`The Royal College of Pathologists notes the Co-op Funeralcare report, which highlights known variation in the time taken for funerals to be held. Delays anywhere in the pathway, including to the organisation of funerals following registration of a death, are regrettable, particularly if this causes any distress to bereaved people. Medical examiners work hard to minimise these.

Medical examiners form one step in a complex pathway, typically adding a day or two to the process. This allows time for thorough, independent scrutiny of the patient record, communication with the attending doctor and, most importantly, discussion with the bereaved family, giving them the opportunity to ask questions and raise any concerns. Providing this level of assurance inevitably takes time but is welcomed by the vast majority of bereaved people. The time taken is minimal compared to other steps in the process.

Medical examiners reviewed more than half a million deaths in 2025, with over 97% of families welcoming the opportunity to speak to a medical examiner or officer about the death of their loved one. Typically, 90% of requests from families for swift scrutiny of the death of a loved one are met by medical examiner offices. The number of uncertified deaths has fallen to almost zero since the medical examiner system was introduced.

The latest Ministry of Justice statistics show that the medical examiner system is providing effective independent scrutiny of causes of death and ensuring more appropriate referrals to coroners. This has led to a significant fall in the number of deaths reported to coroners, fewer post-mortem examinations and a reduction in inquests involving deaths from natural causes. More accurate and fewer referrals are helping to ease pressure on coronial services, reducing delays and improving the experience of bereaved families.

The Royal College of Pathologists is working with all involved to improve communication and collaborative working for the benefit of bereaved people, who remain at the heart of the medical examiner service.

Dr Bernie Croal President