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If
the death occurs at home | If
the death occurs in hospital | Registration | Reporting a death to the
coroner | The preliminary arrangements
If the death occurs
at home
Expected
death
If
the cause of death is quite clear and the doctor had attended the deceased
during their last illness he or she will give you the following:
- a medical
certificate that shows the cause of death (this is free of charge and will
be in a sealed envelope addressed to the registrar)
- a formal
notice which states that the doctor has signed the medical certificate
and tells you how to get the death registered.
If the
body is to be cremated, the doctor will arrange for the signature of a
second doctor required to complete the cremation certificate. Doctors charge
fees for providing cremation certificates.
In
a few cases, the doctor may report the death to the coroner.
If
it was the wish of the dead person or their nearest relative that the body
or organs should be donated for transplant or medical research purposes,
the doctor will have to be contacted quickly. Organs cannot normally be
used when death occurs at home, but the body can still be donated to medical
science.
You
may wish to contact the deceased's minister of religion if you have not
already done so. Arrangements for laying out the body and organising the
funeral can be made by a funeral director.
Unexpected
death
If
you discover a body or the death is sudden or unexpected, you should contact
the following people (if known):
- the deceased's
nearest relative
- the deceased's
minister of religion
- the police,
who will help find the people listed above if necessary
If the
death was violent or accidental, or if there are unusual circumstances
or the cause of death is not known for certain, or there is any reason
to suspect that the death was not due to natural causes, contact the police
immediately. Do not touch the body or anything nearby, or remove anything
from the area. The death may be referred to the coroner.
If the death occurs
in hospital
If
the death occurs in hospital, the hospital staff or the police (if death
was accidental) will contact the person named by the deceased as next of
kin. This may be, but need not be, a relative. If you have been named as
next of kin they will arrange a convenient time for you to attend the hospital.
You will then be asked to:
- give permission
for a post mortem in cases where there is no legal requirement but doctors
think that it is advisable in order to establish a cause of death.
Hospital
staff will arrange for the nearest relative to collect the deceased's possessions.
If you know that the person wished to donate their organs after death,
you should let the hospital staff know, but it is more likely that they
will approach you if the circumstances are likely to favour organ donation.
You should also let the staff know if the body is to be donated to medical
science.
You
may, if you wish, request to see the hospital chaplain. The hospital will
keep the body in the hospital mortuary until the executor arranges for
it to be taken away.
The
hospital will:
- either
issue a medical certificate of cause of death needed by the registrar,
provided the cause of death is quite clear. There may be a post-mortem
provided the nearest relative agrees;
- or, in
a few cases, report the death to the coroner and make arrangements for
a post mortem if required.
If the
actual time of death is not known, the doctor may estimate the time of
death.
Registration
By
law all deaths occurring in England (ENG) and Wales must be registered. A death
should be registered as soon as possible to allow funeral arrangements
to go ahead.
Since
1 April 1997 a death can be registered at any registrar in England (ENG) and
Wales (the procedures differ slightly in Northern Ireland - see below).
You do not have to go to the registrar in the district where the death
occurred, or where the deceased person lived, although it is usually more
convenient to register a death in the sub-district in which it happened.
You can find the address in the phone book under Registration of Births,
Deaths and Marriages, or from the doctor, local council, post office or
police station. Check when the registrar will be available and whether
only you need to go along. It may be that someone other than you will be
needed to give information for the death to be registered.
If
the death has not been referred to the coroner, go to the registrar as
soon as possible. The death must be registered within five days (unless
the registrar says this period may be exceeded). The declaration will then,
if appropriate, be forwarded to the registrar for the sub-district where
the death took place, where it will be registered. There may be some delay
in certificates being issued, as this cannot be done until the death has
been registered.
Reporting a death
to the coroner
The
doctor may report the death to the coroner if it resulted from or occurred
in any of these circumstances:
- the deceased
was not attended by a doctor during the last illness or the doctor treating
the deceased had not seen him or her either after death or in the 14 days
before the death
- the death
was violent or unnatural or occurred under suspicious circumstances
- the cause
of death is not known or is uncertain
- the death
occurred while a patient was undergoing an operation or did not recover
from the anaesthetic
- the death
was caused by an industrial disease
- the death
occurred in prison or in police custody.
- The coroner
may be the only person who can certify the cause of death. The doctor will
write on the formal notice that the death has been referred to the coroner.
The coroner
The
coroner is a doctor or lawyer responsible for investigating deaths.
If
you want advice or information about a death which has been reported to
the coroner, contact the coroner's officer. You can get the address from
the police station or, if death was in hospital, the hospital official
dealing with deaths.
Coroner's
post mortem
The
coroner may arrange for a post-mortem examination of the body. The consent
of the relatives is not needed, but they are entitled to be represented
at the examination by a doctor.
If
the post mortem shows that death was due to natural causes, the coroner
will issue a notification by the coroner (the pink form 100), which gives
the cause of death so that the death can be registered. The coroner usually
sends the form direct to the registrar, but may give it to you to deliver.
If
the body is to be cremated the coroner will give you the certificate for
cremation (form E) which allows cremation to take place.
Coroner's
inquest
An
inquest is an inquiry into the medical cause and circumstances of a death.
It is held in public, sometimes with a jury. It is up to the coroner to
organise the enquiry in a way to best serve the public interest and the
interests of the relatives.
The
coroner will hold an inquest if the death:
- was caused
by an industrial disease
- or if
the cause of death remains uncertain after post-mortem examination.
Coroners
hold inquests in these circumstances even if the death occurred abroad
(and the body is returned to Britain). If a body has been destroyed or
is unrecoverable a coroner can hold an inquest by order of the Secretary
of State if death is likely to have occurred in or near a coroner's jurisdiction.
If
an inquest is held, the coroner must inform, amongst others, the following
people:
- the married
partner of the deceased
- the nearest
relative (if different)
- the personal
representative (if different from above).
Relatives
can attend an inquest and ask questions of witnesses, but they may only
ask questions about the medical cause and circumstances of the death.
It
may be important to have a lawyer to represent you if the death was caused
by a road accident, or an accident at work, or other circumstances which
could lead to a claim for compensation. Legal aid for representation at
inquests is only available in exceptional circumstances.
If
the enquiries may take some time, ask the coroner to give you a letter
confirming the death. You can use this letter for Social Security and National
Insurance (NI) purposes.
The
coroner may give you an order for burial (form 101) or a certificate for
cremation (form E) so that the funeral can take place. This can usually
be done before the inquest is completed, provided the body is not required
for further examination.
The
coroner will also send a certificate after inquest (form 99 (rev)), stating
the cause of death, to the registrar. This allows the death to be registered.
The preliminary
arrangements
You
will need to decide:
- where
the body is to rest while awaiting the funeral
- the
time and place of the funeral
- how
much you intend to spend on the funeral
- whether
to have a funeral service
- whether
to have flowers, or to make any donations to a named charity
- whether
to put a notice in the newspapers
- whether
the body should be buried or cremated.
Check
the will to see if there are any instructions for the funeral left by the
deceased. It is generally up to the executor or nearest relative
to decide whether the body is to be cremated or buried. The executor does not have to follow the instructions about the funeral left in the
will.
The
funeral director will help you to decide where the body should stay until
the funeral, and the starting point, time and place of the funeral. See
our Funeral Online Directory of Funeral Homes
If
there is to be a service or ceremony, contact the appropriate person for
the religion or belief concerned. If you are not sure what to do or who
to contact, the funeral director should be able to help you. You can choose
the place for the funeral service and you may be able to choose the person
to conduct the service. You do not have to hold a religious service. If
you wish you can design your own non-religious service.
You
also need to decide whether you want flowers for the funeral, or perhaps
donations to a named charity. If you want flowers and a cremation is planned,
you can decide what should be done with the flowers. The local hospital
or old people's home may be pleased to accept cut flowers.
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