Inquests are odd. I gave evidence at one years ago. The cause of death was bleedin' obvious. Self-inflicted death by the idiocy of the the deceased. The coroner bent over backwards to ignore the obvious and make out the deceased idiot hadn't been reckless and stupid. Recorded a narrative verdict that absolved the deceased from the massive contribution he made towards his death. I came away convinced that the system was rigged to make the relatives feel better, not uncover the truth.
Can't comment on the Hunter inquest. I wasn't there. Sounds to me as if the coroner felt the victims needed someone to blame to make them feel better. Easy to blame the pilot. Far harder to place blame fairly on all the organisations that were grossly negligent.
Off topic, but I'm certain we will see the same with Grenfell.