Death Certification Reform

Andrew Gwynne Excerpts

Monday 9th September 2024 Written Statements

[The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)]

My noble Friend the Parliamentary Under-Secretary of State for Patient Safety, Women’s Health and Mental Health (Baroness Merron) has made the following statement:

I wish to inform the House that reforms to the death certification process in England and Wales begin today.

These reforms focus on the experience for bereaved people and seek to support improvements to patient safety. Importantly for bereaved people, the introduction of a statutory medical examiner system provides an opportunity for them to raise questions or concerns with a senior doctor not involved in the care of the deceased. The statutory system will also help deter criminal activity, improve practice and ensure appropriate referrals to coroners for further investigation.

These reforms respond to multiple inquiry recommendations over many years and mark a significant change to processes for medical practitioners, registrars and coroners. Under these reforms all deaths will legally become subject to either a medical examiner’s scrutiny or a coroner’s investigation irrespective of whether the deceased is to be buried or cremated, delivering a more equal and comprehensive system of assurance. From today, all of the medical examiner system’s obligations, duties and responsibilities are enshrined in law.

These reforms are the result of work across a number of Government Departments including the Department of Health and Social Care, Ministry of Justice, Home Office and General Register Office, Welsh Government and the Office for National Statistics. The National Medical Examiner in NHS England oversees the medical examiner system. The Royal College of Pathologists, the lead college for medical examiners, provides training for medical examiners and shares relevant communications to all those involved in the death management process.

I wish to share my gratitude to all those involved in delivering this important reform to death certification to provide greater transparency to bereaved people on the circumstances surrounding a death.

[HCWS76]