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Mid Cheshire Hospitals NHS Foundation Trust

Central Cheshire Integrated Care Partnership

Mid Cheshire Hospitals NHS Foundation Trust and Community www.mchft.nhs.uk

Emergency Department

Coping with Sudden Death

Whilst we cannot experience how you are feeling at this difficult time, may we offer you our deepest sympathy. When you have been affected by the death of a relative or friend, the emotional and physical reactions can be intense and you may be surprised by the reactions that follow. These can be unfamiliar and out of character. Some of the most common feelings are: shock and disbelief, loss, guilt, regret, injustice, envy, anger, loneliness, depression, relief, sleep deprivation, loss / increase of appetite, exhaustion, restlessness, anxiety, panic, loss of interest, tearfulness, irritability and inability to cope. We hope that you find this booklet helpful as it has been designed to give guidance on who can help, and explain procedures such as registering a death and arranging a funeral. Do not be afraid to seek help from your GP or contact one of the support agencies listed on pages 18 to 19 of this booklet.

Contents Page Coping with sudden death........................................................................................................1 Support for you and your family.......................................................................................1 On the day........................................................................................................................................................2 The Bereavement Service........................................................................................................3 Hospital Chaplaincy Team........................................................................................................3 What to do first If your relative or friend died in hospital. ..............................................................4 Clothes and belongings................................................................................................................5 Medical Examiner service.........................................................................................................6 Coroners and post mortem examination.............................................................7 Registration.....................................................................................................................................................8 People to inform.......................................................................................................................................11 Funeral director.........................................................................................................................................13 Financial support....................................................................................................................................14 Useful organisations..........................................................................................................................18 Mid Cheshire Hospitals Charity .......................................................................................20

Coping with sudden death The sudden death of a loved one, relative or friend is devastating and although we cannot experience how you are feeling, may we offer you our sympathy. At this time, you may experience a number of strong emotions and feelings. These may include anger, panic, guilt, disbelief, or a sense of numbness. None of these emotions are wrong, but all are part of the grief you are feeling. All of us experience grief in different ways and the way you react is personal to you, so there is no need to feel worried because you don’t react in the same way as those around you. This booklet is designed to provide practical advice and we hope that you will find it useful during this time. It gives guidance on who can help and where further information can be obtained, as well as explaining procedures such as registering a death and arranging a funeral.

Support for you and your family We know that when you have just been told about a loved one’s death, your emotions can take over and it is very difficult to think straight. It may be later that you think of questions you wished you had asked whilst in the Emergency Department; please contact the Bereavement Office who will be able to assist.

On the day In most cases where a person dies in the Emergency Department, it is because of sudden and unexpected reasons, therefore it is important to find out why the death has happened. In some cases of sudden death in this department, the nursing staff informs the police who act on behalf of the Coroner’s Office. A police officer will attend the Emergency Department as soon as possible and will explain the procedures that have to be completed before a funeral can take place. Police officers work on behalf of the Coroner to investigate circumstances surrounding a sudden death. By law they have procedures which they are required to follow, some of which may seem inappropriate or insensitive during this difficult time. During this visit, it will be necessary for someone to confirm the identity of the person that has died so there can be no possibility of mistaken identity. This identification can be done in the Emergency Department or the hospital Mortuary. Often relatives wish to see the deceased and this identification procedure can be carried out at the same time, however, it is not essential that a relative does this. If it is too distressing, then another person who knew the deceased can confirm their identity.

The Bereavement Service The Bereavement Team ensures patients and their families receive a high standard of care following the death of a loved one. The Bereavement Team works closely with ward staff, doctors, chaplaincy service and other health and social care professionals to support and complement the work they do. The Bereavement Service at Leighton Hospital is available Monday to Friday 8-4 excluding bank holidays. Direct Dial: 01270 273882 Leighton Hospital: 01270 255141 Email: bereavement@mcht.nhs.uk Hospital Chaplaincy • Church of England Chaplains • Roman Catholic Chaplains • Free Church Chaplains Other faith leaders can be contacted upon request. The Hospital Chapel is open to anyone wishing to sit quietly, relax, think or pray. The Chapel is located on the ground floor, green corridor, across from Ward 17.

• When a death has occurred within the hospital you can pay your last respects at the hospital by telephoning the Hospital Mortuary on 01270 612250 to make an appointment, Monday to Friday 8.00am - 4.00pm excluding bank holidays. Alternatively you may wish to wait until they are transferred to the chapel of rest at your chosen funeral directors. • The bereavement team will enquire if your relative or friend is to be buried or cremated, in which case the name of the funeral director would be helpful. • If you are unsure whether the funeral is to be a burial or cremation, first enquire whether or not the deceased expressed any wishes to relatives or in a Will. • Once confirmed contact the funeral director and instruct them accordingly. • To enquire whether the Medical Certificate of Cause of Death has been completed, contact the Bereavement Team at Leighton Hospital on 01270 273882 as this is required to register the death.

Clothes and belongings In emergencies it may be necessary to cut clothes to allow rapid treatment to begin. This is not done without thought and we hope that you will understand if the clothes are not in good condition when returned. If requested, items can be disposed of by hospital staff. Items of jewellery will be removed by the Emergency Department staff. All valuable items will be recorded and handed back to you or may be stored in the Emergency Department Office.

Medical Examiner Service The role of Medical Examiner is a nationwide system which has been developed recently within all Hospital Trusts in England and Wales. A Medical Examiner is an independent senior consultant/doctor working at the hospital to ensure the information contained on the Medical Certificate of Cause of Death (MCCD) is accurate and that referrals to the Coroner are performed in a timely and appropriate manner. The aim of the service is to: • Provide bereaved families with greater transparency and opportunities to raise concerns • Improve the quality/accuracy of MCCD • Ensure referrals to coroners are appropriate • Support local learning/improvement by identifying matters in need of clinical governance and related processes • Provide the public with greater safeguards through improved and consistent scrutiny of all non-coronial deaths, and support healthcare providers to improve care through better learning • Align with related systems such as the Learning from Deaths Framework and Universal Mortality Reviews. A member of the Medical Examiner Team will contact the next of kin to help you understand the cause of death. They will go through the MCCD contents with you and ask if you are in agreement. You will have an opportunity to ask further questions should you wish to do so. You will also be asked if you have any feedback regarding your loved one’s care during their final illness. 6

Coroners and post mortem examination Coroner You will be advised if the death has to be reported to the Coroner. This generally occurs when a Doctor is unable to issue a Medical Certificate of Cause of Death due to one or more of the following. • No precise cause can be established. • Unnatural causes. • An injury or a fall has contributed to the death. • Due to an accident or allegations of negligence. • Previous asbestos exposure Coroner’s post mortem The Coroner may request a post mortem examination to determine the exact cause of death. If the Coroner requests a post mortem examination, it becomes a legal obligation; therefore permission from relatives/next of kin is not required. Once the results of the examination are known, if an inquest is not required, the MCCD will be issued by the Coroner’s Office.

Registration • If a post mortem is not required and the doctor issues the MCCD, registration can take place. • You will need to register the death with Registrar of Births, Marriages and Deaths. See page 9 for contact details. • A death should be registered at the Register Office covering the district where the death occurred. However, you can register outside the district and the Registrar will give you details about this if required.

Telephone the Crewe office on 0300 123 5019 to make an appointment. The opening hours are Monday to Friday, 9.00am – 4.30pm (excluding bank holidays). The address is Crewe Register Office, Municipal Building, Earle Street, Crewe CW1 2BJ. Email: creweregisteroffice@cheshireeast.gov.uk

Who can register the death? The person who registers the death should be any of the following: • A relative of the deceased or someone who was present at the death • The person making the funeral arrangements • The Registrar In all cases the Registrar will require the following information of the deceased: • Date and place of death • Full name and if known by any other name • Date and place of birth • Marital status, e.g. married, single, civil partnership, etc. • Home address • Last occupation (even if retired)

People to inform The ‘Tell Us Once’ Service When someone dies, informing the official organisations such as local government agencies and departments can be a repetitive and difficult process. ‘Tell Us Once’ is an innovative cross government service that enables people to report changes in their circumstances to government just once. This service will be offered routinely to people registering a death by the Register Office.

The Registrar will provide you with: 1. Certificate of Burial or Cremation (the green form) – this will be required by the funeral director (unless the Coroner is involved). 2. Certified Copy of Death Certificate – obtainable for a fee. You will need one of these to obtain probate, private pension claims, insurance policies, saving certificates and premium bonds, or to release funds held in a bank or building society. You may require more than one copy of the death certificate as some organisations require an original. 3. Certificate of Registration of Death (Form BD8). This needs to be sent to the Department for Work and Pensions together with any benefit payment books. It may also be used for claiming such benefits as a Widow’s Pension. Form BD8 is provided free of charge. Department for Work and Pensions Tel: 0800 731 0469

The funeral director Funeral arrangements can be made at any time, although the date when a funeral can be held may be affected if the Coroner is involved. To arrange a burial or cremation the chosen funeral director will need the green form as issued by the Registrar. Your chosen funeral director will advise you on all matters concerning the funeral and will help you to make decisions regarding anything which you are unsure of, including any cost implications.

Financial support If you receive income support, family credit and/or housing benefit, you may be entitled to help with funeral costs. To apply or ask for information, contact your local Department for Work and Pensions. www.gov.uk/funeral-payments Where relatives are seeking help with the financial costs of the funeral they should first contact the Department for Work and Pensions for confirmation before registering the death. You can claim Bereavement Support payment if your partner has died under state pension age. For further details and eligibility, please see: www.gov.uk/bereavement-support-payment/eligibility. It can be difficult enough dealing with the loss of a relative or friend without having to deal with property, possessions and personal matters. Do not be afraid to ask family members, friends or, where appropriate, solicitors to help. Future financial help may be required, and it is possible that you may qualify for help from the State – Please refer to The Department for Work and Pensions. www.gov.uk/check-benefits-financial-support

Who do I need to tell When someone dies there will be many organisations to contact. Please use the ‘Tell Us Once’ facility to help you. Please use the following as guidance to see if you have contacted everyone you need. If any documents are in joint names you should ask about receiving replacements in your sole name. Service

Tick Box

Family Doctor Any hospital your relative was attending HMRC Department for Work & Pensions (Benefits, pensions, etc) Place of work (Occupational Pension) Solicitor Bank, Giro, Credit Cards, Building Society Insurance Companies Motor Insurance Mobility vehicle returned (if applicable)

Service

Tick Box

Driving Licence Centre (DVLA) Electricity, Gas, Telephone, Water Companies Council Tax Offices Social Services (Home helps, Home Care) Royal Mail, newsagent & milk deliveries Passport Office Landlord, Housing Department Local Housing Benefit Schools, College or University Library service Careline (personal alarm service) Cancel any appointments Community equipment provider District Nursing Service RICS Valuations Inheritance Tax (If applicable) 16

Stopping Junk Mail to the recently deceased If someone you know has died, the amount of unwanted marketing post being sent to them can be greatly reduced which helps to stop painful daily reminders. By registering with the free service www.stopmail.co.uk the names and addresses of the deceased are removed from mailing lists, stopping most advertising mail within as little as six weeks. If you cannot access the internet you can call 0333 006 8114, where you will be asked for very simple information that will take only a few minutes to complete. This free of charge service provided by the Bereavement Support Network will actively reduce the unwanted marketing mail but also can help reduce the likelihood of identity theft following the death of someone close. The information is not used for any other purpose and you only have to complete this once.

Useful organisations Age UK Cheshire Castle Community Centre, Barbers Lane, Northwich CW8 1DT General enquiries: 01606 881 660 admin@ageukcheshire.org.uk - www.ageuk.org.uk/cheshire Carers UK 20 Great Dover Street, London SE1 4LX Advice line: 0808 808 7777 Monday to Friday 9.00am – 6.00pm www.carersuk.org The Compassionate Friends Support and information for bereaved parents and their families Helpline: 0345 123 2304 helpline@tcf.org.uk - www.tcf.org.uk Cruse Bereavement Care National Helpline: 0808 808 1677 Email: info@cruse.org.uk www.cruse.org.uk or www.hopeagain.org.uk (for young people) Department for Work and Pensions Tel: 0800 731 7898 www.gov.uk Family Action Manchester Newton Heath Children’s Centre, 1 Great Newton Street, Newton Heath, Manchester M40 1GX Tel: 0808 802 6666 www.family-action.org.uk National Debtline Tricorn House, 51-53 Hagley Road, Edgbaston, Birmingham B16 8TP Helpline Freephone: 0808 808 4000 Monday to Friday 9.00am – 8.00pm Saturday 9.30am – 1.00pm www.nationaldebtline.org 18

Information for making your own funeral arrangements Natural Death Centre In The Hill House, Watley Lane, Twyford, Winchester SO21 1QX Tel: 01962 712 690 www.naturaldeath.org.uk Samaritans 2 Hall O’Shaw Street, Crewe, Cheshire CW1 4AE National Helpline: 116 123 (this number is free to call) Email: jo@samaritans.org www.samaritans.org St Luke’s Hospice Bereavement Support Group (Operated by the Family Support and Counselling Team) Tel: 01606 551246 vrccg.familysupportandcounsellingteam@nhs.net www.slhospice.co.uk Sue Ryder Providing incredible hospice and neurological care Tel: 0808 164 4572 www.sueryder.org Terrence Higgins Trust 439 Caledonian Road, London, N7 9BG Tel: 0808 802 1221 Email: info@tht.org.uk www.tht.org.uk WAY (Widowed and Young) Offering support and advice to men and women aged 50 years and under when their partner has died. Tel: 0300 201 0051 Monday to Friday 9.30am - 5.00pm www.widowedandyoung.org.uk 19

Mid Cheshire Hospitals Charity is a registered charity which manages all money donated to Mid Cheshire Hospitals NHS Foundation Trust. At a time of such sadness giving in memory of a loved one can offer some comfort to family and friends and offers a special way to thank the hospital and its staff for the care their relative or friend received. There are several ways that you can give in memory, and you can find out more about all of them on our dedicated ‘in memory donations’ webpage www.mchcharity.org/donate-in-memory/ One off donation

If you would like to donate via post, please send a cheque made payable to ‘Mid Cheshire Hospitals’ along with a cover letter stating who the donation is in memory of, your relationship to them, your address and whether you would like it to go to a specific ward or department. We will then ensure that the money benefits the area you have specified and write back to you to confirm this. If you are a taxpayer please let us know that you would like to Gift Aid the donation so that we can reclaim an additional 25% from HMRC. If you prefer you can bring the donation to our office at Leighton Hospital – please contact us prior to coming in to ensure that someone will be able to meet you 01270 273248. Funeral donations in lieu of flowers Many families choose to ask for donations rather than flowers at a funeral. Your funeral director should be able to assist you with this and if you prefer, they can manage the collection and send the donation directly to MCH Charity. We can provide funeral donation envelopes and bespoke collection cans. Please ask the funeral director to contact us if they need more information. Create a Memory Page Losing a loved one can be an extremely distressing and difficult time, so doing something positive like creating a Memory Page can help you to focus on something else and provides a unique way to celebrate their life now and into the future. Our Memory Pages are provided by a charity called MuchLoved. To find out more about setting up a Memory page please visit our website, www.mchcharity.org/create-amemory-page or call a member of the team. Fundraise in memory If you would like to fundraise in memory of a relative or friend, please contact the charity to talk to us about what you would like to do. We can offer lots of support and resources to help you throughout your fundraising journey.

If you have any questions about making a donation to MCH Charity please get in touch, we’re here to help. t: 01270 273248 e: charity@mcht.nhs.uk registered charity number 1049008

Did we help you at this difficult time? We are constantly reviewing the service we offer to bereaved relatives and friends. Following the loss of your relative or friend recently, we would be grateful if you would take a few moments to fill in the questionnaire below. This is completely optional, and you may return this at a time comfortable to yourself. We value comments about what you found helpful, and areas where you feel we might improve the service. If you are unhappy about any aspect of the care you or your relative or friend received, you may prefer to discuss this in person with the Hospital Bereavement Manager Tel: 01270 273882 or The Customer Care Team, Leighton Hospital. Tel: 01270 612410, if your relative died in Hospital. The following information is optional, but may assist us in passing on appropriate comments, and dealing with queries. The name of the patient:................................................................................................................................... Date of death:................................................................................................................................................................. Location of death:...................................................................................................................................................... Your name (optional): .......................................................................................................................................... Your relationship to patient: ......................................................................................................................... Were you given opportunity to spend time with your relative or friend privately, before and after they died? YES / NO Were you offered the spiritual support that you required at the time of your relative or friend’s death? YES / NO Do you feel that your relative or friend was comfortable during the last days of life? If not, please say why YES / NO .......................................................................................................................................................................................................... ..........................................................................................................................................................................................................

Do you feel that you were given enough opportunity to talk with the staff looking after your relative or friend? YES / NO Please feel free to comment ........................................................ ...................................................................................................... Were you helped to understand what was happening at the time of your relative or friend’s death? YES / NO Please feel free to comment ........................................................ ...................................................................................................... Is there any other information that would have been helpful during this time? YES / NO ...................................................................................................... ...................................................................................................... Do you have any suggestions as to how we could improve our services? ...................................................................................................... ...................................................................................................... ...................................................................................................... Thank you for completing this form. Please detach and post/return to: End of Life Care, Cheshire Hospices Education Queensway, Winsford, Cheshire CW7 1BH Or return to the Bereavement Manager if your relative or friend died in Hospital. FAO Bereavement Manager, Leighton Hospital, Middlewich Road, Crewe, CW1 4QJ 22

Reference: Leighton Hospital A&E (1020) Revised and reprinted: March 2026 Review: March 2028 Ref: CORP/BER/0080517

The Hospital would like to thank RNS Publications for publishing this information and the following pages contain some features from services offering their help at this time. Whilst the Hospital is grateful of their support it does not endorse or recommend any of the services that they provide. Please note, whilst information is correct at the time of publication, this may be subject to future change.

STOPPING JUNK MAIL If someone you know has died, we can reduce the amount of unwanted marketing post being sent to them, stopping painful daily reminders. By registering with our free service, the names and addresses of the deceased are removed from mailing lists, stopping most advertising mail within as little as six weeks.

Call: 0333 006 8114 OR

Visit our website: www.stopmail.co.uk bereavement support network stop mail

here to help

Calls are charged at standard landline rates. Calls from mobiles are included in inclusive call packages. © Bereavement Support Network Ltd 2026

Do you need help with

Probate? You may need help, support or advice on what to do when someone dies in relation to probate. It may not always appear obvious if it will be required.

Call: 0333 240 0360 We offer free guidance on the legal and financial aspects of bereavement including your responsibilities and whether probate is required. You may need to establish whether a property is held in joint names or tenants in common, we can perform a simple check at no cost to establish the title deeds. This service is provided by

bereavement support network here to help

Connecting you with managed and D.I.Y. Probate Solutions Calls are charged at standard landline rates. Calls from mobiles are included in inclusive call packages.

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This publication has been jointly developed between ourselves and the hospital. We hope that it has been or will be of help at this time and we welcome any comments or suggestions that you may have. Please contact us either by phone, email or by post. RNS Publications, Trium House, Unit 15, Broughton Way, Whitehills, Blackpool FY4 5QN

01253 832400 enquiries@rns.co.uk

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To get a valuation of the car, please visit www.automatters.co.uk or call 0333 006 2904

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The Bereavement Support Network

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