2015 Report details for project: Death Certification

Project name: Death Certification - there is only one report for this project
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2015 (data is from Sept 2014)
Category: Transformation - see all reports for this category
Description: UK wide changes to the death certification process are in development, with England and Wales proposing a unified approach to all deaths not investigated by the coroner. A new system of scrutiny of deaths to address weaknesses identified by the Shipman Inquiry and more recently among others, the Francis Inquiry into poor care at Mid Staffordshire. In England and Wales, the introduction of medical examiners into the process will provide independent scrutiny of all deaths not investigated by the coroner. Medical examiners, appointed by local authorities in England and by local health boards in Wales, will either confirm the cause of death stated by a doctor or refer the death to the coroner for investigation. For all deaths scrutinised by a medical examiner, the cause of death will be explained to the bereaved and an opportunity offered to raise any concerns, which will be acted upon. In addition to safeguards for the public, anticipated wider benefits include more accurate certification, better quality of mortality data for service planners, appropriate referral of deaths to the coroner and the ability for doctors and coroners to readily have access to general advice from medical examiners in relation to a particular death.
DCA (RAG): Red
DCA text: The MPA RAG rating was Red at Q2 2014. Recent positive developments on patient safety, involving key national bodies and local providers, make timely a review of proposals to introduce medical examiners. For example, NHS England, the Care Quality Commission, the NHS Litigation Authority, Monitor, and the NHS Trust Development Authority are providing a system wide support to local providers who have signed up to the campaign Sign up to Safety, with the ambition of halving avoidable harm in the NHS over the next three years and saving 6,000 lives as a result.
Start date: 2007-07-24
End date: None
Schedule text: We will publish shortly a report from the interim National Medical Examiner setting out the lessons learned from the pilot sites. The MPA have advised that Death Certification Reforms Programme should cease GMPP reporting and that reporting can be reinstated at a future point when there is a steer on the reforms from the new government.
Baseline: £0.00m
Forecast: £0.00m
Variance: 0.00%
Variance text: Budget variance less than 5%
Whole Life Cost: £411.61m
WLCost text: Pre 2014/15 Spending totals £2.7m, this is primarily the costs of running the pilots, stakeholder management and consultancy/professional support. 2015/16 costs are zero as HMT have advised that there should be no spending in 2015/16. 2016/17 costs are £11.8m + DH running costs Oct 2016-Apr 2017 + the cost of lower process efficiency for the first 6 months. This figure covers LA set-up costs + the costs of running the Sheffield and Gloucester pilots for 2014/15 and 2015/16 + cost of GRO and E-learning. After implementation in Oct 2016 (assumption), 2017/18 costs are estimated to be £33.6m, these are borne by DH 18 months after implementation (April 2018) there will be an assessment of the impact on coroners following the policy and a decision as to whether DH will fund the cost of the additional burden. This will result in the costs in the region of £40.8m thereafter.
Sourcefile: IPA_2015.csv

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Acknowledgement: GMPP data has been re-used under the Open Government Licence.