No deceased left out of fridges overnight
Fuller Inquiry · Fuller Inquiry Phase 1 Report · Issued 28 November 2023 · Addressed to: Maidstone and Tunbridge Wells NHS Trust
Government responseDepartment of Health and Social Care: Noted (Oct 2024)Maidstone and Tunbridge Wells NHS Trust: Accepted (Feb 2024)
DeliveryNo statement from Maidstone and Tunbridge Wells NHS Trust found
Recommendation, verbatim from the inquiry
●Inquiry recommendation
Maidstone and Tunbridge Wells NHS Trust must assure itself that all regulatory requirements and standards relating to the mortuary are met and that the practice of leaving deceased people out of mortuary fridges overnight, or while maintenance is undertaken, does not happen.
Fuller Inquiry, Fuller Inquiry Phase 1 Report · 28 Nov 2023 Source PDF →
Published evidence summary
AI-generated evidence summary
In October 2024, the Secretary of State for Health and Social Care, Wes Streeting, reported that Maidstone and Tunbridge Wells NHS Trust had set out its progress in an assurance statement, adding that NHS England would monitor ongoing compliance through regular oversight meetings (Wes Streeting response, Oct 2024). In its February 2024 statement, the Trust stated that it complies with the recommendation in full, having ceased the practice of leaving deceased people out of mortuary fridges in early 2021, formalised that prohibition in local policy, and addressed regulatory shortfalls identified by the Human Tissue Authority (Maidstone and Tunbridge Wells NHS Trust response, Feb 2024). The record holds no update since the Minister's response of October 2024 (Wes Streeting response, Oct 2024).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026.
Government response
●Department of Health and Social Care · Noted · 15 Oct 2024
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.
Extract from: Response to the Phase 1 report of the Fuller Inquiry
●Maidstone and Tunbridge Wells NHS Trust · Accepted · 23 Feb 2024
The Trust now complies with this recommendation in full on the following basis:
• The Human Tissue Authority (HTA) undertook a comprehensive inspection of the Trust’s mortuaries in June 2022. The Trust retained its licence, subject to corrective and preventative actions being implemented to meet the shortfalls identified during the inspection. The HTA confirmed that it was satisfied that the Trust had completed the agreed actions in the corrective and preventative action (CAPA) plan and in doing so had taken sufficient action to correct all shortfalls addressed in the Inspection Report.
• The Designated Individual and Persons Designate maintain all standards and report through Governance to ensure they continue to meet standards.
• The practice of leaving deceased people out of mortuary fridges overnight, or while maintenance is undertaken, was ceased in early 2021. The prohibition of this practice has been formalised in a local policy.
Delivery
No statement on delivery from Maidstone and Tunbridge Wells NHS Trust has been found in the sources searched. This is separate from the response above.
How this page is built
The recommendation and the government responses are verbatim from primary documents. Delivery statements and other bodies' findings are shown in their own words, each with its source. The summary is written by this site and labelled as such. The Index does not paraphrase sources or characterise intent; it records what has been published.