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The Medical Examiner role 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 promotes robust, transparent and independent scrutiny of death certification processes. NHS England announced that all organisations in England should institute a Medical Examiner (ME) role in secondary care from April 2019. The Medical Examiner system is now developed in Blackpool Teaching Hospitals. This post is a replacement post due to the vacancy arising following the resignation of the current incumbent. The Lead Medical Examiner will support the current service, providing leadership to the Medical Examiner team.
Job Responsibility:
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 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 maintain comprehensive records of all deaths scrutinised and undertake analysis to provide information to the National Medical Examiner's office
To participate in relevant clinical governance activities relating to death certification including audits, mortality review processes 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 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 provide leadership to the Medical Examiner team
To ensure that there is always appropriate Medical Examiner cover in place, accounting for planned leave
To ensure that there is always appropriate Medical Examiner cover in place, accounting for planned leave
The Lead Medical Examiner will have professional independence in scrutinising deathsbut will be accountable to the employing organisations Board for achieving agreed standardsor levels of performance
The Lead Medical Examiner will have an independent professional line of accountabilityto a regional structure of NHS England outside the employing organisation and immediateline management structure
The Lead Medical Examiner will comply with guidance issued by the National Medical Examiner when carrying out ME duties
The Lead Medical Examiner will be required to participate in any relevant governance activities relating to scrutiny and confirmation of the cause of death where concerns have been raisedby the next of kin/informant of the deceased and/or clinical staff and ME scrutiny
The Lead Medical Examiner will facilitate routine analysis of MCCD information to identifytrends, patterns and unusual features of deaths and report, as required, firstly to the regional Lead ME and ultimately to the National Medical Examiners office
The Lead Medical Examiner will provide information to local Child Death Overview panels in respect of all child deaths which are not being investigated by the coroner
Medical Examiners must avoid any potential conflicts of interest. In cases where they have a personal or professional relationship with the deceased person, next of kin/informant, or with the attending doctor preparing the MCCD, they must transfer any scrutiny of the death toanother ME
The Lead Medical Examiner is expected to take responsibility for their own continuing professional development in accordance with any standards for maintaining a GMC licence to practice and membership of any relevant professional body. The ME role should beincluded in the whole practice appraisal
The Lead Medical Examiner should maintain a Personal Development Plan in agreement with their appraiser
There will be opportunities to attend local and national activities to maintainup to date knowledge
Requirements:
Full registration with the General Medical Council with at least five years standing
A commitment to life-long learning and undertaking personal development opportunities
Candidates must have successfully completed the mandatory e-learning modules and attended a face-to-face training session
Up-to-date knowledge of causes of death and an understanding of the legal frameworks associated with death certification processes
Knowledge of quality improvement tools and techniques to support emergent widespread learning across organisations
Have good IT skills including use of databases, spreadsheets, electronic patient records, 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
Have the ability and experience to lead and manage a service across multiple healthcare settings
Strong interpersonal skills demonstrating the ability to communicate in difficult and emotional situations with empathy and professionalism
Ability to work effectively and efficiently within own team and also closely with people in other disciplines
Ability to work as part of a team and organise a fluctuating workload around competing priorities and numerous interruptions
Ability to manage and deliver effective education to relevant healthcare providers
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
Ability to identify available data sources and interpret their meaning in order to support the detection and analysis of concerns and to recognise gaps in available knowledge
Ability to identify and disseminate examples of good practice amongst relevant colleagues
Proactive and self-motivated with a flexible working approach
Have the resilience to manage own reaction to frequently distressing situations and support others within the team
To always sustain professional integrity and independence, particularly where there is the potential for a conflict of interest
Nice to have:
Can demonstrate previous experience as a Medical Examiner