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Student Education

Dead cert: a guide to death certificates

BMJ 2002; 324 doi: https://doi.org/10.1136/sbmj.020354 (Published 01 March 2002) Cite this as: BMJ 2002;324:020354
  1. Sabina Dosani, senior house officer in psychiatry1
  1. 1St Thomas's Hospital, London

Death is a daunting thing. And to make it worse, certifying someone dead can be terrifying, as Jean Adams found out. Sabina Dosani gives a step by step guide to one of those skills you just never seem to be taught at medical school

A death certificate, or more correctly, a certificate for registration of death, is the document used to register death. Without one, funerals cannot go ahead. Filling out your first death certificate can be a daunting task. It is important to learn how to do it correctly as errors may result in a delayed funeral and cause further distress to bereaved relatives.

A doctor may complete a certificate for registration of a death only if he or she has been in attendance on the deceased during the last illness and has seen the deceased within 14 days of death or after death. If no doctor meets these criteria the coroner is informed in England and Wales. In Scotland, it is the procurator fiscal who has a duty to investigate all sudden, suspicious, accidental, unexplained and unexpected deaths, and any death occurring in circumstances that would give rise to serious public concern.

There are four potential outcomes:

  • An uncertified death

  • Death certified by a doctor

  • Death certified after a postmortem examination without an inquest

  • Death certified after an inquest

Uncertified death is rare

An uncertified death is rare. For instance, a dying patient attended before death by the GP who discussed this with his or her partners and then emigrated to Australia. No doctor fulfilling the criteria to complete the certificate would be available. If …

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