This analysis is based on the published outcomes of the Shipman and Mid-Staffordshire Inquiries, Parliamentary discussions recorded in Hansard and the resulting Acts. The Analysis assesses whether the present structure of the ME programme can deliver the roles which various Inquiries called for so as to improve patient safety in England and Wales.
SmithJ.The Shipman Inquiry third report: death certification and the investigation of deaths by coroners. CM 5854. London: The Stationery Office, 2023.
https://apps.trac.jobs/Jobref358-7292745-COR (accessed 24 July 2025). This job advertisment for an ME in Leicester can no longer be accessed as it was filled with a local appointment.
9.
Payne-JamesJParapanosLBosworthT, et al. Changes in the nature and outcome of notifications to HM Coroner from the Norfolk and Norwich University Hospital, UK, before and after the introduction of a medical examiner service: 2018 versus 2022. Med Sci Law2025; 65(3): 187–193.
