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My Lords, the Government laid a Written Ministerial Statement on 1 September confirming that detailed proposals for formal regulation of the funeral sector are being developed. The Department of Health and Social Care is leading this work with the Ministry of Justice and other departments, working closely with bereaved families, funeral providers, faith groups, local authorities and others.
My Lords, the Government laid a Written Ministerial Statement on 1 September confirming that detailed proposals for formal regulation of the funeral sector are being developed. The Department of Health and Social Care is leading this work with the Ministry of Justice and other departments, working closely with bereaved families, funeral providers, faith groups, local authorities and others.
To ask His Majesty’s Government what plans they have to establish a regulatory regime for funeral directors.
I also want to express my sorrow and support for those who are so deeply affected. Those who have died cannot speak, so it is left to the rest of us to speak for them. In this case, terrible tragedies were put in the path of proper grieving and understanding about loss. I very much want to associate myself with that and to say that all the matters that the most reverend Primate refers to will be considered. We have already accepted the majority of the 75 recommendations from the Fuller inquiry, but obviously the Written Ministerial Statement says how much further we are going to go. When I am able to update on timelines, I will be glad to do so.
I also want to express my sorrow and support for those who are so deeply affected. Those who have died cannot speak, so it is left to the rest of us to speak for them. In this case, terrible tragedies were put in the path of proper grieving and understanding about loss. I very much want to associate myself with that and to say that all the matters that the most reverend Primate refers to will be considered. We have already accepted the majority of the 75 recommendations from the Fuller inquiry, but obviously the Written Ministerial Statement says how much further we are going to go. When I am able to update on timelines, I will be glad to do so.
In thanking the Minister for her response, I pay tribute to those affected by the terrible failures in Hull, where I serve, and to the clergy and local community services that have supported the bereaved. I welcome proposals for regulation; what happened in Hull must never happen again. I therefore ask the Minister: when will the department set out further details on the timeline for these proposals and their implementation? Mindful that many of those who suffered in Hull were those least able to afford a funeral for their loved ones, I ask also whether questions of cost and its links to bereavement also be considered.
We look forward to working with other jurisdictions to see how their best practice works, and that will, of course, include Scotland. I am very keen that we continue to work closely, for example, with the funeral provider cohort, most of whom, let us acknowledge this, do a first-rate job with immense dignity and professionalism and have been let down also. Safeguards have to be effective without imposing disproportionate burdens and, while it is a bit premature for me to prescribe how the regulatory framework will work, I can assure the noble Baroness that we are looking very closely at what she raises.
We look forward to working with other jurisdictions to see how their best practice works, and that will, of course, include Scotland. I am very keen that we continue to work closely, for example, with the funeral provider cohort, most of whom, let us acknowledge this, do a first-rate job with immense dignity and professionalism and have been let down also. Safeguards have to be effective without imposing disproportionate burdens and, while it is a bit premature for me to prescribe how the regulatory framework will work, I can assure the noble Baroness that we are looking very closely at what she raises.
My Lords, I too want to register our condolences to the people in Hull who were affected so badly. Scotland, as of 2025, has a fully searchable
database of registered funeral directors. One can work out who the owners are, read reports and have details of any complaints which have been made. How long is it going to take us to get to where Scotland already is?
That, my Lords, is exactly why we are taking the action that we are.
That, my Lords, is exactly why we are taking the action that we are.
My Lords, I support the Government in regulation, because what has happened in Hull has been tragic for the people concerned. We have noticed increasing television advertising for funerals without any form of ceremony or service. Of course, that is personal preference, but it looks as though the public are increasingly putting their faith in funeral directors to have sole charge of the deceased from the time they die to the time they are cremated, without necessarily having any input from people around them—of course, some people have no surviving relatives or friends—and I think that trust needs to be regulated.
I cannot give a detailed reply to my noble friend, much as I would love to, but I will be glad to look into that and write to him. The main thing to say is that, in all this work, our focus is on the security and dignity of people after death across a wide range of settings. That is what will guide us.
I cannot give a detailed reply to my noble friend, much as I would love to, but I will be glad to look into that and write to him. The main thing to say is that, in all this work, our focus is on the security and dignity of people after death across a wide range of settings. That is what will guide us.
My Lords, some communities prefer to have open-air funeral pyres. What is the Government’s policy on that?
I can assure my noble friend that that is indeed what will guide us.
I can assure my noble friend that that is indeed what will guide us.
My Lords, it is quite shocking that, in this third decade of the 21st century, there are currently no minimum standards of care for the deceased, and there is no system of statutory professional regulation or duty of care to a person after they have died. Is it the Government’s intention that those matters should be covered in the regulations they intend to bring forward?
My noble friend endorses the point that I made earlier, which I know the House recognises: that the majority of funeral providers, even within the current set-up, are providing a first-rate service that encourages trust as well as respect and service. However, because of these terrible circumstances, we have to act to protect people. I say to my noble friend that we are working very closely with funeral providers to get it right, so that they can do the work they need to do without undue burden, but with protection for those whom they are working for.
My noble friend endorses the point that I made earlier, which I know the House recognises: that the majority of funeral providers, even within the current set-up, are providing a first-rate service that encourages trust as well as respect and service. However, because of these terrible circumstances, we have to act to protect people. I say to my noble friend that we are working very closely with funeral providers to get it right, so that they can do the work they need to do without undue burden, but with protection for those whom they are working for.
My Lords, I warmly welcome the most reverend Primate’s Question and the Government’s response to it. The terrible events in Hull remind us that there are occasions when terrible events lead to worthwhile reform. In the 1820s, the discovery that Burke and Hare were murdering people in Edinburgh
led this House to pass the Anatomy Act 1832, which was a step forward in this area. Can my noble friend outline what range of consultations will be held? There are many reputable funeral director chains, but there are also individuals; it is a wide field. Can my noble friend outline the extent of the consultation that will precede what I hope will be government action?
This is the way that we are conducting ourselves. It would be a bit premature to draw conclusions on any funding requirements—we are, of course, talking about private businesses. However, we are looking—as we always do, but particularly in this area—at the costs, benefits and the impacts of different approaches before decisions are taken. Within that, we are working with the full range of funeral providers and not just the large funeral providers.
This is the way that we are conducting ourselves. It would be a bit premature to draw conclusions on any funding requirements—we are, of course, talking about private businesses. However, we are looking—as we always do, but particularly in this area—at the costs, benefits and the impacts of different approaches before decisions are taken. Within that, we are working with the full range of funeral providers and not just the large funeral providers.
My Lords, I associate these Benches with the comments that were made about the poor people and their families who had to suffer in Hull. The most reverend Primate spoke about the impact on local communities and how legislation should consider costs. Given this, do the Government intend to ensure that smaller independent funeral directors—most of which, as the Minister said, do an amazing job in helping families through a very difficult time of bereavement, and which serve many of our communities with great care—are properly involved in shaping these reforms, and that it is not just the bigger companies and organisations that are involved? What steps will be taken to guarantee that any new requirements are proportionate and do not place unsustainable extra burdens on providers, while of course avoiding a repeat of the scandal that we saw in this case?
The noble Baroness is quite right that funerals are very personal matters—personal to the deceased, who may or may not have left their wishes, and personal and affecting for those left behind.
So hospices and other groups will be worked with closely in the way the noble Baroness describes, as they are important stakeholders for us.
The noble Baroness is quite right that funerals are very personal matters—personal to the deceased, who may or may not have left their wishes, and personal and affecting for those left behind.
So hospices and other groups will be worked with closely in the way the noble Baroness describes, as they are important stakeholders for us.
My Lords, this is much to be welcomed, because a funeral is a very important part of marking the passing of, and respect for, a person. So, in the consultation, will the Government ask hospice bereavement counsellors—specifically those who see people on the ground face to face—for their comments? Often, managerial people higher up in the bereavement service may not know some of the details that have been extremely important to families and that may have caused great offence or may have been particularly helpful, and they can get lost in the retelling as things are passed up the chain.
On that point, I was interested to look at the figures, which show that the largest three businesses collectively account for approximately a third. The right reverend Prelate emphasises a point made by other noble Lords about the importance of ensuring that regulation enables all sizes and scales of businesses in this area to do the job we need them to do and has regard to all the points that we have referred to here, while letting them conduct their business.
On that point, I was interested to look at the figures, which show that the largest three businesses collectively account for approximately a third. The right reverend Prelate emphasises a point made by other noble Lords about the importance of ensuring that regulation enables all sizes and scales of businesses in this area to do the job we need them to do and has regard to all the points that we have referred to here, while letting them conduct their business.
My Lords, I want to pick up a point made from the Opposition Front Bench a few moments ago about family funeral directors. Over the last 20 years or so, we have seen many of those, in effect, bought up by large conglomerates. It is important that any regulation is created in a way that makes it commensurate for those small providers and does not create a further incentive for the large, sometimes multinational, bodies that do not have that degree of personal understanding of a particular local community.
My Right Honourable Friend the Secretary of State for Health and Social Care (Yvette Cooper MP) has made the following statement:
I wish to update the House on the Government’s proposals for formal regulation of the funeral sector, announced this summer following the sentencing of criminal funeral director Robert Bush. These...
My Right Honourable Friend the Secretary of State for Health and Social Care (Yvette Cooper MP) has made the following statement:
I wish to update the House on the Government’s proposals for formal regulation of the funeral sector, announced this summer following the sentencing of criminal funeral director Robert Bush. These...
My Honourable Friend the Parliamentary Under-Secretary of State (Preet Kaur Gill MP) has made the following statement:
I am today updating the House on the Government’s progress in responding to the recommendations of the independent inquiry into the serious issues arising from the appalling actions of David Fuller. The Inquiry’s final...
My Honourable Friend the Parliamentary Under-Secretary of State (Preet Kaur Gill MP) has made the following statement:
I am today updating the House on the Government’s progress in responding to the recommendations of the independent inquiry into the serious issues arising from the appalling actions of David Fuller. The Inquiry’s final...
My Rt Hon. Friend the Secretary of State for Health and Social Care (Wes Streeting MP) made the following Statement:
Today, the independent inquiry into the issues raised by the actions of David Fuller has published its Phase 2 and final report. It focuses on whether procedures and practices in hospital...
My Rt Hon. Friend the Secretary of State for Health and Social Care (Wes Streeting MP) made the following Statement:
Today, the independent inquiry into the issues raised by the actions of David Fuller has published its Phase 2 and final report. It focuses on whether procedures and practices in hospital...
To ask His Majesty’s Government what steps they are taking to reduce reported delays in holding funerals because of changes in the provision of death certificates.
To ask His Majesty’s Government what steps they are taking to reduce reported delays in holding funerals because of changes in the provision of death certificates.
My Lords, the death certification reforms are increasing scrutiny of deaths and patient safety, and supporting the bereaved. We are taking steps to reduce the time to register a death, through active monitoring of the reforms, using weekly data from the ONS to target the challenges and the necessary support. We are also working with faith groups and the funeral sector to identify and reduce any obstacles, and sharing any concerns we receive with NHS England so that they can be swiftly resolved.
My Lords, the death certification reforms are increasing scrutiny of deaths and patient safety, and supporting the bereaved. We are taking steps to reduce the time to register a death, through active monitoring of the reforms, using weekly data from the ONS to target the challenges and the necessary support. We are also working with faith groups and the funeral sector to identify and reduce any obstacles, and sharing any concerns we receive with NHS England so that they can be swiftly resolved.
My Lords, the death certification reforms are increasing scrutiny of deaths and patient safety, and supporting the bereaved. We are taking steps to reduce the time to register a death, through active monitoring of the reforms, using weekly data from the ONS to target the challenges and the necessary support. We are also working with faith groups and the funeral sector to identify and reduce any obstacles, and sharing any concerns we receive with NHS England so that they can be swiftly resolved.
To ask His Majesty’s Government what steps they are taking to reduce reported delays in holding funerals because of changes in the provision of death certificates.
I am sure that we all wish to pay tribute to the memory of my noble friend’s late father. I appreciate the points that he has made. It is not the case that delays to funerals can be identified and formally linked with the changes in death certification. My noble friend raised a lot of points, many of which are valid. In a bereavement, it is more important than ever that any official processes—as well as the funeral sector itself—work as seamlessly and sensitively as possible. I assure my noble friend that not only are we driving improvement by implementing the death registration reforms but we are very focused on supporting the bereaved. On my noble friend’s point about regulation, I am not aware of any plans at present.
I am sure that we all wish to pay tribute to the memory of my noble friend’s late father. I appreciate the points that he has made. It is not the case that delays to funerals can be identified and formally linked with the changes in death certification. My noble friend raised a lot of points, many of which are valid. In a bereavement, it is more important than ever that any official processes—as well as the funeral sector itself—work as seamlessly and sensitively as possible. I assure my noble friend that not only are we driving improvement by implementing the death registration reforms but we are very focused on supporting the bereaved. On my noble friend’s point about regulation, I am not aware of any plans at present.
I thank my noble friend for that Answer. When my dad died—incidentally, he was born 100 years ago today—it was possible to arrange his funeral in two weeks. That is not now possible. I have talked to the National Association of Funeral Directors, and I understand that there is a lot of confusion around the country about the new procedures, although everyone understands why they are there. Is there more that could be done in hospitals or by GPs to help families who are having to cope with the unfamiliarity of the new procedures at the time of their own grief? More widely, might it be possible for the Government to start considering regulating the funeral profession, as has happened in Scotland?
I do not have the figures to hand, but I would be very pleased to write to the noble Lord. As I said, this is a complex area. The reforms were introduced in September, and it is very difficult to make before and after comparisons. Since 2001, a long-term trend has shown an increase in the median time between death and registration, and that cannot be attributed to death certification reforms. In addition, the reforms are about the introduction of statutory medical examiners as opposed to the non-statutory arrangements that existed before—and there was even more regional variation before September than we are finding now. I assure your Lordships’ House that I am working very closely with officials to understand the reasons for this so that we can take more action.
I do not have the figures to hand, but I would be very pleased to write to the noble Lord. As I said, this is a complex area. The reforms were introduced in September, and it is very difficult to make before and after comparisons. Since 2001, a long-term trend has shown an increase in the median time between death and registration, and that cannot be attributed to death certification reforms. In addition, the reforms are about the introduction of statutory medical examiners as opposed to the non-statutory arrangements that existed before—and there was even more regional variation before September than we are finding now. I assure your Lordships’ House that I am working very closely with officials to understand the reasons for this so that we can take more action.
My Lords, to solve a problem, first you have to accept that it exists. Everyone involved in funerals, from the GPs doing the certification to the funeral directors, say that there is a direct link between the extra time to deal with funerals and the reforms. The reforms were needed, but can the Minister clarify the number of medical examiners required in each region—because regional variation exists—to prevent lengthy delays in funeral arrangements? What assessment have the Government made to ensure that the current number of medical examiners is sufficient to meet regional demand?
The noble Lord’s observations are correct. As I said, it is so important to be timely and sensitive at a time of bereavement. Governments and Ministers have been working to bring in the system over the last 50 years—in fact, it has been overdue for reform for that long, so I am very glad to have taken this action. Introducing this robust system means working with medical examiners as well as the bereaved, so that we hear from them about what has happened. We also work very closely across government, including with the MoJ and the Home Office. As the noble Lord will know, the medical examiner system is led by NHS England through the office of the National Medical Examiner. I reiterate that delays are not due solely to this introduction; it is very important to unpick this issue. We now have better data and get weekly reports, which is helping greatly.
The noble Lord’s observations are correct. As I said, it is so important to be timely and sensitive at a time of bereavement. Governments and Ministers have been working to bring in the system over the last 50 years—in fact, it has been overdue for reform for that long, so I am very glad to have taken this action. Introducing this robust system means working with medical examiners as well as the bereaved, so that we hear from them about what has happened. We also work very closely across government, including with the MoJ and the Home Office. As the noble Lord will know, the medical examiner system is led by NHS England through the office of the National Medical Examiner. I reiterate that delays are not due solely to this introduction; it is very important to unpick this issue. We now have better data and get weekly reports, which is helping greatly.
My Lords, I thank the noble Viscount, Lord Stansgate, for the conversation we had about this Question. As we all know, when a loved one passes away, it is a distressing time, and surely delays can only add to that distress. I am sure that noble Lords understand why these reforms were brought about in the first place: they were introduced after a qualified doctor, Harold Shipman, murdered his patients and signed the death certificates himself. In a recent Written Answer on these delays, the Minister for Public Health in the other place said:
“The expectation on doctors and medical examiners is clear … they should complete certification as quickly and efficiently as possible, and the Government is working with all stakeholders to make sure this is the case”.
Can the Minister explain to your Lordships what that means? Is the department simply asking them to complete the certificates, or is it identifying blockages or misunderstandings in the system to help unblock them in order to speed up the process?
I agree that those changes—the move from analogue to digital, which will be outlined in the 10-year plan—will indeed help in this area, as well as many others.
I agree that those changes—the move from analogue to digital, which will be outlined in the 10-year plan—will indeed help in this area, as well as many others.
My Lords, at the Commission on Palliative and End-of-Life Care, chaired by Professor Sir Mike Richards, we have heard from medical examiners and the bereaved. It is clear that the ability for the bereaved to speak to a medical examiner and go through things in detail is very supportive. However, the delays in notifying the cause of death and transferring the case notes seem to be from the doctor who had seen the patient. The medical examiner cannot start until both those events have happened, and at that point their work begins. So the increasing
digitalisation of the health service and of notifications could speed up these processes. Does the Minister agree that the digitalisation proposals from the noble Lord, Lord Darzi, will bring about those changes and simplify the process?
I am not aware of the specifics around that point, but we will be very pleased to look into that because we do not want people to be inconvenienced and distressed even further.
I am not aware of the specifics around that point, but we will be very pleased to look into that because we do not want people to be inconvenienced and distressed even further.
My Lords, clearly, this is a complex and difficult issue, and there does not seem to be any one reason why these delays have started to extend. Can the Minister tell the House whether there are any financial implications for people who have to wait much longer for a funeral to be arranged, given that they are not cheap to begin with?