[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-243877-105":53,"doc-detail-243877-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","hta-licensing-standards-post-mortem-inspection-report-template","HTA licensing standards post mortem inspection report template","","Post mortem compliance inspection report covering HTA licensing standards for Royal Glamorgan Hospital and its satellite sites. The HTA concludes the Designated Individual and Licence Holder are suitable and that most standards are met, with two minor shortfalls identified under Consent and Governance and quality systems. Shortfalls involve formal recording of competency assessment for consent seekers and lack of SOP recording for mortuary/laboratory practices and admission details. A CAPA plan is required within 14 days, with additional improvement advice provided.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":46,"@type":70,"position":76},"https://docshare.wps.com/template/paper-templates/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/hta-licensing-standards-post-mortem-inspection-report-template/243877/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/hta-licensing-standards-post-mortem-inspection-report-template/243877.png","ImageObject",442,249,{"name":88,"@type":89},"Finn","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-14","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who did the HTA determine to be suitable under the licensing requirements?","Question",{"text":109,"@type":110},"The HTA found the Designated Individual (DI) and the Licence Holder (LH) to be suitable in accordance with the legislation requirements.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What minor shortfalls were found during the inspection?",{"text":114,"@type":110},"Two minor shortfalls were identified: formal recording of competency assessment for consent seekers, and missing SOP recording of certain mortuary/laboratory practices and admission SOP details.",{"name":116,"@type":107,"acceptedAnswer":117},"What happens next after the final report is issued?",{"text":118,"@type":110},"The DI must submit a completed corrective and preventative action (CAPA) plan within 14 days, and the establishment must provide evidence that the agreed actions have been completed.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},243877,1790445288,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":45,"category_name":46,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":15,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":79},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","Inspection report on compliance with HTA licensing standards Inspection date: 16, 21, 22 February 2023  \nRoyal Glamorgan Hospital  \nHTA licensing number 12338  \nLicensed under the Human Tissue Act 2004  \nLicensed activities  \nThe table below shows the activities this establishment is licensed for and the activities currently undertaken at the establishment  \n\n| Area | Making of a postmortem examination | \u003Cbr>Removal from the body of a deceased person (otherwise than in the course of an anatomical examination or post-mortem examination) of relevant material of which the body consists or which it contains, for use for a scheduled purpose other than transplantation | \u003Cbr>.\u003Cbr>Storage of the body of a deceased person or relevant material which has come from a human body for use for a scheduled purpose |\n| --- | --- | --- | --- |\n| Hub site\u003Cbr>Royal Glamorgan Hospital | Licensed | Licensed | Licensed |\n| Mortuary | Carried out | Carried out | Carried out |\n| Pathology lab | - | - | Carried out |\n| Satellite site Prince Charles Hospital | Licensed | Licensed | Licensed |\n| Mortuary (satellite site) | Carried out | Carried out | Carried out |\n\n\n| Satellite site Princess of Wales Hospital | Not Licensed | Licensed | Licensed |\n| --- | --- | --- | --- |\n| Mortuary (satellite site) | - | Carried out | Carried out |\n\nSummary of inspection findings  \nThe HTA found the Designated Individual (DI) and the Licence Holder (LH) to be suitable in accordance with the requirements of the legislation.  \nAlthough the HTA found that Royal Glamorgan Hospital (‘the establishment’) had met the majority of the HTA’s standards, two minor shortfalls were found against standards for Consent and Governance and quality systems. These related to the consent policy , recording of competency assessment for consent seekers and mortuary standard operating procedures.  \nThe HTA has assessed the establishment as suitable to be licensed for the activities specified , subject to corrective and preventative actions being implemented to meet the shortfalls identified during the inspection.  \nCompliance with HTA standards  \nMinor Shortfalls  \n\n| Standard | Inspection findings | Level of shortfall |\n| --- | --- | --- |\n| C2 Staff involved in seeking consent receive training and support in the essential requirements of taking consent |  |  |\n\n\n| d) Competency is assessed and maintained | Whilst regular training and refresher training is provided to those seeking consent for adult post mortem (PM) examination and consent seekers are assessed as competent through a verbal assessment, there is no system in place to formally record this assessment process.\u003Cbr>The establishment submitted sufficient evidence to address this shortfall before the report was finalised. | Minor |\n| --- | --- | --- |\n| GQ1 All aspects of the establishment’s work are governed by documented policies and procedures |  |  |\n| a) Documented policies and SOPs cover all mortuary/laboratory procedures relevant to the licensed activity, take account of relevant Health and Safety legislation and guidance and, where applicable, reflect guidance from RCPath. | Whilst condition checking of the deceased is completed regularly and actions are taken to expedite the release of bodies from the mortuary, these practices are not recorded in an SOP as a formalised process.\u003Cbr>Furthermore, whilst there is a notice in use for funeral directors informing of the three identifiers that could be written on to the identification bands for unidentified bodies, this detail is not reflected in the admission of the deceased SOP.\u003Cbr>The establishment submitted sufficient evidence to address this shortfall before the report was finalised. | Minor |\n\nThe HTA requires the DI to submit a completed corrective and preventative action (CAPA) plan setting out how the shortfalls will be addressed, within 14 days of receipt of the final report (refer to Appendix 2 for recommended timeframes within which to complete actions) . The HTA will the","cbCaifoWiUWgOI9A","https://ap.wps.com/l/cbCaifoWiUWgOI9A","pdf",166169,"English","# Summary of inspection findings\n## Minor shortfalls\n### Consent and competency recording\n### Mortuary SOP and admission procedures\n## CAPA plan requirements\n## Advice for further improvement","[{\"question\":\"Who did the HTA determine to be suitable under the licensing requirements?\",\"answer\":\"The HTA found the Designated Individual (DI) and the Licence Holder (LH) to be suitable in accordance with the legislation requirements.\"},{\"question\":\"What minor shortfalls were found during the inspection?\",\"answer\":\"Two minor shortfalls were identified: formal recording of competency assessment for consent seekers, and missing SOP recording of certain mortuary/laboratory practices and admission SOP details.\"},{\"question\":\"What happens next after the final report is issued?\",\"answer\":\"The DI must submit a completed corrective and preventative action (CAPA) plan within 14 days, and the establishment must provide evidence that the agreed actions have been completed.\"}]","HTA licensing standards post mortem inspection report template | PDF",1789209586]