You may be asked to attend an inquest because:

• You were directly involved in the patient’s care

• You prepared a clinical report or statement

• The coroner requires clarification of medical decision-making

• There are questions about systems, risk assessment, or communication

An inquest is not a criminal trial. Its purpose is to establish who the deceased was, and how, when and where they died.

Understanding this distinction is crucial in reducing unnecessary fear.

The typical process includes:

• Introduction by the coroner

• Evidence from relevant witnesses

• Reading or summarising written statements

• Questions from the coroner

• Questions from Interested Persons (for example, family representatives)

Proceedings are formal but generally measured and focused on fact-finding.

Preparation is the single most important factor in reducing anxiety.

Before attending court, clinicians should:

• Review the medical records carefully

• Re-read any statement provided to the coroner

• Clarify timelines and decision-making

• Ensure understanding of key clinical issues

• Seek organisational or legal support where appropriate

It is entirely appropriate to:

• Take time before answering

• Refer to your statement

• Ask for clarification if a question is unclear

Clear, honest, professional evidence is the goal.

Clinicians frequently worry about:

• Being blamed or criticised

• Saying something inaccurate under pressure

• Cross-examination

• The presence of the media

• Impact on professional reputation

In practice, most inquests are calm, structured, and focused on understanding events rather than apportioning fault.

Preparation and understanding the court’s role significantly reduces stress.

The death of a patient is often personally and professionally affecting. Attending court may reopen those emotions.

It is important to recognise:

• Emotional responses are normal

• Professional composure does not mean emotional detachment

• Support from colleagues and organisations is appropriate

Inquests are part of professional life for many clinicians — but they need not be overwhelming.

• Prepare thoroughly

• Understand the purpose of the inquest

• Clarify your professional responsibilities and duties

• Seek peer and organisational support

• Focus on provide clear, factual evidence