Mortuary
20
Recommendations
100% accepted
Government Response
Accepted (8)Accepted in Part (12)
Recommendations in This Theme
recommendation across 1 inquiry
Across 1 inquiry
Tagged Recommendations
20 total
P1-1
Accepted
Fuller Inquiry
Non-mortuary staff accompanied in mortuary
Maidstone and Tunbridge Wells NHS Trust must ensure that non-mortuary staff and contractors, including maintenance staff employed by the Trust's external facilities management provider, are always accompanied by another staff …
- MTW Trust stated in February 2024 that it had implemented accompaniment requirements for non-mortuary staff and contractors visiting the mortuary (MTW Trust Assurance Statement, …
Maidstone and Tunbridge …
P1-16
Accepted
Fuller Inquiry
Chief Nurse responsible for mortuary assurance
The Chief Nurse should be made explicitly responsible for assuring the Maidstone and Tunbridge Wells NHS Trust Board that mortuary management is delivered in such a way that it protects …
- MTW Trust stated in February 2024 that the Chief Nurse had been assigned responsibility for mortuary services within the Trust executive structure (MTW Trust …
Maidstone and Tunbridge …
P1-2
Accepted
Fuller Inquiry
No deceased left out of fridges overnight
Maidstone and Tunbridge Wells NHS Trust must assure itself that all regulatory requirements and standards relating to the mortuary are met and that the practice of leaving deceased people out …
- MTW Trust stated in February 2024 that it had strengthened procedures to ensure regulatory requirements are met and that the deceased are not left …
Maidstone and Tunbridge …
P1-4
Accepted
Fuller Inquiry
Mortuary Managers qualified and supported
Maidstone and Tunbridge Wells NHS Trust must assure itself that its Mortuary Managers are suitably qualified and have relevant anatomical pathology technologist experience. The Mortuary Manager should have a clear …
- MTW Trust stated in February 2024 that it had reviewed the qualifications required for the Mortuary Manager role and ensured the post-holder meets the …
Maidstone and Tunbridge …
P1-5
Accepted
Fuller Inquiry
Mortuary Manager as full-time dedicated role
The role of Mortuary Manager at Maidstone and Tunbridge Wells NHS Trust should be protected as a full-time dedicated role, in recognition of the fact that this is a complex …
- MTW Trust stated in February 2024 that it had established the Mortuary Manager as a full-time dedicated role (MTW Trust Assurance Statement, February 2024). …
Maidstone and Tunbridge …
P1-6
Accepted
Fuller Inquiry
Review policies on mortuary access
Maidstone and Tunbridge Wells NHS Trust must review its policies to ensure that only those with appropriate and legitimate access can enter the mortuary.
- MTW Trust stated in February 2024 that it had implemented a comprehensive mortuary access policy restricting entry to authorised personnel only (MTW Trust Assurance …
Maidstone and Tunbridge …
P1-7
Accepted
Fuller Inquiry
Audit and monitor mortuary access
Maidstone and Tunbridge Wells NHS Trust must audit implementation of any resulting new policy and must regularly monitor access to restricted areas, including the mortuary, by all staff and contractors.
- MTW Trust stated in February 2024 that it had implemented audit procedures to monitor access to restricted areas within the mortuary (MTW Trust Assurance …
Maidstone and Tunbridge …
P1-9
Accepted
Fuller Inquiry
CCTV in mortuary including post-mortem room
Maidstone and Tunbridge Wells NHS Trust must install CCTV cameras in the mortuary, including the post-mortem room, to monitor the security of the deceased and safeguard their privacy and dignity.
- MTW Trust stated in February 2024 that CCTV had been installed in the mortuary covering all areas where the deceased are stored or examined …
Maidstone and Tunbridge …
P2-1
Accepted in Part
Fuller Inquiry
NHS trusts commission specialist security review
All NHS trusts with mortuaries and/or body stores should commission a specialist strategic review of the systems in place to protect deceased people, which should include a detailed risk assessment …
- The government stated in December 2025 that this recommendation on conducting a strategic review of NHS mortuary security was accepted in principle. Work to …
NHS England
P2-15
Accepted in Part
Fuller Inquiry
Routine mortuary reporting to trust boards
All NHS trusts should establish a routine reporting system for matters relating to mortuaries and body stores. This reporting system should include the presentation of a formal report, by the …
- The government stated in December 2025 that this recommendation on routine board reporting on mortuary operations was accepted in principle. Full government response due …
NHS England
P2-2
Accepted in Part
Fuller Inquiry
CCTV in all NHS mortuaries
All NHS trusts should install CCTV inside the mortuary, with cameras facing all doors and access points, the reception area and the doors of body fridges, while maintaining the security …
- The government stated in December 2025 that this recommendation on installing CCTV in all NHS mortuaries was accepted in principle. The government noted that …
NHS England
P2-3
Accepted in Part
Fuller Inquiry
Audit access data for deceased storage
All NHS trusts should routinely audit the access data of all facilities used to store deceased people.
- The government stated in December 2025 that this recommendation on auditing access to NHS mortuaries was accepted in principle. Standards and guidance to be …
NHS England
P2-35
Accepted in Part
Fuller Inquiry
Local authority mortuary access review
There should be a process to routinely review who is permitted to access the mortuary unsupervised.
- The government stated in December 2025 that this recommendation on reviewing access controls in local authority mortuaries was accepted in principle. The government is …
Ministry of Housing, Com…
P2-36
Accepted in Part
Fuller Inquiry
Local authority individualised access controls
Where unsupervised access is permitted for a legitimate and unavoidable purpose, there should be individualised electronic access controls to enter the mortuary and restrict access to specific areas of the …
- The government stated in December 2025 that this recommendation on electronic access controls in local authority mortuaries was accepted in principle. Full government response …
Ministry of Housing, Com…
P2-37
Accepted in Part
Fuller Inquiry
Local authority visitor supervision
Where people other than mortuary staff are visiting the mortuary during working hours, for example contractors, cleaners and other visitors: Access must be limited to specific areas required for the …
- The government stated in December 2025 that this recommendation on restricting visitor access to local authority mortuaries was accepted in principle. Full government response …
Ministry of Housing, Com…
P2-38
Accepted in Part
Fuller Inquiry
Local authority lone working review
Where mortuary staff are permitted to work alone in the mortuary, there should be a review of lone working policies, including consideration of activities involving direct handling of the deceased, …
- The government stated in December 2025 that this recommendation on ending lone working practices in local authority mortuaries was accepted in principle. Full government …
Ministry of Housing, Com…
P2-43
Accepted in Part
Fuller Inquiry
Local authority CCTV installation
CCTV must be installed inside the mortuary facing all doors and access points, the reception area and the doors of all fridges containing deceased people, including where these are accessible …
- The government stated in December 2025 that this recommendation on CCTV in local authority mortuaries was accepted in principle. Full government response due Summer …
Ministry of Housing, Com…
P2-5
Accepted in Part
Fuller Inquiry
Operational barriers including device restrictions
All NHS trusts should consider putting in place systemic operational barriers that prevent the security and dignity of deceased people being compromised. An example of this would be implementation of …
- The government stated in December 2025 that this recommendation on implementing operational barriers to restrict access within NHS mortuaries was accepted in principle. Full …
NHS England
P2-51
Accepted in Part
Fuller Inquiry
Local authority biennial audits and peer review
The mortuary service must be reviewed by professional auditors at least biennially, with the results of the audit reported to a formal committee regardless of the level of assurance. Local …
- The government stated in December 2025 that this recommendation on professional audits of local authority mortuaries was accepted in principle. Full government response due …
Ministry of Housing, Com…
P2-8
Accepted in Part
Fuller Inquiry
Swipe to exit for mortuaries
All NHS trusts should consider the installation of 'swipe to exit' for mortuary facilities. This would allow trusts to monitor and audit entry and exit, as well as time spent …
- The government stated in December 2025 that this recommendation on requiring swipe-to-exit controls in NHS mortuaries was accepted in principle. Full government response due …
NHS England