Publications by authors named "J Jason Payne-James"

A new Medical Examiner system was introduced in England and Wales in 2019 to scrutinise all non-coronial deaths. The three key roles of independent Medical Examiner scrutiny are to establish accurate causes of death, determine whether coronial referral is required and identify any care concerns. This is the first published service evaluation exploring the views of doctors and next of kin with whom Medical Examiner Services interact.

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Article Synopsis
  • A medical examiner system was implemented in England and Wales in 2019 to improve how cases are reported to HM Coroner (HMC), and a study evaluated its impact by comparing notifications from a hospital in 2018 and 2022.
  • The findings reveal a significant decrease in overall HMC notifications from 25.3% in 2018 to 17.6% in 2022, particularly for deaths related to medical treatments, while notifications related to neglect increased from 3.3% to 12.2%.
  • Additionally, there was an uptick in post-mortem examinations and inquests, indicating a shift toward more appropriate notifications and outcomes, along with a reduction in cases resulting in 'no
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  • The European Council of Legal Medicine (ECLM), established in 1992, represents forensic and legal medicine practitioners across 34 member countries and aims to assess and improve undergraduate forensic medicine training in these nations.
  • A study was conducted through a detailed questionnaire, which received responses from 21 of the 33 contacted countries, revealing a strong focus on teaching forensic medicine, with notable exceptions in Belgium and the UK.
  • The survey results will serve as a foundation for creating harmonized guidelines for undergraduate forensic medicine education, enabling the ECLM to form a working group that tailors a modern core curriculum to fit the needs and resources of each member country.
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Provision of forensic healthcare services may affect patient safety and criminal justice outcomes. We reviewed models of delivery for services in police custody in terms of cost, types of healthcare professionals and their minimum required experience, training and qualification. Relevant information was requested under the Freedom of Information Act from all police services in England, Wales and Northern Ireland.

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The COVID-19 pandemic commenced in March 2020. In May 2019, a new Medical Examiner system was introduced to scrutinise deaths of patients dying within acute National Health Service Trusts. The Coronavirus Act 2020 which came into force in March 2020 modified certification of death requirements.

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