If someone dies at home or outside of hospital, their GP Practice should be informed.
This can be done by a family member, carer, nursing team, or another healthcare professional.
If the GP Practice is closed, call NHS 111.
NHS 111 will assess the situation and, if needed, refer it to the Out of Hours GP Service. A healthcare
professional may:
Give advice over the phone
Arrange for someone to visit to verify the death and
Advise you about contacting the person's GP Practice.
The GP will review the person's medical records and recent care to confirm the cause and circumstances of
death.
If they are satisfied that they can certify the death, they will complete a Medical Certificate of Cause of
Death (MCCD).
The GP Practice will send the certificate electronically to the Medical Examiner's Office (MEO).
You do not need to collect any paperwork from the GP Practice or the Medical Examiner's Office.
The Medical Examiner's Office will:
Explain the cause of death
Answer any questions you may have
Confirm when the paperwork has been completed
Once the Medical Examiner's Office has confirmed that everything is complete, the death must be registered.
This is a legal requirement and should usually be done within 5 days (including weekends and bank
holidays).
You will need to arrange a face-to-face appointment with the local Registrar.
After registering the death, you will receive a certificate for burial or cremation, often called the "green
form."
You will need to give the green form to your chosen funeral director, crematorium, or burial authority.
The funeral cannot usually take place until this has been provided.
Losing someone important can be overwhelming. Remember that bereavement is a personal journey. There
is no right or wrong way to grieve, and everyone experiences loss differently. Support is available if you need
it from:
Your GP Practice can provide information, support, and guidance during the bereavement process.
Even if the Coroner becomes involved, your GP Practice can help explain what is happening, answer
questions, and direct you to other sources of support.
GP teams are committed to treating every family with compassion, respect, and understanding at a difficult
time.
Social Prescribers can help connect you with:
Local bereavement services
Community support groups
Practical help and advice
Wellbeing and social activities
Ask your GP Practice about local social prescribing services and self-referral options.
Provides bereavement support, counselling and online information for adults, children, and young
people.
Helpline: 0808 808 1677
Offers information and support for families affected by terminal illness, end-of-life care, and
bereavement.
Support Line: 0800 090 2309, Email: support@mariecurie.org.uk, Website: www.mariecurie.org.uk
Provides advice, information, and support for older people coping with loss and bereavement.
Advice Line: 0800 678 1602, From 8am–7pm, 365 days a year, Website: www.ageuk.org.uk
If You Need Urgent Help
If you are struggling to cope, are worried about your mental health, or feel unable to keep yourself safe, seek
help immediately.
Urgent support is available through:
NHS 111 (select the mental health option)
Local mental health crisis services eg. NHS Mental Health Crisis Line (Surrey and North East Hampshire). 0800 915 4644 (24 hours a day, 7 days a week)
Emergency services (999) if there is an immediate risk to life
One of the first things the GP considers is whether the death was expected or unexpected. An expected
death is usually one where the person had a known illness and was receiving medical care for that condition.
In many cases, the GP can complete the death certificate, and no further action is required.
Sometimes the GP is unable to issue a death certificate and is legally required to refer the death to the
Coroner. This may happen when:
The cause of death is unclear
The death was sudden or unexpected
Certain legal requirements apply
There is not enough information to complete the death certificate
The Coroner is an independent judicial officer who investigates certain deaths to establish the facts.
Once a death has been referred, the Coroner decides what happens next. In many cases, the information is
reviewed and no further investigation is needed. Sometimes the Coroner may:
Request additional information
Arrange a post-mortem examination
Carry out further investigations
Any investigation is conducted professionally and respectfully, and families are kept informed throughout the
process.
Coroner involvement can sometimes delay the completion of paperwork and funeral arrangements.
These delays are outside the GP Practice's control and cannot usually be shortened.
They are necessary to ensure that the circumstances of the death are fully understood and that all legal
requirements are met.