The problem
Every year, hundreds of people die preventable deaths involving the state. People die in prison, police custody, mental health and care settings, and following disasters such as Grenfell and Hillsborough.
Hundreds of vital recommendations are made following inquests and inquiries into these deaths. Yet there is no system in place to oversee them or ensure changes are made.
These potentially life-saving recommendations are too often forgotten, dismissed or simply not implemented. This leads to more preventable deaths and harm.
Our solution
INQUEST is calling for a National Oversight Mechanism: A new independent body responsible for following up on the implementation of these vital recommendations.
A National Oversight Mechanism would
- Collate recommendations and public bodies’ responses in a new database
- Analyse responses from public bodies & issue reports
- Follow up on progress, escalate concerns & share thematic findings
The only thing that makes sense of the loss of your loved one is that maybe lessons will be learned and the same thing will not happen to someone else.
Andy McCulloch, father of Colette McCulloch, who was a voluntary patient at a residential care home when she died in July 2016
Take action
Join our fight to end preventable deaths at the hands of the state.
- Sign the petition
- Write to your MP to ask them to sign the Early Day Motion in support of the National Oversight Mechanism using our draft template. You can find your local MP and email them here. Please keep us updated and share responses via inquest@inquest.org.uk.
- Share the campaign on Facebook, Instagram, Twitter and LinkedIn.




