There was a 13% increase in Treasure finds [footnote 19] reported in 2021 and a 2% increase in inquest conclusions into finds The Care Quality Commission (CQC) publishes an annual report on mental health, which includes figures they have collected in relation to deaths while detained under the Mental Health Act:

Within the ‘Key Findings’ sections, figures greater than 1,000 are rounded to the nearest 100. The following symbols have been used throughout the tables in this bulletin:The coroner’s investigation is the process by which the coroner establishes who has died, and how, when, and where they died. The coroner may decide, as part of the investigation, to hold an inquest. The coroner has a duty under the 2009 Act to investigate a death if:

Jane died after a methadone overdose exactly one month after Marshall. The coroner found that he could not say on the balance of probabilities whether she had intended to take her life, given evidence that she had previously taken an accidental overdose as a way of coping with the more distressing symptoms of her condition. The coroner did not believe that the Trust should have provided Jane with more support after Marshall’s death, a finding that the family strongly disagree with. a. Is not a coin but has metallic content of which at least 10% by weight is precious metal (i.e. gold or silver); and For more on ONS Suicide please visit: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/previousReleases ↩ If it appears to the coroner that it would be appropriate to suspend an investigation or adjourn an inquest (paragraph 5). Of those 229 inquests concluded in 2021, 97% (222) returned a verdict of treasure, a decrease in proportion by one percentage point compared to 2020.

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The remainder was forwarded to the King’s Bench. As London and Middlesex were anomalous jurisdictions without assize courts, their inquisitions were not treated in the same way.