1. 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

2. 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.

4. A YEAR IN THE LIFE OF AN URBAN FORENSIC PHYSICIAN 2011
Fitness to be detained
Fitness to be interviewed 7
Sudden Death 3
Mental Health
CSA
Examination of injuries 52
S4 RTA
S5 RTA
Rape
NAI

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

6. 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

7. 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

9. 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