R68 Response Accepted

Consultant involvement in death certificates

Recommendation

Health Boards should ensure that where a death occurs in hospital the consultant in charge of the patients care is involved in completion of the death certificate wherever practicable.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing an Implementation Group chaired by the Chief Nursing Officer (Scottish Government Response, June 2015).
- The Certification of Death (Scotland) Act 2011 (key sections in force from 13 May 2015) reformed death certification in Scotland. The Act established the Death Certification Review Service (DCRS), which randomly reviews approximately 12% of all death certificates for accuracy (Certification of Death (Scotland) Act 2011 (https://www.legislation.gov.uk/asp/2011/11/contents)).
- Medical reviewers, employed by Healthcare Improvement Scotland, scrutinise sampled death certificates. The system is designed to improve the accuracy and reliability of death certification without imposing fees on bereaved families.
- While the Act does not mandate that the consultant in charge certifies the cause of death, the DCRS review process provides quality assurance that encourages senior medical involvement in certification.
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 10 Apr 2026
Checked data held on this site (government responses, progress updates, independent evidence)
This recommendation applies across many organisations. The evidence above reflects central policy activity; adoption in individual organisations may vary.
Jurisdiction
Scotland
Response
Accepted
Accepted Scottish Government
18 Jun 2015

Section 4.1 of the Scottish Government's response introduces the chapter as focusing on professional standards and measures to govern death certification, including recommendation 68. However, the "Our current position" subsections within the provided text do not contain specific passages detailing policies or actions regarding consultant involvement in the completion of death certificates. The text primarily addresses general professional regulation and workforce matters.

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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.

Confirmed Completed
13 May 2015
Scottish Parliament legislation

Certification of Death (Scotland) Act 2011 came into force 13 May 2015. Death Certification Review Service (DCRS) within Healthcare Improvement Scotland randomly reviews approximately 12% of all death certificates. Level 1 reviews completed within one working day. Level 2 reviews involve thorough review of all clinical records.

View detailed findings

Statutory reform of death certification directly addresses this recommendation. DCRS provides independent scrutiny ensuring consultant involvement and accuracy of death certificates.

Certification of Death (Scotland) Act 2011: Statu… View Source
Source
Report The Vale of Leven Hospital Inquiry Report 24 Nov 2014
Responsible Bodies
NHS Health Boards (Scotland) Primary
Recommendation age 11.5 yrs
Last formal update 4000 days ago