On 22 October 2012, following a 7-day inquest, the Coroner for the District of Avon concluded that neglect contributed to the death of man in a hospital’s Intensive Care Unit. Richard Mumford represented the fiancée of Mr Coventry whose death was characterised as being accidental death, contributed to by neglect.

Mr Coventry died following the attachment of an incorrect fluid bag to his arterial flush line in the Intensive Care Unit at the Royal United Hospital, Bath. In the light of her findings, the Coroner is to make recommendations pursuant to her power under Rule 43 of the Coroners Rules on a number of matters, including the labelling of fluid bags at a national level and performance monitoring of staff at the RUH.