• Peter W. Johnston Aberdeen Royal Infirmary



death, bereavement, postmortem, autopsy, necropsy, counselling, pathology


There is potential to improve the management of death and bereavement in acute hospitals and an opportunity to do so. The author suggests ways in which improvements might be brought forward, with particular reference to education of health care professionals and the public about the role and value of the postmortem. Reform of the consent process for autopsy to include the opportunity of involvement of pathologists at an early stage is proposed. The provision of the chance for relatives to receive feedback of postmortem data again with pathologist input is also suggested in tandem with the offer of bereavement counselling for grieving families. The potential value of the postmortem in managing bereavement should be studied. It is acknowledged that such intervention could be costly in resource terms, but if value can be discerned, it may well be worthwhile.

Author Biography

Peter W. Johnston, Aberdeen Royal Infirmary

Peter Johnston is Consultant Pathologist, Department of Pathology, Aberdeen Royal Infirmary.


ALEXANDER DA. 1999 Human reactions to trauma – their features and management. Chapter in “Pre-Hospital Medicine - the principles and practice of Immediate Care”, GREAVES I, PAXTON K (eds.). Arnold, London, UK.

ALEXANDER DA, KLEIN S. 2000 Bad news is bad news: let’s not make it worse. Trauma 2:11-18.

ANON. 1993 Tomorrow’s Doctors. Recommendations on undergraduate medical education. London: General Medical Council.

BAUCHNER H, VINCI R. 2001 What have we learnt from the Alder Hey affair? British Medical Journal 322:309-10.

CAMERON HM, MCGOOGAN E. 1981 A prospective study of 1152 hospital autopsies: II. Analysis of inaccuracies in clinical diagnoses and their significance. Journal of Pathology 133:285-300.

DOYLE LW. 2000 Effects of perinatal autopsy on counselling. Lancet 355:2093.

GORDON T. 2000 Reflections on religious dogmatism in the care of dying and bereaved people. Scottish Journal of Healthcare Chaplaincy 3(2):1822.

HUNTER M. Alder Hey condemns doctors, management, and coroner. British Medical Journal 322:255.

REPORT 1. 2001 Royal Liverpool Children’s Enquiry. London: Stationery Office.

REPORT 2. 2001 Independent Review Group on the Retention of Organs at Post Mortem. Edinburgh: Stationery Office.

ROBINSON IA, MARLEY NJ. 1996 factors predicting cases with unexpected clinical findings at necropsy. Journal of Clinical Pathology 49:909-12.

TSE GM, LEE JC. 2000 A 12-month review of autopsies performed at a university-affiliated teaching hospital in Hong Kong. Hong Kong Medical Journal 6:190-4.



How to Cite

Johnston, P. (2013). DEVELOPING THE APPROACH TO POSTMORTEM PRACTICE. Health and Social Care Chaplaincy, 2–6.