We are aware that there has been some uncertainty in the community regarding how death certification is now managed in general practice.
Since September 2024, national legislation requires that all deaths in England and Wales are independently reviewed by either a Medical Examiner or a Coroner before the death can be registered. This process applies to every GP surgery, hospital, and hospice.
When someone passes away in the community, GP practices must refer the case to the Medical Examiner’s Office. The Medical Examiner will review the patient’s medical records and confirm whether the Medical Certificate of Cause of Death (MCCD) can be issued by the GP, or if it needs to be issued by the Coroner instead.
If the patient had not been seen face-to-face by a GP prior to their death, the certificate must legally be issued by the Coroner, even if the death was expected or the patient was under hospital or palliative care.
This is a national change, designed to ensure transparency and consistency across all health services.
Families do not need to take any additional action. The Medical Examiner or Coroner will contact the next of kin directly to explain the process and confirm when the death certificate has been issued.
We recognise that this period can be distressing, and we want to reassure families that our team continues to complete all necessary steps promptly and with compassion.
For more information and support, you may find the following links helpful:
- Ivel Medical Centre: Information Following the Death of a Loved One
- Cruse Bereavement Support – national helpline and resources
- Gov.uk: Register a Death
- Medical Examiner System (NHS England)
If you are registered with our practice at Ivel Medical Centre and would like to speak with one of our clinicians for bereavement support, please contact the surgery to arrange an appointment.
If you are not registered with our practice, please contact your own GP surgery, who will be able to offer similar support and guidance.