BRIS-21

Require every trust to provide a professional bereavement service and online information

Bristol Heart Inquiry · Bristol Heart Inquiry — Final Report · Issued 18 July 2001

Government responseNot tracked (historical inquiry)

DeliveryDHSC and NHS England say in progress (Feb 2026)

Recommendation, verbatim from the inquiry

●Inquiry recommendation

Every trust should have a professional bereavement service. (We also reiterate what was recommended in the Inquiry’s Interim Report: ‘Recommendation 13: As hospitals develop websites, a domain should be created concerned with bereavement in which all the relevant information concerning post-mortems can be set out in an appropriate manner.’)

Bristol Heart Inquiry, Bristol Heart Inquiry — Final Report · 18 Jul 2001 Source PDF →

Government response

●No formal government response recorded

The Index has not yet recorded a verbatim government response to this recommendation.

Delivery

●DHSC and NHS England say in progress · 27 Feb 2026

Please see our response to Recommendation 20 (PALS).

From 9 September 2024 the new statutory medical examiner system has been rolled out across England and Wales to provide independent scrutiny of deaths, and to give bereaved people a voice. It has been built on the initial introduction of medical examiners on a non-statutory basis from 2019/20.

The National Medical Examiner (NME) System has a role to play to help better inform the bereaved and provide them with an opportunity to raise concerns to a doctor not involved in the care of a patient that may have died. Medical examiners are supported by medical examiner offices and give bereaved people an opportunity to ask questions and raise concerns about care that had been provided before death.

As of June 2024, medical examiners have independently scrutinised over 900,000 deaths in England and Wales, supporting bereaved people and providing the public with greater safeguards through improved and consistent scrutiny of non-coronial deaths.

NHS Standard contract requires that every provider must implement policies and procedures for engaging with bereaved families and carers.

From: The Thirlwall Inquiry: Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version dated April 2025)

Site note: DHSC and NHS England's own account of progress, supplied to the Thirlwall Inquiry in September 2024 and printed in the Inquiry legal team's Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version dated April 2025, published 27 February 2026). It is not a finding of the Inquiry. Their reviewed extent of implementation reads “Implemented – Ongoing”. Table row: section 6.2 No. 21, PDF page 80.

What other bodies have found

In their own words. These do not change the delivery statement above.

●Thirlwall Inquiry legal team · 15 May 2024

The Government agreed with this recommendation.

In its January 2002 response, the Department of Health said it was mapping the quality and quantity of bereavement services to determine where specific improvements were needed. The Department also said that work was progressing to develop a Code of Practice on communicating with families about post-mortems.

From: The Thirlwall Inquiry: Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version of 15 May 2024)

Site note: The Thirlwall Inquiry legal team's own notes on implementation, from its Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version of 15 May 2024). The review does not colour its Extent of Implementation cell for this recommendation green; it leaves the cell uncoloured where a recommendation was rejected, where evidence of implementation was insufficient, or where steps had been taken but implementation was not yet complete. Table row: section 6.2 No. 21, PDF page 79.

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.