Developing Person Centred, Safe, Effective and Sustainable Sexual Assault Services Thanks for inviting HIS to speak today about the new death certification review process Jan Warner, the HIS lead unfortunately isn’t able to be here. I’m Jane Byrne, senior programme manager working on the programme along with Jan. Know that the agenda is tight so I just have a few slides at quite high level. Dr C George M Fernie LLB MB ChB MPhil FFFLM FRCGP FRCP Edin FRCP DFM Senior Medical Reviewer

About us  We believe that every person in Scotland should receive the best healthcare possible every time you come into contact with your health service. We are the national healthcare improvement organisation for Scotland and part of NHSScotland. We work with staff who provide care in hospitals, GP practices, clinics, NHS boards and with patients, carers, communities and the public. Our work drives improvements in the quality of healthcare people receive by: supporting and empowering people to have an informed voice in managing their own care and shaping how services are designed and delivered delivering scrutiny activity which is fair but challenging and leads to improvements for patients providing quality improvement support to healthcare providers, and providing clinical standards, guidelines and advice based upon the best available evidence. You may not notice Healthcare Improvement Scotland in your hospital, GP practice or clinic, but we play an important role helping others put into place the improvements to patient care that matter most to you.

A YEAR IN THE LIFE OF AN URBAN FORENSIC PHYSICIAN 2011 Fitness to be detained 671 Fitness to be interviewed 7 Sudden Death 3 Mental Health 130 CSA 9 Examination of injuries 52 S4 RTA 11 S5 RTA 13 Rape 59 NAI 5

A YEAR IN THE LIFE OF AN URBAN FORENSIC PHYSICIAN 2011 Fitness to be detained 671 Fitness to be interviewed 7 Sudden Death 3 Mental Health 130 CSA 9 Examination of injuries 52 S4 RTA 11 S5 RTA 13 Rape 59 NAI 5

QUASI-SARC MODEL IN SE SCOTLAND NHS premises Standardised forms and reports Colposcopy Image storage Choice of gender Provision of PCC PEPSE Integration of GUM Counselling

SLWG 2013 on Provision of Forensic Examinations to Victims of Sexual Crime The NHS will ensure there is a care pathway in place to meet the victim’s care and support needs   Victims must have access to a forensic examiner of the gender of their choosing Examinations must take place outwith police stations in facilities for this purpose Examinations must take place within two and a half hours of it being requested Forensic examiners must have undertaken specialist training Nurses involved in forensic examinations must have undertaken specialist training Individuals must have access to forensic examinations on a self-referral basis to ensure forensic evidence is not lost due to delay caused by uncertainty as to whether to report Views of the victim must be sought in relation to arrangements for examination Standardised forms for forensic reporting must be used All NHS staff involved in the care of victims of sexual crime must have received training in provision of services to people with additional needs

WHERE ARE WE NOW? FFLM quality standards further refined Apply to doctors and other HCPs FSR reaffirmed FFLM role in setting standards Achievable Should be same standards whoever is performing role Quality has been improved Clinical Advisors to network Independent quality assurance forensic healthcare