Medical Examiner

6 months ago


Bristol, United Kingdom North Bristol NHS Trust Full time

Medical Examiner (ME) positions are now available in the Medical Examiner Service for Bristol, North Somerset and South Gloucestershire (BNSSG). This is an opportunity to be part of a new and expanding service which, when fully established, will provide independent scrutiny of all non-coronial deaths across BNSSG. You’ll work with a multidisciplinary team both internally and externally including Medical Examiner Officers, clinical staff of all grades, HM Coroner’s Office, Bereavement Services staff and Registration Services, as well as having close contact with bereaved families.

The ME role is a hugely rewarding one that will allow successful colleagues to develop a new area of clinical practice.

In this role, Medical Examiners (MEs) will perform proportionate scrutiny of non-coronial deaths in Bristol, North Somerset and South Gloucestershire (BNSSG) in order to improve quality and accuracy of mortality data and will directly contribute to improving overall quality of care in BNSSG, with important links to system-wide mortality improvement programmes. MEs will highlight cases for review and ensure they are flagged to the relevant body and/or mortality review programme.

The service, spanning organisations across BNSSG, is well established within acute trusts and still in development across non-acute healthcare providers. There are opportunities for scrutiny of acute deaths in the hospital setting, and for non-acute deaths in a community setting, based on current gaps in the ME team and with some scope for flexibility on agreed working pattern.

Three posts are available, consisting of three PAs of Medical Examiner time.

Post one will be one PA to be worked on Wednesday afternoons based at Bristol Royal Infirmary with mandatory cover at Weston General Hospital (which may comprise up to 50% of sessions).

Post two will be one PA to be worked on Tuesday mornings based at Bristol Royal Infirmary with mandatory cover at Weston General Hospital (which may comprise up to 50% of sessions).

Post three will be one PA to be worked on Friday afternoons based at the community office in Frenchay.

To ensure compliance with the legal and procedural requirements associated with the current and proposed reformed processes of certification, investigation by coroners and registration of deaths.

To scrutinise the medical records of deceased patients and certified causes of death offered by doctors in a way that is proportionate, consistent, and compliant with the national protocol.

To discuss and explain the cause of death with next of kin/informants in a transparent, tactful and sympathetic manner. It is anticipated that such discussions will be predominately conducted through telephone conversations where barriers to understanding information may exist.

To ensure that all users of the ME system are treated with respect and are not discriminated against on the grounds of sex, race, religion, ethnicity, sexual orientation, gender reassignment or disability.

To participate in and inform relevant clinical governance activities relating to death certification including audits, mortality review processes, benchmarking exercises, and investigations regarding formal complaints about patient care.

To support the training of junior doctors in their understanding of death certification and promote good practice in accurate completion of MCCDs.

To work with the Lead Medical Examiner Officer and Medical Examiner Officers (MEOs), delegating duties as appropriate.

To engage with Lead ME and Lead MEO for the region.

To adopt a collaborative working relationship with other MEs by sharing experiences and expertise to support peer learning and set uniform standards of service delivery.

To engage with and participate in Continuous Professional Development for the ME Service and to contribute to internal departmental governance and audit activity.

To participate in the Medical Examiner weekend and bank holiday daytime on-call rota to provide an out-of-hours service for cases requiring urgent ME input.

There is an expectation that individuals demonstrate flexibility to fill rota gaps at any site across the service when these arise.

There is an expectation that scrutiny of both community and hospital deaths will be undertaken.

Occasionally, homeworking will be required.


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