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Laboratory Medicine

Mortuary

York & Scarborough Mortuary Opening Hours

Mortuary Staff arrange viewings, initiate the Cremation Certificate procedure and liaise with the Consultant on call for urgent autopsies. The Mortuary is open:

Monday to Thursday: 08.00 – 16.30 hours

Friday: 08.00-1600 hours.

On weekends, Bank Holidays and at all other times, a Mortuary Technician may be contacted via the Hospital Switchboard at York.

THERE IS NO OUT OF HOURS ON CALL SERVICE AT SCARBOROUGH CONTACT PORTERS FOR VIEWINGS

Viewing of Bodies by Relatives of the Deceased

Relatives wishing to view deceased persons need every assistance, and arrangements should be made with the Mortuary Staff.

Autopsy Examination

Both hospital and Coroner’s autopsy examinations are performed during weekdays only. An Autopsy may only be arranged out of hours in exceptional circumstances (e.g. where there is requirement for a Home office post mortem). This will only occur with the specific agreement of the police and coroner.

Hospital Autopsy Examinations, i.e. Non-Coroner's Cases

It is imperative that an Autopsy Consent Form is completed and signed in all hospital request cases, even if verbal permission has been obtained. An Autopsy Request Form stating the points of clinical interest, and the likely cause of death should also be completed. It is normal to issue a death certificate with the appropriate box ticked “Information from post mortem may be available later”. If the cause of the death is obscure, the death should be reported to the Coroner. Please inform the Mortuary Technician as soon as permission for autopsy has been obtained - do not rely on the autopsy request reaching the Mortuary, for there may well be a delay. Send the consent and autopsy request forms plus the case notes and X-rays to the Mortuary promptly.

Perinatal and Foetal Examinations (York Hospital)

All foetuses of any age should be sent to the mortuary with an appropriate request form completed. It is also helpful to contact the Mortuary directly if an examination has been requested, especially if the birth has been out of normal working hours.

A completed consent form is required in all cases regardless of gestation.

Coroner's Autopsy Examinations

Coroner’s Officers Location

Time

Location

Contact Number

09:00-12:30

Police Station

01609 643123

12:30-16:00

Mortuary, York Hospital

01904 726804

16:00-09:00

(Weekdays) and during weekends

Via Control Room York Police

01904 631321

Pamphlets on which cases to refer to the Coroner are available on the wards, but if in any doubt you are advised to contact your Consultant or one of the Coroner's Officers. The Consultant Pathologist will also give advice.

The following is a guide to which deaths should be reported. Remember failure to report, or delay, may cause the bereaved relative unnecessary distress.

A death should be reported to H. M. coroner if:-

  1. it cannot be certified as being due to natural causes.
  2. the deceased was not seen by a doctor within the last 14 days.
  3. there is any element of suspicious circumstances.
  4. there is any history of violence.
  5. the death may be linked to an accident (whenever it occurred).
  6. there is any question of self neglect or neglect by others.
  7. the death has occurred or the illness arisen during or shortly after detention in police or prison custody (including voluntary attendance at a police station).
  8. the deceased was detained under the Mental Health Act.
  9. the death is linked with an abortion.
  10. the death may have been contributed to by the actions of the deceased himself (e.g. self injury, history of drug addition or solvent abuse).
  11. the deceased was receiving any form of war pension or industrial disability pension unless the death can shown to be wholly unconnected.
  12. the death could be due in any way to the deceased’s employment.
  13. the death occurred within 24 hours of admission to hospital.
  14. the death occurred during an operation or before full recovery from the effects of the anaesthetic or was in any way related to the anaesthetic (in any event a death within 14 days of surgery should normally be referred).
  15. the death may be related to a medical procedure for treatment whether invasive or not.
  16. the death may be due to lack of medical care.
  17. there are any other disturbing features to the case.
  18. it may be wise to report any death where there is an allegation of medical mismanagement.

Death Certificates

Remember you should not defer completing a death certificate until after the result of a hospital autopsy examination. You should put down your opinion as to the cause of death and initial the section, 'Further information available later'. Avoid using vague terminology on the death certificate such as 'heart failure' without qualification and also such terms as 'cerebrovascular accident or incident'. The word 'accident' or 'incident' should be avoided by the use of the term 'spontaneous intra-cerebral haemorrhage', 'cerebral infarction/cerebral thrombosis', 'subarachnoid haemorrhage' etc where appropriate. A death certificate should not be issued in the case of Coroner's post mortem examinations - the Coroner will issue a disposal certificate. In all cases consideration should be given to the bereaved relatives and documentation be completed as soon after death as possible to facilitate burial or cremation. If you are going off for a day or a weekend please ensure that you inform the colleague who is covering for you.

Cremation Certificates

The Mortuary staff initiates these and when Form '4' has been completed it should be sent, with the case notes, to the Mortuary Via Bereavement services , where arrangements will be made for form '5' to be completed.

Extreme care must be exercised in completing medical certificates for cremation. These certificates are statutory and if they are not completed properly, fully and accurately cremation may have to be postponed with resultant distress to relatives. All questions must be answered and abbreviations should not be used.

Form '5', the confirmatory medical certificate, may only be signed by a registered medical practitioner who has been fully registered with the General Medical Council for not less than five years. A doctor who is on the same clinical team as the doctor who signed Form '4' should not issue this certificate. Both certificates are examined by the Medical Referee who must be satisfied in all respects before the cremation is authorised. Owing to the risk of explosion or radiation, bodies with cardiac pacemakers and/or radioactive implants in situ are not suitable for cremation. Pacemakers and implants must, therefore, be removed and this fact stated on cremation forms. Removal of a pacemaker or implant is done by the undertaker

Where the deceased died as an in-patient in a hospital, and a post mortem examination has been made by a suitably qualified doctor, and the deceased's medical attendant knows the result of the examination before giving his certificate, the cremation may take place without subsequent completion of Form '5'. Question 10 on Form '4' covers this eventuality.

Signing of Cremation Form '5'

The Home Office takes the view that the term 'registered medical practitioner of not less than five years standing' means one who has been registered with the General Medical Council for not less than five years; and in these circumstances registration outside the country would not count towards the requisite period. It is also the view of the Home Office that any periods of limited or provisional registration cannot count as part of the five years. This means that the date from which the five years is calculated is the date of registration with the General Medical Council, not the date of qualification.

The Medical Referee at York and Scarborough Crematorium has no option but to abide by the advice of the Home Office, and you should bear the above points in mind when the question of signing cremation Form '5' arises.

York

Enquiries about the medical aspect of cremation should be addressed to the Medical Referee (District Medical Officer), City of York Crematorium, or to the Superintendent, York City Crematorium (York 706096).

Scarborough

Enquiries about the medical aspect of cremation should be addressed to the Medical Referee (District Medical Officer), Scarborough Crematorium, or to the Superintendent, Scarborough Crematorium (01723 372652).

Doctors should note that crematorium fees are taxable and should be disclosed.

 

Web Page 52 Last updated: 5th March 2019

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Visiting cancelled

Due to the increasing number of cases of coronavirus across the UK, York Teaching Hospital NHS Foundation Trust has made the decision to cancel all visiting to all its hospital sites in order to ensure the safety of patients and staff.

There are three exemptions to the ruling which are for one parent of a sick child under 18, for the partner of a woman giving birth and end of life patients at the discretion of the ward sister.

We would ask people to respect this decision and to treat our staff, who will be enforcing the visiting restrictions, with courtesy and respect.  For more information visit our website.


Outpatient appointments

We know that NHS services will come under intense pressure as the coronavirus spreads, and as a Trust we need to redirect staff, free up staff for refresher training and carry out any works as necessary, so we are able to maximise capacity for patients for when the number of infections peak.  We also need to reduce the number of people coming into our hospitals to protect our patients, as well as keeping our staff safe, well and able to come into work.

To do this, with effect from Tuesday 24 March 2020, along with other trusts in the Humber Coast and Vale partnerships, we have made the collective decision to suspend all non-urgent routine outpatient appointments for at least three months.  Urgent and emergency cases and cancer appointments will be carrying on as normal.

These are unprecedented times and we thank you for your understanding.  We know many people waiting for treatment will be disappointed or worried but please not contact the hospital as we will be contacting everyone directly affected in the coming days and weeks.

If you do not receive a letter or a phone call from the hospital, please turn up for your scheduled appointment as normal unless you have symptoms of coronavirus, a cold, flu or norovirus in which case you should contact us to cancel your appointment by clicking here.


Coronavirus (COVID-19)

If you have symptoms associated with coronavirus including a new continuous cough and a high temperature, you are advised to stay at home for 7 days.

Please do not book a GP appointment or attend your GP practice.

If you live with other people, they should stay at home for at least 14 days, to avoid spreading the infection outside the home.  After 14 days, anyone you live with who does not have symptoms can return to their normal routine.

But, if anyone in your home gets symptoms, they should stay at home for 7 days from the day their symptoms start. Even if it means they're at home for longer than 14 days. The most up-to-date public guidance is always online at www.nhs.uk/coronavirus

If your symptoms are serious, or get worse, NHS 111 has an online coronavirus service that can tell you if you need further medical help and advise you what to do.  Only call 111 direct if you are advised to do so by the online service or you cannot go online.