Article

Medical examiners

An overview of the medical examiner role and ways in which trusts can employ them.

10 March 2025

  • Medical examiners are senior doctors from any specialty employed by NHS trusts in England.
  • Medical examiners are senior doctors who provide independent scrutiny of causes of death within the trust.

Information on the role of a medical examiner can be found on NHS England’s website.

There are statutory requirements for NHS bodies employing medical examiners. Read the legislation covering the regulations of employing medical examiners.

NHS bodies must have regard to the National Medical Examiner’s guidance
 

Employing medical examiners

Senior doctors employed as medical examiners will work in the role in a number of sessions each week, outside of their normal clinical duties.

Many applicants for medical examiner roles will be existing employees of the organisation such as consultants, specialists or specialty doctors with appropriate postgraduate experience.

In these cases, it is expected that this will be incorporated into their job plans via dedicated programmed activity time.

Employing GPs as medical examiners

Employers may also employ general practitioners (GPs) to provide medical examiner sessions, provided they meet the requirements of the role.

Typically, as these individuals will not hold an existing contract with the trust, employers will need to give due consideration to which contracts of employment are used in this instance.

Below are the approaches which the employer may opt to use when employer GPs as medical examiners, as well as some considerations which may be helpful for each:

  • The salaried GP minimum employment standards provide guidance for employing GPs in secondary care settings. This provides a framework for the employment provisions which employer can enhance as required.

    As medical examiners may have some out of hours responsibilities, which is not included in the minimum employment standards, employers using this contract will need to ensure any out of hours element is taken into account.

    The pay circular includes a salary range for individuals employed on this contract so appointments should be made within this range.

  • Employers may use the 2021 specialty doctor contract to employ GPs in medical examiner roles. 

    GPs are less likely to meet the eligibility criteria for the specialist contract but this could be used if they are eligible.

    These are national contracts and therefore include established provisions for pay and out of hours working.

  • Alternatively, an SLA between the GP practice and the secondary care provider may be established. The practice will pay the individual for any work undertaken in the examiner role and recharge any costs to the NHS trust.

    In this example the GP would not be directly employed by the secondary care provider.

  • While we would always encourage employers to use existing contracts wherever possible, there may be circumstances where employers decide to make local variations to national contracts when employing GPs in the role of medical examiners. Any variations which go outside the national framework or pay range would be considered a local contract.

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