We are seeking to expand our pool of MEs and are looking for a couple of people (1.00 PA available) to join our ME service team. The team sits within the Networked Care Division with professional oversight by the Medical Associate Director, Patient Safety.
The ME posts have 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 statutory ME system on September 9th 2024 promotes robust, transparent and independent scrutiny of non-coronial deaths, and hold a vital role in the learning from deaths agenda. MEs report, via the lead ME, to the regional ME, and they work closely with the Coroner and Registrar of Births, Deaths and Marriages.
Further information regarding the role of MEs can be found on the RCpath website. Applications from GP's and Paediatricians are encouraged.
There is flexibility in terms of hours worked e.g. 4 hours per week (1 PA) or fewer hours (2 hours per week, 2 hours every other week etc.). Remote working options are also available although staff will be expected to be on-site for their training/induction. The MEs are supported by the ME Officer team based at the Royal Berkshire Hospital. Successful candidates would be expected to attend quarterly half-days in support of their learning and development.
Interview date - 29th November 2024
Main duties of the job
Dimensions of role
Medical examiners (MEs) are appropriately trained doctors who, through a process of independent scrutiny, will verify clinical information on Medical Certificates of Cause of Death (MCCDs), support identification of cases requiring coronial referral, and highlight cases where further scrutiny may be of benefit. A practicing medical practitioner who has been on the general medical council register for a minimum of five years post registration can apply to be a ME. It is recommended that MEs are consultant grade doctors from a range of disciplines (including GP principals). MEs will take a consistent approach to the formulation of MCCD content, which must be clinically accurate and reflect any discussions with the next of kin/informant. MEs must not have been involved in the care of the deceased patients whose deaths they scrutinise.
About us
The Royal Berkshire NHS Foundation Trust achieved Foundation Trust status on 1stJune 2006 and was the first Foundation Trust in the South Central Strategic Health Authority. The Trust has a successful track record of delivering high quality acute medical and surgical services for 500,000 patients across West Berkshire, an area extending from Newbury in the west to Henley-on-Thames in the east, and including Wokingham and parts of Hampshire to the south and parts of Oxfordshire to the north. The Trust is one of the largest general hospital Trusts in the country and is Reading's biggest employer.
Royal Berkshire Hospital are pleased to announce that following our most recent CQC inspection we have been rated as 'Good' with inspectors reporting we have made significant improvements.
Job responsibilities
* Ensure compliance with the legal and procedural requirements associated with the current 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, mortality review processes and investigations regarding formal complaints about patient care.
* 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 Trust ME Lead, Regional ME and MEO Leads where necessary.
* Adopt a collaborative working relationship with other MEs by sharing experiences and expertise to support peer learning and set uniform standards of service delivery.
Person Specification
Knowledge, Skills and Performance
* Medical practitioner registered and licensed to practise in the UK by the GMC
* MEs should have up-to-date knowledge of causes of death and an understanding of the legal frameworks associated with death certification processes
* IT skills including use of email and commonly used software
* Ability to manage and comply with sensitive information-based processes under tight timescales with a proportionate approach
* Knowledge of the special requirements of various faith groups and respect for equality and diversity
Safety and Quality - Clinical Governance
* Knowledge of local and national clinical governance systems and an understanding of how the ME can work collaboratively to improve patient safety by identifying sub-optimal clinical and organisational performance
Communication and teamwork
* Strong interpersonal skills demonstrating the ability to communicate in difficult and emotional situations with empathy and professionalism
* Ability to work as part of a team and organise a fluctuating workload around competing priorities and numerous interruptions
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.
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