COMPANY No. 03054853 REGISTERED CHARITY No. 1046650 INQUEST CHARITABLE TRUST (Company Limited by Guarantee without Shar¢ Capital) REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 INQUEST CHARITABLE TRUST tNDEX TO THE FINANCIAL STATEMENTS FOR THE YBAR ENDED 31 MARCH 2024 Page No. Trustees. Annual Report (including Directors, Report) 20-22 Independent Auditor's Report 23 Statement of Financial Activities (including Income and Expenditwe Account) 24 Balance Sheet 25 Ststem¢nt of Cash Flow5 26-36 Notes to the Financial Statements INQUEST CHARITABLE TRUST TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 About IN UEST INQUEST is the only charity providing expertise on state related deaths and their investigation to bereaved people. lawyers. advice and support agencies, the media and parliam¢ntarians. Our specialist casework iyjcludes deaths ill policc and prison Cubtody, immigration dctcntion, mcntal hcalth sctting5 and dcaths involving multi- agency failings or where wider issues of state and corporate accountabilily are in question. This includes work atouDd the Hilltyborough football disaster and thc Grcnfcll Towcr f]re. INQUEST'S policy, parliamentary. campaigning and media wod( is grounded in the day-to-day experience of working with bereaved people. Employing aD iniegrnted model. Ihis brings logether casework support, family p2rtiLipation, idcntification of thematic trcnds, statistlC5 and analy515 that feeds into thc organisation's woik on campaigning. inforniation sharing and policy and parliamentary work. At the heart of this uniquc model arc the experiences and needs of bereaved people. This integrated approach is crucial to families, not only in making surc thcir voices are heard and holdll)g the stafr to account for individual deaths, but also in changing policy and practicc to prevent future deaths. Su¢h work allows us to identiry pattern8 and trends in such deaths, and in turn to SLtuate conientious deaihs in their broader social and political contexts. In turn. this provides an evidence-basis from which to expose and challenge structural racisrn and all other forms of structural oppression. The period saw increasing demands for INQUEST'S casework, wjlicy campaign expertise OTJ State-related deaths and their investigation. INQUEST remains independent of government and entirely dependent on fiJndrai8ing which includes donations from our supporters. We op¢rate in a ¢ont¢xl wheie fundrnising has be¢ome extremely Challenging with an increasing demand on a de¢reasing pool. and trusts and foundations often Closed for applications whilst reviewing their strategies. This was also the period during whi¢h we Celebrated 40 years of INQUEST, with collaborative ¢reative projects and a new campaign for systemic change to continue building on our legacy. We ate immensely ￿ale￿I to our brilliant staff team, trustees, volunteers, lawyers involved in the INQUEST Lawyers Group (ILG). our funders, and the bereaved families whose expertise and courage drives our work. Our Or #nisstion Aftci a family-focu5ed recruitrnent process in Spring 2023, INQUEST welcomed three family men]bers to our Board of Trustees. The new members are Marcia Rigg, Dr Rebecca Montacute and Doug Cave. All ihree f]r5t came in contact with INQUEST when accessing out casework scrvic¢ and have iemained involved in our work in vatious ways ever since. The lived experience of families 15 one of INQUEST'S greatesl resources, and we are pleased io have further embedded our family cngagcment model in our governance structures to ensure the family voice rcmains at the centre of all we do. In Decembei 2023, INQUEST also welcomed Chris d¢ Grasse as a new Tiustee with expertise In human resoutces. Chris has Ino￿ than 25 years of expcrience WOTking in human resources, including at the Refugee Council and Greenpeace UK. Finally, we welcomed Sanah Ahsan as a new patron at INQUEST. She is a poet and a psychologist at 5evernl oiganisations such as Art Against Knives. In Dec¢mber 2023. we were very saddened that our long-standing Patron Benjan]in Zephaniah died. Benjamin stood in solidarity with bereaved families and was a longtime friend and supporter of INQUEST. When his cousin died in police custody, alongside his family he ¢slablished the Friends of Mikey Powell Campaign for Justice and commented on th¢ sad irony of how he had gone from supporting lo being supported by INQUEST. His loss has and will be deeply felt by INQUEST and bereaved families. In 2024, Benjamin's sibling5 founded the Benjamin Zephaniah Family Lega¢y Group to ensure his legacy is c¢l¢brated. INQUEST CHARITABLE TRUST TRUSTEES, ANNUAL REPORT (INCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 Benjamin Zephaniah Casework Duriiig the year l April 2023 10 31 March 2024, our casework ieam has worked on 886 cases, of which 414 (47 % ) were i)ew cases. These cases involve police. prisoii, immigration aiid nienial health services aiid care services for people with learning disabili¢ies and auttsm. Key figures from our casework: 334 cases1311'/.) iiivolved mciital health and hcJlthLare services 198 eases122Q/D) involiied prisons 131 cases (150/0) involved poli¢e 2l°/o olthe cases we worked oli iiivolved deaths of people from Black, Asiall aiid oiher ia¢ialised groups. We also work on a nuTnber of other cases involviiig mLblti Jgeii¢v failiiigs, as well as ensuring that our resources, iiicluding our comprehensive guide to the iiiquest system, Ihe In uesi Ilandbook is available io ALL bereaved people, including those whose case falls outside of our remi[. Case study: The family of A coniacted u5 hours after his death whiLh illvolved the police. The family were distraught. angry aiid Lompletely in the daik aboul the piocesses lo follow. We advised them of iheir right5 (0 Icgdl rcpr¢seiit&ition and the itnporiallce of seeking an independent post-mortem. We secured a specialist lawycr to represeiit the family. A's family were supported by our casework teani whilst viewiiig disliessing video foolagc of the period Icading to his death. which fortned parl of the invesligalion. We arranged for another family member we work with to provide support to A's fatnily. This 'lNQUEST buddy, si￿1]riCant1Y reduced the sense of isolaiion of both families. The family were regularly infonned of any changes to the service that could impact on them ai)d the addilioiial services available to theFn through ihe INQUEST Coiin¢clion Cafe and Facebook. Followii)g government pandemic Tule5 and risk assessments, we attended parts of the inquest hearing with A's family via an audiD link. In additiOL), we organiscd Jnd supported the family ihiough multiple media iiiterviews. Following a highly critical conclusion to the inque5É. (he caseworker has Tnaintailled contact wilh and continues to provide advice aiid assistance lo the family as they experience the aftemiaih ofgrief. Case study: J was an adult with severe leatning disabilities undei Deprivation of Libety Safeguards {DoLS) in a care hotne. J was Icft unsupervised by c￿¢ staff despite being on I.. I care (constant watch). J was left with a pla* of food on the floor next to him. H¢ subsequently ¢hoked to death on the sandwiches. INQUEST provided an initial call with the family, who were very sceptical about Lllstructing lawyers despite clear failings in J's care and an admission of neglect by the care home. Following our ¢asework¢T'S ￿11 with them discussing the benefits of legal advice, the family agreed to be put in touch with lawyers who had - INQUEST CHARITABLE TRUST TRUSTEES, ANNUAL REPORT (INCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 worked on similar ca8e8. Our caseworker further &dvised them to seek infomiation from the coroner. Finally. INQUEST put them in touch with allother family who had experienced & similar tragic loss, the mother of a man with Down's syndrome who had also choked at his care home. That family, sirnilarly to J's, was very cynical about the processes but did decide to engage. The families discussed their decisions together, including what led them to change their mind. The family instructed solicitors which INQUEST identified fot them. OUT caseworker attended their pre- inquest hearing remotely and the Coroner accepted their Article 2 submissions. Feedback from the family included: "[...] If 1¢ hadn'l been for your initial inpul, we wouldn'l have hud coiinsel on boai-d al all and it is now absolulely clear rhal we've done the right thing." Family Engagement In thc rcporting year, INQUEST continucs facilitating online spaces for peer-to-peer sllp]￿. providing additional support and inforniation before, during and after the inquest. Notable examples includc Conne¢tion Cafes, the Facebook Gmup (which is jointly by the Family Reference Group) and the revitali5ed FaTnily Forums, which had been cancelled during Covid. These safe spaces and networks of support and solidarity h&v¢ been d¢s¢ribed to staff a5 a "lifeline" because deaths in state care are unlike any other, often involving sligmi shame. indiffetence, legal delydys and victim- blaming. Families can be left feeling isolated from friends, colleagues and even other family meTnbers: There is so much stigma about people who die in pi'ison. People on ihe o￿ls[de think "well ihey deserve lo be there, or il's their owp7fault. ' To be able Éo go 017 the screen ai ihe INQUEST events and cop7necliopT cafe and be in company of oiher people who get how you feel. your anxielies, yo&r shame. It makes me feel less ashumed aboiil where and how [My son] died. As much as Mo [Family Ep7gagemepit Coordinalor] 3orl of runs ihe meeiings, she lets people just talk, and when ihey do they talk.from ihe heap't. You speak and you don i.feel jiidged. Families reported feeling supported in non-judgmental ways, making INQUEST'S expertise and experience in supporting families vital when no other comparable services exis( to deal with state-related deaths- Ifeli valued aiid liste￿ed iofrom ihe veryfirst lime I spoke io my case woi-ker. Throughoul our lime togeiher she never judged or made mefeel as though pny sop7 was not worthy of the time thal would need ro be spent looking inlo ihe failiii-es behind his deaih. Her warniih was always welcome apid helped me ihrotigh the bad limes. (Family member) Opening up new online opportunities for talking to and hearing from families has improved the organisaiion's capacity for sharing information. guidance and advice, and has helped develop a greater sense of community aDd solidarity with those who shared the experience of an investigation or inquest: Initially my priority wqs to connec¢ wilh like-mEnded people / oiherfamilies who could relaie io whai I was going through. Ivhai I have learnl is ikui ihrough these conneclions I am finding the sTr-engrh and in.spirGtion lo con(inue ihefightforjusticefor my loved one. (Family membei) Big ihanks lo [Ihe Family Engagemeni Coordinaiorlfor Ihe way she rnns ihese and thank¥ to all thefamilies who share experiences that reduce isolalion bul also significanily help ¢0 iip7ders¢and ihe complex inquesl pioeess andparlicipate be¢tEr. (Family member) J love Conneciion Cafe,. li has been a huge siipport and gave me stiength toface ihe inquest, {Family member). Further support was available through useful tips and ljnks to informa¢ion on the website, the IN UEST Handbook (a legal guide to the inquest system provided to every family that contacts the organisation), the Skills Toolkit (a practical guide to engaging wilh the inquest and its afternath) and FA ttsLtsheet& What famllies SAY about our work Through our evaluation and monitoring, families have reported a high level of satisfaction with the seTvice and support they received frorn the casework service, with 870/0 believing it to be very good (75 /.) or g(￿d (12/ ). INQUEST CHARITABLE TRUST TRUSTEES, A￿VAL REPORT (INCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 Where families felt the service had been less than satisfactory. factors included cases falling outside our remit, irregular contact with their caseworker or a lack of clarity an)und what their caseworker could and coulthj't offer thcm. Families acknowledged the sUPPOrt they received equipped them to participate more meaningfully in iuvestigations, inquests and the pursuit of justice.. AS afarryily Mie had no idea ofwhere to lurnfor help infinding answers lo ihe g￿eStiOnS we had. After COFtla£'lin¥lNQUEST, they were able to gtve U3 Éhe guida17ce ihul we iieeded io slap'i the bdll i'olling in seeking justicefor our loved one. (Family member) The siipporl and 8rperlise INQUESTpp"ovidedhelpedso much. we were distruiight, andNQUESTshedlight on the way lhi￿Ugh a daunting system wilh ihe legol Support we neededio do so. Thankyou. (Family member) Those families who were able to access specialist legal representation from ILG membcr5 fclt bettet prepaT¢d and bettcr cquippcd to participate in what can IK & long drnwn-out and complex legal process. Families who re5pondcd to INQUEST'S questionnairc were ovcrwhelmingly positive, with 94 % regarding their legal representation a5 very good (82n/o) or good (120/0) with the other 61 satisfied. Importantly, families who parti¢ipated in the new support activities such as the Mind, Skills, Body workshop5 were even more positive.. IOOn/o felt moTe able to manage and be resilient, 90 % felt less isolated and 90 /0 felt more connected to other families. The process was so life offinnip7g beco14se il gave me back conlrol over my own emolions apzdgrievip7g. IÉ helped me rofeel confideni again in myself and managing my menlal andphysical stole, thut it's okay lofeel sad, bu¢ il's also okay to do some¢hing about it on a day-lo-day level. The lii¢le things in life can be very comforling. It was good io laiigh and cpy logetker as a group, inslead offocusiiig on a￿1. campuign3 etc. (Family member) Systemie Change Work As well as providing support for individual families, INQUEST also works to take the learnings and lessons from those deaths to fight for national change. Our work to make changes systemically is outlined below. The ease for A NatlonAI Overslght Mechanlsm- The No More Deaths Campalgn On 27 June 2023, we came together in parliament with bereaved families, parliamentarians and campaigmeTS to murk tli¢ l¢iunch vf our iiew¢st ¢Jm gLi No Mor¢ D¥aths.' Tli¢ idse fur a Naiivllal Owerqi hi MeLhanism. The campaign seeks to ensure transparency and fix the accountability gap following prcvcntable state-Telated deaths by call￿g from the sovemment to establish a public body to monitor recomrncndations from inquests, public inquiries and other official investigations into state-related deaths. Chaired by Helena Kennedy KC, who described INQUEST as "one of the most important human rights organisations", the event heard fTom a range of speakers including Deborah Coles, Leslie Thomas KC. Andy Slaughter MP and bereaved families. The 103s ofa child chL7nges your DNA. The nalural order ofthe Mporld ispermanenily disp71pled even though the sun dares lo show ilsface each morning. Amid ull ikis. one oihei- thoughtpersisls.. a resolve ihat no otherpai-enl shouldsuffer like you needlessly. Richard Caseby. the father of Matthew C&5eby, who died whilst in the care of The Priory. NO MORE DEATHS ThFA C47rn1?aign for a N-.111￿11￿..II INQUEST CHARITABLE TRUST TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 Marienna Pope-weidemann, the cousin of 19-year-old Gaia Pope who died in 2017, also spoke at the event. Gaia was a rape survivor with complex needs who had been tepeatedly failed by ihe police, mental healih and social caie seivices, and went Inibsing from hei home in Dorset. MarieDna I￿rote iii tlie i about her family's experiences and why she supports our #NoMoreDeaths campaign. In her powerful call to &Ltion, she said: The law Fnay be complex, biir the Inifh is siwple. As long as inqiiests give only the illiision ofrACCOU171ability. Ihe slule savesfuce, 1¢ ispeople like Gciiu who pay wiih iheik. lives. We produced a i'ideo alon 4ide families in which thcy describe the need foi a National Oversight Mechanism. Christian Wcavcr, biirrLStcr and formcr INQUEST caKwoiker, produced a L￿￿, Iv 60 Secoiids video on the N￿l[l()nal Oi'er5i hi IkleihaiiisnL It makes a very strong case for better oversight of recomrncndations and has already been an effeclive boosi for the campai￿. with more than 4,700 signatures to date. Other key Influenclng work Includes: In spring 2023, we subrnitted evidence to the UN Special Rapporteur on extrajudicial, summary or arbitrary executions as part of their report on death5 in custody. It focused on key findings from our recent re￿rtS on institutional racism and a lack of follow-up to key recommendations on death5. Brook House Public Inqulry Prior to the inquiry being set up, we provided a witness statement arguing why an independent iTJqUiry was needed rather than an investigation by the PrisoDs and Probation Ombudsman. This was described by lawyeTS as being instrumental to the inquiry being set up. In additi¢m we provided a detailed ivitness siateTneiil to the inquiry based on our work on deaths in immigration deteiilion and the issues arising. The inquiry published a damiiin r¢ rt, outlining "inexcusable and unconscionable dehumanising abuse of vu]nerable people" by the Home Offlce, inexcusable use of force, segregation, and the "wholesale failure" to protect vulnerable people instead leading to a deterioration in mental health and self-hann. The fmdings have a far wider impact in addressing and preventing abuse across all immigration detention centres. Sheku Bayoh Inqulry This is the r￿st Scottish public inquiry of this kind into a death in police custody. Our executive director DeFrf)rnh Coles has worked alongside the family and their legal team since Sheku's death in 2015, Sharing hcr experiise on restraint-related deaths. Through her influencing work with the Scottish Justice Secretary and ihe First Ministcr, sbc playcd a kcy part ill Ihc Setting up of thc inquiry. We were also instrumental in gaining commitment from the inquiry lo include race within its terms of reference. Deborah has submilted extensive wiitten and ornl evidence on police-related deaihs involving Black and racialised people. the treatment of bereaved people and the post-death investigation processes to inforni the inquiry. Deborah Coles has also iijen oral evidence at the inquTry. Other Scottand work Deborah has established relationships with multiple stakeholders working on deaths in custody in Scotland including lawyers. academics, NGOS, families. inSp￿tion and iLivestigation bodies, and human Tights organisations. We are working with some families bereaved after a death in custody and have been monitoring the legal process¢s that have followed, and this has helped identify some of the systemic problems with the snvestigation PTo¢¢sses and the lack of support available for bereaved people. Our expertise on deaths in custody and delenlion. and the treatment of bereaved people, is being soughi by a variety of organisations and specialist bodies as well &s by bereaved families themselves. INQUEST CHARITABLE TRUST TRUSTEES, ANNUAL REPORT (tNCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 At presellL we are unable to properly respond to the demand for our work in Scotland due a lack of capacity and are seeking funding to support the work. FreeHer Abolitlon Femln15m Now Conference Our director was invited speaker to the 10th Sisters Inside international conference in Australia in Nov¢mb¢r2023. The conference brought iogeth¢r key social chang¢ international l¢ad¢Ts, including Professor Angela Davis. Debbie Kilroy, Andrea J Ritchie, Andrea James, Professor Tracey Mclntosh, Professor Beth Richie, S¢nator Kim Pate and Victoria Law. BOLITI EMINISM N 8. 9 & 10 Novembvr 2023 Hillsborough Law Duting the period INQUEST ha5 workcd closcly with C￿llpaignerS for the cnactmcnt of & Hillsborough Law and as part of Hillsborougb Law Now. In December 2023, the government r)nally responded to the review by Bishop James to which INQUEST tnade a submission and organised a famil listenin where bereaved people discussed their experiences following deaths of relatives in contact with the police, in prisons and in mental health and learning disability s¢ttings. Many of the conc¢rns rais¢d by INQUEST and the famili¢s we work with were reflected in the recommendations. The government rejected the call for a Hillsborough law. to which we res onded. Since then. Deborah Coles spoke at the parliamentary launch of the Hi115borough Law campaign l*unch and INQUEST worked with the Hillsborough Law Now campaign and the organisation JUSTICE lo ￿vocate foi a HillslKyrough Law and a ststutory duty of Candour during debates on th¢ Victims and Prison¢rs Bill (now Act). We produced a Series of'oini b￿¢fIn for multiple stages of debate in both the House of Commons and House of Lords and worked with MPS. peers and the then Shadow Justice team on a series of amendmeLlts. including a duty of candour and to improve the governmcnt's plan5 for an Independent Public Advocate fDr victims of major disasters. While the amendment for a duty of candour was not agreed to by pailiatnent, the Victims and Prisoners Act achieved Royal Assent in May 2024. The new Labour government have since committed to enacting a HillS￿rough Law which they will introduce to parliament by April 2025. INQUEST CHARITABLE TRUST TRUSTEES, ANNUAL REPORT (INCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 Work on the Coroner Serviee The Justice Select Comrnittee launched a follow-up inquiry into the Coroner Service in 2023 10 Teview gov¢rnmenl progr¢ss on Ih¢ir 2021 r¢port. That report had been significantly infornied by our written submission, a re ort Lontuinin Luntributioxs frL)m 51 bereav¢d familie5 88 well as Deborah Col¢& and Andy M¢Cullo¢h, a bereaved father, giving oral evidence lo llie iii uir INQUEST worked with committee specialists to brief them on key areas of concern we believed should b¢ explored, such as a lack of oversighi to r¢¢omm¢ndations and delays in the system. W¢ had a more confident. upskilled, and iTJfornied cohort of families. ready to engage through Consultation Cafes and various meetings which in tUTn encouraged us to ensure our wider community of families knew about this influencing work and how to engage. We worked with the committee clerks to ensure that there was an opportunity for members to hear directly from familie& To inforn their follow-up inquiry? we orgaTJised a roundtable between the committee members and 8 famili¢s ( I l individuals) to tell members directly about the experiences of being a family involved in an inquest after a state-relaled death. Families were briefed in advance and supported afterwards. They gave positive feedback about their expertence, with one family member saying it was the r￿st time in the process they felt listened lo. tNQUEST submitted a Lom rehensive re )nse to Ihe Lommiiiee's in( ui which covers a broad range of issues affecting familie5. Deborah Coles also gave fLErther cvideiiLe lo tlie conunitiee on 20th February 2024. One MP spoke of how important it had been to their inquiry to hear directly from families. The decision to hold this follow-up inquiry was directly influenced by their Chair Bob Neill MP attrnding the launch of our campaign described below and heariJ)g from families atleiidin the evcnL about their negaiive experiences of the inquest system. Our pollcy? campalgning and media work over the period has focused on both the human storles and the broader soeixl and political context in which they take place. For exarnple, bereaved families, alongside INQUEST and journalists, have been challenging the ongoing failures of private mental health hospitals. Re¢¢nt investigations by The Time3 into The Priory Group* and by the Guai-diap7 into a range of private provid¢rs, have highlighted the extent of the issue5 Wlth these companies. They are putting profit over patient safety in their treatsnent of both NHS and private palients, with fatal cons¢quen¢es. Following th¢ death of Matthew Caseby, and as a result of our work with the family, Priory Healtheare Ltd admitted ¢rlmin31 fallures for ¢xp05ing an NHS patient lo s¢riovs risk of harni in March 2024. A judge at Birnlingham City Trlagistrotes Court p¥ntenbed ihe riiriie healihcar¥ ioi'ider and imp080d the fine of £650,000. This is the third and largest-ever fine faced by the Priory following a death under their care. The charge was brought for exposing Matthew Caseby lo seTiOUS risk of haTm when he was a patient at the Woodbourne Priory hospital in Birniingham in 2020. Our work eh411englng widespread fallures In Essex MeniAI Health Services also continued. On 28 June 2023, il was announced that the Essex Mental Health Ind¢p¢ndenl Inquiry would be granted statutory status under the Inquiries Act 2005. This was because of the lack of candour of Essex Mental Health Trust and its On 4 September 2023, it was announced that the chair to the inquiry w&s to be Baroness Kate Lampard CBE. This is a result of the campaigning and lobbying work INQUEST h&s done alongside the family of Melanie L¢ahy. the mother of Matthew Leahy who died whilst sectioned al the Linden Centre in Essex. Melani¢ had been ¢ampaigning for years for a statutory public inquiry. When she fmally secured a parliamentary debate in November 2020, we decided to stand with her and other families affected and supported her call. which she has now finally secured. In December 2023 we Successfully applied to be Core Participants and as such are able to significantly conlribuie to Ihe in UL INQUEST CHARITABLE TRUST TRUSTEES, ANNUAL REPORT (INCLUDING DIRECTORS. REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 In April 2023, we collaborated on the Liberty guide "Holdin Our Own a ide lo lion- oIiLin T solution8 10 serious vouih wioleiice" It calls for a new approach to serious youth violence. including better-funded youth services and a rolling back of police powers. We produced, glonE5ide JUSTICE, a guide for prActitioners to achieyc racial ju5ti¢e in the inquest pwcess which we launched in a public event in February 2024. The guide was in respon5C to reseatch INQUEST had done with families and inquest lawyers looking at how the question of tace and racism was nol considered ID invesligation and inquests and was therefore invisible. I wish ro extend my gi'atilude lo JUSTICE and INQUEST, whose conimissioi? of this i'epoi'l p'eflects a commirment io advancing Ihe understaKding ofissues SliF'i-ounding deaihs in state ciislody. WEih a pap'licular emphasis on ihe iiilerseclion of l'ace and justice. Thi3 I'epoi'l builds on ihe previoiis illvaliiable work of INQUEST, including inler alia iheir ￿-011ndbi-eukillg 2Q23 l'epori I Can't Breathe, conlribuling lo a growing body ofknowledge aimedalfosiei-ing posiiive change. Professor Leslie Thomas KC Home Office review into police use of force. In October 2023, the Home Office announced a review into police use of force and driving related incideTJts. Among other things, the r¢vi¢w sought to examine two Supreme Court judgements which INQUEST intervened in on the legal test for use of force at disciplinary hearings and inquests as well as the legal test for unlawful killing conclusions. INQUEST worked with ILG members and the Police Action Lawyers Group (PALG) on a response. We also coordinated a joint open letter to the then Home Secretary on the review which was endorsed by key NGOS grassroots organisations working on policing. INQUEST and a group of specialist lawyers met with the Home Office teview team to discuss our concerns. The government then announced they would be conducting a wider review into police accountability but did not proceed with this work prior to the July 2024 election. The new government have since picked this work back up and announced another review into the Suprem¢ Court cases noted above in October 2024. INQUEST, PALG and the ILG have since submilted further evidence to the review. Consultations on prison management. We submitted evidence to the UN Special Rapporteur on torture's review intn pri8(In minFJgement. niir P(Ilicy Teim met with the researcher wnrking nn the review tn learn mnre about the focus of the review. as the tenns of reference were very wide in scope. Accordingly, our responsc providcs a snapshot of the main conccrns arising out of invcstigations into deaths in prison. featuring a PFD analysis from the past two years. Our Policy and PailiameDtary Manager also submitted a response to the Justice Select Committce's inquiry into prison operalional capacity, highlighting reLfnt PFDS which note issues of overcrowding I staff shortages and stretched resources in prisons. At the invitation of Professor Barry Goldson. Debordh Coles was invited to preseL]t the Eleanor Rathbone Social JusiiLe Public Leciure at Liverpool University- She presented on women's deaths in prison, and this wa5 an opportunity to interrogate our ca5ewoik and associated policy work in this area and argue for rddical ttansfotmltive change in the way we treat women in conflict with the law. INQUEST CHARITABLE TRUST TRUSTEBS, ANNUAL REPORT {￿CLuDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 DeboT8h Col¢5 and Professor Barry Goldson We worked closely wlth the Daphne Cgru4na Gajizia Foundation. Daphne was a Maltese wril¢r, journalist. blogger and anti-corruption activisi who reported on political event5 in Malta and w&8 known internationally for her investigation of the Panama Papers and her subsequent assassination by car bomb. The foundation sought our expertise in the establishment of a human rights organisation modelled on INQUEST and the investigation of ￿ate-re1&Èed deaths. The work included a Malta visit, a seminar with their team and Maltese lawyers, and meetings with the British High Commissioner and three Ombudsmen and Matthew Caruana Galizia, her son and hail of th¢ foundation. We later organised a seminar in London, bringing tog¢th¢r team members working on the different strands of our integrated model. Deborah Coles produced and sent a letter to the Home Affairs Select Committee regarding the Bibby Stockholm barge and the death of Leonard Farruku. We made a request for an independent investigation in light of the concern5 raised. Bibb SiuckholTll: As lum s¢ekei on board bar e dies. BBC News (See our comments calling for an investigation). During this period, our director delivered trdining as part of the Chief Coroners Judicial College training programme for coroner5. She focused on the importance of Prevention of Deaths reports (PFDS) in the family and public interest and how they could be improved. This of course includcd outlining oui call for a National Oversight Mechanism that would cnsurc oversight of action taken in iesponse to these reports. Grenfell As part of our policy work on Grenfell, we marked the Grenfell slxth anniversary by writing a blog here about th¢ imtKJrtance to "keep taiking about Grenfell" six years on. We attended the Grenfell sixth anniversary Silent walk and put the organisers in touch with Marcia Rigg, who then spoke on state-related death5 and injustice afterW￿dS. We also attended the 6.5 Ye￿ anniversary silent walk in December and spoke with Gienfell United about Continuing lo work together and plans for 2024. particularly in regard to the inquiry report. outstsnding recommendations and the No More Deaths Campaign. INQUEST CHARLTABLE TRUST TRUSTEES, ANNUAL REPORT (INCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 Grenfell Testimony Week: We met with the organiser5 of Grenfcll Testimony Week, lo discuss thcir process for putting the week together. They used our modcl of thc Grenfcll Family CoT)sulialion Day to help inforni their p13nning and de.qign. After this we Tnet wilh the Owdnisers for utdates aknut how the week would run. In January, we attended the Grenfell Te5tirnony Week in support of the bereaved families and the Grenfell Lommunity. Families gave incredibly powerful aT)d moving testimonies. We had the opportunity to speak with families in p¢rson, many of whom expressed gratitude for INQUEST'S continued support. We were also told by the int¢rprel¢r for the Ethiopian and Eritrean community group that over the year families have said that when they have felt voiceless INQUEST have spoken up and supporl¢d them. A few families agreed to include part of their testimonies in the No More Deaths campaign. We also spok¢ with press and Forensic Architecture. Our director ¢haired an evaluation meeting of the project. Grenfell debate in the House of Cotnmolls: We were contacted by Emma Dent Coad and contriliuled lo bTiefJng on th¢ Grenfell debate, which was sent to press and MP5, here. We attended parliament to watch the debate, we followed this up with social media posts about the debate and No More Deaths campaign, which had good engagemeiil. We liaised Ivith the Inquiry Legal Team regarding whether they will be publishing our submission (from the end of the inquiry in 2022) on recornmendations and have been advised that th¢ inquiry panel are Teviewing submi58ion8. Our 8ubmi55ion foLu8od on thL Iinportonec of implemcnting rccommcndations folloii'ing tho phaoe two report need for & National Oversight Mechanism. As wc awaitrd thc phase two report, we continued to monitor the progre55 of recommendations and regularly highlight thr faLt that Lhe guvernment had not yet impletnentsd key recommendations. We continued to suppori Claddag's campaign around Personal E￿ergencY Evacuation Plans and includcd Iheir High Court challenge in our written evidcnLe to thc Housc uf L(Trrdb Statutory Inquiries Committcc. Through Claddag's sUPPOrt of the No More Deaths catnpaign we were inlrodu¢ed to othcr disability rights activists and organi.qations who now support the campaign, such as Adam Gabsi, who is Chair of Jnclusion at the London and Hatrow Association of Disabled People. We established contact with the End Our Cladding Scandal ampaign group through attending Sheila McKechnie Foundation Learning Exchange sessions. They are now supporters of the No More Deaths campaign and help u5 to Share messaging around the campaign and Grenfell recommendations. 10 INQUEST CHARITABLE TRUST TRUSTEES. ANNUAL REPORT (INCLUDING DIRECTORS, REPORT) (Continued) FOR THE YEAR ENDED 31 MARCH 2024 40 Year of LNQUEST - Herltage Project In 2023, and with a two-year delay due to Covid, Ive celebraLed 40 ear% vf IN LI EST. with collaborative creative projects and a new campaign for change to continue building on our legacy. In collaboration with the Bisho ale Instiiuie, we created an archive of our casework, reports, media and family participation engagement records from the past 40 years. We trained and worked with family members doing so. The content has since been di itised. Our Hcritage project presented an opportunity to work with studenls at the University of Westminster, which has since developed into a standalone PToject, CSJR X IN UEST. We also held an ei'eiii ai the Llniver5it bringing together tNQEST fainilies. pro ect staff and Simon Israel. fonner joumalisL at Channel 4 News. Tour at Bi.shopsgate iK5tilulefor University of Iyeslminsler ￿￿dentS We also launched our podcast Unlam, Ill Killin Deaih re￿stanCe aiid ihe lil or 1451iLe. DTawin8 on four decades of caMpai￿1ng and in conversation with those at the forefront of these struggles, ho￿5 Le¢ Lawrence. advocate and son of CheTry Groce, and Lucy McKt4y (previously Media and Communicaiions Manager at INQUEST). shone a light on injustice and amplify stories of r¢sistance. The INQUEST teapn andLee Lawrence in the podcasl recording SI￿dI0 We published a 40 Years of INQUEST report. upon which one of our founding members Celia Stubbs reflected: Iyhen I helped to sel up INQUESToverJortyyears ago withfour otherfamily CL7mpoigns.' Motthew Q'Hora, Richard 'Carloon' Campbell, Jimmy Kelly andLiddle Towers. I never imagined Èhal we would be here all ihese decades later. INQUEST CHARITABLE TRUST TRUSTEES, ANNUAL REPORT (INCLUDING DIRECTORS, REPORTI (Continued) FOR THE YEAR ENDED 31 MARCH 2024 The report proi'ides a giiapslioi of INQUEST'S i¥ri)rk oiller 40 yeJis ai)d nioineiits of real prugTre49, 11)e key LJiiipaiLIIIjI) leijal ai)d politlL