PE1911 is one of the long-standing petitions that we have given consideration to in this session of Parliament. It was lodged by Ann Stark, who, if my glasses are not fogged over and I can see into the distance, is with us in the public gallery. 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 permission of the next of kin; that brains are not routinely removed; and that tissues and samples are offered to the next of kin as a matter of course.
Monica Lennon is with us again in relation to this petition, which we last considered on 23 April, when we agreed to write to the Lord Advocate. 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 modern post mortems and giving loved ones more choice on the return of tissue samples. Indeed, we had a fascinating evidence session with clinicians who are using scanners for post mortems elsewhere in the United Kingdom.
We took evidence from the Lord Advocate and practitioners in England, and the committee raised several of Ann Stark’s points in writing with the Scottish Government, the Lord Advocate and the Royal College of Pathologists. That work uncovered that there has been a lack of ministerial leadership to oversee and drive forward improvements in pathology services. I put that issue to the First Minister directly at the Conveners Group, and the First Minister followed that up subsequently in writing.
The Scottish Government has reiterated on a number of occasions its position that it is essential that the Crown Office and Procurator Fiscal Service is able to undertake independent investigations into the cause of death when a death is sudden or unexplained. The Scottish Government also maintains that it does not support legislative change to offer tissue samples to next of kin as a matter of course.
On the wider issues that we have explored, the Lord Advocate has provided information about the Crown Office and Procurator Fiscal Service’s exploration of CT scanning. Senior representatives visited Dr Adeley, the senior coroner from whom we took evidence back in May 2023, along with pathologists and radiologists in Lanarkshire. The Lord Advocate stated that the information obtained was very helpful and will form part of the on-going discussions about any improvements that can be made to the process of death investigation. However, the Lord Advocate also stated that it is clear that the use of CT scanning is only one tool that can be available to assist in establishing the cause of death and that it cannot eliminate the need for an invasive post-mortem examination in every case. I think that the committee accepted that that was obviously true. In certain circumstances, an invasive post mortem will always be necessary.
The submission highlights, however, that CT scanning is available in some circumstances in Scotland, although it has been restricted to particular cases such as homicides. From May this year, the University of Glasgow pathology department and NHS Greater Glasgow and Clyde were due to begin a service development pilot to investigate the potential benefits of incorporating CT scanning in procurator fiscal-instructed post-mortem examinations.
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The petitioner, Ann Stark, has provided a written submission that reiterates her view that the Crown Office and Procurator Fiscal Service’s investigations into deaths should look only at criminal circumstances rather than all unexplained or sudden deaths. She continues her call for permission from the next of kin to be required in cases of non-suspicious deaths. The petitioner also reiterates that changes to the system would create cost savings that could be used elsewhere in the public sector.
The committee has received a written submission ahead of this morning’s consideration from Mark Griffin MSP, which calls for the petition to be carried over to the next parliamentary session. Monica Lennon is with us. Is there anything that Monica would like to add before we consider what to do next?
