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CONSULT.Outcome publishedConsultation · gov.uk

Death certification reforms

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

Last fetched 03 May 2026 · gov.uk
Detail

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
Introduction of medical examiners and reforms to death certification in England and Wales: policy and draft regulationsapplication/pdfImpact assessmentapplication/pdfReforming death certification: introducing scrutiny by medical examinersapplication/pdfThe Death Certification Regulationsapplication/pdfThe Death Certification (Medical Examiners) (England) Regulationsapplication/pdfThe Death Certification (Medical Examiners) (Fees) (England) Regulationsapplication/pdfThe National Medical Examiner (Additional Functions) Regulationsapplication/pdfThe Notification of Deaths Regulationsapplication/pdfDraft guidance for registered medical practitionersapplication/pdfMedical examiner’s notification of confirmed cause of deathapplication/pdfMedical examiner’s notification of certified cause of deathapplication/pdfMedical certificate of cause of deathapplication/pdfMedical certificate of cause of death of a live-born child dying within the first 28 days of lifeapplication/pdfMedical examiner's medical certificate of cause of deathapplication/pdfMedical examiner's medical certificate of cause of death of a live-born child dying within the first 28 days of lifeapplication/pdfFinal entry in clinical record following a deathapplication/pdfAdministrative information form ME-1 (Part A)application/pdfMedical examiner’s advice and scrutiny form ME-1 (Part B)application/pdfQueries raised by registrar after confirmation or certification by medical examinerapplication/pdfForm for the collection from hospital of a person who has diedapplication/pdfGovernment responseapplication/pdfImpact assessmentapplication/pdf