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Medical Examiner

7 months ago

Wakefield, United Kingdom Mid Yorkshire Teaching NHS Trust Full time

The post of Medical Examiner has been created by the Department of Health and Social Care (DHSC) in response to observations made in the Third Report of the Shipman Inquiry. The introduction of the medical examiner system will promote robust, transparent and independent scrutiny of death certification processes. Medical examiners (MEs) are part of a national network of specifically trained independent senior doctors overseen by the National Medical Examiner for NHS England who are responsible for scrutinising the circumstances and causes of death in non-coronial cases, to ensure appropriate referrals to the Coroner and accuracy and consistency of MCCD content. Currently, the ME service involves scrutiny of all deaths within the acute Trust, but the service is now beginning to extend to scrutiny of deaths within the non-acute/community setting, individual ME offices starting an incremental rollout within the non-acute setting prior to the system becoming statutory.

MEs must not have been involved in the care of the deceased patients for deaths they scrutinise. Key Responsibilities MEs will: 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. scrutinise the certified causes of death offered by attending doctors in a way that is proportionate, consistent and compliant with the proposed national protocol. 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. 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. maintain comprehensive records of all deaths scrutinised and undertake analysis to provide information to the National Medical Examiners office. participate in relevant clinical governance activities relating to death certification including audits, support the training of junior doctors in their understanding of death certification and promote good practice in accurate completion of MCCDs.

work with medical examiner officers (MEOs), delegating duties as appropriate. engage with lead ME and lead MEO for the region. adopt a collaborative working relationship with other MEs by sharing experiences and expertise to support peer learning and set uniform standards of service delivery. be required to participate in any relevant governance activities relating to scrutiny and confirmation of the cause of death where concerns have been raised by the next of kin/informant of the deceased and/or clinical staff and ME scrutiny.

facilitate routine analysis of MCCD information to identify trends, patterns and unusual features of deaths and report, as required, firstly to the regional Lead ME and ultimately to the National Medical Examiners office. provide information to local Child Death Overview panels in respect of all child deaths which are not being investigated by the coroner. Accountability MEs will: have professional independence in scrutinising deaths but will be accountable to the employing organisations Board for achieving agreed standards or levels of performance. have an independent professional line of accountability to a regional structure of NHS Improvement/NHS England outside the employing organisation and immediate line management structure.

comply with guidance issued by the National Medical Examiner when carrying out ME duties. Communications and working relationships MEs will be a source of expert knowledge and advice for health professionals and wider stakeholder groups; these include: Internally: Medical Director All grades of clinicians Clinical governance leads MEOs and bereavement service staff Mortuary staff. Externally: Coroners and their officers Registrar of births and deaths Local Authorities, including care homes and safeguarding teams Spiritual and faith community leaders Other health care providers to including GPs Lead MEs and lead MEOs National Medical Examiner. Duties will be performed across all sites within the Trust and/or within the North Kirklees and Wakefield CCG localities.

Terms & Conditions and Tenure The post will be appointed for a period of three years in the first instance. Subject to mutual agreement, this contract may be extended for one further three year term. The PA allowance will be 1 session. The successful post holder will be expected to hold a job plan of not more than 12 PA if a Hospital doctor or equivalent for GPs unless explicitly agreed with the Medical Director.