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Hospitals: Coroners

Asked by Bell Ribeiro-AddyLabourDepartment of Health and Social CareTabled Answered 8 September 2025UIN 74430

The question

To ask the Secretary of State for Health and Social Care, whether it is NHS policy to carry out an inquest if a patient dies within 48 hours of being admitted to hospital.

Answered by Karin Smyth

Inquests are not NHS policy but are instead a matter for coroners. All deaths in England (and Wales) that are not referred to a coroner are considered by an independent Medical Examiner. Where there are any concerns about healthcare provided to the deceased in the run up to the death, Medical Examiners can refer the case for further consideration via local clinical governance processes.

The NHS’ approach to Learning from Deaths is set out in the National Guidance on Learning from Deaths. This is available at the following link:

https://www.england.nhs.uk/publication/national-guidance-on-learning-from-deaths/.

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