R2 Response Accepted in Part

Coroners to send post mortem reports to consultants

Recommendation

We recommend that in every case Coroners should send copies of post mortem reports to any consultant who has been involved in the patient's care prior to death whether or not demanded under Rule 57 of the Coroner's Rules 1984 (para 4.2.9)

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
Government response: Accepted in Part. No public evidence of delivery has been found.
Sources
Government response (1994-02-11): Accepted Source: https://api.parliament.uk/historic-hansard/commons/1994/feb/11/beverly-allitt-report Text: The report makes 12 detailed recommendations to tighten procedures to safeguard children in hospital. I have instructed immediate action to be taken on the 11 that are my responsibility. The Home Secretary has accepted the recommendation concerning coroners. I have placed in the Libraries of both Ho Government response (1994-11-02): Accepted in Principle Source: https://api.parliament.uk/historic-hansard/written-answers/1994/nov/02/allitt-report Text: Recommendation 2. We recommend that in every case Coroners should send copies of post mortem reports to any consultant who has been involved in the patient's care prior to death whether or not demanded under Rule 57 of the Coroner's Rules 1984. My right hon. and learned Friend the Home Secretary, in
How was this evidence gathered?
Evidence searched by baseline-data-v1 on 12 Sep 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: api.parliament.uk
Jurisdiction
England
Response
Accepted in Part
Accepted Home Office Initial Response
11 Feb 1994

The report makes 12 detailed recommendations to tighten procedures to safeguard children in hospital. I have instructed immediate action to be taken on the 11 that are my responsibility. The Home Secretary has accepted the recommendation concerning coroners. I have placed in the Libraries of both Houses a paper setting out the detailed response to each recommendation.

Read Full Response
Accepted in Part Home Office Follow-up
02 Nov 1994

Recommendation 2. We recommend that in every case Coroners should send copies of post mortem reports to any consultant who has been involved in the patient's care prior to death whether or not demanded under Rule 57 of the Coroner's Rules 1984. My right hon. and learned Friend the Home Secretary, in whose area of responsibility this recommendation falls, intends to commend the principles of the recommendation in a circular to be issued to all coroners in England and Wales later this month.

Read Full Response
Source
Inquiry Allitt Inquiry
Report The Allitt Inquiry Report 11 Feb 1994
View Source
Responsible Bodies
Home Office Primary
Themes & Tags
Fragmented NHS record access and information sharing No open learning culture Coroners Patient Safety
Recommendation age 32.6 yrs
Last formal update 11637 days ago