Chamber and committees

The current cost of an NHS locum pathologist conducting a post mortem examination in Aberdeen is £600 per examination.

In relation to other incurred costs – which include histopathology, toxicology, administrative costs and mortuary costs - in the year 2023-24 the average cost per examination was £2,568.

COPFS is not responsible for training or recruiting Crown-instructed pathologists.

However, there are currently four forensic pathologist training posts in Scotland and three of those are filled – one in Glasgow and two in Edinburgh. There is currently no capacity elsewhere in Scotland to fill the fourth training post.

Forensic Pathologists are not automatically deployed at the conclusion of their training. There must be a post available with a service provider and Forensic Pathologists need to apply through normal recruitment processes.

Capacity within Aberdeen mortuary is not an issue and there are no current plans to increase the capacity for conducting post mortem examinations in Aberdeen.

A new mortuary facility in Aberdeen that will co-locate the Aberdeen City Mortuary and Aberdeen Royal Infirmary Mortuary business is due to open in 2025. This will provide improved facilities for staff and families who are required to engage in the post mortem process.

All doctors are expected to work within the standards set out by the General Medical Council for good medical practice.

The Royal College of Pathologists and NHS Education for Scotland oversee training standards in pathology and their uniformity across Scotland.

COPFS regularly meets and engages with pathology providers on a range of issues. These also allow discussion on any feedback received. Every post mortem examination report is considered by a COPFS legal member of staff and our investigation is only concluded when we are satisfied that all issues have been addressed.

COPFS’ case management database does not recognise the category of death of ‘medical mishap’. However, in the majority of medical deaths where there are concerns about the circumstances there would be no requirement for the post mortem examination to involve forensic pathologists.

The table below shows the number of part-time forensic pathologists based in Aberdeen in each of the last 10 years.

The cost of forensic pathology is met from within the COPFS annual budget allocation from the Scottish Government which does not extend to five years.

NHS Grampian and other key stakeholders are working on establishing a forensic pathology service based in Aberdeen and COPFS is supporting that process. In addition, the opening of a new Aberdeen mortuary in 2025 will improve the experience of mortuary staff and bereaved families who engage with pathology services in Aberdeen.

COPFS’ case management database does not recognise the category of death of ‘industrial accident’. In order to identify deaths which may fall into this category, each of the 576 Crown-instructed post mortem examinations which were performed in Aberdeen in 2023-24 would require to be reviewed.

COPFS recorded an increase of more than 40% in the number of deaths reported compared to pre-pandemic figures.

However, I am not aware of any significant impact on the availability or scheduling of post mortem examinations in Aberdeen.

There were 576 Crown-instructed post mortem examinations performed at the Aberdeen City Mortuary in Aberdeen during 2023-24: