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The objective of inquests is limited to arriving at a verdict which reflects the established medical cause of death. In controversial cases families usually are aware of the first three; their principal objective being how they died.
Once again, the bereaved and survivors especially those giving evidence felt that they had to defend their reputations and those of the dead. In fact, the alterations were significant and demonstrated a commitment to protecting the interests of the force.
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Further, acts or omissions had to be attributable to individuals, there could be no aggregation of responsibility. This was compounded by personal worries over the precise circumstances in which their loved ones died and the persistent allegations of drunkenness and violence.