His Majesty’s Senior Coroner for West Yorkshire (Western District), Re

The failure to provide the Assistant Coroner with crucial documents reflecting suicidal ideation rendered the original inquest insufficient. The interests of justice, and the desirability expressed by the Deceased’s mother, require the determination and findings of the original inquest to be quashed and a fresh investigation and inquest to be held.

Parties: Claimant: His Majesty’s Senior Coroner for West Yorkshire (Western District)
Jurisdiction: England and Wales
Judgment Date: 07 March 2025
Procedural Posture: Judicial Review / Final Judgment
Outcome: Application granted
Legal Topics: Fresh Inquest, Article 2 ECHR Procedural Duty, Insufficiency of Inquiry, Discovery of New Evidence, Delay in Granting Fiat

Coronial Law Administrative Law Human Rights Law Fresh Inquest Article 2 ECHR Procedural Duty Insufficiency of Inquiry Discovery of New Evidence Delay in Granting Fiat

Case Brief

Summary, issues, holding and outcome

More case intelligence is available

Unlock the full research layer for this judgment.

Full judgment text Downloadable case file Legal principles 3 Authorities cited 6 Party arguments 2 Amounts and remedies 1

Parties

His Majesty’s Senior Coroner for West Yorkshire (Western District)

Claimant

Procedural Posture

Judicial Review / Final Judgment

Legal Issues

1 Whether the interests of justice require a fresh investigation and inquest into the death of Leonardo Pronesti
2 Whether the procedural duty under Article 2 ECHR was engaged and complied with
3 Whether the original inquest was insufficient due to missing evidence

Ratio Decidendi

Court Disposition

Application granted

Orders

The determination and findings of the investigation and inquest held into the death of Leonardo Pronesti are quashed.
The Claimant is ordered to conduct a fresh investigation and hold a fresh inquest into the death under Part 1 of the Coroners and Justice Act 2009.