Birmingham Community Healthcare For Relatives and Friends
Practical help and support for relatives and friends following a bereavement
We would like to express our sincere condolences to you and your family at this sad time.
When someone dies, there are many decisions and arrangements to be made. This booklet aims to provide some useful help and advice during the early days of your bereavementfrom understanding your emotional and physical responses to the practical things you will need to do, such as register the death and arrange the funeral.
We hope this booklet will help you at this difficult time.
Please do not hesitate to ask any questions if you are unclear about any matter, our staff will always be pleased to help.
Paying your last respects
We no longer have mortuary facilities at Moseley Hall Hospital, West Heath Hospital, Perry Tree Centre or Anne Marie Howse Centre. As such, arrangements have been made with Mortons funeral directors to provide chapel of rest facilities until your loved one can be transferred to your nominated funeral directors. Please note: there is no cost to you associated with this service. The funeral directors are contracted by us to provide a hospital mortuary service only and therefore you are under no obligation to continue to use their services.
Mortons funeral directors can be contacted on 0121 476 9111. On Ward CU27, mortuary facilities are available within Good Hope hospital; therefore, please contact the ward to make arrangements.
Medical Certificate of Cause of Death (MCCD)
and the role of the Medical Examiner
Before the death can be registered, a Medical Certificate of Cause of Death is required. This will be coordinated by the hospital and the Medical Examiners Office.
One of the hospital doctors will complete a ‘notification of death’ form on the next working day following the death, which is then sent to the Medical Examiner’s Office for review by a Medical Examiner.
Medical Examiners are senior doctors who will not have looked after your loved one during their final illness. Their role is to review the clinical records about the final episode of care and give an independent view of the cause of death and the care received.
Following this review, the Medical Examiners Office will contact the next of kin within 2-3 working days after the death, to explain the cause of death and answer any questions you may have.
This provides an opportunity to have a conversation with someone who was not involved in providing the care and ask any questions you may have, for example, understanding the medical language used or something about the care which you did not understand.
Once this has been completed, the Medical Examiner’s Office will coordinate sending of the Medical Certificate of Cause of Death to Birmingham Register Office. This will be sent electronically to the Register Office.
Deaths reported to the Coroner
Sometimes it is necessary for a death to be reported to the Coroner before the Medical Certificate of Cause of Death can be issued. Should this be required, the reasons for this will be explained and you will be provided with further information on the process.
Referrals to the Coroner should not be a cause for concern, but it will delay the issuing of the Medical Certificate. After reviewing the details, the Coroner may give permission for the Medical Certificate of Cause of Death to be issued, or, if unable to establish a cause of death, the Coroner will decide what investigations are needed (such as a post mortem or Coroner’s Inquest). The Coroner’s Office will keep you informed throughout this time.
Registering the death
Once the register office has received the Medical Certificate of Cause of Death you will be able to register the death. In preparation for this, you will need to complete an online ‘Pre-registration of death’ form which can be found on the Birmingham City Council website via the link below: www.birmingham.gov.uk/xfp/form/706
You will need the following information to complete this form:
For the person who has died:
• the date and place of their death
• their full name with correct spelling
• their previous or alternative names, which includes a maiden name if applicable – this is the surname of a woman before her first marriage
• their current or last occupation or main trade and if they are retired, for example: Carpenter (retired)
• if they were married, their husband or wife or registered civil partner’s full name and occupation and if they are retired – this includes people who are separated but not divorced
• their full postal address including postcode, or the name and address of their care or nursing home
About you:
• your full name and postal address
• a daytime contact number
• an email address you have access to
If you do not have access to the internet, your funeral director or a friend/family member can complete the form on your behalf, giving your details.
Registering the death is a legal requirement and should be done within five days of the death occurring unless a referral to the Coroner is required.
Contact details for the Birmingham Register Office:
Birmingham Register Office
Holliday Street
Birmingham B1 1TJ
Telephone: 0121 675 1000
Fast tracking / release of deceased out of hours
If families require a burial to take place promptly for cultural or religious reasons and the death has occurred during a weekend or bank holiday, this may be possible, providing that the death has not been reported to the coroner and that the medical staff are able to issue the Medical Certificate of Cause of Death.
Repatriation / burials abroad
If the deceased wished to be buried outside of England and Wales, they cannot be removed out of the country unless a coroner has issued the appropriate certificate. Therefore, when registering the death, you must inform the registrar of the intention to remove the deceased from the country. The registrar will then provide you with the necessary paperwork and inform you of what information will be required by the coroner.
Arranging the funeral
Following a death, it is important to contact the funeral director of your choice as soon as you are able to so they can begin making preliminary arrangements on your behalf. Most funeral directors are available 7 days a week and your chosen funeral director will make all the necessary arrangements and advise you on all the procedures/documents you will require.
Funerals are expensive and although basic costs are very similar the final cost can vary considerably. Ask the funeral director for a written quote which will outline the `Disbursements` which are the fees paid to others - cremation, minister, doctor’s certificate, flowers etc.
Financial help may be available if you receive one or more of the following benefits:
• Income Support
• Income-based Jobseeker’s Allowance
• Income-related Employment and Support Allowance
• Pension Credit
• Housing Benefit
• The disability or severe disability element of Working Tax Credit
• Child Tax Credit
• Universal Credit
If the person who has died has no next of kin, contact the Department for Work and Pensions before making any arrangements.
The Trust do not recommend any particular funeral director. For more information you can contact the National Association of Funeral Directors via their website: www.nafd.org.uk or you can contact your local library or Citizens Advice Bureau.
Probate and legal advice
Probate is a document issued by the Probate Registry confirming that an executor has the right to wind up the estate of the person who has died. The `estate’ is the house, money and savings someone has left. If you need any further advice on probate, contact the helpline on 0300 303 0648 or use the following link: www.gov.uk/applying-for-probate
If you have any difficulty in dealing with the deceased’s property, possessions or guardianship of their children, seek advice from a solicitor or the citizens advice bureau as soon as possible. If there is no will, speaking with a solicitor may be helpful.
Who do I need to inform?
‘Tell Us Once’ Service
Brings together several organisations (see list below) so that people do not need to notify them individually of the death. To use ‘Tell Us Once’ the death must already have been registered. The registrar will explain the Tell Us Once service when you register the death and give you a unique reference number so you can use the service yourself online or by phone.
You can also find information at www.gov.uk/tell-us-once
Tell Us Once will notify:
• HM Revenue and Customs (HMRC)
• Department for Work and Pensions (DWP)
• Passport Office
• Driver and Vehicle Licensing Agency (DVLA)
• The local council
• Veterans UK
Tell Us Once will also contact some public sector pension schemes so that they can cancel future pension payments. They’ll notify:
• My Civil Service Pension
• NHS Pensions for NHS staff in England and Wales
• Armed Forces Pension Scheme
• Scottish Public Pension Agency schemes for NHS staff, teachers, police and firefighters in Scotland
• Local Government Pension Schemes (LGPS) that participate in Tell Us Once
Note they do not inform the following organisations
• Royal Mail
• Utilities
• TV licensing
• Bank / building society
• Insurance companies
• Rental companies
A checklist of organisations you may wish to notify is provided on pages 20-21 of this booklet.
Stopmail
To stop unwanted junk mail, please visit www.stopmail.co.uk or call 0808 168 9607. This is a free of charge service provided by the Bereavement Support Network and will actively reduce any unwanted mail and the likelihood of identity theft following the death of someone close.
Chaplaincy and Spiritual Care in Our Trust
Our Chaplaincy and Spiritual Care team is dedicated to compassionate and respectful support for those experiencing grief. We understand that bereavement is a profoundly personal journey. We offer confidential pastoral and spiritual care tailored to individual needs, whatever their faith or beliefs.
Understanding Grief
Grief manifests in various emotional, physical, and spiritual responses. Our chaplains understand these complex dynamics. They provide a listening ear, support through prayer, meditation, reflection, and facilitate religious or secular rituals that may bring comfort during difficult times.
Bereavement Support Services
We offer the following services and facilities which you may find helpful:
• One-on-one Support: Personal meetings with a chaplain to discuss loss, express feelings, or seek guidance on spiritual, religious, or personal matters.
• Memorial Services: Organising and conducting memorial services that honour and remember those who have died.
• Liaison with Community Faith Leaders: When desired, our chaplains can facilitate contact with community religious groups or leaders for additional support.
Accessibility of Services
• Inclusive Support: We provide care for people of any faith or those who do not hold any faith, ensuring everyone receives the support they need.
• Service Hours: Our chaplaincy service runs Monday – Friday, 9am-5pm and we can be contacted by phone or email within these times. We do not currently offer an out of hours service. However, we check regularly for new requests and aim to respond as soon as possible.
• Chapels and Quiet Rooms: These spaces are always open for private prayer, reflection, or just a moment of peace.
• Cultural and Faith Sensitivity: Our team is trained to handle the diverse needs of our community, respecting all cultural and religious backgrounds in providing care.
Contacting the Chaplaincy
For support from our Chaplaincy and Spiritual Care team, Phone: 07801 400 305
Email: bchnt.chaplaincy@nhs.net
In-person: Signs in the chapels at Moseley Hall Hospital and West Heath Hospital give details of times when members of the chaplaincy team will be present at the chapel. Feel welcome to drop in to see us.
We aim to support you in your time of need with the utmost respect and empathy. If you require further details about our services or need immediate assistance, please do not hesitate to contact us.
Bereavement
Bereavement is a distressing experience that all of us encounter at some time in our life, yet it is something that is talked about very little in our everyday life.
We grieve after any sort of loss, but most powerfully after the death of someone special to us. It can bring about stronger emotions than most people have ever felt before. It is not just one feeling, but a whole range of feelings which take time to work through and which should not be hurried.
People react to bereavement in many different ways; you may feel cold, numb, empty and unreal for a time. This sense of emotional numbness can be a help in getting through all the practical arrangements that have to be made. Once this period is over you may experience emotions such as anger, panic, guilt and sadness, this may be accompanied by periods of restlessness, irritability and total despair. You may experience some or none of these feelings, but they are all natural reactions to bereavement.
The sudden changes of emotions can be confusing to friends or relatives, and it may be tempting to keep away from other people who do not fully understand or share the grief. Although no one knows exactly how you are feeling at this time, there are many people who can empathise and will want to help you towards a place in time where the pain will ease, and you will be able to remember your loved one without becoming too distressed. It is important to remember that grieving isn’t about forgetting the person who has died.
Bereavement is one of the most painful experiences most of us will have to endure and there are times when you may want to talk to someone but feel unable to approach family or friends and for those who struggle there is help available, not only from doctors but from other professionals and organisations.
If you feel unable to resolve your grief help can be accessed through your GP or if you feel unable to confide in your GP and share your emotions you may find some of the voluntary support organisations helpful.
Talking to children about death
As adults we often feel the need to protect children from death. We may feel children will not understand or that they will be too upset. However, we can often underestimate a child’s resilience and ability to cope. Children often find it harder if they are not told what is happening, because they may be more frightened by imagined events. Children should be told the facts in a simple manner using appropriate words. Give them time to ask questions (which may be very direct). It is helpful for adults to share feelings with children, such as feelings of sadness. By doing this they learn that is it natural to feel sad when someone dies.
Bereavement advice and support
Cruse Bereavement Care
Birmingham Branch: 0121 687 8010
Helpline: 0808 808 1677
Website: www.cruse.org.uk
Cruse provide bereavement support, advice and leaflets.
The Good Grief Trust
Website: www.thegoodgrieftrust.org
The Good Grief Trust provides information, helplines and advice to help people find the support they need following a bereavement
Child Bereavement UK
Telephone: 0800 0288840
Website: www.childbereavementuk.org
Child Bereavement UK supports families and educates professionals when a baby or child of any age dies or is dying, or when a child is facing bereavement
National Bereavement Service
Website: thenbs.org
Helpline: 0800 0246 121
The National Bereavement Service helps those in need of support following a bereavement, including emotional and legal support
The Compassionate Friends
Helpline: 0345 123 2304
Website: www.tcf.org.uk
The Compassionate Friends are a self help organisation for parents whose child, even adult, has died. They also provide a range of leaflets.
Age UK
National advice line: 0800 678 1602
Website: www.ageuk.org.uk
Age UK offer advice, information and services for the elderly and their carers.
Samaritans
National Helpline: 116 123
Website: www.samaritans.org
Providing feedback/raising concerns
We want to hear your thoughts about the care we gave your loved one.
Receiving feedback from you helps us to understand the things we are doing right and need to continue; and the things we need to improve on.
As a family member, partner, friend or carer of someone who has died whilst in our care, you may have comments questions or concerns about the care and treatment they received. You may want to understand more about the reasons for their death. The staff who were involved in treating your loved one should be able to answer your initial questions.
Please do not worry if you are not ready to ask these questions straight away or think of questions later - you will still have the opportunity to raise these with us when you are ready Please contact the Patient Advice and Liaison Service (PALS) on: 0800 917 2855 or email - contact.bchc@nhs.net
Reviews of death in our care
As a Trust, we are committed to providing a high quality service to our patients. When someone dies in our care, we have a responsibility to regularly conduct reviews of the care provided, in an open and honest way. This is standard practice in the NHS and helps us to check if there is anything we can learn or do differently.
If a case note review is carried out, this will be completed by a clinician (usually a doctor), who was not directly involved in the care your loved one received. They review the medical case notes, looking at each aspect of care and how well it was provided.
We would also carry out case note reviews when a significant concern is raised with us about the care we provided.
We consider a ‘significant concern’ to mean:
(a) any concerns raised by the family that cannot be answered at the time; or
(b) anything that is not answered to the family’s satisfaction, or which does not reassure them.
This may happen when a death is sudden, unexpected, untoward or accidental.
If a detailed review / investigation is required, we would contact you to discuss why we have decided to do this and what is going to happen. We will also ask you how you would like to be involved.
Aside from case note review, there are specific processes and procedures that Trusts need to follow if your loved one had a learning disability and / or autism. If this is the case, we will provide you with the relevant details on these processes.
In memory donations
Rather than flowers at the funeral of their loved ones, many people now ask for donations in their memory. Your funeral director can arrange for donations to go to a charity or cause of your choice.
Rather than flowers at the funeral of their loved ones, many people now ask for donations in their memory. Your funeral director can arrange for donations to go to a charity or cause of your choice. If you would like to make a donation to the hospital, you can do so through our charity team. You can choose which area receives the donation so it can be used to support the area that cared for your relative through their end of life or for specific items for the comfort and care of patients.
If you require any further information on how to make a donation, please contact us on:
• Telephone - 0121 466 7314
• E-mail – bchc.charity@nhs.net
• Website: www.bhamcommunity.nhs.uk/charity
Disposing of unwanted medicines/returning equipment
Any unwanted medicines, in the form of tablets, capsules, liquids, dressings, creams and patches can be returned to a local Pharmacy, where they will be safely disposed of. If your regular Pharmacy does not accept any returned medications, they may signpost you to the nearest Pharmacy that will provide this service.
Please do not attempt to reuse any of these medications which were not prescribed to you.
Any equipment that was provided by the Trust or Birmingham City Council needs to be collected and returned.
Contact details:
Medequip (example of equipment: foam mattresses, bed frames) 08453 404 430
Arjo (example of equipment: air mattresses) 08457 342 000
Disposal of sharps bins
Please contact Birmingham City Council on the following contact: 0121 303 1112 and press option 6 for clinical waste collection.
Further information can also be found on the Birmingham City Council website: www.birmingham.gov.uk/info/20009/waste_and_recycling/88/ clinical_waste_collections
Checklist - people you may want to notify
Council services (covered by `Tell Us Once` service)
Council housing
Housing and council tax benefit
Council tax
Libraries
Blue badge
Adult social care (including attendance allowance)
Collection of payments for council services
Electoral services
Government organisations (covered by `Tell Us Once` service)
Department for Work and Pensions
HM Revenue and Customs
Identity and passport service
DVLA
Ministry of Defence, personnel and veterans agency
Legal and financial
Bank / building society
Solicitor
Insurance companies
Credit card companies
Employment and pensions
Department for Work and Pensions
Social security office
Employer
Trade unions
Inland revenue
Domestic and personal
TV licensing
Vehicle
Licensing
Gas / water / electric providers
Newspaper / milkman
Royal Mail
Telephone / internet provider
Rental / housing companies
Club’s and associations
Cancel appointment
Items which may need returning
Pensions / benefit books
Passport
Driving licence
National insurance card
NHS equipment on loan
Unwanted medicines to local Pharmacy
Library card / season tickets
Reference: Birmingham Community Hospitals Bereavement Book
Review Date: June 2026
Publication Date: June 2024
Sample letter
Here is an example of a letter you may find useful when informing people about the death.
Date (Name to whom you are writing) (Department) (Company) (Road) (City) (Postcode)
Dear Sir/Madam,
I am writing to inform you of the death of (full name of deceased and date of birth).
Please find enclosed with this letter the documents / papers which need to be returned to you.
(Name of Deceased) died at (hospital name or home address) on (date).
If you require any further information please contact me at the above address.
Yours faithfully (Your Name)
Please note if you are writing to a solicitor, bank, building society or insurance company, they will ask for copy of the Death Certificate. Photocopies are not accepted for insurance or legal reasons. You may need to include the relevant account and policy numbers if available.
Birmingham Community Healthcare Trust would like to thank RNS Publications for publishing this information and the following pages contain some features from services offering their help at this time.
Whilst the Trust is grateful of their support it does not endorse or recommend any of the services that they provide.
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stopping mail
STOPPING JUNK MAIL
It is distressing to deal with a bereavement and unsolicited mail can be insensitive and destructive during a grieving process.
By scanning the below QR code on your phone or visiting www.stopmail.co.uk, we are able to securely share this information with mailing organisations and under the Data Protection Act the information will not be used for any other purpose.
Other benefits reduce the possibility of identity fraud, such as assumed identity and you will only have to supply the information once.
This publication has been jointly developed between ourselves and the Trust. We hope that it has been or will be of help at this time and we welcome any comments or suggestions that you may have.
Please contact us either by phone, email or by post.
