Seòmar agus comataidhean

Any case that requires the post mortem examination to be conducted by two Forensic Pathologists is currently referred from Aberdeen to Edinburgh by COPFS. The majority of these are potential homicide cases.

The Family Liaison Charter sets out the Crown’s obligations in relation to liaising with and providing information to bereaved relatives. These obligations apply equally to deaths arising in any area of Scotland.

If a post mortem examination in relation to a suspicious death requires to be transferred to another area, Police Scotland Family Liaison Officers will engage with the family at an early stage to explain the processes and timescales and keep them updated with the progress of the investigation.

There are no issues with unascertained causes of deaths on death certificates in Aberdeen.

The certification of a person’s death is a matter that falls solely within the clinical responsibility of medical practitioners, who require to be satisfied to the best of their knowledge and belief as to the cause of death.

Following a post mortem examination, the pathologist will ordinarily certify the cause of death. In some cases, an ‘interim’ death certificate is issued by the pathologist indicating that the cause of death is unascertained until the results of further analysis - including but not limited to histopathology, toxicology and neuropathology - are obtained. This certificate allows the death to be registered and the body to be released to the family to allow funeral arrangements to be made. Once all analysis has concluded and the final cause of death is confirmed, the interim death certificate is then amended. However, in a small percentage of cases the pathologist is unable to determine a cause of death even after all such analysis is done.

There are a number of reasons why the pathologist may be unable to determine a cause of death, such as a significant delay between the date of death and the body being found.

Where a pathologist is unable to determine a cause of death, they will include in their report as much information as possible about their findings to assist nearest relatives with possible explanations for the death having occurred. COPFS will provide that information to relatives when advising them of the final cause of death.

NHS Grampian has provided COPFS with a commitment to implement a forensic pathology service in Aberdeen, including the recruitment of full-time forensic pathologists, and COPFS is supporting that process.

It is however a matter for NHS Grampian to recruit forensic pathologists to provide the services.

The reimplementation of a forensic pathology service in Aberdeen may allow one of the forensic pathologist training posts to be filled there, improving the potential for sustainable forensic services in Aberdeen and Scotland.

There are currently no full-time forensic pathologists based in Aberdeen

The average time for a post mortem examination to take place in Aberdeen is seven days (or five working days) after the post mortem is instructed. Most post mortems are instructed on the same day that the death is reported to COPFS.

The Family Liaison Charter sets out the Crown’s obligations in relation to liaising with and providing information to bereaved relatives.

COPFS has established a Death Investigation Improvement Board with a number of workstreams, one of which is focussed on further expanding and improving the level of information provided to bereaved relatives in the early stages of investigations.

The certification of a person’s death is a matter that falls solely within the clinical responsibility of medical practitioners, who require to be satisfied to the best of their knowledge and belief as to the cause of death.

Following a post mortem examination, the pathologist will ordinarily certify the cause of death. In some cases, an ‘interim’ death certificate is issued by the pathologist indicating that the cause of death is unascertained until the results of further analysis - including but not limited to histopathology, toxicology and neuropathology - are obtained. This certificate allows the death to be registered and the body to be released to the family to allow funeral arrangements to be made. Once all analysis has concluded and the final cause of death is confirmed, the interim death certificate is then amended. However, in a small percentage of cases the pathologist is unable to determine a cause of death even after all such analysis is done.

We have identified 12 cases in 2023-24 where, following post mortem examination, the pathologist was unable to determine a cause of death and the cause was certified as ‘Unascertained’.

Where a pathologist is unable to determine a cause of death, they will include in their report as much information as possible about their findings to assist nearest relatives with possible explanations for the death having occurred. COPFS will provide that information to relatives when advising them of the final cause of death.

The following table shows the numbers of forensic post mortems conducted by two doctors that would normally have been performed in Aberdeen and that were transferred to Edinburgh. Some post mortems were also transferred to Dundee and Glasgow.

Only suspicious forensic post mortem examinations are being transferred from Aberdeen. Prior to October 2022, these were performed by forensic pathologists based in Aberdeen.

The numbers of full-time forensic pathologists based in Aberdeen in each of the last ten years are shown in the following table: