We are committed to ensuring those living with endometriosis are able to access the best possible care and support and that they benefit from healthcare services that are safe, effective and put people at the centre of their care.

Through the Women’s Health Plan we are taking steps to support both women and health professionals to learn more about endometriosis, the symptoms and treatment options to improve the diagnostic process. Our Women’s Health Plan Final Report on progress provides further details of our work to date.

When developing the next phase of the Plan we will build on this progress and seek to ensure that all women receive a timely diagnosis for endometriosis together with access to the care and support that they need.

All locum pathologists used to cover non-suspicious Crown-instructed post mortems in Aberdeen are NHS consultants with significant experience of conducting examinations. Prior to being instructed by the Crown, each locum pathologist is interviewed by COPFS officials and an experienced Forensic Pathologist to confirm that they have the appropriate skills and experience to take on the role.

There are no identified quality issues with the post mortem examinations being carried out by locum pathologists in Aberdeen.

NHS Grampian has provided COPFS with a commitment to implement a forensic pathology service in Aberdeen, including the recruitment of full-time forensic pathologists, and COPFS is supporting that process.

It is however a matter for NHS Grampian to recruit forensic pathologists to provide the services.

NHS Grampian provides the postmortem toxicology service for Aberdeen, Grampian and the Highlands and Islands. The Scottish Police Authority (SPA) provides the service for the rest of Scotland. SPA also currently processes priority cases for the whole of Scotland.

The current average turnaround time for post mortem toxicology results for non-priority cases referred to NHS Grampian in 2024 is 15.5 days, calculated from the date the samples arrive at the laboratory.

The current average turnaround time for post mortem toxicology results for cases referred to SPA in 2024, is 28 days for priority cases and 30.8 days for non-priority cases.

These figures are within the target agreed between COPFS and the toxicology providers.

A death may be considered suspicious if the facts and circumstances suggest it may have been caused as a result of criminality.

When a death is reported to the Procurator Fiscal, it may not be possible to determine from the facts and circumstances known at that time whether the death is suspicious. That may only be possible when the results of further enquiries – such as the findings of a post mortem examination – are known.

Where the death occurred has no bearing on whether or not the death will be investigated as potentially suspicious.

There is adequate capacity for conducting routine post mortem examinations in Aberdeen. Locum pathologists are instructed each week to ensure that post mortems are conducted within the target turnaround time of five working days from the later of the Crown instruction or the deceased being admitted to the mortuary.

Bereaved relatives are routinely advised of the location of the post mortem examination and the reasons for the transfer.

In all areas of Scotland, death certificates are routinely issued on the day of the post mortem examination to allow bereaved families to make the necessary funeral arrangements. On rare occasions, a death certificate cannot be issued on the day of the post mortem, usually due to the need to confirm identification of the deceased. The pathology provider will notify COPFS immediately so any identified family can be updated.

In Aberdeen, the mortuary team email the medical certificate of cause of death (MCCD) to the Registrar on the day of the post mortem examination and provide a copy to COPFS. There are no delays to death certificates being issued in Aberdeen.

The Family Liaison Charter sets out the Crown’s obligations in relation to liaising with and providing information to bereaved relatives. These obligations apply equally to deaths arising in any area of Scotland.

If a post mortem examination in relation to a suspicious death requires to be transferred to another area, Police Scotland Family Liaison Officers will engage with the family at an early stage to explain the processes and timescales and keep them updated with the progress of the investigation.

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.