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Independent Inquiry into the issues raised by the David Fuller case. Read indexed debates, questions, statements and early day motions, with links to the original parliamentary records.

71 indexed mentions for this inquiry Earliest recorded mention: 26 May 2016

Parliamentary mentions

5 matching mentions · newest first

Funeral Regulation

Written Ministerial Statement House of Lords
Baroness Merron · Labour Answering body: Department of Health and Social Care
Parliamentary excerpt

My Right Honourable Friend the Secretary of State for Health and Social Care (Yvette Cooper MP) has made the following statement:I wish to update the House on the Government’s proposals for formal regulation of the funeral sector, announced this summer following the sentencing of criminal funeral director Robert Bush. These proposals will seek to crack down on rogue operators in the funeral sector and ensure better protection for bereaved families.On 31 July, Bush, of Legacy Independent Funer...

Recorded statement

Answering body: Department of Health and Social Care

My Right Honourable Friend the Secretary of State for Health and Social Care (Yvette Cooper MP) has made the following statement:

I wish to update the House on the Government’s proposals for formal regulation of the funeral sector, announced this summer following the sentencing of criminal funeral director Robert Bush. These proposals will seek to crack down on rogue operators in the funeral sector and ensure better protection for bereaved families.

On 31 July, Bush, of Legacy Independent Funeral Directors in Hull, was sentenced to twenty years in prison for a total of 67 charges, including the prevention of a lawful and decent burial, fraud, fraudulent trading and theft.

His actions were utterly abhorrent, and my thoughts remain with all the bereaved families in Hull who were so badly let down. Every person in every situation deserves dignity in death, and every bereaved family deserves certainty that their loved ones are being treated with care and respect.

For those families, there can be few things more painful than knowing a loved one was not treated properly after they died. The deceased cannot speak for themselves, which is why clear safeguards, stronger oversight and consistent standards are needed to protect their dignity and give families the reassurance they deserve.

Sadly, this case was just the latest horrendous example in our country of the deceased not being treated with the care and respect they deserved.

Sir Jonathan Michael’s independent inquiry into the horrific crimes of David Fuller in the mortuary of Maidstone and Tunbridge Wells NHS Trust showed the need to ensure better standards across all settings that look after our loved ones after they die, including those where some level of regulation is already in place.

Building on the progress already made in responding to the Fuller Inquiry (see HCWS26, 15 July 2026), and in the wake of the Robert Bush case, the Government will therefore bring forward comprehensive proposals to ensure respect and dignity for the deceased in every setting, to drive rogue operators out of the funeral industry, and to protect other families from suffering this same heartache.

The Department of Health and Social Care is leading this work alongside the Ministry of Justice and other government departments, and will draw up detailed proposals to drive up standards, including proper regulation of the funeral sector. As part of this work, the Law Commission will also undertake a review of the criminal law in relation to the deceased, consider any gaps in existing legal protections and make recommendations on the creation of new offences, if they are needed.

The Government will work closely with bereaved families, funeral providers, faith groups, local authorities and other stakeholders to ensure that future policy in this area is proportionate, effective and informed by those with relevant experience. This will ensure families can have confidence that funeral providers are meeting clear, consistent standards, no matter where they live or which provider they choose.

These changes will also reinforce the profound responsibility placed on anyone entrusted with caring for someone after death. The majority of funeral providers live up to that responsibility, and offer compassionate and professional care every day. Nevertheless, stronger oversight, including proper regulation of the sector, will protect families from rogue operators, support good providers and restore confidence in a sector that people must be able to trust in moments of profound grief and loss.

We will keep the House updated as this work progresses, and set out our detailed plans and timetables for the implementation of these new proposals in due course.

Original parliamentary record

Government update on Progress in responding to the Fuller Inquiry Phase 2 report

Written Ministerial Statement House of Lords
Baroness Merron · Labour Answering body: Department of Health and Social Care
Parliamentary excerpt

My Honourable Friend the Parliamentary Under-Secretary of State (Preet Kaur Gill MP) has made the following statement:I am today updating the House on the Government’s progress in responding to the recommendations of the independent inquiry into the serious issues arising from the appalling actions of David Fuller. The Inquiry’s final report, published on 15 July 2025, made seventy-five recommendations to strengthen the security and dignity of people after death across a wide range of setting...

Recorded statement

Answering body: Department of Health and Social Care

My Honourable Friend the Parliamentary Under-Secretary of State (Preet Kaur Gill MP) has made the following statement:

I am today updating the House on the Government’s progress in responding to the recommendations of the independent inquiry into the serious issues arising from the appalling actions of David Fuller. The Inquiry’s final report, published on 15 July 2025, made seventy-five recommendations to strengthen the security and dignity of people after death across a wide range of settings. As the House will recall, it found that arrangements for the care of the deceased were partial, piecemeal and not universally mandated.

To mark one year since publication, I am providing a further update on progress since the Government’s interim update of 16 December 2025. The Government has worked with NHS England, the Human Tissue Authority, the Local Government Association and other partners, through a dedicated cross-government programme board, to consider each recommendation and determine the action required.

At this time Government has accepted in full the majority of Sir Jonathan Michael recommendations and is already taking forward a substantial programme of work to address the issues raised.

Significant progress has been made to address the recommendations for NHS Hospitals. NHS England has worked to agree actions at NHS board level to strengthen mortuary security across the NHS estate, alongside wider work to strengthen governance, accountability and safeguarding arrangements. NHS England has also issued a national system letter setting out the actions expected of each NHS trust and providers to ensure improvements are delivered consistently.

There are a further group of recommendations where the Government agrees with the intent and direction of travel, but where further consideration is needed before implementation can proceed as stated in the Inquiry’s report. These recommendations affect a range of organisations and settings, each with different operational requirements and regulatory arrangements. We are therefore undertaking further work to understand the practical implications, costs and benefits, and to ensure that any changes are proportionate, effective and deliverable. This includes working with local authorities to support closer alignment with Human Tissue Authority standards on security, governance and audit.

Some of these recommendations relate to the wider regulation of sectors involved in caring for the deceased outside the NHS, including the funeral sector. These raise broader questions about the most appropriate regulatory framework and the potential impact on businesses, local authorities and others providing these important services. The Government is carefully considering these issues to ensure that any future changes improve standards and oversight while remaining proportionate and sustainable. We recognise the significance of these issues and will update the House as soon as practicably possible on how we intend to take these recommendations forward.

Throughout this work, the Government remains committed to improving standards and oversight of care for the deceased and ensuring that bereaved families can have confidence that their loved ones will be treated with dignity, respect and compassion, regardless of the setting in which care is provided. This work also sits alongside action being taken in response to the horrific, recent findings from the Independent Review of Maternity Services at Nottingham University Hospitals NHS Trust, which have further highlighted the importance of robust governance, oversight and respectful care for the deceased. Immediate action has been taken by the Human Tissue Authority who has instructed all mortuaries to review internal records over the last 10 years to ensure all incidents have been logged and reported. The findings of this exercise will be reported to Ministers by 16 October 2026.

The Government remains committed to providing a full response to Sir Jonathan Michael's report once the leadership period for Prime Minister has concluded. Nonetheless, it is important that the House is updated on the progress made to date while further work continues across Government and with delivery partners.

Progress will continue to be monitored, where possible, through the Cabinet Office’s GOV.UK record of recommendations made by public inquiries since 2024. The Public Inquiries: Recommendations and Government Response dashboard can be accessed here.

I thank all those who contributed evidence to the Inquiry, and in particular the families whose experiences informed this work. The Government remains committed to learning the lessons of these events and ensuring that care for the deceased is consistent across all settings.

Original parliamentary record

Government Interim Update on Progress in responding to the Fuller Inquiry Phase 2 Report

Written Ministerial Statement House of Lords
Baroness Merron · Labour Answering body: Department of Health and Social Care
Parliamentary excerpt

My Honourable Friend the Parliamentary Under-Secretary of State for Health Innovation and Safety (Zubir Ahmed) has made the following statement:I am today updating the House on the Government’s progress in responding to the recommendations of the Independent Inquiry into the serious issues raised by the appalling actions of David Fuller, including an accompanying interim update published alongside this statement.The final report of the Fuller Inquiry, published on 15 July 2025, set out sevent...

Recorded statement

Answering body: Department of Health and Social Care

My Honourable Friend the Parliamentary Under-Secretary of State for Health Innovation and Safety (Zubir Ahmed) has made the following statement:

I am today updating the House on the Government’s progress in responding to the recommendations of the Independent Inquiry into the serious issues raised by the appalling actions of David Fuller, including an accompanying interim update published alongside this statement.

The final report of the Fuller Inquiry, published on 15 July 2025, set out seventy-five recommendations to strengthen the security and dignity of people after death across a wide range of settings. The Inquiry’s findings were clear: current arrangements for the care of the deceased are partial, piecemeal, and not universally mandated. A dedicated cross-Government Programme Board was established in July and has met fortnightly since.

At this interim stage solid progress has been made on fifty-four of the Inquiry recommendations.

Eleven are accepted in full and work is already in progress to implement these recommendations (22, 23, 26, 27, 28, 30,31, 32, 33, 34 & 75) covering standards, data and operating procedures in the wider health sector. Implementation highlights include: the publication by the Human Tissue Authority (HTA) on 1st December of updated guidance to ensure adverse incidents in the anatomy sector are recorded (recommendation 26) with incidents already being reported; agreement by NHS England that data collection on the conveyancing of deceased patients will be rolled out in 2026/27 for the first time (recommendation 31). Further details are included in the interim update publication here.

Forty-three of the Inquiry’s recommendations relating to both NHS and Local Authority mortuaries require further work before they can be implemented. Those include nine recommendations (1-9) for the NHS estate, and NHS England continue to assess the recommendations and are working with NHS Trusts to develop actions at Trust Board level. A further twelve of the Inquiry’s recommendations (10-21) relate to governance, accountability and safeguarding in NHS Trusts. Analysis of the logistics and costings of these recommendations is currently being carried out by NHS England. Recommendations 35-56 relate to Local Authority Mortuaries, which include twenty-one HTA licensed mortuaries. MHCLG sought views via the Local Government Association (LGA) on the state of the estate, and there is an LGA led roundtable meeting in January. The LGA and HTA are also working together to assess how LA mortuaries current practices compare with the Inquiry’s recommendations, and existing HTA standards in the Post-Mortem sector. The HTA has reviewed these recommendations against their own standards and conclude that seven are fully covered by existing HTA standards, and has shared this analysis with the LGA.

There are a further twenty-one recommendations still under consideration. Seven of these are miscellaneous recommendations (24,25,67,68,69,70&73), and three are for LAs who contract with third party providers (57,58 & 59). A roundtable was held in November regarding the role of faith organisations (67 and 68) in the care for the deceased in these settings. Outputs of the roundtable will inform the response to these two recommendations. In addition, the Chief Coroner has notified all coroners of the inquiry’s conclusions, in response to recommendation 70.

No decisions have been made regarding the eleven Recommendations (29,60,61,62,63,64,65,66,69,71,72) relating to wider regulation in all settings that care for people after death. We are working closely with the NHS, Local Authorities, the Human Tissue Authority, the Care Quality Commission, and other partners to explore how we can ensure that robust and consistent standards are in place across all settings. This includes reviewing mortuary access controls, oversight arrangements, contractor vetting, and requirements for training and reporting.

The Government is committed to transparency and accountability as this work progresses. This update demonstrates that work is actively underway to consider and respond to the Inquiry’s recommendations, with action already being taken towards implementing fifty-four of seventy-five recommendations. Full details of the status of all recommendations are contained in the published update. A full response to the Inquiry’s recommendations will be published in Summer 2026.

Original parliamentary record

Fuller Inquiry Phase 2 Report

Written Ministerial Statement House of Lords
Baroness Merron · Labour Answering body: Department of Health and Social Care
Parliamentary excerpt

My Rt Hon. Friend the Secretary of State for Health and Social Care (Wes Streeting MP) made the following Statement:Today, the independent inquiry into the issues raised by the actions of David Fuller has published its Phase 2 and final report. It focuses on whether procedures and practices in hospital and non-hospital settings sufficiently safeguard the security and dignity of the deceased and would prevent a recurrence of the issues identified by the inquiry, as well as considering the role...

Recorded statement

Answering body: Department of Health and Social Care

My Rt Hon. Friend the Secretary of State for Health and Social Care (Wes Streeting MP) made the following Statement:

Today, the independent inquiry into the issues raised by the actions of David Fuller has published its Phase 2 and final report. It focuses on whether procedures and practices in hospital and non-hospital settings sufficiently safeguard the security and dignity of the deceased and would prevent a recurrence of the issues identified by the inquiry, as well as considering the role of regulation.

I wish to pass my thanks on to any individual or organisation who has provided evidence to this important independent inquiry. I extend my heartfelt condolences to the families of the victims and assure them that we are committed to learning from these events.

In 2023, the independent Inquiry, chaired by Sir Jonathon Michael, published its Phase 1 report, which set out how Fuller was able to commit such shocking crimes, undetected for so long at Maidstone and Tunbridge Wells NHS Trust. The Trust set out its progress implementing all the Inquiry’s recommendations via an assurance statement in February 2024.

A Phase 2 interim report was published in October 2024. The Inquiry’s chair expedited the Inquiry’s work on the funeral sector in light of reports of cases of neglect. The interim report presented preliminary findings and recommendations on the funeral sector in England. the Government committed to responding to these recommendations as part of the final phase two Government response.

The overall conclusion of today’s final report is that current arrangements for the care of people after death are partial, ineffective and in some areas, completely lacking. The overarching recommendation for Government is that there should be statutory regulation to protect the security and dignity of people after death, regardless of the setting or institution.

Today’s report makes 75 detailed recommendations in total, including 19 for Trusts and 25 for Local Authorities focusing on access, dignity, security and wider processes and procedures to protect deceased individuals. A smaller number of recommendations (31) focus on independent hospitals, medical education, hospices, Ambulance services, care homes, the funeral sector and faith organisations, making specific recommendations to improve the care of the deceased. This includes recommendations for UK Government to establish an independent statutory regulatory regime for the funeral sector.

Every deceased individual deserves to receive the highest standard of care and dignity. The Government will work to ensure this is the case, across all settings, be that in the NHS or other settings including Local Authority mortuaries, hospices, ambulance services, care homes, funeral homes, and faith organisations.

The Government recognises the urgency of the concerns raised by the Inquiry’s recommendations and will respond at pace. This will include an interim update on progress this year and a final response by Summer 2026.

Original parliamentary record

Response to the Phase 1 report of the Fuller Inquiry

Written Ministerial Statement House of Lords
Baroness Merron · Labour Answering body: Department of Health and Social Care
Parliamentary excerpt

My Rt Hon Friend the Secretary of State for Health and Social Care (Wes Streeting MP) has made the following statement:On 28 November 2023, the report of Phase 1 of the Fuller Independent Inquiry was published. Phase 1 of the Inquiry looked into how David Fuller’s appalling crimes in the mortuaries at Maidstone and Tunbridge Wells NHS Trust remained undetected for so long.I wish to express my deepest sympathies to the victims’ families and reassure them that lessons will be learnt.The Inquiry...

Recorded statement

Answering body: Department of Health and Social Care

My Rt Hon Friend the Secretary of State for Health and Social Care (Wes Streeting MP) has made the following statement:

On 28 November 2023, the report of Phase 1 of the Fuller Independent Inquiry was published. Phase 1 of the Inquiry looked into how David Fuller’s appalling crimes in the mortuaries at Maidstone and Tunbridge Wells NHS Trust remained undetected for so long.

I wish to express my deepest sympathies to the victims’ families and reassure them that lessons will be learnt.

The Inquiry found highly concerning failings in the Trust’s running, management, and oversight of the mortuaries, and that it was due to this uncontrolled environment that David Fuller was able to offend undetected. Management, governance and regulation failures, alongside poor compliance to standard policies and procedures, and a persistent lack of curiosity, all contributed to the creation of the environment in which David Fuller was able to offend for 15 years without ever being suspected or caught.

The 17 recommendations - 16 for the Trust and the remaining one for Kent County Council and East Sussex County Council - made by the Inquiry in Phase 1 aim to prevent anything similar happening again at the Trust.

Today I am updating the House on the response to those recommendations. The Trust published an assurance statement in February 2024 on the implementation of the recommendations from the Phase 1 report. This sets out the progress made to implement the Inquiry’s recommendations.

The range of actions taken by the Trust include requiring that non-mortuary staff and contractors are always accompanied by another staff member when visiting the mortuaries; controlling access to mortuaries using swipe cards; mandating contractors to renew security clearances every three years; and installing CCTV coverage monitoring access to and from mortuary areas. The Trust Board is also providing greater oversight and assurance of legally regulated activity in the mortuary.

I am also reassured that NHS England’s South East regional team held monthly oversight meetings with the Trust between November 2023 and April 2024 (in partnership with Kent and Medway Integrated Care Board) to ensure progress against the Inquiry’s recommendations and to review evidence of the Trust’s progress in delivering their action plan. Ongoing compliance with the Inquiry's recommendations will be monitored by NHS England through regular regional oversight meetings with the Trust, and through other channels as appropriate.

Kent County Council and East Sussex County Council have reviewed contractual arrangements with the Trust and confirmed that the contracts include terms requiring that licensing and regulatory requirements are met to ensure the deceased are at all times treated with dignity and respect.

Phase 2 of the Independent Inquiry will consider whether procedures and practices in hospital and non-hospital settings, where deceased people are kept, are sufficient to safeguard the security and dignity of the deceased.

In light of the disturbing events in Hull earlier this year, which brought into sharp focus the lack of regulation and oversight in the funeral sector, we have agreed that the Inquiry will today publish an interim report on the findings from their funeral sector module. This will provide recommendations on safeguarding the security and dignity of the deceased in that sector.

The Government is committed to preventing any similar atrocities happening again and ensuring that the deceased are safeguarded and treated with dignity.

Original parliamentary record