On 28 November 2023, the report of phase 1 of the Fuller Independent Inquiry was published. Phase 1 of the inquiry looked into how David Fuller’s appalling crimes in the mortuaries at Maidstone and Tunbridge Wells NHS trust remained undetected for so long.
I wish to express my deepest sympathies to the victims’ families and reassure them that lessons will be learnt.
The inquiry found highly concerning failings in the trust’s running, management, and oversight of the mortuaries, and that it was due to this uncontrolled environment that David Fuller was able to offend undetected. Management, governance and regulation failures, alongside poor compliance with standard policies and procedures, and a persistent lack of curiosity, all contributed to the creation of the environment in which David Fuller was able to offend for 15 years without ever being suspected or caught.
The 17 recommendations—16 for the trust and the remaining one for Kent county council and East Sussex county council—made by the inquiry in phase 1 aim to prevent anything similar happening again at the trust.
Today I am updating the House on the response to those recommendations. The trust published an assurance statement in February 2024 on the implementation of the recommendations from the phase 1 report. This sets out the progress made to implement the inquiry’s recommendations.
The range of actions taken by the trust include requiring that non-mortuary staff and contractors are always accompanied by another staff member when visiting the mortuaries; controlling access to mortuaries using swipe cards; mandating contractors to renew security clearances every three years; and installing CCTV coverage monitoring access to and from mortuary areas. The trust board is also providing greater oversight and assurance of legally regulated activity in the mortuary.
I am also reassured that NHS England’s south-east regional team held monthly oversight meetings with the trust between November 2023 and April 2024—in partnership with Kent and Medway integrated care board—to ensure progress against the inquiry’s recommendations and to review evidence of the trust’s progress in delivering its action plan. Ongoing compliance with the inquiry’s recommendations will be monitored by NHS England through regular regional oversight meetings with the trust, and through other channels as appropriate.
Kent county council and East Sussex county council have reviewed contractual arrangements with the trust and confirmed that the contracts include terms requiring that licensing and regulatory requirements are met to ensure the deceased are at all times treated with dignity and respect.
Phase 2 of the independent inquiry will consider whether procedures and practices in hospital and non-hospital settings, where deceased people are kept, are sufficient to safeguard the security and dignity of the deceased.
In light of the disturbing events in Hull earlier this year, which brought into sharp focus the lack of regulation and oversight in the funeral sector, we have agreed that the inquiry will today publish an interim report on the findings from its funeral sector module. This will provide recommendations on safeguarding the security and dignity of the deceased in that sector.
The Government are committed to preventing any similar atrocities happening again and ensuring that the deceased are safeguarded and treated with dignity.
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