Hampshire Hospitals NHS Foundation Trust
The next of kin are at the heart of everything we do.
We are seeking to appoint proactive and self-motivated individuals to join our team of medical examiners at North & Mid Hampshire Medical Examiner Service.
Since 9 September 2024, when the service became statutory, all acute, non-acute, and community deaths that do not require a coroner's referral must be scrutinised by a medical examiner before the death can be registered.
As an ME, you will provide independent scrutiny of the causes of death, which includes a proportionate scrutiny of the medical records of the deceased; make enquiries if necessary to confirm or establish the cause of death; and discuss the proposed cause of death with the attending practitioner.
Medical Examiners are senior doctors from a diverse variety of clinical specialties in secondary and primary care. You will work closely with our team of Medical Examiner Officers, who are vital to the efficient running of the service.
The North & Mid Hampshire Medical Examiner Service is an independent team hosted by Hampshire Hospitals NHS Foundation Trust.
Interview Date: 15-Jan-2025
Main Duties of the Job
The successful applicant will:
* Provide greater safeguards for the public by ensuring independent scrutiny of all non-coronial deaths.
* Ensure the appropriate direction of deaths to the coroner.
* Provide a better service for the bereaved and an opportunity for them to raise any concerns to a doctor not involved in the care of the deceased.
* Improve the quality of death certification.
* Support local learning and improvement by identifying matters that require escalation to local clinical governance and other processes.
* Improve the quality of mortality data.
The ME service interacts with many clinical specialities from both the acute and non-acute setting, strengthening links between the health services, coroners' offices, and register offices.
About Us
Hampshire Hospitals NHS Foundation Trust is the major provider of hospital services to the population of North and mid Hampshire and surrounding areas. The hospitals in Basingstoke and Winchester provide a comprehensive range of acute services as well as being a tertiary referral centre for colorectal, liver, peritoneal carcinomatosis, haemophilia, and pseudomyxoma surgery.
Job Responsibilities
The Medical Examiner (ME) must be a medical practitioner registered with a license to practice in the UK by the GMC, with at least five years of experience. The post-holder must have been registered as a medical practitioner throughout the previous five years as at the date of appointment.
The main responsibilities are to:
* Ensure compliance with the legal and procedural requirements associated with the current processes of certification, investigation (by coroners), and registration of deaths.
* Support those doctors who call for medical advice on suspected natural causes of death.
* Scrutinise the certified causes of all in-scope deaths.
* Maintain comprehensive records of all deaths scrutinised and undertake analysis for clinical governance purposes.
* Explain to bereaved relatives the cause of death in a transparent, tactful, and sympathetic manner.
* Support the training of junior doctors in completion of MCCDs.
* Engage with relevant governance activities relating to death certification.
* Support the Medical Examiner Officers in carrying out their role and with their continuing professional development.
* Attend catch-up meetings for all MEs and MEOs which are currently 6 per year (4 x remote, 1 x face to face on either RHCH or BNHH site, and 1 'Away Day' (in-house training off site face to face).
For further details, informal visits, or to arrange a conversation with our Lead ME, contact: Lisa Birkett.
Person Specification
Training and Qualifications
* Medical Practitioner registered and licensed to practise in the UK by the GMC.
* Successfully completed the mandatory e-learning modules before the start of the role.
Experience and Knowledge
* Up-to-date knowledge of medical conditions, treatments, and medicines which may or may not have contributed to death, and be able to exercise judgement in where to seek specialist advice in order to determine the appropriate level of scrutiny required.
* Knowledge of local and national clinical governance systems and an understanding of how the ME can work collaboratively to improve patient safety by identifying suboptimal clinical and organisational performance.
* Up-to-date knowledge of causes of death and an understanding of the legal frameworks associated with death certification.
* Knowledge of special requirements of various faith groups and respect for equality and diversity.
* Be familiar with the role and function of the Coroner and be able to present complex medical information in such a way as to assist the Coroner to decide whether to investigate a death about which they have been notified.
Skills and Ability
* Ability to assimilate information quickly and summarise succinctly.
* Strong interpersonal skills demonstrating the ability to communicate in difficult and emotional situations with empathy and professionalism.
* Commitment to lifelong learning and undertaking personal development opportunities.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Hampshire Hospitals NHS Foundation Trust
Depending on experience per annum pro rata.
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