Oh the stories I could tell.....
Take a look at this
2003 report Mac.
Death Certification and Investigation in England, Wales and Northern Ireland (Large PDF)
Page 16, para 4b. Critical defects
The certification and coronial processes are separate from each other. The coroner has no information on or responsibility for deaths not reported to him. No public authority is tasked or resourced to see that the certification process is being properly carried out and that deaths which ought to be investigated by the coroner are reported for investigation. There is thus little to stop an unscrupulous doctor from “certifying his way out of trouble”.
So we have gone from an alarmist newspaper report on surgical errors to palliative care in the community. Think we definitely got caught