Use of CT post-mortem examinations

This policy statement sets out the HTA’s position on the use of CT (computer tomography) post-mortem examinations. It has been developed as a result of technological advances in CT post-mortem examinations.

Professionals carrying out CT post-mortem examinations can refer to this and identify whether a HTA license is required.

We are reviewing licencing requirements for the use of non-invasive CT in determining cause of death. Any changes to our position will be incorporated into Code B: Post-mortem examination. 

Use of CT post-mortem examinations to establish cause of death

CT scanners are used by professionals to help ascertain the cause of death and are commonly referred to as CT post-mortem examinations. Typically, CT post-mortem examinations use technology to produce images of inside the body and do not involve invasive procedures.

Advances in CT post-mortem examinations have resulted in CT post-mortem coronary angiography. This procedure is minimally invasive as dissection is required to access arteries.

We are aware that future advances in CT post-mortems may involve additional invasive procedures.

CT post-mortem coronary angiography is an HTA licensable activity

In England, Wales and Northern Ireland, we licence and inspect mortuaries where invasive post-mortem examinations take place. This is to ensure mortuaries provide a standard of care to give the public confidence that the deceased are treated with dignity and respect.

The HTA Code of Practice for post-mortem examination (Code B) defines post-mortem examination as follows:

"Dissection and examination of a body after death, principally in order to determine the cause of death or the presence of disease process."

CT post-mortem coronary angiography falls under the definition of a post-mortem examination within the HTA’s remit. This is due to it being an invasive process that involves the dissection of tissue and is used to determine the cause of death. As a result, CT post-mortem coronary angiography is a licensable activity and requires an HTA licence.

CT post-mortem examinations that are not invasive do not currently require a HTA licence. However, establishments must ensure robust procedures are in place for correct patient identification, obtaining relevant consent, and maintaining traceability of patients undergoing examination.

We are reviewing our approach to licencing requirements for non-invasive CT in determining cause of death.  Any changes will be incorporated into Code B: Post-mortem examination. 

If you have questions regarding the licensing requirements for carrying out CT post-mortem examinations, please ask.