Prevention of Future Death Reports (Regulation 28)

After an inquest, the Coroner can write a ‘Prevention of Future Death’ or ‘Regulation 28’ report.

This happens especially where the Coroner has heard evidence that further avoidable deaths could happen if preventative action is not taken. The report is sent to the person or authority who have the power to make the changes that are suggested. They have to respond to these within 56 days showing how they have made changes according to the Coroner’s recommendations, or how they intend to. All Prevention of Future Death reports and responses are sent to the Chief Coroner and are usually published on the Judiciary website.

During your loved one’s inquest, your lawyer might want to ask the Coroner to consider making a Prevention of Future Death report. You can ask your lawyer if they think this might be possible.