Page 7 - When Things Go Wrong
P. 7
CONTENTS
Executive Summary
I. Introduction 4
II. Framework for Reform 13
III. Opening Investigations 40
IV. Pre-hearing Procedure 57
V. Hearing Procedure and Practice 75
VI. Learning, Accountability and Systemic Change 88
VII. Conclusions and Recommendations 102
VIII. Acknowledgements 114
IX. Annexe: Structure for Special Procedure Inquests 117
