During an inquiry into the actions of nurse Lucy Letby, it was disclosed that the former coroner for Cheshire, Alan Moore, was not informed of concerns regarding Letby’s potential involvement in several neonatal deaths at the Countess of Chester Hospital. Despite consultant paediatricians raising alarms in 2016, the hospital opted for internal reviews rather than notifying police. Moore stated that timely and truthful information is essential in the coronial process, highlighting the hospital’s obligation to disclose any pertinent concerns about patient deaths.