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InquestIQ

Ann Campbell

23 October 2025Coroner: Andrew CoxArea: Cornwall and the Isles of Scilly
Other related deaths

Response Status

140 daysResponded
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Coroner

I am Andrew Cox, the Senior Coroner for the coroner area of Cornwall and the Isles of Scilly.

Legal Powers

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I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners  (Investigations) Regulations 2013.

Investigation and Inquest

On 1/10/25, I concluded the inquest into the death of Ann Campbell. I recorded the cause of death as 1a) Skull fracture II) Alcohol intoxication I recorded a conclusion of Accident

Circumstances of Death

Ann lived in a basement flat at 11 Tolver Place Penzance Cornwall that is reached by using a set of steep, concrete steps. On 15/11/24, she was  found deceased at the foot of the steps. At post-mortem, a skull fracture  was identified and it is likely this was caused by Ann falling down the  steps. It was also noted that she was likely to have been under the  influence of alcohol at the time. The steps are narrow and appear poorly lit. There is a handrail on one  wall but, for someone about to descend the steps, it is too low to grasp.

Coroner's Concerns

During the course of these inquests, the evidence has revealed matters  giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty  to report to you. The MATTERS OF CONCERN are as follows. 1)  Access to the steps is difficult. In particular, someone who is  about to descend the steps is not able to steady themselves by grasping a handrail because it is too low/does not extend up higher than is currently the case.

Action Required

In my opinion action should be taken to prevent future deaths and I  believe you [AND/OR your organisation] have the power to take such action.

Your Response

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You are under a duty to respond to this report within 56 days of the date of this report, namely by 18 December 2025 . I, the coroner, may extend the period. Your response must contain details of action taken or proposed to be  taken, setting out the timetable for action. Otherwise, you must explain why no action is proposed.

Copies and Publication

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I have sent a copy of my report to the Chief Coroner and to the following Interested Persons: [REDACTED], brother of deceased. I am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about  the release or the publication of your response by the Chief Coroner.