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Published on: January 16, 2019
Clinical governance and the coroner
1Wales Institute of Forensic Medicine, Cardiff.
Journal of the Royal College of Physicians of London
|January 7, 2000
Summary
Independent scrutiny of medical deaths is needed in England and Wales. Current systems are inadequate, but coroners could be more involved with political will and resources.
Area of Science:
- Medical Law and Ethics
- Public Health Policy
- Healthcare Quality Improvement
Background:
- Public demand for high standards in medical practice and accountability.
- Current systems for scrutinizing deaths following medical treatment in England and Wales are insufficient.
- Existing financial and legislative constraints hinder best practice in medical death investigation.
Purpose of the Study:
- To advocate for a transparent, informed, and independent scrutiny system for deaths post-medical treatment.
- To assess the current framework for investigating medical-related deaths.
- To identify potential improvements within existing legal and resource structures.
Main Methods:
- Analysis of public expectations regarding medical standards and accountability.
- Evaluation of the current system of death investigation in England and Wales.
- Review of existing legal provisions for coroner involvement in medical death inquiries.
Main Results:
- The current system in England and Wales does not meet the need for transparent and independent scrutiny of medical deaths.
- Financial and legislative limitations impede optimal investigation practices.
- The law permits greater coroner involvement in investigating deaths following medical treatment.
Conclusions:
- A transparent, informed, and independent scrutiny system for medical deaths is essential for public interest.
- Enhanced coroner involvement in investigating post-medical treatment deaths is feasible under current law.
- Professional willingness for self-scrutiny and political commitment to resource allocation are crucial for implementing improvements.
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