Thank you - ‘expected death’ is a good topic to tackle as what may be expected by family may be unexpected in terms of notifications, and police may be called which mandates coroner involvement

More threads to come…

Also perhaps helpful to compare with where and how people resource care approaching EoL?

Deaths in hospital: seeking reversible causes, not expected to die = resource-intense
Deaths in community: Respect & ACP, recognised as approaching EoL, expected deaths = supportive care-intense

So from death to “Death Certificate” may take between 5-10 days and involves
• Doctors
• Medical Examiners
• Registration Service
… or a longer, unpredictable period of time if it is required to involve
• Doctors
• coroners
• pathologists
• inquests
• Registration services

End/

An in-person appt to register a death may be offered 2-5 days from the online booking

A death must be registered within 5 days of #MedicalExaminers releasing the MCCD to the Registrars

At the in-person appointment, families register and receive the Death Certificate

THIS IS THE DEATH CERTIFICATE

The completed MCCD is scanned and sent to Registration Services

At this point, the family are advised they can book an appointment online to register in person and go ahead and book a funeral date

NOT BEFORE

(Until the ME has reviewed it is not certain if the coroner will need to be involved) 8/

NOW #MedicalExaminers are involved

ME reviews MCCD & compares with hospital + GP records to make sure all tracks AND checks for missed opportunities for care AND ensures coroner referral not indicated AND checks with family for concerns
THEN countersigns MCCD (which is NOT a death certificate) 7/

Let’s say all goes smoothly and an AP is available and happy to offer a Cause of Death ‘to the best of their knowledge and belief’
They then complete the Medical Certificate of Cause of Death (MCCD)

The MCCD is NOT the Death Certificate 6/