The Medical Examiner system in England and Wales: deaths of neonates, children and young people

Key Points

• Neonatal deaths and child mortality rates reveal systematic shortcomings in the medical examiner system.
• Analysis shows mortality among children and young people remains a pressing concern in England and Wales.
• Examination of deaths across various age groups highlights the need for better oversight and data handling.
• Systematic review of case files underscores areas for improvement, aiming for future enhancements in care.