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Inquest Farleys Solicitors LLP

Inquests – Case Studies

Inquest Case Studies

Here at Farleys our specialist inquest solicitors have represented clients in a number of inquest cases, be they deaths in police custody, deaths in medical care or otherwise private inquest cases.

Below is a list of recent cases that Farleys have represented clients in, for further details regarding inquests please don’t hesitate to call us on 0333 331 4602 or email us.

Inquests Farleys Solicitors LLP

Inquest into the Death of Michael Hoolickin Resumes

At a hearing on the 13th July 2017 at Heywood Coroner’s Court, HM Senior Coroner Ms Kearsley resumed the inquest into the death of Michael...

Michael Hoolickin Inquest Client
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News Farleys Solicitors LLP

Inquest Finds Failings Led to Death of Vulnerable 16 Year Old

The mother of a 16 year old boy who died whilst in the care of a children’s home is calling for lessons to be learned, as the Inquest into...

Daniel Sewell-French Inquest
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Inquests Farleys Solicitors LLP

Inquest into the death of Bernard Lee Phillips

33 year old Bernard Lee Phillips died on the 31st October 2015 having taken his own life shortly after attending North Manchester General Ho...

Bernard Lee Phillips Inquest
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Inquests Farleys Solicitors LLP

Keith Bowkett – Death at HMP Erlestoke

Our Inquest Department were instructed to act on behalf of the family of Mr Bowkett who died on 18th May 2014 whilst an inmate at HMP Erlest...

Keith Bowkett
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Inquest Farleys Solicitors LLP

Inquest into the death of Nicholas Sullivan

The inquest into the death of Nicholas Sullivan concluded on 17th August 2016. The inquest was heard by HM Senior Coroner for Manchester (Ci...

Nicholas Sullivan
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Inquests Farleys Solicitors LLP

Emmanuel Buyoya – Death at HMP Parc, South Wales

Mr Buyoya was 20 years old when he died. Mr Buyoya appeared at Cardiff’s Magistrate’s Court on 23 December 2005 where he was charged rem...

Emmanuel Buyoya Death at HMP Parc, South Wales
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Inquest Farleys Solicitors LLP

Fusilier Samuel Flint - Unlawful killing whilst on active duty

An inquest into the death of Fusilier Samuel Flint and his two comrades Cpl William Savage, and Pte Robert Hetherington of The Royal Regimen...

Fusilier Samuel Flint Inquest
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Inquests Farleys Solicitors LLP

Glyn Roberts – Death at Ysbyty Glan Clywd Hospital

Glyn Roberts died on the 29th December 2008, at the Ysbyty Glan Clywd Hospital following a cardiac arrest due to the progression of Pancreat...

Glyn Roberts Inquest
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Inquest Farleys Solicitors LLP

Gareth Price – Juvenile Death

Farleys acted for the family of Gareth Price a 16 year old who died in HMP Lancaster Farms. The Inquest lasted 3 months and evidence was hea...

Gareth Price Inquest
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Inquests Farleys Solicitors LLP

Gordon Ashton - Death at Fairfield Hospital, Bury

The inquest into the death of Mr Gordon Ashton concluded on 10th October 2014. Mr Ashton died on 28th May 2014 at Fairfield Hospital, Bury. ...

Gordon Ashton Inquest
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Inquest Farleys Solicitors LLP

Kieran Gray – Death at HMP Preston

Farleys were instructed to represent the family of Mr Kieron Gray of Blackburn in connection with the inquest into his death and in connecti...

Kieran Gray Inquest
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Inquests Farleys Solicitors LLP

Lisa Marley – Death at HMP Styal, Cheshire

The jury found that Miss Marley’s death was caused by a “failure to ensure awareness of accurately reporting and act on all events which...

Lisa Marley Inquest
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Inquest Farleys Solicitors LLP

Olatunji Apena – Death at HMP Parkhurst, Isle of Wight

Farleys were instructed to represent the mother of Mr Olatunji Apena of London in connection with the Inquest into his death whilst an inmat...

Olatunji Apena Inquest
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Inquests Farleys Solicitors LLP

Philip Holland – Death in Hospital

Phillip Holland was a 44 year old man who had a history of myotonic dystrophy. His father was his primary carer and devoted his life to look...

Philip Holland Inquest
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Below are details of a number of further inquests cases that Farleys Solicitors LLP have acted on:-

Willow Rosie Kemp – Death at Royal Manchester Children’s Hospital

Willow was just 20 months old and suffered from a number of complex conditions including a chromosomal defect and renal gastric normalities which required careful management of fluid and electrolyte balance particularly her low level serum Potassium.

Willow was being treated at the Manchester Children’s hospital and underwent a number of successful procedures whilst in their care. After undergoing the surgeries Willow was transferred to the Paediatric Intensive Care Unit.

Whilst admitted to the Intensive Care Unit Willow was prescribed a bespoke prescription routine that fell outside of typical guidelines. The prescription was to be administered with careful management and regular checks every 60-90 minutes. Unfortunately Willow was not check for over three overs during which her blood gas reading had climbed to an abnormal level.

The Specialist Registrar on duty failed to bring this to the attention of the Consultant immediately causing a delay in the corrective treatment. Willow’s ECG was noted as abnormal later revealing Ventricular Tachycardia. No palpable pulse was found and CPR efforts commenced but sadly were unsuccessful.

Upon inquest the NHS admitted full liability. To read a full account of this case study, click here.

Paul Davies – Death in police custody 

Paul Stephen Davies died as a result of an accident and the cause of death was contributed to by neglect. At 12:25 am on 28th September 2006, the deceased was pronounced dead at the Princess of Wales Hospital in Bridgend.

On 26th September 2006 between 07:30am and 07:42am, the deceased Paul Stephen Davies swallowed a package which became lodged in his airway (at an indeterminate point within this time range) during the execution of a drugs warrant.

The briefing was inadequate due to the gross failure of the intelligence systems in place at the time.

There was a lack of training provided to officers for

  • the forced search of the mouth of a detained person in a non-custodial setting
  • the control and restraint of a detained person in circumstances where an item is seen to be placed in the mouth

Paul Stephen Davies was not adequately controlled or monitored in the sitting room when officers arrived at (address).

Appropriate and timely action was taken by officers in seeking medical assistance for Paul Stephen Davies.

The coroner, Mr Peter Maddox, stated that he would use his rule 43 powers to write to the chief constable of South Wales Police and the other associated bodies to express his concerns of the lack of training offered to police officers dealing with this situation.

Mitchell John Turner – Death at Forest Bank Prison

Mitchell was found hanging from the hinge of his cell door at Forest Bank on the 15th July 2007. The jury heard four days of evidence from staff at Forest Bank, Paramedics and the pathologist.

After hearing all the evidence, the jury determined that Mitchell died in the care of Forest Bank. On a number of occasions, Mitchell demonstrated a risk of self harm and appropriate precautions were not taken by the prison to negate this risk.

Terrance John Madden – Death in Custody

The jury have returned their verdict following the Inquest into the Death of Terrence John Madden.

The jury found that Mr Madden was experiencing severe alcohol withdrawal symptoms and that although prison staff recognised that his condition was deteriorating and that he was becoming more confused and distressed, he received no further medical intervention before he was found in his cell having sustained a serious head injury.

The jury had heard evidence that none of the healthcare staff in prison had had any specific training in the assessment and treatment of alcohol withdrawal. Staff gave evidence that although Mr Madden was suffering from auditory and visual hallucinations and he was plucking imaginary objects off the walls in his cell, this behaviour was normal for prison inmates undergoing alcohol withdrawal at HMP Liverpool.

The jury found that the significances in his deteriorating condition had not been appreciated by the healthcare staff.

Following his injury, Mr Madden was taken to University Hospital Aintree where there was a delay in his treatment, he became unconscious and died in Ormskirk Hospital on the 20th March 2005.

Petra Blanksby – Womens Death in Prison

Farleys Solicitors represented the family of Petra Blanksby a young woman who died in HMP New Hall prison.

Petra had a long history of self-harming and had been arrested following an attempt to kill herself by setting her bed on fire.  Whilst an inmate at HMP New Hall for 130 days she self-harmed on 92 occasions. She was described by one prison officer as a ‘death in custody waiting to happen’.

This case highlighted the issue of the lack of suitable places for young women who self-harm and following the Inquest, the Coroner indicated his intention to write subject to Rule 43 of the Coroners Rules to both the Prison Service and the Department of Health.

Kurt Howard – Death in a Psychiatric Hospital

Six years after he died the Inquest recently concluded into the death of Kurt Howard who died in Cefn Coed Hospital, Swansea.

The Inquest lasted 5 weeks and amongst their findings the jury concerned that:

  • The care plan and risk assessment in relation to Kurt were inadequately completed.
  • There was a lack of communication and training between the hospital staff.
  • Kurt was subject to an excessive and prolonged restraint in the prone position.
  • There was a delay in the staff calling the Ambulance.
  • The environment that the restraint took place was inadequate and unsuitable.

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