What to expect at an inquest: explaining the inquest procedure

Being involved in an inquest can feel unfamiliar or overwhelming, but understanding the inquest procedure can help you to prepare and to get answers to any questions you have.

Before the inquest: the pre-hearing stage

The process often begins with a post-mortem examination to establish a preliminary cause of death. If the death was sudden, unexplained, or occurred in state detention – such as in hospital under the Mental Health Act – the coroner is likely to open an inquest.

Families are usually informed early on and may be invited to a short pre-inquest review if the case is complex. This hearing helps clarify what the inquest will cover, which witnesses will be called, and whether a jury is needed. It also gives families a chance to raise questions or request specific areas of focus.

In the run-up to the hearing, families should receive relevant documents, such as medical records, post-mortem results, and witness statements. If you’re legally represented by Attwaters, we would help review these documents and prepare questions to ask during the hearing. Even without legal representation, families have the right to be involved and can contact the coroner’s office to ask for clarification or raise concerns.

During the hearing

The inquest itself takes place in a coroner’s court. This is usually a public hearing attended by the coroner, legal teams, witnesses, and the family of the person who died. In some cases, there may also be a jury.

The hearing begins with an introduction from the coroner, who explains the purpose and scope of the inquest. Witnesses are then called to give evidence. This could include doctors, nurses, paramedics, or independent experts. The coroner may also read out written evidence if a witness isn’t required to attend in person. If there is a possibility the care or treatment provided to the deceased could be criticised, the healthcare providers involved will usually have legal representation at the inquest.

It is worth remembering that families are not just observers. You have a right to be heard, to ask questions, and to engage with the process in a way that feels appropriate. Through your legal representatives, you will have the opportunity to cross-examine witnesses. Questions are usually put through the coroner, who will ensure they are relevant and appropriate. This is an opportunity to clarify details or challenge evidence, and can be particularly important in cases involving concerns about medical care.

Hearings can last from a few hours to several days, depending on the complexity of the case. The environment is formal, but intended to be respectful and focused on fact-finding rather than blame.

After the hearing

Before the coroner or the jury gives their verdict, you will have the opportunity to make a final submission. Sometimes, the inquest may be adjourned if new evidence is needed or if submissions require further time to consider. In other cases, the coroner may deliver their findings immediately after all the evidence has been heard. The verdict itself – known as the ‘conclusion’ – is usually the final step in the process and is covered separately from this article.

Support for families

Going through an inquest can be emotionally exhausting. Charities such as INQUEST and the Coroners’ Courts Support Service offer free guidance and support, both practical and emotional. Many families also find it helpful to speak with others who have been through a similar experience.

If you would like further information on inquests, please contact our Medical Negligence team on 0330 221 8855 or email enquiries@attwaters.co.uk for a no cost, no obligation discussion.