC inspection. Regulation 28 report issued in respect of a hospital.
Inquest touching upon the death of RA: Representation of a housing association relating to a house fire. Conflicting expert evidence on cause and origin of the fire, and issues relating to the functioning of smoke detectors.
Inquest touching upon the death of AP: Direct access. Representation of educational establishment. High profile Article 2 inquest lasting for four weeks, tragic death of a girl through apparent self inflicted hanging, wide ranging issues exploring sufficiency of safeguarding in schools and local authority social care, including early intervention. Multi agency serious case reviews. National media coverage.
Inquest touching upon the death of LI: Represented deceased’s family (pro bono). Death of young baby in hospital, issues surrounding positioning of NG tube.
Inquest touching upon the death of AH: Representation of a pharmacist. Analysis and exploration of shared care agreements relating to the prescribing of anti-coagulants.
Inquest touching upon the death of ZP: Representation of social worker. Four day inquest relating to the death of a young baby killed by her mother (infanticide). Analysis of Serious Case Reviews, Codes of Practice etc. Extensive questioning of police officers, wider issues explored relating to the role, responsibility and interaction of different police forces and social services (EDT), in the context of joint protocols relating to children at risk of harm.
Inquest touching upon the death of AC: Representation of paramedic. Inquest relating to the death of a drug user (overdose). Analysis of JRALC Guidelines etc. Issues included effectiveness of EMAS emergency procedures and communications.
Inquest touching upon the death of TW: Representation of senior prison officer. Two week Article 2 jury inquest relating to a death in custody through hanging. Analysis of various PSIs (safer custody, managing risks of self harm, cell sharing RA etc). Issues explored included disputes of fact, ACCT monitoring reviews and procedures, efficacy of multi-agency approach and causation issues.
Inquest touching upon the death of GT: Representation of family of deceased; inquest relating to a fatal road traffic accident.
Inquest touching upon the death of FS: Representation of family of the deceased; inquest relating to the death of an elderly man following a fall in a care home and subsequent death in hospital. Issues relating to the administration of morphine, interactions and overdose.