Parliament Workbench
Data: Official Report to 12 Nov 2026

Official Report · Committee

Continued Petitions

Human Tissue (Scotland) Act 2006 (Post Mortems) (PE1911)

Wednesday 23 April 2025 Citizen Participation and Public Petitions Committee About 12:00 Petitions 3 contributions · 2 speakers

Speakers

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The record

3 contributions
Jackson Carlaw Con The Convener · Eastwood
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I will advance through the agenda to facilitate discussion of PE1911 and PE2136, respectively, for which our MSP colleagues Monica Lennon and Tess White are joining us this morning.

PE1911 was lodged by Ann Stark, who has been an assiduous campaigner on the issue of the petition. I see that she is again with us in the gallery this morning. The petition calls on the Scottish Parliament to urge the Scottish Government to review the Human Tissue (Scotland) Act 2006 and relevant guidance to ensure that all post-mortems can be carried out only with the permission of the next of kin, do not routinely remove brains, and offer tissue samples to the next of kin as a matter of course.

As I said, we have been joined by Monica Lennon, who has spoken to the committee on the petition from time to time and has followed it through its course. Throughout the lifetime of the petition, the committee has considered a number of issues concerning bereavement and pathology services. We have heard about specific improvements that could be made, such as the use of CT scanners for post-mortems and giving loved ones more choice on the return of tissue samples.

We took oral evidence from the Lord Advocate and practitioners in England, and the committee also raised several of Ann Stark’s points in writing with the Scottish Government, the Lord Advocate and the Royal College of Pathology. That work uncovered that there has been a lack of ministerial leadership to oversee and drive forward improvements in pathology services. At the most recent Conveners Group meeting, just before the recess, I had the opportunity to put that point to the First Minister directly. In writing to the Conveners Group, the First Minister noted the cross-cutting nature of the issues that have been raised in our work and highlighted the on-going consideration of alternative delivery models for pathology. I do not know that he actually answered our question, but he acknowledged that the lack of single ministerial accountability was not something that we should be rushing in search of but something that the Government ought to be offering us.

At our most recent consideration of the petition, on 29 May 2024, we agreed to write to the Scottish Government, setting out our recommendations and conclusions following our work on the petition. As the minister with portfolio responsibility for hospital-arranged post-mortems, the Minister for Public Health and Women’s Health responded to our letter, and she included views from the office of the chief medical officer and the Crown Office and Procurator Fiscal Service. The response reiterates the Scottish Government’s view that it is essential that independent investigations into the cause of a death take place. The minister also states that the Scottish Government does not support legislative change to offer tissue samples to next of kin as a matter of course.

12:00

The provision of forensic pathology services is currently being assessed by the Scottish Government, the Crown Office and Procurator Fiscal Service and other interested parties. The response also highlights that the Crown Office and Procurator Fiscal Service is progressing a co-design process to prepare a business case for the future of forensic pathology services.

Ann Stark’s most recent written submissions reiterate her call for the next of kin to be offered a choice about whether a post-mortem takes place in cases where the death is not suspicious. That is what we heard evidence to support. She emphasises the emotional distress that a post-mortem causes families, and she calls for change. Her written submission states that many of the systems that are in place are not fit for purpose and that the response from the minister does not give a clear answer on the issue of leadership.

We are at a difficult impasse, given where we are in the lifetime of the Parliament—we are now into the final 12 months of this session of Parliament. We have done a great deal to advance the aims of the petition, and I am not sure that the committee is entirely clear what more we can do in this session.

Before we consider the best options that are open to us at this stage and what we might recommend for the future, I invite Monica Lennon to contribute.

Monica Lennon Lab Central Scotland
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Thank you very much, convener, and good afternoon. I begin with a heartfelt “thank you” to you, convener, and to all the committee for your extensive and thoughtful work. You have been considering the petition for quite some time. On behalf of the petitioner, Ann Stark, who is here today with her husband, Gerry, I want to record the family’s gratitude to you as well as my thanks to them for the personal sacrifices that they have made in pursuing the petition—as always, inspired by their much-loved and much-missed son, Richard. From your summary, convener, it is clear that the progress that has been made would not have been possible without the petition and the committee’s work, so I offer a genuine “thank you”.

I know that a lot of work has happened behind the scenes, but I think that there has been significant progress since the last meeting at which the petition was discussed, in May last year. Some real movement has occurred. However, it is quite an honest reflection from you, convener, that we are now at a difficult crossroads in relation to both the time that we have left in this session of Parliament and, given the complex nature of the matter, the fact that, although we have had some clarity, we still do not really know who in Government is taking the lead on the issue and where responsibility for it lies. In your letter to the Minister for Public Health and Women’s Health last year, you told her that the committee had been quite

“struck by the lack of clear ownership over policy, direction and decision-making across postmortem services in Scotland.”

We have had a better understanding of the Lord Advocate’s role, which is unique, but it is still clear that no one organisation is taking responsibility for addressing concerns or leading on improvements. In fact, at one point, the Lord Advocate passed the matter back to the committee. The petition is relevant and essential—that remains the case.

I will touch on some of the progress that has been made. Your summary was very helpful, convener, so I will not repeat those points. I have become aware, through Ann Stark’s direct meetings with the Lord Advocate, that there will be a visit to the coroner’s office in Lancashire next Friday, 2 May, which is really good news. I am not sighted on the detail of who will be included. Ideally, the committee would have been represented, but I do not know whether that is still possible. I think that that is a bit of a breakthrough, because we have always felt that Scotland has been lagging behind and has been an outlier—not in a positive way—in relation to the choice and modernisation that we have seen in other parts of the UK and the world. The committee could ask for an update on the scope of that meeting.

We also believe that a pilot scheme involving the use of scanners is about to be embarked on. We understand that the Lord Advocate was going to update the committee, but I am not sure whether that has happened ahead of today’s meeting. It feels as though there is more work to be done on that.

Beyond the work of this committee, the Criminal Justice Committee has taken a keen interest in the issue. The annual report for 2022-23 of His Majesty’s Inspectorate of Prosecution in Scotland made a number of recommendations, and—similarly to your work, convener—it reflects the fragmented nature of pathology services in Scotland.

Let me bring us back to why that matters. Ann and Gerry Stark have had a terrible loss, which was made worse by the trauma of having to deal with the system and the services, of which there are many. There was a lack of communication with the family and a lack of compassion around sample retention, as it was a journey of discovery to have Richard’s samples returned to the family. It feels as though we are making progress on scanners, although there is work to be done.

The committee could do further work on the Human Tissue (Scotland) Act 2006. I do not think that the Scottish Government has given proper reasoning for its not supporting any change to the law. Why is it that next of kin in England and Wales have choices, including about reuniting samples with the body prior to the body being released for funeral and about samples being returned to the family for a separate funeral at the appropriate time, but those choices are not available in Scotland? There has been progress in Ireland during the past couple of years. I do not think that the minister, Jenni Minto, has given a proper reason for that in her response, so it would be useful to probe the matter further.

It is for the First Minister to organise his Government and ensure that there are no gaps in ministerial responsibilities. The minister told the committee that she has responsibility for hospital-arranged post-mortem examinations, and I believe that the First Minister has said that there will be a light-touch reshuffle due to circumstances, so the issue could be considered by the Government at that point. However, it is not clear whether all of the work on the co-design of what the future of pathology in Scotland should look like sits within Ms Minto’s portfolio or whether there is a role for Angela Constance, as part of her portfolio. The Government needs to put that in writing to this committee and to the Criminal Justice Committee.

This continues to be a matter of importance not just for Ann and Gerry, but for all of our constituents. When I checked earlier this morning, more than 3,400 people had signed Ann’s petition. It was good that the convener was able to raise it with the First Minister at the recent meeting of the Conveners Group. I noted the First Minister’s answer and the follow-up letter. It is good that Government is beginning to engage, but there is still a lack of detail.

That convinces me that it would be helpful to keep the petition open, given that we are coming into the final year of the Parliament and there is interest among a number of MSPs and at least one other committee, and given that the Scottish Government is beginning to show interest and understands that there needs to be change. The Government has been quite vague and non-committal about what that change should look like, and, if more written and oral evidence could be taken, the committee is well placed to do that.

I will conclude by saying that we have not had a full update on the visit to the coroner’s office in Lancashire or what the scanner pilot scheme would look like. If the Lord Advocate has not written to the committee on that, the committee could follow that up.

We want to send a signal to people across Scotland that, where there are gaps in legislation or policy, there is a place in the Parliament where people can come and have their experiences heard and change can happen. We have made a lot of progress, but there is still a bit of a journey ahead. I would be grateful for the committee’s on-going interest in the matter, because there is more to be done.

Jackson Carlaw Con The Convener · Eastwood
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Thank you very much. I pay tribute to Ann and Gerry Stark. Their commitment to the petition has been absolutely magnificent. Progress has been made despite the dryness of the institutional response, if I can put it that way, to the individuals concerned, on whose experience it rests, but Ann and Gerry are also seeking to improve opportunities for others.

There are three reasons why we could move to closure now. First, the Scottish Government does not intend to amend the Human Tissue (Scotland) Act 2006 to require consent from families for procurator fiscal post-mortems. That seems to be its position. Secondly, the Scottish Government does not support legislative change to offer tissue samples to next of kin as a matter of course. Thirdly, the committee has extensively explored the issues raised in the petition, including in multiple oral evidence sessions, a substantial letter to the Scottish Government and a question put directly to the First Minister. There will come a point at which political parties may have to start to engage with the issues, but there is only so far that the committee can take them. I recommend that party health spokespeople become even more direct in cross-examining ministers in the chamber.

However, Monica Lennon has touched on two areas that the committee might be sympathetic to looking at further. It would be interesting to know the outcome of the visit to the coroner’s office in Lancashire, because that is an incremental step in the consideration of the issues that we have not been able to consider. We could also pursue with the Lord Advocate the issue of the timing of the pilot that is supposedly taking place on the use of scanners, because we have been on a journey, during our consideration of the petition, to understand the use of scanners, from not knowing anything about them to hearing terrific evidence about their use elsewhere.

I am happy to keep the petition open, recognising that we are getting to a stage at which a fresh petition in the next parliamentary session, under a different set of considerations, may be the way forward, and we will take those two issues forward if my colleagues agree to do that. Is that agreed?

Members indicated agreement.

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