@ Alber Ratman... Please could you re arrange the words in your last post, "into a well known phrase or saying"
@ A W Blain, re-post 201....I attended an inquest on Dec. 5 th. The Coroner informed that they no longer issue a "verdict" but a "conclusion"
Where there is not a single, definitive cause of death, he files a Narrative Conclusion.......The Death Certificate has only just been issued, so I don't yet know the format.
As you said, Coroner can make recommendations,but their job is to ascertain cause of death, not to apportion blame.....but in the course of disseminating the information that led to his conclusion, the finger can point clearly!
Edit: A.R's post has been deleted.