You can read the details HERE, HERE, and HERE.
This happened two years after the Zurich Consensus was released.
I've written before, on this blog and elsewhere, about the failure to deal properly with concussion. As the inquest is ongoing, I will not comment on it until the verdict is returned. However, at that time I will be updating this post in full.
For the moment, I just want to extend my sympathy to the family.