Comprehensive Community Rollout Timeline and Progress Summary

Community
Rollout
NCA ME OFFICE
Agenda
WHO?
WHY?
WHEN?
INITIAL ROLLOUT
PROGRESSION
TOTAL COMMUNITY COVERAGE
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Introduction
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Deaths within Primary Care are to be reviewed by the
Medical Examiners Service as per deaths within
Secondary care. This will be a phased rollout with the
goal being full cover by April 2024 when the ME
Service becomes statutory.
Who?
The Medical Examiner Service is a team that review all non-coronial
deaths within the acute and community setting.  It works on an
independent basis and the team reports direct to NHS England.
With the enacting of the updated Health and Social Care Act the
service is a legal requirement that all deaths that are not directly
referred to a coroner are reviewed by the Medical Examiner Service
before a Medical Certificate of Cause of Death can be issued.  It is
our aim to have a case completed within 24 hours of notification of
death.
 The Medical Examiner Service is made up of Medical Examiners and
Medical Examiner Officers.  Medical Examiners are either senior
Consultants or General Practitioners that have undertaken extra
training in order to complete the task required.
The Medical Examiner Officers is a team Clerical staff that undertake
all the administrative tasks of the service and ensure the smooth
operations of the team.
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Why?
The ME Service is being introduced on the back of
the Shipmen inquiry and the Francis Report. All
deaths in England and Wales will be scrutinized by an
independent ME, which will allow a single point of
contact for the bereaved. This will let them raise
concerns via discussions to the ME Service that can
then be fed back to the care providers and provide
independent scrutiny of all non-coronial deaths.
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When?
All deaths in England and Wales are to be
scrutinized by the ME Service when the
system becomes Statutory in April 2024*
(NCA cover 4 hospital sites currently and
have begun rolling out the community
scrutiny since end July/August 2022.)
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*
as per current updates from RCPath
Initial Rollout
The ME Service rollout to the community
will begin with all hospices within the NCA
as well as selected GP’s in Salford.
We began this from the final week of July
2022.
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Progression
As we progress from the initial rollout we hope
to be able to work with all GP practices across
the Bury, Rochdale, Oldham and Salford area.
Once the Service becomes statutory ALL
deaths (both in Primary and Secondary care)
will be scrutinised by the ME’s unless the death
requires coronial review.
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*
as per current updates from RCPath
How
?
Once the System reaches your practice a few differences in
completing the MCCD will come into play.
The ME Service will need to be notified of a death, via email.
In the email a preposed cause of death, care su
mmary and GP
contact details will be needed.
Once reviewed, the ME Service will reply with an agreed
cause of death and the GP can complete the MCCD (Cause
of death will need to match the one from the ME following
review otherwise registrars may reject it).
We hope to review deaths within 24 hours of notification
(Please note currently we do not cover weekends and are
open Monday to Friday 08:00 – 16:00).
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Urgent Release
Deaths
In regards to urgent release deaths we ask for
you to contact the office as soon as possible so
as not to cause delay and we can process the
case as soon as possible.
If faith deaths occur over the weekend please
use your curre
nt process to facilitate the
completion of the MCCD.
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Timeline
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Summary
The ME Service will be rolling out scrutiny to primary care
from end of July/August 2022. The way MCCDs are completed
will change due to need for ME Scrutiny. The ME Office is here
to support and guide you through this process as all non-
coronial deaths will be need ME scrutiny from April 2024.
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Thank You
Any questions or inquiries please contact your
local area ME Office
 Email - 
 
Medical.examiner2@nca.nhs.uk
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This presentation covers the community rollout agenda, introduction, key questions on who, why, when, and how, along with insights on initial rollout, progression updates, urgent release deaths, and a detailed timeline for scrutiny and review. An overview of the entire process leading to the full rollout of community scrutiny services is provided, culminating in a message of gratitude. For more information, contact Medical Examiner2@nca.nhs.uk.

  • Community Rollout
  • Timeline
  • Progress Summary
  • Scrutiny Review
  • Medical Examiner

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Presentation Transcript


  1. Community Rollout

  2. Agenda

  3. Introduction

  4. Who?

  5. Why?

  6. When? *as per current updates from RCPath

  7. Initial Rollout

  8. Progression *as per current updates from RCPath

  9. How?

  10. Urgent Release Deaths

  11. Timeline SCRUTINY OF ALL DEATHS IN PRIMARY AND SECONDARY CARE ROLLOUT OF COMMUNITY SCRUTINY ME OFFICE AT NCA CREATED JAN 21 APRIL 21 JULY/AUG 22 DEC 22 APRIL 24 ME SERVICE FULLY ROLLED OUT AT ALL 4 NCA SITES REVIEW OF COMMUNITY SCRUTINY

  12. Summary

  13. Thank You Medical.examiner2@nca.nhs.uk

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