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The Royal Liverpool Children's Inquiry (Alder Hay)

The Alder Hey Inquiry investigated the unauthorized removal, retention, and disposal of human tissue, including children's organs, at Alder Hey Children's Hospital in Liverpool

The Alder Hey Inquiry, formally known as the Royal Liverpool Children's Inquiry, was a significant investigation into the unauthorized removal, retention, and disposal of human tissue, including organs from deceased children, at Alder Hey Children's Hospital in Liverpool. Chaired by Professor Ian Kennedy, the inquiry was established in response to revelations in 1999 about the hospital's widespread and systematic retention of organs from thousands of children without proper consent from their families. The inquiry lasted approximately 24 months, from December 1999 to January 2001, and cost around £5 million.


The inquiry aimed to uncover the extent of the organ retention practices and to identify the systemic failures and ethical breaches that allowed such practices to occur. It investigated the actions of the hospital staff, including pathologist Professor Dick van Velzen, who was found to have conducted unauthorized post-mortem examinations and retained organs for research purposes without consent. The inquiry revealed that Professor van Velzen had falsified records and misled both parents and hospital authorities about the extent of his activities.


The findings of the inquiry were shocking and deeply distressing for the affected families. It was discovered that organs from over 2,000 children had been retained without consent, and in some cases, multiple organs from the same child were kept for research purposes. The inquiry highlighted serious deficiencies in the hospital's consent procedures, record-keeping, and oversight mechanisms. It also pointed to a lack of transparency and communication with the families, who were often unaware that their children's organs had been retained.


As a result of the inquiry, 30 recommendations were made to address these issues and to prevent similar occurrences in the future. These recommendations included the establishment of clear and robust consent procedures, improved communication with families, and the implementation of strict ethical guidelines for medical research involving human tissue. The inquiry also called for better training and supervision of medical staff, as well as the establishment of a national system for the regulation and oversight of post-mortem examinations and the retention of human tissue.


The impact of the Alder Hey Inquiry was profound, leading to significant changes in the way post-mortem examinations and tissue retention are conducted in the UK. The inquiry's findings and recommendations helped to restore public trust in the healthcare system and ensured that the rights and dignity of deceased individuals and their families are respected.


In one sentence: The Alder Hey Inquiry investigated the unauthorized retention of children's organs at Alder Hey Children's Hospital, resulting in 30 recommendations to improve consent procedures and ethical standards in medical research.

Key numbers at a glance

30

Recommendations

24

Months to complete

5

Cost in millions      (if known)

0

Deaths (direct)

Recommendations


Recommendation

Description

Legislation Review

Overhaul the Human Tissue Act 1961 to improve the handling and consent processes for human tissues.

Human Tissue Authority

Establish the Human Tissue Authority to oversee the regulation of human tissue removal, storage, use, and disposal.

Parental Consent

Ensure that parents are fully informed and give explicit consent before any tissue or organ removal from deceased children.

Professional Accountability

Implement stricter professional accountability measures for medical practitioners involved in post-mortem examinations.

Transparency and Communication

Improve transparency and communication with families regarding post-mortem procedures and tissue retention.

Recommendation Category

Summary of Advice

Current Status (2026)

Informed Consent

The law must be changed to require explicit, informed consent for any organ retention.

Implemented (The Human Tissue Act 2004).

Oversight

Creation of a national body to regulate the storage and use of human tissue.

Implemented (The Human Tissue Authority [HTA]).

Coroner System

A full review of the "ambiguous" laws governing the Coroner's post-mortem process.

Implemented (The Coroners and Justice Act 2009).

Bereavement Support

Introduction of specialist bereavement advisors in all children's hospitals.

Implemented (Now a standard role in NHS Trusts).

Accountability

Strengthening the GMC's powers to deal with clinical and managerial misconduct.

Implemented (Reforms to medical revalidation and oversight).15


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