Coroner – Inquest. In considering whether it was safe to leave causation to the jury, a coroner had to have regard to all relevant evidence, including general statistical evidence drawn from population data, such as the rate of survival in a particular group. The Divisional Court held that the defendant coroner had fallen into error in concluding that the lack of a clear cause of death had prevented the jury from being able to consider the possible causal effect of the delay in treatment and quashed the record of inquest.