Investigation and inquest
On 20th May 2014 I commenced an investigation into the death of Richard Edward Anthony Jaeger-Fozard. Date of birth 17th May 1984.The investigation concluded at the end of the inquest on 22nd May 2014 ████████████████████████████████████████████████████████
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Circumstances of the death
This is summarised at paragraph 1 of the narrative part of the Conclusion
Coroner’s concerns
[The following documents are attached:-
(1) Pages 33 to 45 of the report of ████████ dated 16th April 2014.
(2) Statement of ████████ dated 22nd April 2014.
(3) Your letter on Genie notepaper dated 20th May 2014.
These documents were available to me at the Inquest and set out ongoing differences of professional opinion as to the proper steps to be taken to prevent similar occurrences. Adjudication of those differences is outside the scope of the Inquest.