title: Local variations in reporting deaths to the coroner in England and Wales: a postcode lottery?
abstract: OBJECTIVE
  In England and Wales, doctors are charged with a responsibility either to report a death to the coroner or issue a medical certificate specifying cause of death. A lack of formal prescriptive or presumptive oversight has resulted in the promulgation by individual coroners of local reporting regimes. The study reported here identified overall and gendered variations in local reporting rates to coroners across the jurisdictions of England and Wales, consistent over time.
  
  
  METHODS
  Analysis was performed on Ministry of Justice (MOJ) data pertaining to the numbers and proportions of deaths reported to the coroner by jurisdiction over a 10-year period (2001-2010). Office of National Statistics (ONS) data provided the numbers of deaths registered in England and Wales over the same period to serve as a denominator for the calculation of proportions. Where coroner jurisdictions (and local authorities) had been amalgamated during this period, the combined reported and registered death figures have been included in line with the current jurisdiction areas.
  
  
  RESULTS
  While reporting rates for individual jurisdictions were found to be stable over the 10-year period, wide local variations in reporting deaths to coroners were found with no obvious demographic explanation. The gender of the deceased was identified as a major factor in local variation.
  
  
  CONCLUSIONS
  The decision to report a death to the coroner varies across jurisdictions. Implications for coronial investigations are discussed and the need for wider research into coroners' decision-making is proposed.
authors.affiliation: Crime and Policing Group, University of Huddersfield, , Huddersfield, UK.
authors.forename: Maxwell
authors.initials: M
authors.lastname: Mclean
authors.forename: Jason
authors.initials: J
authors.lastname: Roach
authors.forename: Rachel
authors.initials: R
authors.lastname: Armitage
mesh_terms: D002423:Cause of Death; D003334:Coroners and Medical Examiners / Q000592:standards / Q000706:statistics & numerical data*; D003643:Death; D003644:Death Certificates; D003657:Decision Making; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D012042:Registries / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012737:Sex Factors; D014852:Wales
keywords: ANALYTICAL METHODS; DEATH; STATISTICS