Home
Background
List of Issues
Archive
Phase 1 - Cases
Phase 2
Generic Evidence
Reports

First Report
Second Report
Third Report
Fourth Report
Fifth Report
Sixth Report

Rulings
Search
Questions and Answers
Technical Assistance
Reports

Third Report - Death Certification and the Investigation of Deaths by Coroners
Published 14 July 2003
Command Paper Cm 5854


In Stage 2 of Phase 2, the Chairman, Dame Janet Smith, considered the present system for death and cremation certification and for the investigation of deaths by coroners, together with the conduct of those who had operated those systems in the aftermath of the deaths of Shipman's victims. She has made recommendations for change based on her findings.

To read the Report, click here.

To read Dame Janet Smith's letter to the Secretary of State for Health and the Home Secretary, click here.

I ddarllen yr Adroddiad yn Gymraeg, cliciwch yma.

Downloading and Printing
  • To download and print the whole report, please click here*
  • To view the appendices of the Report, please click here.
  • To download and print a chapter of the report, please click on the PDF symbol next to the title of the chapter that you require (these symbols appear on the contents page)

  • To print individual pages of the report, click on the "print version" link on the page you require and then print in the normal manner.

*The Report is available for download and printing in Portable Document Format (PDF). You will need the Adobe® Acrobat® Reader® software in order to view it.

This software is freely downloadable from Adobe® and is available for most operating systems and platforms. Click the Get Acrobat Reader button below to download the software from Adobe.com in a new browser window.


Copyright

© Crown Copyright 2003

The text of the report may be reproduced free of charge in any format or media without requiring specific permission. This is subject to the material not being used in a derogatory manner or in a misleading context. The source of the material must be acknowledged as Crown copyright and the title of the document must be included when being reproduced as part of another publication or service.

Any enquiries relating to Crown copyright should be addressed to:
Licensing Division
HMSO
St Clements House
2-16 Colegate
Norwich
NR3 1BQ
Email: licensing@hmso.gov.uk


Published by The Shipman Inquiry
© Crown Copyright 2001