Human Resources Directorate NHS Tayside Ninewells Hospital Level 9 DUNDEE DD1 9SY Telephone Number : (01382) 660111 Fax Number: (01382) www.nhstayside.scot.nhs.uk Date Your Ref Our Ref Enquiries to Extension Direct Line Email 32590 01382 632590 karenkettles@nhs.net Dear Doctor POST OF FORENSIC PHYSICIAN Further to your enquiry regarding the above post, I am now pleased to attach an information and application pack. Your application should be submitted to this department, by emailing the documents below to medicalrecruitment.tayside@nhs.net quoting KK.02.16 in the subject box. A copy of your current CV including the names, addresses and email addresses of 3 referees, including your current or most recent employer Your completed Immigration Status form Your completed Declaration Statement in respect of Fitness to Practice and Criminal Convictions Your completed Equal Opportunities Form. This information is for statistical purposes only and will be kept in strict confidence. As an Equal Opportunities Employer, it is NHS Tayside’s policy to ensure that all applicants are given the same consideration in relation to job selection, promotion and treatment. The closing date for receipt of completed applications is 2nd February 2016. Owing to the number of applications received and to make the best use of resources, we are unable to acknowledge receipt of applications or to advise all candidates of the outcome of their application. If you have not heard from us within 6 weeks of the closing date you may assume that, on this occasion, your application has been unsuccessful. Yours faithfully Karen Kettles Employment Services Team Leader Headquarters Ninewells Hospital, Dundee DD1 9SY Chairman, Professor John Connell FMedci FRSE Chief Executive, Ms Lesley McLay IMPORTANT NOTICE IMMIGRATION STATUS Please be aware that shortlisted applicants will be required to bring their original passport and visa documents with them, for inspection, when attending for interview. 1 Are you a national from Austria, Belgium, Cyprus, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malta, Netherlands, Norway, Portugal, Spain, Sweden, United Kingdom, Switzerland, Czech Republic, Estonia, Hungary,Latvia, Lithuania, Poland, Slovakia, Slovenia, Bulgaria or Romania? YES NO If you have circled ‘NO’ to the above sections please tick the box which relates to your current immigration status, and provide expiry dates: Tick Status Expiry Date I hold a Tier 1 (General) Visa as a highly skilled worker I require a Certificate of Sponsorship I hold refugee status I have indefinite leave to remain in the United Kingdom I have right of abode Any other immigration status – please specify: Print Name: …………………………………......................... Signature:……………………………………………………. Date: …………………………………………………………. Continued APPOINTMENT AND REVIEW PROCEDURES Declaration Statements and Statements of Policy Statement of Policy regarding fitness to practise proceedings by a licensing/regulatory body and relating to criminal investigations in the UK or overseas. Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medical care for, and to behave appropriately, towards patients. NHS Employers also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. We therefore need to establish if you have been found guilty of a criminal offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over or a caution, in the UK or any other country. Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. Application forms will include a declaration for applicants to complete declaring any previous or pending prosecutions or convictions, including those considered ‘spent’ under this Act. Forms will also include a declaration of any cautions or bind overs. We also need to establish if you have been the subject of any fitness to practise proceedings in the past, or any fitness to practise proceedings are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration. This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any others factors that may be relevant. Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently the subject of criminal proceedings which might lead to a conviction, an order binding you over or a caution, or fitness to practise proceedings undertaken or being undertaken by an appropriate licensing or regulatory body, may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General Medical Council [General Dental Council] for consideration if such a discrepancy came to light. If you would like to discuss what effect any previous convictions, police investigations or fitness to practise proceedings taken or being taken either in the UK or by an overseas licensing or regulatory body might have on your application, you may telephone the Employment Services Adviser, Medical Staffing, on 01382 660111, in confidence, for advice. Continued Model Declaration Statement regarding (a) any criminal offence, being bound over or cautioned, or current proceedings which might lead to a conviction, an order binding you over or a caution and (b) fitness to practice proceedings taken or being currently contemplated by a licensing/regulatory body 1. Have you been convicted of a criminal offence, been bound over or cautioned or are currently the subject of any police investigations, which might lead to a conviction, an order binding you over or a caution in the UK or any other country? YES/NO Note: Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. You are required to declare prosecutions or convictions, including those considered ‘spent’ under this Act. If yes, please provide details of the criminal offence, order binding you over or caution or details of any current proceedings which might lead to a conviction, an order binding you over or a caution, including approximate date, the offence, and the authority and country which dealt with the offence. 2. To the best of your knowledge have you been or are you currently subject to any fitness to practise proceedings by an appropriate licensing or regulatory body in the UK or any other country? YES/NO If yes, please provide details of the nature of proceedings undertaken, or contemplated, including approximate date of proceedings, country where proceedings were undertaken and the name and address of the licensing or regulatory body concerned. I hereby declare that the information given here is true. Signature:______________________________________________ Date:__________________________________________________ Continued NHS TAYSIDE EQUAL OPPORTUNITY MONITORING FORM Job reference number: Equal opportunities monitoring We want to ensure that our job opportunities are open to all. The only way we can ensure there is equal opportunity is to monitor applications we receive, and compare the profile of people who apply with those appointed. Therefore this form asks you for your ethnic origin, gender, disability, religion, sexuality and age. The information you provide is confidential and is not used in the selection process. It will be separated from the rest of your application when we receive it. 1) If you are currently an employee of this NHS Board, will getting this job be a promotion? Yes No 2) You are: Female Male 3) Have you undergone, are you undergoing or do you intend to undergo gender reassignment? For example, this includes having changed your sex (gender).? Yes No Prefer not to say 4) What is your age? I am ___ years old, and my date of birth is: _ _ / _ _ / _________ 5) Do you have a physical or mental health condition or disability that: has a substantial effect on your ability to carry out day to day activities? has lasted or is expected to last 12 months or more? Yes No Prefer not to say If you answered ‘yes’ please tick if it is either of the following: Learning Disability Long standing illness Mental health condition Physical impairment Sensory impairment Other (please describe): Again, if yes, please describe any particular arrangements you would need for your work location: (Continued on next page) Continued -26) What is your ethnic group? Choose one section from A to F, then tick the appropriate box to indicate your cultural background A: White Scottish Irish Gypsy Traveller B: Mixed Any mixed background Other British Polish Any other White background C: Asian; Asian Scottish; Asian British Pakistani Indian Chinese Bangladeshi Any other Asian background D: Black; Black Scottish; Black British Caribbean African Any other Black background E: Other ethnic background Any other background F: Prefer not to answer 7) To which religion, religious denomination or body do you actively belong? (Christianity)- Church of Scotland (Christianity) - Roman Catholic Hinduism Sikhism Judaism Islam No religion (none) Christianity (Other) Other faith / belief Buddhism Prefer not to answer 8) Which of the following best describes your sexual orientation? Bisexual Heterosexual Other Gay Man Lesbian/Gay Woman Prefer not to answer 9) Where did you see the Advertisement for this Post? Newspaper (which one?) Professional Journal (which one?) Vacancy Bulletin SHOW (NHS Scotland Website) Job Centre Plus Medical Jobs Website (medicaljobs.scot.nhs.uk) Doctors.net Other (please specify) Continued JOB DESCRIPTION FORENSIC PHYSICIAN 1. JOB PURPOSE To provide a high quality healthcare service within the custody areas of Tayside. To provide a high quality forensic medical service within Tayside. Continued 2. MAIN DUTIES/RESPONSIBILITIES Prisoner Examination Obtain information on medical history Assess physical health if required Assess the mental health needs of the detainee in accordance with the agreed protocol for the 24 hour referrals for psychiatric assessment of prisoners and provide advice as to the use of appropriate adults Asses risk of suicide / self-harm / harm to others Diagnose clinical conditions Examine and treat injuries and conditions, including post incident exposure to CS Spray, TASER, etc. Carry out drug / alcohol assessment Infection control – identifying / advice / guidance (Hep C, HIV, decontamination, etc.) Prisoner Treatment Provide First Aid / basic life support Prescribe medication Provide guidance on administering medication Provide short-term interventions for people under the influence of drugs / alcohol Provide clinical / therapeutic interventions Refer to healthcare services and / or specialists Provide brief health education interventions Prisoner Reports Advise on appropriate action following assessment or diagnosis Advise on the well-being of individuals (non-clinical) i.e. food, drink, rest Advise regarding health and safety issues for all in the environment, e.g., manage aggressive behaviour, infections, etc. Advise and where necessary provide a report and give evidence in court in relation to: o Fitness to be detained in police custody o Fitness to be interviewed o Fitness for release from custody – transitional care of vulnerable people o Fitness for transfer o Fitness for remand in custody pending trial o Fitness for attendance at trial o Ability of accused persons to understand the nature of court proceedings and provide instructions Other Custody Issues Examine and give advice to officers who have been exposed to CS Spray Work collaboratively with other professionals and agencies Comply, as far as practicable, with any lawful instruction given by police officers engaged in the investigation of crime, the protection of life and property and / or the obtaining and preservation of evidence FORENSIC REQUIREMENTS Sudden Death Attend scene where required Assault Examine adult victims Examine adult suspects Document injuries Obtain samples Continued Sexual Assault Examine adult victims Examine adult suspects Document injuries Obtain samples Blood / pregnancy tests RTA Procedures under Road Traffic Legislation (Section 4/5 Road Traffic Act 1988) – obtaining blood/urine samples/impairment testing etc Paediatric Examine alleged child victims of neglect, physical or sexual abuse Obtain and process samples from alleged child victims of abuse Other forensic requirements Undertake intimate body searches Contribute to the management of major emergency situations Provide advice / guidance to police investigators when appropriate Requirement for all of the above Prepare signed statements within agreed timescales Declare personal medical notes Attend any court of law or tribunal when required, to give such evidence in connection with any matter arising from the provision of the services of a forensic medical advisor as a professional witness Comply, as far as practicable, with any lawful instruction given by police officers engaged in the investigation of crime, the protection of life and property and / or the obtaining and preservation of evidence Other duties will include: To examine and if necessary render medical care to any member of the police injured in the execution of his / her duty in terms of forensic medical practice but specifically excluding routine aspects of occupational health medicine and surveillance. 3. COMMUNICATIONS AND ORGANISATIONAL RELATIONSHIPS You are required to maintain good working relationships with all staff both within NHS Tayside and Police Scotland. Ensure that all medical records and the communication of all interventions of care are documented timeously and accurately. Maintains contemporaneous records. Internal Custody nurses Mental Health Workers Forensic Medical Department, Dundee University NHS Tayside Paediatric Department Tayside Substance Misuse Services External Detainees Police Service Procurator Fiscals Department Specialities and sub specialties within NHS Tayside Tayside Arrest Referral Emergency Services – SAS Continued Administrative staff The forensic physician will be responsible to the Associate Medical Director Primary and Community Care Directorate, NHS Tayside and the Professor of the Centre for Forensic Medical and Legal Department, University of Dundee for clinical guidance and professional management. The Service Manager will manage the Forensic Physicians on a day to day basis, organising rotas, training etc. 4. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED A qualified medical practitioner with a background in General Practice or accident and emergency would be advantageous. Previous experience in custody forensic medicine is desirable but not essential, Training will be mandatory and provided by NHS Tayside Knowledge of the legal framework governing police powers and procedures. Consent, confidentiality and ethics with particular reference to the custodial setting. Understand the particular requirements relating to the care and custody of individuals regarding fitness to be detained and fitness to be interviewed. The importance of contemporaneous, comprehensive, clinical note taking, statement and report writing, giving evidence in a confident and precise manner, court procedures including the laws of evidence and the role of the professional and expert witness. The requirements for obtaining, handling and packaging forensic samples. A basic understanding of forensic science, documentation and interpretation of injuries. A knowledge of police organisation and structure. Their role in dealing with suspicious and sudden deaths. Knowledge of the legal requirements in respect of driving offences. The performance of intimate searches. Mental health assessments. Assessment of substance misuse detainees. The law relating to sexual offences and their role in the the examination of complainants and suspects in assault cases. Their role in child protection matters 5. HOURS OF SERVICE Wk 1 2 3 Mon G: On-Call 2 18:00 08:00 Stnd Day 08:00 18:00 E: Post Call 08:00 09:00 Tue E: Post Call 08:00 09:00 Stnd Day 08:00 18:00 G: On-Call 2 18:00 08:00 Wed G: On-Call 2 18:00 08:00 Stnd Day 08:00 18:00 E: Post Call 08:00 09:00 Thu E: Post Call 08:00 09:00 Stnd Day 08:00 18:00 G: On-Call 2 18:00 08:00 Continued Fri G: On-Call 2 18:00 08:00 Stnd Day 08:00 18:00 E: Post Call 08:00 09:00 Sat Sun C: On-Call 08:00 08:00 C: On-Call 08:00 08:00 The NHS Tayside Forensic Medical Service commenced in January 2009. It was the Scottish Government pilot to provide Forensic Medical and Healthcare Services to the then legacy force Tayside Police. With the formation of Police Scotland in 2013 NHS Tayside has decided to expand its salaried Forensic Physician posts. This opportunity has arisen as the reformation of the police services in Scotland coincides with a time when the role of the forensic physician is evolving. We are seeking enthusiastic committed General Practitioners with an MRCGP qualification, however applications from non General Practitioners with relevant experience will also be welcomed. An interest in Forensic Medicine is essential. Facilities include a Forensic Examination Suite and recently refurbished medical rooms in Dundee, Arbroath and Perth. Within the last 3 years a new paediatric examination suite has opened at Kings Cross Hospital Dundee. The role of the forensic physician is varied and interesting with on the job training given by NHS Tayside. The work is divided between custody healthcare and the performing of forensic medical examinations. We have an experienced autonomous team of Forensic Custody Nurses who act as 'gatekeepers' to the service. They manage patients in custody and coordinate and corroborate forensic examinations. Your role is to perform examinations and assessments of adults and children under the instruction of Police Scotland. This offers a diverse range of clinical presentations in an exciting and fluid environment. You are permitted a privileged insight into the inner workings of the police and criminal justice system with occasional opportunities to present your findings in court. Your own transport & driving license is essential Post graduate examinations are currently available via the Faculty of Forensic and Legal Medicine (a sub faculty of the Royal College of Physicians) and offer career development opportunities. Pay scale is Salaried GP scale £54862-£82789 Non General Practitioner £37547-£70018+ 8% availability supplement Please contact Sally Patrick, Head of Service with any questions. Tel 0792 072 6222 or email sally.patrick@nhs.net