Coroners: Perinatal Mortality

(asked on 18th March 2026) - View Source

Question to the Ministry of Justice:

To ask the Secretary of State for Justice, whether responsibility for reporting to Parliament on coronial investigations of stillbirths following the 2019 consultation rests with his Department.


Answered by
Alex Davies-Jones Portrait
Alex Davies-Jones
Parliamentary Under-Secretary (Ministry of Justice)
This question was answered on 26th March 2026

I would like to extend my deepest sympathies to all parents bereaved by baby loss. Bereavement is never easy, but the loss of a child is unimaginable, and we recognise the profound and lifelong impact this has on parents and families.

As I set out in my answer to the Right Honourable Member of 12 March, the wider landscape of maternity investigations has continued to evolve since the publication of the consultation on the coronial investigation of stillbirths in 2019 and the factual summary of responses published in 2023.

Most recently, this Government commissioned the independent investigation into NHS maternity and neonatal care led by Baroness Amos. As outlined in the investigation’s terms of reference, it will, amongst other issues, look to consider the potential role of coroners in the investigation of late term stillbirths (37 weeks or later). We are aware that Baroness Amos has confirmed she will publish her final report in June 2026.

As I have previously confirmed to the Right Honourable Member, the Department has not made a formal assessment of the delay in publishing a decision in this area. It is important that the Government’s published position on coronial investigations of stillbirths is fully informed by any findings and relevant recommendations the independent investigation makes, and more broadly that it supports the most effective model for maternity investigation, one that strengthens learning, improves accountability and delivers better outcomes for families.

Section 4 of the Civil Partnerships, Marriages and Deaths (Registration etc) Act 2019 provides the statutory framework to enable, by way of regulation, amendments to be made to the Coroners and Justice Act 2009 in respect of the investigation of stillbirths and makes provisions about the content of those regulations.

The Government’s 2019 consultation, and the factual summary in 2023 were jointly published by the Department for Health and Social Care and the Ministry of Justice. The Government intends to communicate its position on this issue after the investigation has published its final report.

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