The Beverly Allitt case and the subsequent inquiry have focused attent
ion on the detection of covert hospital homicide. Effective investigat
ion can only take place if there is prompt recognition of circumstance
s that justify suspicion about a death and immediate action is taken t
o retrieve potentially vital evidence. The hospital itself must take r
esponsibility for the detection of covert homicide. Confidence that su
ch deaths will be uncovered by 'routine' investigation through the exi
sting coroner system, including postmortem examination, is misplaced.