New ME / MCCD System Flowchart
Effective from: 9th September 2024, 12:01am onwards
Step 1 – Death Occurs
Clarity in documentation: Is the cause of death expected and clearly documented in medical records?
Decision Point
➜ Expected Death (Best of knowledge & belief)
➜ Unexpected / Reportable Death
(Notification of Death Regulations 2019)
PATHWAY A — EXPECTED DEATH
1. Internal Practice Actions
Identify 2 staff members to manage death process in-house
Prepare last 6 months summary records
2. Doctor Actions
Doctor completes:
Summary of Death Referral Form
MCCD (both sides)
3. Send to ME Office (3 documents)
ME Referral Form
MCCD (both sides)
6-month summary records
Email: medical.examiner2@nca.nhs.uk
Office: Fairfield ME Office
ME Review
If ME agrees:
➡ ME counter-signs MCCD
➡ Sends to Registrar Office
➡ ME Office notifies GP & next of kin
If ME has concerns:
a) ME + Doctor discuss and revise cause of death
➡ Doctor issues new MCCD
➡ Scanned and sent to ME Office
➡ ME counter-signs
➡ Sent to Registrar
➡ GP & next of kin notified
b) ME + Doctor disagree on cause of death
➡ Doctor refers case to Coroner’s Office
PATHWAY B — UNEXPECTED / REPORTABLE DEATH
Immediate Route:
➡ Coroner’s Referral
➡ Inquest / Post-Mortem (PM)
If not under Coroner jurisdiction → return to ME pathway
MEDICAL EXAMINER (ME) OFFICE INFO
Opening Hours:
Mon–Fri: 8am–4pm
Sat/Sun/Bank Holidays: 9:30am–11:30am
Closed: Easter Sunday & Christmas Day
Tel: 0161 778 2122
Urgent Release Deaths
Highlight on referral form
Email documents
Weekend & Bank Holiday Referrals
Email documents
Call: 0161 624 0420
Ask for: “On Call ME”
CORONER’S OFFICE — ROCHDALE
Opening Hours:
Mon–Fri: 08:30–12:30
13:30–16:30
Tel: 01706 924815
CHECKLIST
Completed ME referral form
MCCD
6-month summary records
Best contact number for GP + time
Next of kin details (incl. phone number)
⏱ ME Office aims to process referrals within 48 hours
Final Review Requirement
Last patient review must be:
➡ Face-to-face (F2F) or Video
❌ Not telephone or online
Practice Roles
GP Lead: ____________
Receptionist 1: ____________
Receptionist 2: ____________






