Contents

Chapter 4
Central responsibility for the cause of death certification system

4.1As we described in the preceding chapter, responsibility for the cause of death certification process is spread across multiple government agencies. This means that no one agency has responsibility for the quality of the outputs and outcomes from the system. We consider that the accuracy and efficiency of the system would be improved if a single agency had overall responsibility for that system.

4.2The main purpose of giving one central agency responsibility for cause of death certification is to make someone accountable for the quality of the outputs and outcomes of the system. That would require the agency to identify performance criteria for quality outcomes and be accountable to a minister for performance in respect of those outcomes.

4.3That agency would have responsibility for managing the different elements that contribute to the quality of outcomes in cause of death certification. Those elements would include:

4.4In subsequent chapters, we make a number of recommendations for legislative reform in respect of these elements of the cause of death certification system.