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Information about deaths in the community and the North Midlands Medical Examiner Service

In England and Wales, the circumstances surrounding a person’s death are either reviewed by a Medical Examiner, or reported to a Coroner. This webpage explains the role of the Medical Examiner Service and provides you with information about what to expect in the coming days, after the death of a loved one.

Medical Examiners provide independent scrutiny of all deaths that are not reported to the Coroner. The North Midlands Medical Examiner Service area covers the Royal Stoke University Hospital, County Hospital, in addition to all other community settings across Stoke-on-Trent, Stafford, Newcastle-under-Lyme and Staffordshire Moorlands. This includes referrals from GP surgeries for people who have died at home or in a care home, as well as referrals from doctors at other local hospitals and hospices.

GP surgeries in the East and South of Staffordshire are covered by Medical Examiner Services at neighbouring Trusts (namely University Hospitals of Derby and Burton NHS Foundation Trust, and The Royal Wolverhampton NHS Trust). Contact details for all Medical Examiner Services in England and Wales can be found online: NHS England » Medical examiner offices

Medical Examiners are senior doctors who have received specialist training to work part time in this role. Their job is to provide independent scrutiny of the circumstances and causes of a person’s death, except for deaths which have to be investigated by a Coroner. They do this by reviewing relevant medical records and discussing the cause of death with an attending practitioner (a doctor involved in the care).

Medical Examiners are supported by a team of Medical Examiner Officers, who support the process and administration of all legal paperwork. Although the service is hosted by the University Hospitals of North Midlands NHS Trust and the team are based within the hospital Bereavement Centre, you can be confident the Medical Examiner’s team work independently and will never look into the causes of death for a person they provided care for.

The Medical Examiner’s team offer families and carers of the person who has died an opportunity to ask questions or raise concerns about the cause of death. This will usually be through a telephone call, but the Medical Examiner can arrange other ways of communicating with you (such as by email). If you would prefer, you can nominate another person such as a relative or friend to talk to the team on your behalf.

You will usually be contacted by telephone, but the Medical Examiner can arrange other ways of communicating with you (such as by email). If you would prefer, you can nominate another person such as a relative or friend to talk to the Medical Examiner on your behalf.

This is your opportunity to ask questions and raise concerns. You may simply want to better understand why the person died, including by having medical terminology explained, or you may want to raise something about the care which did not feel right. If you want to highlight anything that was especially helpful or anyone who made a difference, the Medical Examiner’s team can pass that on for you too.

As well as answering your questions, talking to the Medical Examiner’s team helps the NHS provide better care for other patients and carers in future; for example, by identifying ways in which future patient and family care could be improved.

Yes, of course. The Medical Examiner’s team may contact you to ask who you would like them to talk to instead, or you can let the medical team know if you would like someone other than you to be the first point of contact. The Medical Examiner’s team will usually phone you before the Medical Certificate of Cause of Death is sent to the local authority Registration Service.

The Medical Examiner’s team will explain what is written on the Medical Certificate of Cause of Death and why, and check if you have any questions or concerns. This is the best time for you to ask any questions and raise anything that concerns you. You will also have the opportunity to share any feedback about people or any aspect of care that was helpful to you or you thought was particularly good.

We understand this is likely to be a difficult time for you and it is your choice whether you talk to the team or not. If you are not sure, you can contact the Medical Examiner’s team and ask for more information before deciding if you want to go ahead – they are trained to help bereaved people and will be very understanding.

The Medical Examiner’s team provide an independent view, so if you can, you are encouraged to talk about your concerns. The team can explain things to you and are specially trained to answer your questions. If Medical Examiners find any potential issues, they will be able to raise these with the people who were responsible for the care of the person who died, or refer the issues to someone who can investigate further. Talking to the Medical Examiner’s team may help improve the care the NHS provides to other patients and carers in future.

The Medical Examiner’s team will try to answer your questions but may ask the clinical team involved to give more information so that all your questions can be addressed. That does not usually interfere with getting the certificate written and shared with the Registration Service, as those conversations can usually be held at a later time.

If any significant issues or concerns are raised during the discussion, it may be that further investigation is necessary and this will be referred to another department or organisation to carry this out. The Medical Examiner cannot carry out investigations themselves, as their work is independent and must be completed with a quick turnaround.

Once the Medical Certificate of Cause of Death has been completed by an attending practitioner (a doctor involved in the care), the Medical Examiner’s team will send that certificate electronically to the local authority Registration Service. The team will contact you to explain how you make an appointment to register the death (which is done in person at a local Registry Office). The location of the appointment is dependent upon the place of death.

The Medical Examiner Service makes every effort to avoid any delays and works closely with doctors, as well as families and carers of the person who has died, to meet the legal requirements for registering deaths. The Medical Examiner’s team are sensitive to different cultural and religious requirements of the bereaved, and will try to be flexible, for example where relatives would like the body to be released rapidly.

The Medical Examiner’s team will contact you directly using details provided by your loved one’s GP, hospice, hospital or other healthcare provider, once a referral has been made to the Medical Examiner Service. You shouldn’t need to contact the team yourself, but if you do have any specific questions you can get in touch by:-

Telephone

Deaths at Royal Stoke University Hospital: 01782 676323

Deaths at County Hospital, or in the community (Stoke-on-Trent, Stafford, Newcastle-under-Lyme, Staffordshire Moorlands): 01785 230532

Email (all sites)

medicalexaminer.referrals@nhs.net

If you are not satisfied with the Medical Examiner’s advice, please discuss your concerns and allow staff in the Medical Examiner’s Office to try to help with this in the first instance. If you are still not satisfied, you can contact the Complaints Department at the University Hospitals of North Midlands NHS Trust by:-

Telephone


01782 676453 or 01782 676435 (9am to 4pm, Monday to Friday)

Email
complaints.department@uhnm.nhs.uk 

In writing
Complaints Department
University Hospitals of North Midlands NHS Trust
Springfield Building
Royal Stoke University Hospital
Newcastle Road
Stoke-on-Trent
ST4 6QG

Additionally, regional and national contacts for the Medical Examiner Service in the NHS across England and Wales can be found online: NHS England » Medical examiner offices