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recurance

London Bridge & Borough Market Terror Attack

1 Nov 2019 · Coroner HHJ Mark Lucraft QC · London Inner (South)

The coroner's concerns

  1. 1. extensive PFD reports

    “It is not normal practice for coroners to include in such reports explanations for not including certain matters. PFD Reports of coroners generally are, and should continue to be, short and succinct documents produced quickly after inquests. This report by contrast is an extensive document, as is appropriate to these exceptional Inquests (just as Hallett LJ produced a lengthy PFD Report following the London Bombings Inquests). It should not be seen as a model for inquests generally.”
  2. 2. systemic failures in security and transport

    “The purpose of death investigation in both domestic law and the law of the European Convention on Human Rights includes a concern to identify systemic failures and risks.”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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