The inquest into the death of Casey Garrett, seven hours after his birth at Bedford Hospital, concluded on 21 July 2015.

Senior Coroner Thomas Osborne delivered a narrative verdict, concluding: “Casey Garrett was born on 10 September 2014. Prior to his delivery at Bedford Hospital there were a number of failures to recognise that his condition was deteriorating and there was a failure to escalate the levels of care so as to expedite his delivery. These failures resulted in a lost opportunity to deliver him earlier and avoid his death. He died on 11 September 2015 at 07:10 from perinatal asphyxia.”

The inquest examined the standard of care provided including the midwifery team’s ability to interpret foetal heart rates.    

Sebastian Naughton was instructed by Julie Say of Hodge Jones & Allen, who commented, “this has been one of the most open inquests that I have attended and one that has been a force for change with all interested parties working toward improving patient safety”.

The Coroner is to write a Prevention of Future Deaths letter to the body responsible for training student midwives, querying whether Bedford Hospital is an appropriate place to train students in the light of the series of failings the inquest identified.

Bridget Dolan represented the parents of Keira Lee at the inquest following the death of their 2-year-old daughter after neuro-surgery.  The Senior Coroner found that at an earlier medical review obvious signs of Keira’s brain tumour had been missed and the consequential delay in diagnosis more than minimally contributed to her death.   The Lee family is raising awareness of childhood brain tumours at:  For more details see:    


His Hon Brian Barker CBE, Q.C. has appointed Bridget Dolan as Counsel to the Inquest into the death of Private Cheryl James at Deepcut Barracks.

The inquest is listed for up to 6 weeks, to commence in February 2016.  The next hearing will be a further pre-inquest review to be held on 10th September at Woking Coroner's Court.

A jury has returned a verdict of misadventure in the inquest into the death of Habib Ullah.  

Mr Ullah was stopped by officers in order to search him for drugs in July 2008.  During the course of the search Mr Ullah concealed a package of drugs in his mouth and officers restrained him in order to try to retrieve it.  Following the restraint Mr Ullah collapsed and later died in hospital.  The package was recovered from his throat.  

The Cardiff inquest concerning kidney transplantations infected by parasitic worms in which George Hugh-Jones QC and Elliot Gold acted has concluded with a narrative verdict that both the deaths were the unintended consequences of necessary medical intervention.

Serjeants’ Inn Chambers is instructed by two parties in the ongoing, high-profile inquest into the death of two patients who received kidneys from a donor who had meningo-encephalitis of an unknown origin and subsequently died due to the transmission of a very rare parasitic worm, Halicephalobus gingivalis. 

Following an inquest into the death of Santosh Benjamin-Muthiah, who died in a fire in 2010, Coroner Andrew Walker has accepted recommendations put forward by Hertfordshire Trading Standards and London Fire Brigade.

George Hugh-Jones QC is representing one of the A and E doctors at the second “Mid-Staffordshire” inquest into the death of John Moore-Robinson.