Legal Aid for Inquests

Debate between Anne Main and Ruth George

Wednesday 10th April 2019 Westminster Hall

[Ruth George (High Peak) (Lab)]

I hope that my constituent’s experience can help to illuminate some of the learned arguments that have been made today. Families can provide important inputs to help a coroner reach correct findings and make recommendations to help state bodies to improve their systems and avoid more tragic cases.

My constituent, Angela, is a senior manager in social care. She has huge experience of local care systems. Her son, Adrian, suffered from mental health issues all his adult life. In 2016, he was taken into the care of a mental health hospital but discharged a few weeks later into the care of the community mental health team. He was told by that team that he would be discharged from any support just two weeks after his discharge from the hospital. He was distraught about that. His mother, Angela, was frantically seeking some support for her son on the Friday before he took his life. She had obviously been involved with him throughout his life. Having not found support on the Friday—

[Mrs Anne Main (in the Chair)]

Order. This is not an ongoing case, is it?

[Ruth George]

It is not an ongoing case, Mrs Main. I took your advice.

[Mrs Anne Main (in the Chair)]

We have to be very careful.

[Ruth George]

Absolutely. I have full permission from the constituent to raise the details.

[Mrs Anne Main (in the Chair)]

Thank you.

[Ruth George]

Adrian took some drugs and alcohol on 10 December. He was found by police at 2.30 in the morning and taken to the local A&E. However, the police left, and he was allowed to walk out without being triaged. He later lost consciousness at a friend’s home and passed away.

The inquest with the coroner involved the mental health trust, the hospital trust and the police. It was to take place over an eight-day period—although that was reduced to four days—with barristers representing the three bodies, all with their legal representation funded by the state. When I first met Angela, before the inquest took place, she had been told she would not qualify for legal aid. Although she was desperate to use her personal and professional experience to make changes to the systems to make sure no other parent had to go through this, she was not sure she would be able to participate fully in the inquest, due to a lack of representation.

The coroner, when considering applying article 2 of the Human Rights Act and using a jury, finally decided that the family should have legal representation, but that was just three days before the inquest. Angela had to go through very detailed financial statements, which was very personally intrusive at the time she was grieving, a year after she had buried her son.

In the end, she was able to participate with the help of her lawyer, and she pays tribute to the lawyer and the barrister. With three organisations all arguing about who was culpable in the circumstances, Angela felt it was very important not only that she was able to be involved and put the facts of the matter straight, but that she could make sure that recommendations were made.

I quote Angela’s comments on the coroner’s report:

“Following Adrian’s death, the burning question we asked ourselves was ‘did we do everything we could to gain support for him? Did we call enough people or shout loud enough to be heard? Was there more we could have done?’. Given the evidence that was heard through Adrian’s inquest, it became clear that as a family we had not failed our son, although this may not be said for some of the professionals involved in his care. We will miss Adrian for the rest of our lives, but hope that changes will be made in the near future to avoid further deaths following the recommendations made by the coroner”.

Families in this situation have just one opportunity to make a difference; that opportunity is at the inquest, where, as some learned Members have said, incredibly difficult facts may be put to them about the death of their loved one. It is not only important that families are able to grieve, have their voices heard and find the truth, but that we as a society and our state agencies can learn from their experience and their support and make recommendations so that no family has to go through this again.