Procurator Fiscal

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Procurator Fiscal

A lawyer—employed within the Crown Office and Procurator Fiscal Service, which is part of the Scottish Government and its forensic system—who is responsible for initiating criminal prosecutions.  The Procurator Fiscal’s best-known role is as the local public prosecutor, but he or she has a separate duty to investigate all sudden, suspicious, accidental, unexpected and unexplained deaths and any deaths occurring in circumstances causing serious public concern.

Deaths that must be reported to the Procurator Fiscal.

Sudden deaths
Any death…
• Where there is evidence or suspicion of homicide;
• By drowning;
• By burning or scalding or as a result of fire or explosion;
• Caused by an accident involving the use of a vehicle including an aircraft, a ship or a train;
• Resulting from an accident in the course of work, including voluntary or charitable work;
• Where the circumstances indicate the possibility of suicide;
• Following an abortion or attempted abortion, whether legal or illegal;
• Of a person subject to legal custody, including any death of such a person en route to a Police station or prison (for example during prisoner transport or in hospital);
• Occurring in health premises in the community including a GP's surgery, health centre, dental surgery or similar facility;
• Due to violent, suspicious or unexplained circumstances.

Deaths related to neglect or complaint
Any death…
• Where the circumstances seem to indicate fault or neglect on the part of another person;
• If not already reported, where a complaint is received by a Health Board or NHS Trust and the complaint is about the medical treatment given to the deceased with a suggestion that the medical treatment may have contributed to the death of the patient.

Deaths of children
Any death…
• Of a newborn child whose body is found, which may be characterised as sudden unexplained death in infancy (SUDI) or the like;
• Of a child from suffocation, including overlaying;
• Of a child in foster care;
• Of a child in the care of a Local Authority;
• Of a child on a Local Authority "at risk" register.

Public Health
Any death…
• Caused by an industrial disease or industrial poisoning;
• Due to a disease, infectious disease or syndrome which poses an acute, serious public health risk including:
      – Any form of food poisoning;
      – Hepatitis A, hepatitis B (± delta-agent co-infection (hepatitis D)), hepatitis C and hepatitis E;
      – Any hospital-acquired infection;
      – Legionnaires disease.

Deaths associated with medical or dental care
Any death…
• Which was unexpected having regard to the clinical condition of the deceased prior to his or her receiving medical care;
• Which is clinically unexplained;
• Which appears to be attributable to a therapeutic or diagnostic hazard;
• Which is apparently associated with lack of medical care;
• Which occurs during the administration of a general or local anaesthetic;
• Which may be associated with the administration of an anaesthetic;
• Caused by the withdrawal of life-sustaining treatment to a patient in a persistent vegetative state (This is to be distinguished from the removal from a life-support machine of a person who is brain-stem dead and cannot breathe unaided.);
• Occurring as a result directly or indirectly of an infection acquired while under medical or dental care while on NHS premises, including hospitals, GP surgeries, health centres and dental surgeries;

Any drug-related death, as a result of ingestion of any drug where the death does not fall into any category above.

Any death not falling into any of the foregoing categories where the cause remains uncertified or where the circumstances of the death may cause public anxiety.

Deaths associated with medical or dental care, including deaths which may be due to medication (however administered) or diagnostic or therapeutic procedures (operations, investigations, X-ray procedures, etc.). "Medical care" should be interpreted broadly and includes surgical, anaesthetic, nursing or any other kind of medical care whether being given in a hospital, a GP’s surgery, the patient’s home or elsewhere. It also includes deaths from “hospital-acquired” infections.

Deaths where there is a possibility of criminal proceedings, including homicide but also from a road traffic death, an overdose of controlled drugs, an accident at work or a contravention of food safety legislation.

In any case where it will be necessary to prove the fact and cause of death in subsequent court proceedings, the Procurator Fiscal will instruct a post-mortem examination by two pathologists. This may be two forensic pathologists or it may be a forensic pathologist and a specialised pathologist, for example a paediatric pathologist if the death is that of a child.

Deaths for which the disease can be accurately diagnosed in life and cause of death certified without a post-mortem examination—e.g., mesothelioma, which requires a combination of radiological evidence and an ante-mortem pleural biopsy with histologic examination using immunohistochemical staining techniques (e.g., positivity for Calretinin, CK 5/6, EMA, Vimentin) may conclusively diagnose mesothelioma and sufficie to allow settlement of a compensation claim.
References in periodicals archive ?
He added: "The AAIB has provided the Crown Office and Procurator Fiscal Service with more information about their investigation, which should address the concerns you have raised.
The 30-year-old from Walkerburn has been charged with vandalism and a report is being compiled for the Procurator Fiscal.
A Crown Office spokesman said: "The procurator fiscal has received a report in connection with the death of a 40-year-old male at Gartnavel.
A spokesman for the Crown Office said: "The procurator fiscal at Dumbarton has received a report relating to an incident involving a 39-year-old man that allegedly occurred in West Dunbartonshire on June 28, 2013.
A Crown Office spokesman said the procurator fiscal had received a report from Strathclyde Police over the death.
The authorities were only allowed to do this because the post mortem was ordered by the Procurator Fiscal.
ORGANS were retained without the knowledge of bereaved relatives in six cases after post-mortem examinations ordered by the procurator fiscal.
A report has been sent to the Procurator Fiscal by the Health and Safety Executive.
After being quizzed by Fife cops, he has been reported to the procurator fiscal and will face a court date later this month.
The PIRC sent a report to the procurator fiscal after their investigation.
The Edinburgh Procurator Fiscal ordered Lothian and Borders Police to act, having spent weeks poring over transcripts from the court proceedings.
Police have confirmed a 53-year-old man has been reported to the procurator fiscal, 10 months after the tragedy in Fairlie, Ayrshire.