Consultation outcome

Death certification reforms

This was published under the 2015 to 2016 Cameron Conservative government

Applies to England and Wales

This consultation has concluded

Read the full outcome

Government response

Impact assessment

Detail of outcome

The consultation response sets out the government’s analysis of responses received and addresses the issues raised.

Through a phased roll-out from April 2019, medical examiners will be introduced to the death certification process to confirm the cause of all deaths that do not need to be investigated by a coroner.

The new system will also ensure that the bereaved will be involved in the process of death certification and offer them an opportunity to raise any concerns.


Original consultation

Summary

Seeks views on proposed changes to the death certification process in England and Wales.

This consultation ran from
to

Consultation description

This consultation seeks views on proposed changes to the death certification process and accompanying draft regulations. These changes include the introduction of independent medical examiners who will confirm cause of all deaths that do not need to be investigated by a coroner. The consultation also seeks views about making changes to cremation regulations – the current role of the medical referee, who authorises cremations at a crematorium, will be abolished when medical examiners are introduced.

In this consultation the Ministry of Justice seeks views on introducing a statutory duty on registered medical practitioners to report deaths in prescribed circumstances to the coroner for investigation.

The Welsh Government has devolved powers for appointing medical examiners and the funding mechanism for medical examiner services in Wales; an additional consultation will be published in Wales in due course.

‘Reforming death certification: introducing scrutiny by medical examiners’ details the lessons learnt from pilots of the reforms. The report is based on a new system of scrutiny that has been trialled successfully in Sheffield and Gloucester and on a smaller scale in several other parts of the country. The report explores practical issues associated with the implementation of the reforms at local level. It provides more information about the medical examiner process and should help to inform responses to the consultation.

Documents

Impact assessment

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The Death Certification Regulations

The Notification of Deaths Regulations

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Draft guidance for registered medical practitioners

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Medical examiner’s notification of confirmed cause of death

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Medical examiner’s notification of certified cause of death

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Medical certificate of cause of death

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Medical certificate of cause of death of a live-born child dying within the first 28 days of life

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Medical examiner's medical certificate of cause of death

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Medical examiner's medical certificate of cause of death of a live-born child dying within the first 28 days of life

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Final entry in clinical record following a death

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Medical examiner’s advice and scrutiny form ME-1 (Part B)

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Form for the collection from hospital of a person who has died

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Updates to this page

Published 10 March 2016
Last updated 11 June 2018 + show all updates
  1. Added consultation response.

  2. A new report, 'Reforming death certification: introducing scrutiny by medical examiners', which details lessons from the pilots of the reforms, has been added.

  3. First published.

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