Letters
Death certification reform in England
Concerns about clinical governance of crematorium medical referees
BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k3239 (Published 31 July 2018) Cite this as: BMJ 2018;362:k3239
- David Chappel, consultant and clinical appraisal lead, North of England,
- Imogen Stephens, deputy responsible officer
- Public Health England, London SE1 8UG, UK
- david.chappel{at}phe.gov.uk
We share Luce and Smith’s disappointment at the recent announcement of another deferral of the introduction of medical examiners in the community.1 This is risky because over half of all deaths occur out of hospital, and Shipman exploited weaknesses in the current system that will remain unchanged. The system is already showing fragility—for example, finding a …
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