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North Manchester General Hospital

What to do after someone has died We We want want to to offer offer you you and and your your family family our our deepest deepest sympathies. sympathies. We We know know that that this this can can be be aa very very hard hard time time but but we we hope hope that that we we can can give give you you a a little little help help and and comfort. comfort. This This booklet booklet includes includes some some help help and and advice advice about about what what to to do do now. now. An An accessible accessible version version of of this this guide guide is is also also available, available, or or you you can can call call us if you want to talk through the next steps. us if you want to talk through the next steps. The The Bereavement Bereavement Services Services team team works works at at North North Manchester Manchester General General Hospital. You can contact the team on 0161 720 2199. Hospital. You can contact the team on 0161 720 2199. Our Our phone phone lines lines are are open open between between 8:30am 8:30am and and 4:30pm, 4:30pm, Monday Monday to to Friday, with an answerphone outside of these times. Friday, with an answerphone outside of these times. Or Or email email us us anytime: anytime: bereavement.north@mft.nhs.uk bereavement.north@mft.nhs.uk Bereavement Bereavement Services Services North North Manchester Manchester General General Hospital Hospital Delauneys Road Delauneys Road Crumpsall Crumpsall M8 M8 5RB 5RB Author: Emma Author: Emma Toon Toon February February2025 2025

Review date: Review date: February February 2027 2027

mft.nhs.uk mft.nhs.uk

Contents What do I do next? ..... ............................................................ 3 The Medical Certificate of Cause of Death............................. 3-4 Registering the death............................................................. 4-5 Arranging a funeral................................................................. 5-6 Visiting your loved one........................................................... 7-8 Who do I need to tell?....... .........................................................8 Reviewing the care of our patients who have died in our hospitals....... ............................................................................ 9 Medical Examiner Service.................................................... 9-10 HM Coroner...... ....................................................................... 10 Hospital post mortem examination...... .................................... 10 Help and support...... ............................................................. 11 Chaplaincy and spiritual care...... ............................................ 11 Memorial Service...... ............................................................... 11 How you might feel....... ...................................................... 11-12 Financial help...... .................................................................... 12 Additional information and useful contacts..... .................. 13 Organ, tissue and body donation...... ...................................... 13 Useful organisations........................................................... 13-14 Contact details for organisations and services mentioned in this booklet ....................................................14-15

What do I do next?

On the next working day after someone has died: Ring the Bereavement Services team after 11am on 0161 720 2199. If we don’t answer, we may be on a call or helping another family. Please leave us a message and we will call you back. One of our bereavement officers will discuss with you what happens next. They will try to answer any questions you might have. Personal belongings and valuables If you are in the hospital when your relative or friend dies, the nursing staff will return all belongings to you before you leave. If you are not in the hospital when your friend or relative dies, contact the ward to set up a time to collect their belongings. Personal possessions stay on the ward for up to a month. After that time, the Trust will get rid of anything that has not been collected. Any cash or valuables are taken to Cashiers. You can collect them from the Cashiers Office via Quad Entrance 3. Your funeral director can give you any jewellery your loved one is still wearing, after they are released from the hospital. The Medical Certificate of Cause of Death Most of the time, a hospital doctor who has been treating a person who has died will refer to the Medical Examiner. The doctor will then issue a certificate. This is called the Medical Certificate of Cause of Death (MCCD). This must be sent to the register office in order for you to register the death. The medical examiner team will send the MCCD to the register office, so we ask you not to come to the hospital. We know how important it is to begin making funeral and other arrangements. We will do our best to arrange completion of the MCCD as soon as possible. If there is a delay for any reason we will discuss this with you. 3

When you call us, we will ask you for some contact details so we can keep you updated. You may want to contact your funeral director at this point. But they may not be able to confirm arrangements until you have registered the death. Registering the death When the Register Office gets the MCCD, they will check to make sure there are no mistakes or missing details. If everything is okay, the next of kin will get an email. This email will have a link for you to book an appointment to register the death. If the next of kin (or someone helping them) does not have an email, you must give a phone number. The Register Office will call the next of kin to book the appointment over the phone. Who can register the death? The law allows only certain people to register a death: ■ A relative of the person who has died ■ A person present at the time of death ■ A member of staff from the hospital ■ The person making arrangements with the funeral director/ executor of a Will If you do not fall into any of the categories, please contact our team to discuss further.

What information will I need when registering a death? The registrar will need to know the following things. You can write them here and take this booklet with you: ■ The date and place of death ■ The date and place of birth ■ Full name of the deceased ■ Their occupation ■ Their usual address ■ Name, date of birth and occupation of married or civil partner You will need to take some identification for you and for the person whose death you are registering. Acceptable forms of identification include: ■ Passport ■ Driving licence ■ Birth certificate ■ Marriage/civil partnership certificate What will I get after I have registered a death? ■ A copy of the death certificate. It costs £12.50 for each copy. If you are managing someone’s estate, you might want to buy a few copies. ■ A certificate for burial or cremation. This is commonly known as the ‘green form’. This form is free and should be given to your funeral director. ■ A ‘Tell Us Once’ reference, to report the death to government and council departments. Arranging a funeral Many people use a funeral director to help them arrange a funeral. There are lots of funeral directors offering a wide range of services. Some relatives decide to make the funeral arrangements themselves.

If you decide to use a funeral director you can contact them at any time to begin making plans. Please note that they will not be able to confirm plans until you have registered the death. Your funeral director will arrange to collect your loved one from the hospital. The funeral director will arrange this with the hospital. You do not need to do anything. Until then, they will be cared for in one of our facilities in Manchester University NHS Foundation Trust. Many people have not thought about funeral choices until they come to plan a funeral. A good funeral director will help you to understand your options to arrange a funeral to reflect the person who has died. There are lots of funeral traditions. Some you may want to keep. Or if you want to do something different you can. There are very few set rules. Before you meet a funeral director it might be helpful to consider a few questions: ■ What do you and others remember about the person who has died? ■ Did they express any funeral wishes before they died? ■ How do you think the person who has died would like to be remembered? ■ How would you like to remember the funeral service? ■ Are there are specific interests that could be part of the funeral. ■ Any themes which would have meaning for you and the person who has died? Funerals can be expensive, and the final cost can vary a lot. Do not be afraid to mention your budget or get estimates from several funeral directors. The person who arranges the funeral is usually responsible for making sure it is paid for. This can also come from the estate of the person who has died or a funeral plan they may have bought. 6

Visiting your loved one It may not always be possible to visit the person who has died in the hospital visiting suite. Please contact the Adult Mortuary to find out if it is possible to visit your loved one. Visits are available by appointment only for immediate next of kin. Mortuary staff ask that other family and friends visit at your chosen funeral director instead. Visiting a loved one at hospital after they have died means seeing them before they have been prepared for visits by a funeral director. The mortuary staff will prepare your loved one with the utmost respect and dignity. There may be occasions where visiting your loved one is not possible. The mortuary staff or funeral director will discuss this with you. Appointments are for 30 minutes. Please allow enough time to park before your appointment. During normal working hours, make an appointment by calling the Adult Mortuary on 0161 720 2255. The Adult Mortuary provides an on-call service for all out-ofhours mortuary enquiries. It may be possible to visit outside of the routine opening hours of the Mortuary. Please be aware that staff are not on site outside routine hours and will need advance notice. These requests should be made through the hospital switchboard and cannot always be accommodated. Call 0161 795 4567 and ask to speak to the on-call Adult Mortuary staff member.

Restricting visitors We understand that you may not want anyone other than close family to visit. You may choose to have a password that you can give to other relatives. This will allow them to make an appointment to visit or make sure that you alone can make appointments. Please contact the mortuary on 0161 720 2255 to tell mortuary staff of this. They will make a note of this request and ensure all staff are aware. Who do I need to tell? Using the government’s ‘Tell Us Once’ service (see page 5) will automatically inform the Department for Work and Pensions, HM Revenue and Customs, HM Passport Office, social services (including home help, etc), library services, housing office, council tax office, and the DVLA. The Bereavement Team will inform the GP. Here some others that may need to know: ■ Priest, vicar, minister or faith leader ■ Bank, building society, credit card companies ■ Place of work ■ Executors and beneficiaries of a Will ■ Solicitor or insurance companies ■ Residential or nursing home ■ Landlord ■ Utility companies (inc. mobile phone provider) ■ Social media outlets ie. Facebook, Twitter, etc.

Reviewing the care of patients who have died in our hospital You can ask questions or discuss worries about the care your loved one received before they died. We are committed to providing high quality care for all our patients and families. If you feel this was not the case, you can share any worries you have with the Medical Examiner team. If you do not speak to the Bereavement Services team or if you think of something later, you can contact the Hospital Patient, Advice and Liaison Service (PALS), who will identify the best person to hear and act on your feedback. All concerns will be listened to carefully. If needed, there may be a more thorough investigation of the care that was provided. You will be kept informed of any investigations that take place. We would also like to hear any positive feedback you may have about the care of your loved one. Manchester University NHS Foundation Trust may contact you via email in the coming weeks to give you an opportunity to share your experience of the care provided to your loved one. The email will include information about a bereavement survey and what to do if you do not want to receive the survey. Medical Examiner Service Following the death of a relative, you may be told that the death will be referred to the Medical Examiner. Medical Examiners are NHS doctors who have received specialist training. Their job is to give independent advice about a cause of death, except for deaths which a Coroner has to review. Medical Examiners and their staff give the families and carers of the person who died a chance to raise questions or concerns about the cause of death, or about the care the person received. This will usually be through a phone call. They can explain medical language and make it easier to understand. 9

Medical Examiners also look at the relevant medical records. They will discuss the causes of death with the doctor who fills the Medical Certificate of Cause of Death. Medical Examiners and their staff will provide an independent view. His Majesty’s Coroner Sometimes doctors will need to refer a death to His Majesty’s Coroner (HM Coroner), an independent judicial office holder working on behalf of the crown. HM Coroner looks into deaths that were unexpected or of an unknown cause. We will tell you if your loved one’s death has been referred to HM Coroner and the reasons why. A Coroner’s officer will gather information about how they died. The Coroner will then decide if the Medical Examiner can take over the case. If so, the Medical Certificate of Cause of Death can be issued. If your loved one’s death is reported to the HM Coroner, one of their officers will contact you to explain what will happen next. In some cases, the HM Coroner may decide a post mortem examination is needed to help find the cause of death. HM Coroner will speak to relatives of the person who has died before deciding if a post mortem examination is needed. There is no cost to relatives for this type of post mortem. Hospital post mortem examination Sometimes doctors from the hospital may offer a post mortem. In this case the doctor will already have completed a Medical Certificate of Cause of Death but have other clinical questions they would like to look at. You may decide that you would like a post mortem examination to help answer questions you have. The post mortem examination will only be carried out once consent has been given by a family member. Please speak to the medical examiner team, who will be able to help you. This type of post mortem does not usually delay funeral arrangements. There is no cost to you for this type of post mortem examination. 10

Help and support Chaplaincy and spiritual care The Chaplaincy Team is led by trained professionals in healthcare chaplaincy, who are helped by trained volunteers from various faiths and denominations. Chaplains are part of the clinical team in the hospital and offer emotional support to people of all faiths and none. They also offer religious guidance and advice after a patient has died. Memorial Service Memorial Services are held each year. Every next of kin, family representative or carer who has lost a loved one has the chance to attend a Memorial Service. They will have this chance at least once following their bereavement, usually after 6 to 12 months. The email address you give when you first contact the bereavement office may be used to invite you to a Memorial Service. The Memorial Service is designed as an opportunity to remember a loved one in a simple ceremony. The service involves words, music and poems. A candle will be lit. It is suitable for people of all faiths or world views. Contact the multi-faith Chaplaincy Team for more information. How you might feel The death of a loved one is one of life’s most difficult experiences. People may struggle with many intense and frightening emotions. These might include guilt, anger and depression. Often, they may feel isolated and alone in their grief. Having someone to lean on can help them through the grieving process.

People often describe shock soon after death of a loved one. They may: ■ feel numb, panicky, very weepy or unable to cry at all ■ find it difficult to sleep ■ have physical symptoms such as heart palpitations ■ calmly go through the practical tasks surrounding the death and worry that they may been seen as uncaring. This is just one of the signs of shock and it is most likely they will feel the impact of death at a later point ■ find themselves completely unable to cope and need a lot of practical and emotional support from those around them at this point. Financial help You might be able to claim money through some Department for Work and Pensions schemes. If you are not eligible but are still struggling to meet the costs of a funeral, Money Helper offers free and independent advice. Quaker Social Action’s Down to Earth service also gives advice on meeting funeral costs. Contact details and web links are available on page 15.

Additional information and useful contacts Donation of organs and donation of tissue Organ donation has to be considered before a death and is only possible in certain cases. Unfortunately, it is not possible to arrange organ donation after death. Tissue donation is possible up to 48 hours after death. To make sure this is carried out if wished, please inform the ward as soon as possible. Or you can contact the National Referral Centre yourself on 0800 432 0559. Consent from the family is always required for tissue donation. More information about organ and tissue donation is at www.organdonation.nhs.uk or by calling 0300 123 2323. Body donation must be arranged by the person before they die. Donating your body to medical science is not possible in all cases. Potential donors should make sure they have other funeral arrangements in case donation is not possible. The University of Manchester is the nearest centre for donations. For more information, please contact the bequeathals administrator at the University of Manchester. Contact them on 0161 275 5241 or via email at bequeathals@manchester.ac.uk If the person who has died had arranged to donate their body to medical science, please tell a member of our team when you call us. Useful organisations Cruse Bereavement Care Tel: 0808 808 1677 www.cruse.org.uk Samaritans 72/74 Oxford St, Manchester. Tel: 116 123 (free from any phone). Tel: 0330 094 5717 (local charges apply).

www.samaritans.org/branches/manchester A voluntary organisation which offers a listening ear. Bereavement Support – Stop Mail Tel: 0333 006 814 www.stopmail.co.uk By registering with this free service, the name and address of the deceased is removed from mailing lists, stopping most advertising mail. Support for People with Learning Disabilities MENCAP or Sudden Bereavement Line www.mencap.org.uk and www.sudden.org Survivors of Bereavement by Suicide (SOBS) Tel: 0300 111 5065 (9am – 9pm every day) www.uksobs.com National Association of Funeral Directors Tel: 0121 711 1343 www.nafd.org.uk Macmillan Cancer Support Tel: 0808 808 0000 www.macmillan.org.uk Contact details for organisations and services mentioned in this booklet: What do I do next? Main register office for Manchester city Manchester Registration Service, Heron House, 47 Lloyd Street, Manchester, M2 5LE. Tel: 0161 234 5005. Email: registeroffice@manchester.gov.uk Website: www.manchester.gov.uk Wills, probate and inheritance See www.gov.uk/when-someone-dies or contact the HM Revenue and Customs probate helpline on 0300 123 1072. Medical Examiner Office Tel: 0161 625 8351 Email: MEO@mft.nhs.uk 14

Reviewing the care of our patients who have died in our hospitals Manchester City Coroner’s Office and Court Exchange Floor, The Royal Exchange Building, Cross Street, Manchester, M2 7EF. Telephone: 0161 219 2222 Email: coroners.office@manchester.gov.uk PALS (Patient Advice and Liaison Service) 0161 276 8686 or pals@mft.nhs.uk. Help and support Hospital multi-faith Chaplaincy Team Tel: 0161 276 8792 or via the hospital switchboard on 0161 624 0420. Email: chaplain@mft.nhs.uk Department for Work and Pensions (DWP) DWP Bereavement Services helpline: 0800 151 2012 or see www.gov.uk/browse/benefits/bereavement Money Helper Tel: 0800 138 7777 Quaker Social Action’s ‘Down to Earth’ service www.quakersocialaction.org.uk/we-can-help/helping-funerals/ down-earth or call 020 8983 5055

We are grateful for the support of the companies who have advertised in this booklet but would like to make clear that these are adverts and not recommendations from the Trust. Reference: North Manchester General Hospital Bereavement Booklet Date of publication: November 2025 Review date: February 2027

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.

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 2025

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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.

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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.