28 Mar 2024
It is appropriate to hold a consolidated inquest into the 39 deaths to determine cause and circumstances and to enable preventive recommendations; the inquest will not determine civil or criminal liability; police must produce the full investigation report and procedural timetables for disclosure will be observed to enable the inquest to proceed within 2024.
28 Mar 2024
The coroner ordered that a consolidated inquest be held for the 39 deaths, instructed the police to deliver the complete death investigation report by early June 2024, scheduled a second pre‑inquest review within two months of receipt of that report and in any event no later than September 2024, required provision of witness lists and written statements 21 days before the second review, and directed parties to aim to hold the inquest within 2024 while recognising representations and legal aid avenues for families.
28 Mar 2024
Because the 39 deaths occurred at the same time and in the same circumstances, the coroner exercised discretion to convene a single consolidated inquest, set a timetable requiring the police to file a complete investigation report by early June 2024, ordered a further pre-inquest review within two months of receipt of that report but no later than September 2024, and directed disclosure of witness lists and written statements at least 21 days before the second review to allow interested persons to prepare, while confirming the inquest's limited remedial but non-adjudicative role.
28 Mar 2024
The coroner directed that a single consolidated inquest for the 39 deaths is appropriate, set procedural deadlines for police disclosure and a second pre-inquest review (within two months of receipt of the full investigation report and in any event by September 2024), and stipulated that the inquest's scope is to determine identity, how, when, where and cause of death and to make preventive recommendations but not to adjudicate civil or criminal liability.
28 Mar 2024
The coroner exercised discretion to consolidate the inquests of the 39 deaths into a single proceeding, required the police to submit a full death investigation report by early June 2024, and scheduled a second pre-inquest review within two months of receiving that report (in any event by September 2024), with parties to be notified and provided witness lists and statements 21 days before the review; the coroner also clarified that the inquest may make preventive recommendations but will not determine civil or criminal liability.
28 Mar 2024
The coroner decided to consolidate the 39 deaths into a single inquest because they arose in the same time and circumstances, directed the police to deliver the full investigation report and witness materials, and fixed a timetable for a second pre-inquest review within two months of receipt of the report and no later than September 2024 together with mandatory disclosure at least 21 days before that review.
28 Mar 2024
The coroner directed that the 39 deaths be consolidated into a single inquest given the common circumstances; ordered the police to provide the complete death investigation report by early June 2024; required a second pre-inquest review within two months of receipt of that report and in any event no later than September 2024; directed disclosure of proposed witness lists, witness statements, expert reports and other evidence at least 21 days before the second review; confirmed that the inquest's remit is limited to establishing identity, how, when and where death occurred and making preventiv…