Public and private bodies have a duty to keep us safe from harm and protect our lives, but every year hundreds of people die preventable state related deaths.

These include deaths of people in police and prison custody, mental health settings and following disasters including at Grenfell and Hillsborough. 

In response, the public and bereaved families need transparency, accountability and action, so that changes are made to protect us and our families and prevent future deaths.

Potentially life-saving recommendations are too often forgotten, dismissed or simply not implemented. This leads to yet more preventable deaths and harms. 

INQUEST is calling for a National Oversight Mechanism: A new independent public body responsible for collating, analysing and following-up on recommendations arising from inquests, inquiries, official reviews and investigations into state-related deaths.

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"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