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EOL, Death & Cremation Certification

NHSE Information & Guidance for Medical Practitioners - Coronavirus Act: Excess death provisions

The Coronavirus Act of Parliament gained Royal Assent on 25 March 2020, and the commencement order for the clauses relating to death certification and cremation forms was signed on 26 March 2020. Guidance and information on these clauses are set out below, along with previous COVID-19 advice issued on 10 March,* included here for completeness.Coronavirus Act – excess death provisions: NHSE information and guidance for medical practitioners.  NHSE has also issued guidance on the verification of death during the pandemic ( click here )

Summary of changes in Law following Coronavirus Act 2020: Doctors issuing MCCDS/Crem4

Changes in law for doctors certifying death and issuing crem 4 forms Kent and Medway Registrars and Kent Coroners have issued a joint summary of the recent changes in law for doctors certifying death and issuing crem 4 forms .

RCGP Guidance: Remote Verification of Expected Death (VoED) Out of Hospital


The question of digital DNACPR has been raised. There is a mechanism to enable GPs to e-mail the DNACPR to SECAmb. The details can be found HERE ​​​​​. Our aim should always be to get a copy to the patient so that carers and community teams are clear. However, in the absence of being able to do this or in the interests of expedience you can e-mail the DNACPR to SECAmb. The gold standard is to have done both – email to SECAmb and original red form with patient.

Coronavirus (COVID-19): verifying death in times of emergency

This guidance ​​​​​​​ is designed to clarify existing practice for the verification of death outside of hospitals and to provide a framework for safe verification of death in this coronavirus (COVID-19) emergency period. ​​​​​​​

Managing End of Life and Death during the Covid outbreak

The LMC have produced a template letter regarding managing End of Life and Death during the Covid 19 Outbreak that practices may wish to send to care homes. Managing End of Life and Death During the Covid Outbreak.  

The Primary Care and Community End of Life Resource Pack for use during Covd-19 can be accessed through the CCG Referral Support Tool.

SOP Medicine Reuse in Care Homes and Hospice Settings

The DHSC has now published the new SOP for EOLC medicine reuse in care homes and hospices. The guidance sets out criteria for when and how a medicine can be ‘reused’ in these settings.

Updated on Wednesday, 6 May 2020, 1134 views

Related guidance...

Managing End of Life and Death during the Covid 19 Outbreak

Please see below a template letter regarding managing End of Life and Death during the Covid 19 Outbreak that practices may wish to send...

Kent LMC Coronavirus (Covid19) Letters & Updates

The LMC are producing regular bulletins with important updates for practices during the Covid crisis. To read the latest bulletins...

Kent & Medway CCG COVID-19 Updates

The LMC have the agreement of Kent and Medway CCG to publish all of the COVID-19 Updates they are sending out to GP practices. The first...

Operational Guidance

Hot & Cold Site/Covid-19 Primary Care Assessment & Treament Facilities Standard Operating Procedures (SOP) You can access the Kent and...

NHSE Managing coronavirus (COVID-19) in general practice (SOP) - 19 March 2020

The following document from NHSE/I provides general guidance to assist practices with service delivery during the Covid-19...

Useful Links

NHS England and NHS Improvement (NHSE/I) NHSE Updates and Guidance for General Practice: Covid-19 including Preparedness update letter...

Healthcare Services Update

Public Health Public Health have produced a one-off briefing to update on the current service levels for Commissioned Public Health...


BAME and Covid-19 Emerging data indicates that people from Black, Asian and Minority Ethnic (BAME) backgrounds are being...

Med 3 Issues

Guidance for Practices - requests for MED3 'Fit Note' Requests for certification of absence from the workplace relating to covid-19 may...

Covid 19 Resources

Welcome to Kent LMC's dedicated Covid-19 resource page. Here you will find a collection of resources that will help you and your...