Investigation and inquest
On 7 April 2016 I commenced an investigation into the death of Marian Elizabeth CLODE. The investigation concluded at the end of the inquest on 22 October 2020. The conclusion of the inquest was
Accident
Medical Cause of Death
1a CARDIAC ARREST WITH ANOXIC-ISCHAEMIC BRAIN INJURY
1b NECK FRACTURES AND SEVERE SPINAL CORD INJURY
1c FALL (ATTACKED BY A COW)
II
Circumstances of the death
On the 2 April 2016 Marion Clode, her husband, daughter and son in law and 2 grandchildren travelled to Pine Cottage, Swinhoe Farm, Belford, Northumberland for a 1 week holiday.
On the 3 April Mrs Clode and her family went walking on a recognised walking route from the farm. The family were unaware of the farmer's ████████ plan to move cows and their calves from their winter shed into a field adjacent to a public bridleway. The cattle were assembled in a non secure holding area in preparation for movement. Some cattle broke loose from the holding area onto the public bridleway. Simultaneously Marion Clode and her family were returning to Swinhoe Farm via that same public bridleway. They had no warning either verbal or by signage and due to the topography of the area were unaware of the cattle coming towards them.
Marion Clode, leading the family group was attacked by a cow 3 times sustaining injuries that lead to her death on the 5 April 2016.
Coroner’s concerns
(1) Cattle movement being commonly undertaken in accordance with individual farmers “custom and practice” and in the absence of:
a) formal plans for cattle movement (written or verbal)
b) Contingency plans/strategies in the event of cattle breakout
c) Specific planning in respect of the heightened risk associated with the presence of young calves and in the context of their first release from winter shed
(2) Cattle movement undertaken without appropriate measures in place to mitigate the risks of cattle breakout:
a) Cattle held prior to movement in a holding area pen which was insecure. Cattle contained only by quad bike and trailer (driven by farmer) at the front of the herd.
b) No warning to the public of impending cattle movement and the risks thereof either by temporary warning signage or farm staff place at strategic points on the planned route to give verbal warning.
(3) Secure gate at the entrance to bridle way unable to be utilised due to direction of opening which with some limited alteration may have gone someway to mitigate the risk in this case.