IHRD-87 Response Accepted

Independent Medical Examiner

Recommendation

The Department should now institute the office of Independent Medical Examiner to scrutinise those hospital deaths not referred to the Coroner.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- The Department of Health NI stated in March 2018 that prototypes for an Independent Medical Examiner service were progressing (IHRD Implementation Programme, Department of Health NI, March 2018).
- An Independent Medical Examiner service has been piloted in NI hospitals but it is not statutory and has not been fully rolled out.
- Northern Ireland is excluded from the medical examiner provisions of the Coroners and Justice Act 2009, which apply in England and Wales.
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 17 Jul 2026
Checked data held on this site (government responses, progress updates, independent evidence)
Jurisdiction
Northern Ireland
Response
Accepted
Accepted Department of Health NI
01 Mar 2018

Prototypes to determine the most appropriate way to operate such a service are progressing. Learning will inform proposals for an IME service in Northern Ireland.

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Published Evidence

Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.

Reasonable Progress
06 Feb 2026
Department of Health NI Other

Independent Medical Examiner service piloted in NI hospitals but not statutory and not fully rolled out. NI is excluded from England/Wales statutory provisions.

View detailed findings

England and Wales made their medical examiner system statutory from September 2024 (all deaths must be reviewed by either a medical examiner or coroner). NI is explicitly excluded from these provisions. NI has been running a pilot but full rollout would require legislative change which requires a functioning Executive. The IHRD Workstream 2 Death Certification Implementation Working Group has an IME Subgroup, but full statutory implementation remains pending.

IHRD Implementation Programme - Workstream 2 View Source
Source
Report Report of the Inquiry into Hyponatraemia-related Deaths 31 Jan 2018
Responsible Bodies
Department of Health NI Primary
Recommendation age 8.5 yrs
Last formal update 910 days ago