National Medical Examiner System - https://tinyurl.com/2z6e8en2

Medical examiners are senior doctors who provide independent scrutiny of the causes of death and are supported by medical examiner officers. They provide that independent scrutiny in three ways. They carry out a proportionate review of the medical records. They offer bereaved people an opportunity to ask questions and raise concerns. They also talk to the doctor who is completing the medical certificate of cause of death. If medical examiners detect a concern, they pass it on to established clinical governance processes that are in place at the relevant provider to be looked at in more detail.

Two patient safety partners were a key part of our implementation group. As lay representatives, patient safety partners bring a different perspective in terms of patient safety that's been very valuable and ensures that bereaved people are central to the work. They also shared close family experiences with the group and championed an approach that ensured that the key material is available in 12 languages.
Here one of our PSPs describe their experience of working with us and what they would recommend to others to enable real partnership in co-designing healthcare.

For more information regarding this topic, please email us patientsafety.enquiries@nhs.net