The Medical Certificate of Cause of Death Regulations 2024
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Change 1
10 Medical examiner’s referral to the relevant senior coroner
(1) The appropriate medical examiner must, as soon as practicable, refer the death to the relevant senior coroner where— (a) after complying with regulations 6 and 8 in relation to the death, the examiner is unable to confirm the cause of death; or (b) in the course of complying with regulations 6 and 8 in relation to the death, the examiner forms the opinion that the duty to notify the relevant senior coroner arises under regulation 2 of the Notification of Deaths Regulations 2019. (2) If at that time there are exceptional circumstances to justify doing so, a referral under paragraph (1) may be made orally but otherwise must be in writing. (3) The medical examiner who notifies the relevant senior coroner orally under paragraph (2) must, as soon as practicable thereafter, confirm the referral in writing to the relevant senior coroner. (4) When making a referral under paragraph (1), or as soon as practicable thereafter, in addition to complying with the duties set out in regulation 2 of the Notification of Deaths Regulations 2019, the appropriate medical examiner must provide the following information to the relevant senior coroner in relation to the death— (a) the information provided under regulation 3(1)(c)(ii); (b) any record made under regulation 7(2); (c) any record made under regulation 8(1)(c); and (d) any other information the examiner considers appropriate, except where that information has already been provided to the relevant senior coroner. (5) Where, after receiving a referral under paragraph (1), the relevant senior coroner decides that there is a duty to conduct an investigation into the death under section 1 of the Act— (a) the relevant senior coroner must notify the appropriate medical examiner of that decision; and (b) the appropriate medical examiner must notify the relevant attending practitioner of that notification. (6) Where the relevant senior coroner has received a referral under paragraph (1) and decided that there is no duty to conduct an investigation into the death under section 1 of the Act, the relevant senior coroner must— (a) notify an appropriate medical examiner of that decision and the reasons for it; and (b) provide the examiner with a copy of any information relied upon in making that decision, except where that information was provided under paragraph (4). (7) After receiving a notification under paragraph (6), the appropriate medical examiner must— (a) notify the attending practitioner of the relevant senior coroner’s decision and reasons for it; and (b) make available to the attending practitioner any information provided under paragraph (6)(b). (8) Where an appropriate medical examiner notifies an attending practitioner under paragraph (7), the attending practitioner and appropriate medical examiner must comply with any duties under these Regulations in relation to the death that had not been complied with prior to the referral to the relevant senior coroner under paragraph (1).
10 Medical examiner’s referral to the relevant senior coroner
(1) The appropriate medical examiner must, as soon as practicable, refer the death to the relevant senior coroner where— (a) after complying with regulations 6 and 8 in relation to the death, the examiner is unable to confirm the cause of death; or (b) in the course of complying with regulations 6 and 8 in relation to the death, the examiner forms the opinion that the duty to notify the relevant senior coroner arises under regulation 2 of the Notification of Deaths Regulations 2019. (2) If at that time there are exceptional circumstances to justify doing so, a referral under paragraph (1) may be made orally but otherwise must be in writing. (3) The medical examiner who notifies the relevant senior coroner orally under paragraph (2) must, as soon as practicable thereafter, confirm the referral in writing to the relevant senior coroner. (4) When making a referral under paragraph (1), or as soon as practicable thereafter, in addition to complying with the duties set out in regulation 2 of the Notification of Deaths Regulations 2019, the appropriate medical examiner must provide the following information to the relevant senior coroner in relation to the death— (a) the information provided under regulation 3(1)(c)(ii); (b) any record made under regulation 7(2); (c) any record made under regulation 8(1)(c); and (d) any other information the examiner considers appropriate, except where that information has already been provided to the relevant senior coroner. (5) Where, after receiving a referral under paragraph (1), the relevant senior coroner decides that there is a duty to conduct an investigation into the death under section 1 of the Act— (a) the relevant senior coroner must notify the appropriate medical examiner of that decision; and (b) the appropriate medical examiner must notify the relevant attending practitioner of that notification. (6) Where the relevant senior coroner has received a referral under paragraph (1) and decided that there is no duty to conduct an investigation into the death under section 1 of the Act, the relevant senior coroner must— (a) notify an appropriate medical examiner of that decision and the reasons for it; and (b) provide the examiner with a copy of any information relied upon in making that decision, except where that information was provided under paragraph (4). (7) After receiving a notification under paragraph (6), the appropriate medical examiner must— (a) notify the attending practitioner of the relevant senior coroner’s decision and reasons for it; and (b) make available to the attending practitioner any information provided under paragraph (6)(b). (8) Where an appropriate medical examiner notifies an attending practitioner under paragraph (7), the attending practitioner and appropriate medical examiner must comply with any duties under these Regulations in relation to the death that had not been complied with prior to the referral to the relevant senior coroner under paragraph (1).
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