The Royal Liverpool Children's Inquiry  
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Recommendations
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Chapter 9. The Coroner
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Recommendations for Clinicians
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  • The Department of Health, the Royal Colleges and medical schools shall instruct members of the medical profession in the precise terms and provisions of the Coroner's Act 1988 and in particular the circumstances in which it is obligatory to report cases to the Coroner.
  • Clinicians shall give the following basic information to the next of kin when a Coroner's post mortem examination is to be performed.
    • The nature of the examination, including the need to open the body and to remove and weigh organs.
    • The need for samples and possible retention of organs.
  • Clinicians wishing to retain organs or samples after the end of the Coroner's process for the purposes currently allowed under the Human Tissue Act 1961 shall follow the Recommendations in Chapter 10.
  • Clinicians shall not mention to the next of kin the possibility of an examination under the Coroner's jurisdiction unless the death is reportable to the Coroner.
  • Clinicians requesting a hospital post mortem examination after the Coroner has declined to authorise an examination shall make it clear to the next of kin that there is no compulsion remaining for such an examination.
  • Clinicians shall explain the contents and implications of a Coroner's post mortem report to the next of kin as if the examination had been carried out as a hospital post mortem examination on their own recommendation.

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