Steps to be taken following an expected death in the UK
When someone dies an expected death—such as at home, in a care home, hospice, or hospital—it can still feel overwhelming, even if it was anticipated. Understanding what needs to happen next can bring
reassurance and help loved ones feel more prepared.
This guide outlines the practical steps to take, including what happens immediately after death and how the Medical Examiner process now forms part of routine care in England and Wales.
Immediate Steps After Death Has Occurred
If the death occurs at home:
- Contact the GP or an out-of-hours doctor. A healthcare professional will need to confirm that death has occurred. This may also be done by a qualified nurse or paramedic depending on local policy.
- There is no need to rush. Take the time you need to sit with the person, say goodbye, and be with others before any formal steps are taken.
If the person dies in a hospital, hospice or care home, staff will take the lead in confirming death and beginning the next steps.
The Medical Certificate of Cause of Death (MCCD)
A doctor who knew the person during their illness will complete the Medical Certificate of Cause of Death if the death was expected and the cause is clear.
This certificate is needed to register the death.
In England and Wales, this now includes a Medical Examiner (ME) review before the certificate is finalised.
What Is the Medical Examiner Process?
The Medical Examiner system was introduced to provide independent scrutiny of all deaths not referred to the coroner. It applies across England and Wales (not currently in Scotland or Northern Ireland).
Key features of the process:
- A senior doctor (the Medical Examiner) reviews the medical records of the person who has died.
- They speak to the family or next of kin, giving an opportunity to ask questions or raise concerns about the care provided.
- The ME ensures the proposed cause of death is accurate and that no further investigation (e.g. by a coroner) is needed.
The ME process aims to improve transparency, support families, and identify any issues in patient care. It usually takes 1–3 working days.
Registering the Death
Once the MCCD is complete and has passed through the ME process, you can register the death.
- This must be done within 5 days in England, Wales and Northern Ireland (8 days in Scotland).
- You should register with the local registry office in the area where the person died.
- In many cases, the MCCD is now sent electronically to the registrar.
In many cases, the MCCD is now sent electronically to the registrar.
You’ll need to provide:
- The deceased person’s full name, date and place of birth
- Their address and occupation
- Details of any surviving spouse or civil partner
- NHS number if available
You will receive:
- The Death Certificate
- A Certificate for Burial or Cremation (the ‘green form’), which is needed to arrange the funeral
- The option to use the Tell Us Once service to notify government departments (e.g. pensions, benefits)
Funeral Arrangements
Once the death has been registered and the relevant paperwork is in place, you can begin planning the funeral.
- You may choose a funeral director to help with arrangements, or manage them yourself.
- The Certificate for Burial or Cremation (green form) must be given to the funeral director or relevant authority before burial or cremation can take place.
Practical and Emotional Support
Coping with a death—expected or not—can bring waves of emotion. Be gentle with yourself and reach out for support.
Useful contacts:
Final Thoughts
When someone dies, knowing what to do helps reduce anxiety and allows space for mourning. The Medical Examiner system now provides an extra layer of reassurance and opportunity for families to ask questions. Taking one step at a time—with support from healthcare professionals and registrars—can ease the process. You don’t have to navigate it all alone.