The Independent Inquiry into the issues raised by the David Fuller case was established to investigate how David Fuller was able to carry out inappropriate and unlawful actions in the mortuaries at Maidstone and Tunbridge Wells NHS Trust and why they went apparently unnoticed.

The first phase of the Inquiry, on matters relating to Maidstone and Tunbridge Wells NHS Trust, concluded in November 2023 with the publication of the Phase 1 Report.

Phase 2 of the Inquiry looked at the broader national picture and considered if procedures and practices in other hospital and non-hospital settings, where deceased people are kept, safeguard the security and dignity of the deceased. The Phase 2 report was published on 15 July 2025. The report makes a total of 75 recommendations. Its overarching recommendation is that there should be statutory regulation in place to protect the security and dignity of people after death, whichever setting or institution they are in.

Terms of Reference

The terms of reference explain the purpose and scope of the Inquiry.

Read more