Bradford District Care Bereavement Booklet

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Information for bereaved relatives and friends NHS Bradford District Care NHS Foundation Trust better lives,together W: www.bdct.nhs.uk : @BDCFT
Photo of Reeds kindly shared by Mr Karl Mainprize, previous Executive Medical Director
Contents Thinking about you ........................................................ 1 What is the first step? .................................................... 2 The medical certificate of the cause of death ........... 2 Medical examiner ................................................... 3 Funeral directors ........................................................... 4 Registering a death ....................................................... 4 Who can register a death? .......................................... 6 Will the Registrar require identification? .................... 6 What will the Registrar ask me about the person who has died? .................................................. 7 When is the coroner involved? .................................... 8 What if I have concerns ................................................ 9 Bereavement ..................................................................... 9 In the early days ............................................................ 9 Feelings and emotions .............................................. 10 Shock and disbelief .................................................... 10 Longing ........................................................................ 10 Sadness or depression.............................................. 10 Anger.................................................................... 11 Guilt .............................................................................. 11 The passage of time and anniversaries .................. 11 For advice and support .................................................. 12 People to inform about the death ................................15

When someone dies, you may find yourself filled with strong and varying emotions or unable to feel anything much at all. We are all different and moments of particular significance in our lives often show this very clearly.

Over the coming days, as well as coping with your grief, there are things to organise and arrangements to make. We hope the information in this leaflet will provide useful help and advice.

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What is the first step?

We have amended our information below to reflect changes related to the Coronavirus pandemic and to guide you through the new registration process.

The medical certificate of the cause of death

If your relative died in Bradford Hospital

Please telephone the bereavement office on 01274 354477 between 10:00am and 11:00am the next working day to give your contact details, at which point you will be advised of the certificate and registration process.

In order to register the death of your relative, a medical certificate of cause of death (often called a MCCD) will be issued by a hospital doctor unless the death is reported to the coroner (see page 8). The MCCD does not need to be collected from the hospital as it will be scanned to Bradford Register office and you will be advised when to ring (01274) 432151 to make an appointment to register the death.

If there are any personal belongings to return, please make the bereavement office aware so they can be collected during office hours – Monday to Friday 08:00am -16:00pm from the bereavement office located at main reception, BRI, the ward at St Luke’s Hospital or the relevant community hospital (Westbourne Green or Wes twood park).

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If your relative died at home

Contact Goldline on 01535 292768 to request a health care professional to come and verify the death.

After a health professional has confirmed the death, they will advise you to contact a funeral director of your choice. A GP will issue the medical certificate of the cause of death (MCCD) and send it electronically to the appropriate Registrar. It is therefore imperative that your relative who died at home ha s been seen by their own GP within 28 days for them to sign and issue the medical certificate of the cause of death . Out of hours GPs are not allowed to sign the medical certificate of the cause of death.

Medical examiner service

The role of a medical examiner (ME) has been introduced throughout England and Wales to ensure that the cause of death given on the medical certificate of cause of death (MCCD) is correct and that referrals to the coroner, where relevant, are made in a timely and appropriate manner to avoid unnecessary delays. The medical examiner is an independent senior doctor not involved in your relative’s/loved one’s care, who reviews the medical record to understand the circumstances around the cause of death.

The medical examiner service will:

Provide greater safeguards for the public by making sure all deaths are reviewed by an independent doctor. Ensure the coroner is involved when needed.

Provide better service for the bereaved by giving them opportunity to ask questions and / or raise any concerns to an independent person.

Once the cause of death has been discussed and agreed with the clinical team who cared for your relative, the MCCD can be issued. The medical examiner o r the medical examiner officer will contact you, or a designated family member, to explain the cause of death. You will be asked if you have any comments or concerns about your relative’s care and will have the opportunity to ask any questions you may have. If the medical examiner is unable to answer your questions immediately, he/she will advise you regarding sources of additional support or information.

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Funeral directors

Most people choose to use a funeral director to help with arranging a funeral and other practical matters. You can search online or in a local paper for funeral directors or contact Bereavement Services 01274 433900.

It is possible to make the necessary arrangements without a funeral director but this can be time consuming and complicated. The Natural Death Centre can help with this (see page 13 for contact details).

The National Association of Funeral Directors (NAFD) and the National Society of Allied and Independent Funeral Directors (SAIF) are regulatory bodies. They ensure that all of their members meet certain professional standards. Most of these establishments will have a place of rest where families may see their deceased relative again, if desired.

Telephone: 0121 711 1343

www.nafd.org.uk

Telephone: 01279 726777

www.saif.org.uk

Registering the death

All deaths must be registered in the district in which they occurred, even if the deceased lived elsewhere. The GP will issue MCCD which will be scanned directly to the register office to enable you to register.

If the death is referred to the coroner, this may cause a delay in registering the death.

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The death can be registered at one of the following offices, but please note registration is by appointment only.

Bradford Register Office: City Hall, Centenary Square, Bradford, BD1 1HY

Telephone: 01274 432151

Mon-Fri 9:00-4:30pm Saturday by appointment only.

The Register Office

Town Hall

Bow street, Keighley

Telephone : 01274 432 151 (Bradford Register office)

If the death occurred in North Yorkshire, the death will be dealt with by the Skipton Register Office

Belle Vue Square

Broughton Road

Skipton

BD23 1FJ

Telephone: 01609 780780

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On call service

This is available between 9.00am and 11.00am on Sundays and public holidays for families wishing to arrange a burial locally on the same day or wishing to apply to the coroner for an Out of England order.

A registrar can be contacted on: 01274 432149

Who can register the death?

Certain people have a legal duty to give information: In order of preference (interpreted by the Registrar), they are as follows:

• A relative of the deceased who was present at death.

• A relative of the deceased who was in attendance during the illness.

• Any relative residing or being in the district where the death occurred.

• Anyone present at the time of death.

• An occupier of the house where the death occurred.

• The person arranging the funeral.

• The funeral director (when acting on behalf of the family).

Will the Registrar require identification?

The Registrar will ask questions about the person who has died and you as the informant, so it will be helpful to have identification documents to hand, such as a passport, birth certificate, marriage certificate and details of the home address. Please note, the Registrar does not need copies of these documents, they are for you to refer to so you can be sure you have the correct details of the deceased person.

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What will the Registrar ask me about the person who has died?

• Full name of the deceased, along with any other names used (and maiden surname if married, in a civil partnership or widowed).

• Date and place of birth and death.

• Marital status.

• The date of birth of any surviving widow, civil partner or widower.

• Home address of the deceased .

• Last occupation – even if retired.

• Husband’s / wife’s / civil partner’s full name and occupation if married/widowed/in a civil partnership .

If married or in a civil partnership at the date of death:

• The date of birth of the surviving partner.

• If deceased – who was in receipt of a government job pension – details of who with.

The registrar will then issue a G reen Certificate which will be required by the funeral director for cremation or buria l and a Registration or Notification of Death Form (BD8), which is used for social security purposes. Both certificates are issued free.

Further copies of the death certificate maybe obtained from the Registrar for a fee, for insurance purposes, probate, f riendly societies, private pension schemes, banks, etc.

The informant should take to the appointment proof of identification for the deceased (i.e. Birth certificate, marriage certificate, passport) and proof of identity for themself.

If available, the deceased’s medical card should be given to the Registrar.

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Tell Us Once Service

Following the registration, the Registrar will issue you with a reference number for the Tell Us Once Service. This will enable you to access this very useful service. See the website below for more details.

www.gov.uk/after-a-death/organisations-you-need-to-contactand-tell-us-once

When is the coroner involved?

The law requires that the hospital informs the coroner of the death in certain cases, such as a sudden, violent or unnatural death and where the cause is unknown or cannot be ascertained.

The coroner is responsible for establishing the cause of death. He is helped in this by a coroner’s officer. The officer will usually speak to relatives soon after death in order to gather facts and information about the person who has died. This is a legal formality and is not intended to cause any concern. He may also contact the deceased’s GP for a recent medical history.

If the cause of death still remains unknown the coroner will then order a post-mortem examination. The coroner may also decide to hold an inquest into the death. In these circumstances, the coroner’s officer will inform you of the time and place. Please note the medical certificate of the cause of death cannot be issued until the coroner is satisfied of the cause of death. In these circumstances, it is acceptable to register the death after the five day period. You should also advise the funeral director that the coroner is involved.

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What if I have concerns?

Compliments, concerns and complaints .

You may contact Bradford Teaching Hospital Foundation Trust - Patient Experience and Involvement team on 01274 228298 who would be able to support and help you identify how best to address your concerns. Mon -Fri 9.00am – 4.00pm.

For Bradford District Care - Patient Advice and Complaints

Department : 01274 251440

Email :advice.complaints@bdct.nhs.uk

Bereavement

In the early days

You may feel distressed immediately after your relative or friend’s death, or it may take a few weeks or months to sink in. However, whenever it hits you, you should allow yourself a full range of emotions.

There will come a time when it feels right for you to make decisions regarding disposing of possessions of your loved one or possibly moving house, do not feel pressurised into making these decisions until you feel ready. It may be helpful to accept help from others and to share your feelings with someone you trust.

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Feelings and emotions

Bereavement is something which most of us experience at some time in our lives.

The process of grieving is an essential part of acknowledging what your relative or friend meant to you. It can be difficult to accept and adjust to the loss of someone we love deeply. You may feel confused by the different emotions that may at times overwhelm you.

Adjusting to this loss may be difficult and can take a long time. But remember grieving is normal and there is no right or wr ong way to do it.

Shock and disbelief

You may not accept that your loved one has died. It may feel unreal. This is a normal reaction that initially cushions you against the loss.

Longing

Longing can be a big part of grieving. You may think you sense the presence of the person who has died, or hear their voice, or you may look for them in a crowd, even though you know they are dead.

Sadness or depression

It is not uncommon to have feelings of sadness or depression. You may feel tired but unable to sleep, hungry but not able to eat. It may be difficult to concentrate, and simple problems may get exaggerated out of all proportion. You might find yourself in a state of panic or you may feel run down or lethargic, experiencing aches and pains you don’t normally suffer from.

While all this can be a normal part of the grieving process, you must not be afraid to seek advice from your GP.

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You may also find that friends and neighbors sometimes avoid you. This may be because they do not quite know what to say to you or are finding it difficult to cope with their own feelings of loss. It may help if you take the first step by letting them know that you would appreciate their friendship and support.

Anger

Sometimes this is directed at others, sometimes at yourself, with thoughts such as “why me?” or “why have you left me?”

Guilt

You may find yourself thinking “If only I had” or “If only I had not”.

The passage of time and anniversaries

You may find memories are less painful with time and that you are able to think about the person who has died without being so distressed. You may also find yourself wanting to go back to your old interests or pursue new ones. There is nothing wrong in this, just allow yourself time to grieve in the way that feels right for you – there are no set right or wrong ways – and bear in mind that particular dates and anniversaries can trigger the grief process all over again.

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For advice and support

Bradford Counselling Collaborative (Mind in Bradford Guideline Service)

For people living in Airedale, Bradford and Craven.

Tel: 0800 1884 884

Cancer Support Yorkshire

Tel: 01274 776688

www.cancersupportyorkshire.org.uk

Craven and Bradford Cruse

www.cruse.org.uk

Tel: 01756 797799

Marie Curie Bereavement Support

Marie Curie | Support Line

www.mariecurie.org.uk/help/support/marie-curie-support-line

Tel: 0800 090 2309

Sue Ryder Online Community and free online counselling service, open to all adults. Go to: www.sueryder.org/support

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Other sources of help and support both national and local are:

Further advice about practical issues can be obtained from www.gov.uk. Other sources of help and support both national and local are:

Department for
and
www.dwp.gov.uk
Bereavement Advice Centre www.bereavementadvice.org
Cancer Support Yorkshire www.cancersupportyorkshire.org.uk • Bradford Bereavement Support www.bradfordbereavement.org.uk 01274 619522 • Child Bereavement UK www.childbereavement.org • Samaritans 116 123 www.samaritans.org • Lesbian & Gay Bereavement Helpline 0300 330 0630 • Learning disabled relatives/children www.cruse.org.uk • Winstons Wish 08088 020 021 www.winstonswish.org.uk • The Natural Death Centre 01962 712690 www.naturaldeath.org.uk
Dying Matters www.dyingmatters.org 13 Further advice about practical issues can be
from www.gov.uk.
Work
Pensions (DWP)
obtained
Department for Work and Pensions
www.dwp.gov.uk
Bereavement Advice Centre www.bereavementadvice.org • Cancer Support Yorkshire www.cancersupportyorkshire.org.uk • Bradford Bereavement Support www.bradfordbereavement.org.uk 01274 619522 • Child Bereavement UK www.childbereavement.org • Samaritans 116 123 www.samaritans.org • Lesbian & Gay Bereavement Helpline 0300 330 0630 • Learning disabled relatives/children www.cruse.org.uk • Winstons Wish 08088 020 021 www.winstonswish.org.uk • The Natural Death Centre 01962 712690 www.naturaldeath.org.uk • Dying Matters www.dyingmatters.org 13 13
(DWP)

Information collected by:Marilou Armada (End of life Educator / Facilitator)Bradford Palliative Care Team

Reference: Bradford Hospital Bereavement Book

Airedale Hospital BereavementBook

Date of publication: July 2023

Date of review: July 2025

www.bdct.nhs.uk

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People to inform about the death

There will be many organisations and people to inform after a death. Please use the following as guidance to help you identify these as relevant to you.

Accountant

Bank / Building Society

Benefits agency

Bereavement Support Network (to remove name from mailing lists)

Church or other place of worship

Clubs and social groups

Council tax office

Credit card companies

Creditors (anyone owed money)

Debtors (anyone owing money)

Dentist

Doctor / GP

DVLA

- to return driving licence and cancel car tax

Electricity supplier

Employer

Gas supplier

Hire purchase / loan companies

Home help agency

Hospital (appointments are cancelled automatically)

Income tax office

Insurance companies (house, contents, car)

Internet provider

Landlord

Library

Life insurance provider

Local authority

Mortgage provider

Motoring breakdown provider

National insurance contributions

Optician

Passport office

Pension plans

Post Office to redirect mail

Premium bonds

Professional bodies

Private healthcare

Relatives and friends

Solicitor

TV licence

Telephone provider

Water supplier

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Bradford District Care would like to thank RNS Publications for publishing this information and the following pages contain some features from local services offering their help at this time.

Whilst we are grateful of their support , we do not endorse or recommend any of the services that are included in this booklet.

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.

�\\ bereavement ,�port network stopping mail STOPPING JUNK MAIL
www.stopmail.co.uk 0808 168 9607 from a landline 0333 006 8114 from a mobile © Bereavement Support Network Ltd 2023

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