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<p /> <p>There must be a coroners’ inquest into any death in state detention, including
deaths from natural causes. The inquest must be held with a jury where the death is
not from natural causes. The inquest must ascertain how, when and where the person
died.</p><p>In addition, all deaths in custody are subject to a police investigation
and an investigation by the Prisons and Probation Ombudsman. Once the inquest has
been concluded, the Prisons and Probation Ombudsman’s office publishes a detailed
‘Fatal Incident Report’ on the death which includes recommendations to prevent further
deaths.</p>
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