Investigation and inquest
On 7.4.22, I concluded an inquest into the death of Laura Amy Smallwood, a 34-year-old paediatric nurse, who died in University Hospital Plymouth on 4.5.19.
The medical cause of death was recorded as:
1a) Brainstem infarction;
1b)Bilateral vertebral artery dissection
1c)
II)
I recorded a Conclusion of an Accidental death.
Circumstances of the death
May Day is celebrated annually in Padstow with what is called the Obby Oss festival. An Oss is a hooped structure resembling a hobby horse that weighs about 50lbs and is processed through the streets over the course of the day. There are two separate ‘Osses.’ The day is extremely popular and can attract up to 20,000 visitors to the town.
On 1 May 2019, Laura was unintentionally struck to the back of her neck by an Oss when the carrier lost his balance and fell over. She deteriorated acutely at the scene and suffered a respiratory arrest. She was taken by air ambulance to hospital but died from her injuries.
Coroner’s concerns
Until recently, there had been a lack of involvement by the Oss committees with the Local Safety Advisory Group (LSAG). This had compromised planning and risk management for the event. That situation has improved significantly with the appointment of an external liaison officer by the Oss committees.
Those who attend May Day from the Oss organisations, however, represent only a small fraction of the total number of attendees. At inquest, I heard that there is still no one willing to act as an ‘Event Organiser’ for the May Day event as a whole despite repeated requests from the police for this to happen. As a consequence, there is no single point of contact for the police or others and no one who is engaged with the LSAG to look at public safety.
I heard in evidence that the current legislative framework does not provide the police or any other agency with powers in law to insist on the appointment of an Event Organiser. Further, neither the police nor any other agency have powers in law to grant or refuse permission to hold an event where there are significant concerns around public safety. I enclose statements from:
- Inspector ████████;
- PS ████████
- ████████ with counsel’s advice.
If these submissions are correct, this gap in legislative oversight is relevant not simply for the May Day festival in Padstow but for events nationally. What is the expectation of government, in terms of the management of public safety, where there is no Event Organiser to engage with a LSAG and other agencies like the police?