A 2006 Report

The Coroner's Autopsy: Do we deserve better?

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S B Lucas FRCP FRCPath (Clinical co-ordinator)
H Cooper BSc (HONS) MSc RGN (Research nurse)
S Emmett BSc (HONS) (Research assistant)
C Hargraves BSc RGN DipHSM MBA (Chief executive former)
M Mason PhD (Chief executive)

Published October 2006 by the
National Confidential Enquiry into Patient Outcome and Death
Epworth House, 25 City Road, London EC1Y 1AA
Tel: 020 7920 0999
Fax: 020 7920 0997
Email: info@ncepod.org.uk
Website: www.ncepod.org.uk
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Registered charity number 1075588

Designed and produced by Interface, Bristol. Tel: 0117 923 2235.


The recommendations contained in this report represent the view of NCEPOD, which was arrived at after a careful consideration of the available evidence. Health professionals are expected to take it into account when exercising their clinical judgement. It does not, however, override their individual responsibility to make appropriate decisions in the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.