NHS
Isle of Wight NHS Trust
Helpful information following a death on the Isle of Wight
If you require this leaflet in another language, large print or another format, please contact the PALS team, telephone 01983 534850
On behalf of the Bereavement Centre team and the Trust, we would like to offer you, your family, and friends our sincere condolences. The aim of the Bereavement Centre is to help and support you in the immediate days following the death of your loved ones. Our Bereavement Advisors are available between the hours of 09:00 and 15:30 Monday to Friday, excluding bank holidays. Our telephone number is 01983 534615. If a death occurs outside of office hours, please call the next working day, or leave a message on our answer machine. Please bear in mind that, as we may be dealing with bereaved families, we may not always be able to take your call immediately. In this case, please leave a message, stating your name, your telephone number and a brief description outlining the nature of your call including the name of the person who you are calling about. Your call will be returned as soon as possible. We hope that you find the information in this leaflet helpful. Kind regards, The Bereavement Centre
Contents Checklist of process to follow after a death............................................... 1 Following a death at St. Marys Hospital What to do first. ............................................................................................................................................ 3 Following a sudden or expected death that has occurred in the Community What to do first. ............................................................................................................................................ 7 Registering the death......................................................................................................................... 8 Who may register the death.......................................................................................... 8 What you receive from the registrar.................................................................. 9 Tell Us Once....................................................................................................................................................... 10 Where to register........................................................................................................................... 11 Checklist for registration appointments............................................................ 12 Difficulty attending or registering at your local Register Office............................................................................................................................................... 13 People to inform......................................................................................................................................... 14 Stopping Junk Mail to the recently deceased.......................................... 15 Paying your last respects........................................................................................................... 16 Funeral Arrangements...................................................................................................................... 17 Useful contacts ........................................................................................................................................... 19 Grieving..................................................................................................................................................................... 21 Support from friends and relatives............................................................................. 24 Healing process........................................................................................................................................... 25 Donations............................................................................................................................................................... 26
Checklist of process to follow after a death If the death has occurred at St Marys Hospital
If an expected or unexpected death occurs within the community.
Contact the Bereavement Office.
Contact the Coroner’s Office. In the event of an unexpected death. If an expected death occurs in the community contact your GP or 111 out of hours service.
Once the Medical Certificate of Cause of Death has been issued the Registrars will contact you to arrange an appointment.
Start to make the funeral arrangements.
Register the Death - Collect the Death Certificate. Return Bereavement Survey if applicable (optional) offered in this book. 1
Disclaimer We wish to thank the advertisers and sponsors, without whom this publication would not be possible. However the Trust does not endorse any of the products or services they provide.
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Following a death at St. Marys Hospital What to do first Following a death at St. Mary’s Hospital, the first step is to contact the Bereavement Advisor. This staff member will be able to guide you through the initial process, assist in answering any questions that you may have and can signpost you to other agencies that may be able to help you if required. The Isle of Wight NHS Trust is always looking for opportunities to improve the quality and the experience that people have while they are under our care; one of the ways we do that is to review the clinical notes of all people who have died at St Mary’s, looking at what decisions were made and what care was given. This review will take place very close to the time of your relative’s death and involves one of several experienced clinicians looking through the notes and checking the standards of care that your relative received against a nationally recommended set of criteria. On some occasions we may feel that a more in-depth study of the notes is needed to be confident that good decisions were made and that the care provided was at the standard we expect. This is undertaken by a clinician not usually directly involved in the care of the patient, the outcomes of these reviews are monitored through our Mortality Group in order to identify any issues, concerns, good practice and learning for the future. We recognise that this is a difficult time for you but would be extremely grateful if you would share any comments or feeling you have about the quality of care your relative received with our Bereavement Team either in person or via the bereavement survey; that feedback may influence whether a more in-depth review takes place and allows us to understand any concerns you may have in more detail. 3
The Bereavement Advisor is there to offer you guidance on what you need to do following a death. If there is something you wish to ask, please do so, every endeavour will be made to answer your queries. Listed below are just some of the matters the Bereavement Advisor will be able to help you with. • Deciding who to contact and whether those organisations that require notification of the death may need to see a certified death certificate. • When a person dies someone has to deal with their estate by collecting in all money, paying debts and distributing the estate to those people entitled to it. In some cases obtaining probate may be necessary, this means the issuing of a legal document to an applicant authorising them to deal with the estate. The Probate Registry issues the document, which is called grant representation. • We can give you information on whether you are entitled to receive bereavement benefit, a tax-free lump sum, and or, weekly bereavement benefit. A claim pack is available from the Department for Work and Pensions. • Although there is now no general death grant, if you are in receipt of certain social security benefits you may be able to obtain financial help with the cost of a funeral from the Department for Work and Pensions Social Fund. A claim pack is available from them. • A list of all island funeral directors. The Bereavement Advisor will also offer you guidance on how to register the death. This should take place within 5 days. However, if the Coroner is involved, the procedure is slightly different and you will be advised on what is required by the Coroner’s Office. 4
Return of Property Unless specifically requested, all patient’s property will be handed over to the nominated funeral director along with any valuables that remain. If you wish to pick up the property personally, you will have to make an appointment with the Bereavement Advisor. The Medical Examiner The next step will be contact from the Medical Examiner’s Office. Since 2019, some senior NHS doctors have chosen to receive specialist training and to spend some of their time working as medical examiners. Alongside other specially trained staff, their job is to give independent advice about what caused deaths (except for deaths which must be reviewed by a coroner). Medical examiners will look at the relevant medical records and discuss the causes of death with the doctor filling in the official form (its official name is the Medical Certificate of Cause of Death or MCCD). The medical examiner or their staff will explain what is written on the Medical Certificate of Cause of Death and why, to check if you have any questions or concerns. They will also discuss the medical examiner’s review and ask if there are any concerns or questions about the care the person received before their death. This is the best time for you to ask any questions you have about the death and to speak about anything that concerns you. The medical examiner and their staff are here to listen to your questions and concerns, provide answers if possible and, if necessary, pass them on to someone who can investigate further. 5
Once the Medical Certificate of Cause of Death has been issued or a referral is sent to the Coroners Office, someone from our team will make contact to let you know and explain the next steps. Medical Examiners will not investigate further themselves, as they must complete their work within set time limits for the death certification process.
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Following a death that has occurred outside of hospital What to do first The Isle of Wight Ambulance Service clinician on scene will verify the death (known as Recognition of Life Extinct). There is also a legal requirement for an appropriately trained professional to issue a certificate indicating the cause of death. Under certain circumstances the Ambulance Service are required to contact the police to attend the scene on behalf of the HM Coroner. The Police act as agents of HM Coroner and will explain what will happen next. HM Coroner has a responsibility to investigate further and this may include the necessity of a post mortem examination. If the death was expected verification should still take place as above and this can be arranged by contacting the GP or 111 out of hours. Once this is complete the Funeral Director can be contacted to arrange the transfer of your loved one into their care.
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Registering the Death Who may register the death? Only certain people can register the death. Those qualified to do this are as follows: • • • •
A relative of the deceased A person present at the time of death A person arranging the funeral The occupier of the residence where the death occurred* * If the death occurs in St Mary’s Hospital and there are no known next of kin, then the Bereavement Officer can register the death.
The registrars will contact you to arrange an appointment and advise you on the documents you should bring. As the person registering the death you need to be prepared to give the following particulars relating to the deceased: • • • • •
Full name, and maiden surname (if applicable) Date and place of birth Usual address Occupation Name and occupation of husband, wife or civil partner if the deceased was married or widowed • If the deceased was married or in a civil partnership, the date of birth of the surviving widow or widower • Whether the deceased was receiving a pension or other allowances from public funds
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What you receive from the registrar: • The death certificate This is a certified copy of the entry in the death register. The registrar can print as many certified copies of the death certificate as you require, but you will have to pay a fee for each copy. You may wish to ask for several copies as some organisations insist on seeing an original death certificate and will not accept a photocopy. The Bereavement Advisor will assist you in deciding how many copies you need. If you wish to obtain copies at a later date it is advisable to enquire at the register office. • A certificate for burial and cremation (known as the green form) This should be given to the funeral director so that the funeral can be held. If the Coroner has been involved he will issue an order for burial (form 101) or a certificate for cremation (form E) direct to the funeral director. You will be informed of this by the registrar. • A certificate of registration of death (known as the white form BD8/344) This is required by the Department of Social Security. Read the information on the back of the form, if it applies, complete the form and send it to the department of social security dealing with the relevant pension, allowances from public funds etc.
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Tell Us Once ‘Tell Us Once’ is a free service provided by the Isle of Wight Register Office that offers help with your recent bereavement. With your permission relevant Isle of Wight Council Services and Central Government departments will be informed of the bereavement. Local services include Council Relevant Central Government departments that can be notified including: Department for Works and Pensions (DWP), Passport Office (IPS), Driving Licence (DVLA), Overseas Health and War Pensions department. It will be necessary for the informant to provide the deceased’s National Insurance number (if known) and relevant documents (Passport, Driving licence, Library Pass, Blue Badge). If all the information is not available at the time of the death registration, the registrar will explain how to access the service from home using a reference number and free-phone telephone contact service with DWP (this service is available up to 28 days following the death registration). The idea of the service is that families are offered assistance to inform local and central government departments at a particularly difficult time, saving them valuable time and money.
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Where to register Isle of Wight Register Office Seaclose Offices Fairlee Road Newport Isle of Wight PO30 2QS
Telephone: 01983 821000 or 823233 Opening times are as follows: Monday to Friday 09:00 to 16:30.
You will need to have an appointment to register the death. The Bereavement Centre will send the Medical Certificate of Cause of Death to the Registrars electronically together with the contact details of the next of kin (person registering the death). The Registrar will then contact you and make a convenient appointment. If the Coroner has been involved, the death certificate will be sent directly to the registrar. Copyright © RNS Publications 2023
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Checklist for registration appointments Identification Documents: q Birth Certificate
q NHS Medical Card/Number
q Marriage Certificate
q Department for Works & Pensions Letter / National Insurance Number
q Death Certificate
Any Valid Documents: q Passport
q Library Card
q Driving Licence
q Concessionary Card (Bus Pass)
q IW Blue Badge for parking
ID for Informants: q Passport
q Driving Licence
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Difficulty attending or registering at your local Register Office If it is difficult for you to attend the register office on the Isle of Wight, then it is possible for you to attend a local registration office in the area nearest to you. In such a case, you will need to complete a death registration by declaration. This is a simple process that your local register office will guide you through. However, this will involve a short delay in the process as the documents which would normally be given to you by the registrar will need to be posted to you by the Isle of Wight Register Office.
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People to inform There are various people or companies who may need to be informed of the death, below is a list to help you: q Bank q Building society q Insurance company q Private, work or service pensions
q Social services (home help, meals on wheels etc) q Telephone company q Local gas company q Local electricity company
q Solicitor (if applicable)
q District council (council tax)
q Landlord (if living in rented accommodation)
q Local registration department (electoral role)
q Local housing department (if receiving housing benefit or council tax benefit)
q D.V.L.A (driving licence)
q Mortgage provider
q Delivery services e.g. grocer, newsagents, milkman etc
q House insurance q Employer q Trade union q Inland Revenue q Post office (re-directing mail)
q Passport office q Credit card company
q Season tickets (claim any refunds due) q Membership of associations or clubs (claim any refunds due)
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Stopping Junk Mail to the recently deceased If someone you know has died, the amount of unwanted marketing post being sent to them can be greatly reduced which helps to stop painful daily reminders. By registering with the free service www.stopmail.co.uk the names and addresses of the deceased are removed from mailing lists, stopping most advertising mail within as little as six weeks. If you cannot access the internet you can call 0808 168 9607, where you will be asked for very simple information that will take only a few minutes to complete. Alternatively, ask the bereavement team for a leaflet that can be returned in the post. This free of charge service provided by the Bereavement Support Network will actively reduce the unwanted marketing mail but also can help reduce the likelihood of identity theft following the death of someone close. The information is not used for any other purpose and you only have to complete this once. Additionally to Stop Mail a comparable service can also be accessed from the Bereavement Register or Deceased Preference Service if you would prefer to use them.
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Paying your last respects The Bereavement Centre has got viewing facilities should you wish to come and visit your loved one. Viewings are available strictly by appointment and are limited to one viewing per family/person, so it is important that everyone that wishes to attend is made aware of the date and time of the visit. Appointments can be made by contacting the Bereavement Advisor on 01983 534615 between the hours of 08:00 and 15:30 Monday to Friday (excluding bank holidays) and are for a 20-minute duration. For urgent enquiries outside of these hours you are advised to contact the hospital switchboard on 01983 524081 who will contact the on-call mortuary technician. Relatives are advised not to arrive at the Bereavement Centre without an appointment as there may be other families visiting or police identifications taking place. There are reserved parking spaces available for visitors to the Bereavement Centre and directions will be given when an appointment is made. Alternatively, you may wish to contact your nominated Funeral Director to arrange a viewing in their own chapel of rest.
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Funeral arrangements It is important to ascertain if the deceased made any arrangements or left instructions in a Will for their funeral. Check also to see whether they had a pre-paid funeral plan. You may wish to select a funeral director. It is advisable to contact more than one firm and ask for details of their charges and the services they provide before making your selection. Funeral directors who belong to the National Association of Funeral Directors adhere to a code of professional conduct, which requires them to give a full written estimate of total costs in advance of the service. The funeral director will make arrangements for the relatives to see the deceased in their chapel of rest if this is required. Please let the Bereavement Advisor know if the funeral service is to be a burial or cremation so that the relevant documents can be completed. In the case of cremation, further forms are required from two independent doctors. This means that the deceased cannot be moved to your choice of funeral director until these forms have been completed. The staff will do their best to get the forms ready for the funeral director as quickly as they can, however sometimes a short delay is unavoidable. Burial Normally there is a request for a pre-arranged grave space in a churchyard or cemetery. There are set fees for burials and costs maybe higher for the burial of someone who lived outside the parish. If a space has been paid for in a cemetery, there will be a deed of grave purchase. Most non-denominational cemeteries are owned by either local authorities or private companies, so fees may vary. 17
Burials abroad If the person is to be buried out of England and Wales, (this includes Scotland, Northern Ireland and the Republic of Ireland), the funeral director will be able to help you arrange this. When you register the death, you will need to obtain at least two certified copies of the death certificate (some consulates and embassies require more). You need to give the copies to your funeral director who will then obtain an ‘Out of England Certificate’. Cremation The cost of the crematoria is governed by local authorities. Ashes can be scattered in a garden of remembrance or in a favourite spot. They can be buried in a churchyard or cemetery or they can be kept. The funeral director will be able to offer you advice if it is required.
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Useful contacts Isle of Wight Register Office Seaclose Offices, Fairlee Road, Newport, Isle of Wight PO30 2QS Tel: 01983 821000 OR 823233 www.registryofficesnearme.com/registry-office/isle-of-wightregistry-office Coroners Officer Seaclose Offices, Fairlee Road, Newport, Isle of Wight PO30 2QS Tel: 01983 823010 www.iow.gov.uk/Residents/Democratic-and-RegistrationServices/Coroners-Office/About-the-Coroner State Pensions Information Department for Work and Pensions Tel: 0800 731 7898 www.dwp.gov.uk/thepensionservice Bereavement Payment Jobcentre Plus, Dover BDC, Sandling Road, Maidstone ME99 2AF Tel: 0800 731 0469 www.gov.uk/bereavement-payment Funeral Payment Department of Social Security, Benefits Agency, Bowback House, 299 Silbury Boulevard, Central Milton Keynes, MK9 12A Tel: 0800 731 0469 www.direct.gov.uk/funeralpayments Citizens Advice Bureau Advice Hub 7 High Street, Newport, Isle of Wight Tel: 03444 111 444 www.citizensadvice.org.uk 19
Social Services Headquarters 17 Fairlee Road, Newport, Isle of Wight PO30 2EA Tel: 01983 520600 www.iow.gov.uk/Residents/Care-Support-and-Housing/AdultsServices Revenue and Customs H.M. Inspector of Taxes Tel: 0300 200 3300 www.gov.uk/government/organisations/hm-revenue-customs Cruse Bereavement Care Tel: 01983 523030 www.cruse.org.uk Palliative and End of Life Team Tel: 01983 534265 or 534177 Survivors of Bereavement by Suicide National helpline: 0300 111 5065 www.uksobs.org Probate Office (Winchester) Probate Office, 4th Floor, Cromwell House, Andover Road, Winchester SO23 7EW Tel: 01962 814100 www.gov.uk/wills-probate-inheritance Mountbatten Bereavement Support Tel: 01983 217346 The Good Grief Trust www.thegoodgrieftrust.org
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Grieving The death of someone we love is probably the most devastating experience that will ever happen to us. Few of us are prepared for the depth of emotion and pain, which often accompanies bereavement. It is normal to grieve when someone dies, although for a time it may make us feel unwell, this will not last forever. Grieving is a natural process when we lose someone, it is a very overpowering emotion that has to run its course and must not be hurried. We hope this booklet reassures those who grieve that they are not alone in what they feel. Each loss is unique and each person will grieve in his or her own way. However, grief does usually have an overall pattern, from the first feelings of shock, disbelief and numbness. We can feel remote from our surroundings and find it hard to concentrate on matters, and communicate with people, especially family and friends. It is important not to allow this detachment to go on for too long or it can become a real problem. Confronting the fact of death, going to view the deceased, being involved in the funeral arrangements, may help in maintaining ones sense of realism and help towards a recovery. However, sometimes it is not until the funeral that the reality of what has happened finally sinks in, but it is important to attend the funeral to say goodbye to the one we love if possible. Unanticipated and uncontrollable outbursts may be experienced, perhaps triggered by a memory or a place, but often without obvious cause. Many people find crying an outlet for grief, whilst others find relief for their sadness in other ways.
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It is important not to suppress these emotions as this can increase other physical and mental symptoms of grief. We can feel a strong sense of longing; this feeling comes because, without being fully aware of it, we are searching for them. Occasionally we feel we have seen them, or heard their voice. Often we are reluctant to talk of this and are frightened at the thought we may be losing our mind. However, such feelings are experienced by many suffering bereavement, and should be talked through with someone we can confide in. There can be feelings of anger, sometimes towards the person who has died for leaving us to struggle with the pain of living and coping without them. However, because it would not be seemly to rage against the dead, the hostility felt can be shifted towards relatives and friends. Anger should not be repressed, if it is, it can gnaw away for years. Sometimes we blame ourselves because we wish that we had done things differently, and now there is no chance to change matters. We sometimes torture ourselves with all things, real or imagined, we have done wrong. We may even feel that we could have prevented the death if we had acted differently. Death is usually beyond the control of anyone and it is important to remember this. These feelings may need to be discussed many times before reaching peace of mind. It is important to work through our feelings with someone we can confide in. Guilt can often be experienced if a sense of relief is felt when someone has died, particularly after a distressing illness. This feeling of relief is perfectly natural and is very common and is nothing to feel guilty about. 22
It is possible that not everyone will experience all of these emotions; some will be felt more strongly than others. Often accompanying these feelings are a variety of physical symptoms, such as tiredness, mental exhaustion, nausea, dizziness, loss of memory and concentration, being restless and irritable, experiencing tension leading to headaches, neck and back aches. We may only experience a few of these conditions simultaneously or move from one to another. It can affect the bereaved in everyday life, it may be difficult to relax, concentrate or sleep properly. Depression, despair and loneliness can be experienced, even though there may be support from family and friends. When things are very bad it is best to take each moment as it comes, concentrate on living for that moment in time and not worrying about what the next hour or day may have in store. Remember, each small step will help us to move on and make progress. Returning to a normal life as soon as possible is important. Continuing in a job, or regular routine can help to hold together the framework of life. Alarming though these feelings are, it is quite normal, it is however very important to keep in touch with a doctor over any worrying problems. Bereavement is one of the most painful experiences we have to endure and can turn our world upside down. The phrase “time is a great healer” is in most cases certainly true. However, the pain of losing a loved one never entirely disappears, nor should it be expected to. The different stages of mourning tend to overlap and can show themselves in various ways. There is no ‘standard’ way of grieving as we being individuals, have our own ways of dealing with all of life’s trials not least the loss of someone we love. For some a period of grieving can be relatively short, for others it can be very long. There is however one firm truth, we cannot get around our loss, you need to face grief and allow time for it to run it’s course. 23
Support from friends and relatives Some people feel embarrassed and awkward and do not know what to say in order to be helpful and comforting to the bereaved. However usually having friends and relatives close can be a great source of comfort. Remember that if you need help most people feel honoured to be asked to help in some way. It is important that we feel able to talk and cry with someone without being asked to pull ourselves together. It can be difficult for people to understand why we keep going over the same things. This is an important part of the healing process and should be encouraged. Not mentioning the name of the person who has died for fear of upsetting the bereaved can lead to a sense of isolation and can add to the grief of the bereavement. Support can often be needed at times of festive occasions and anniversaries, these can be extremely difficult for the bereaved to cope with and can be painful for years to come.
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Healing process Gradually we begin the process of acceptance. As time passes, the feelings of grief will ease and we will be able to face the future again. There is no definite point in time when grieving suddenly stops, however, some may recognise a turning point, whilst others will need to make a conscious effort. Practical and emotional problems become easier to deal with, we may be able to talk about our loss with a feeling of control. Healing comes slowly, but it does come. Nothing replaces the person who has died yet gradually we discover strengths within ourselves, which we did not know existed to help us survive. We will be able to remember the good times, so helping us to feel positive. Gradually we come to accept that although the person we loved is not with us physically, they are still with us in many other ways. Courage to reach out and build new relationships, meeting new people and exploring new ways of doing things is a challenge. It can reward us with new laughter and new friends. To be happy again isn’t being disloyal to the one we have lost.
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Donations Isle of Wight NHS Trust Charitable Fund Our charitable fund (registered number 1049606) manages donations to the NHS on the Isle of Wight. All income and expenditure is administered and applied appropriately in accordance with the donor’s wishes and in a way which makes the maximum contribution to enhancing both patient and staff welfare and amenities. The fund supports and enhances the work of NHS Isle of Wight by providing the ‘extras’ which are not automatically funded by the NHS, items such as specialist equipment, furniture or pieces of artwork. Staff education and training is also supported by the fund. Donating can be a way for some to say thank you and for others to help provide additional facilities and services. Any donation, however large or small is gratefully received. You can find out more how we use donations to NHS Isle of Wight by calling our Financial Accounts Department, St Mary’s Hospital on 01983 822099 ext 6593 or visit www.iow.nhs.uk/getting-involved/donations-andfundraising/charitable-funds.htm We work closely with the Friends of St Mary’s who also welcome donations which are used to benefit patients and staff. You can contact the Friends of St. Mary’s via their shop in the main entrance.
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You can find more information on all sorts of health issues through NHS interactive available through Sky TV or online at: www.nhs.uk For health advice and out of hours GP service please call Island Health Line on 0845 6031007. We value your views on our service If you wish to comment on the care which you, your relative or friend has received, we will be pleased to hear from you. Please speak to the person in charge of the ward, clinic or service in the first instance or ask them to contact the Patient Advice and Liaison Service. If you wish to contact the Patient Advice and Liaison Service directly, telephone on 524081, extension 4850. Alternatively you may prefer to write to: Chief Executive Isle of Wight NHS Trust St Mary’s Hospital Newport Isle of Wight PO30 5TG All NHS sites are no smoking areas. If you would like help and advice to stop smoking please call: 01983 814280 or 07919 598549 to talk to someone.
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Reference: St Mary’s Hospital Bereavement Booklet Publication date: September 2023 Review date: September 2025
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The Hospital 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 Hospital is grateful of their support it does not endorse or recommend any of the services that they provide.
�\\ bereavement
,�port network 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.
www.stopmail.co.uk 0808 168 9607 from a landline 0333 006 8114 from a mobile © Bereavement Support Network Ltd 2024
IOW14-04
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- Private Chapels of Rest - Island wide service - 24 hours per day 365 days per year With over 65 years of combined exerience, Paul & Paula Walsh & their sons are totally independent family owned and run. We are passionate about helping families design a funeral that is unique and personal and suits their needs whilst providing the highest standard of care.
A trading style of Turnside Marketing Ltd
This publication has been jointly developed between ourselves and the hospital. 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.
RNS Publications, Trium House, Broughton Way, Whitehills, Blackpool, Lancashire FY4 5QN
01253 832400 enquiries@rns.co.uk
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