National Medical Examiner’s report for 2025
The report describes 2025 as the first year in which medical examiners reviewed all deaths not investigated by coroners in England and Wales, under the statutory system introduced in September …
Source · Patient safety
National Medical Examiner
Annual reports on independent scrutiny of deaths in England and Wales, each with a short summary and a link to the original NHS England report.
6 annual reports
2025 latest reporting year
Annual reports
National Medical Examiner report 2024
This is the first annual report since the statutory medical examiner system began on 9 September 2024, so it covers only part of the year under the new rules. It …
National medical examiner annual report 2023
This report covers 2023 and was published on the NHS England website on 6 September 2024. The report says independent scrutiny by a medical examiner becomes a statutory requirement for …
National Medical Examiner's report 2022
This report covers 2022 and was published on 17 May 2023. It describes a medical examiner system that was still in a "non-statutory period": medical examiners were being rolled out …
National Medical Examiner's report 2021
This is the National Medical Examiner's report for England and Wales for 2021, published on 18 May 2022. The report describes the national medical examiner system as being rolled out …
National Medical Examiner's report 2020
This is the first report of the National Medical Examiner for England and Wales. It was published in April 2021 and covers 2020. The report describes the national medical examiner …
About this source
The National Medical Examiner oversees the medical examiner system in England and Wales. Medical examiners are senior doctors who independently scrutinise deaths not investigated by a coroner. The statutory framework is set out in the Coroners and Justice Act 2009.
This collection includes web reports from 2023 onwards and PDF reports for 2020 to 2022. Each report has a short summary written by this site from the report, and a link to the original publication.