Transcript Document

TAYSIDE PATHFINDER PILOT
The provision of Healthcare and
Forensic Medical Services within
Tayside Police Custody Settings
Sally Patrick
7th September 2011
PATHFINDER PILOT
• JANUARY 2009: COMMENCEMENT
OF PARTNERSHIP BETWEEN, NHS
TAYSIDE, TAYSIDE POLICE, AND
THE UNIVERSITY OF DUNDEE
FUNDED BY TAYSIDE POLICE AND
THE SCOTTISH GOVERNMENT
STAFFING
FORENSIC NURSES
• 10 NURSES (9.8WTE )WORKING
24/7 – 365 DAYS PER YEAR
• 6 RGN 3 RMN 1RGN/RMN
• 1 NURSE 0730-1830HRS
• 2 NURSES 1830-0730 WEEKENDS
AND PUBLIC HOLIDAYS
FORENSIC PHYSICIANS
• 3 FULL TIME SENIOR LECTURERS
EMPLOYED FOR BOTH CLINICAL FORENSIC
MEDICINE AND FORENSIC PATHOLOGY
MONDAY-FRIDAY 0800-1800HRS
FRIDAY NIGHT AND SATURDAY 0800-1800HRS
• 6 LOCAL GPS EMPLOYED ON A SESSIONAL
BASIS TO COVER REMAINING SHIFTS
‘GATEKEEPERS TO SERVICE’
FORENSIC NURSES ARE THE
PRIMARY POINT OF CONTACT FOR
THE POLICE, PROCURATORS
FISCAL, PAEDIATRICIANS, SOCIAL
WORK DEPARTMENT, HM PRISON
PROTOCOLS
• OPIATE AND ALCOHOL WITHDRAWAL
PROTOCOLS
• 27 PATIENT GROUP DIRECTIONS
• CONTINUED SUPPLY OF METHADONE FOR
DETAINEES ALREADY ENROLLED ON
METHADONE PROGRAMME
• REFERRAL PROTOCOLS TO SEXUAL
HEALTH SERVICE AND WRASAC (WOMENS
RAPE AND SEXUAL ASSAULT CENTRE)
CLINICAL FORENSIC
EXAMINATIONS
AIM TO INCREASE THE QUALITY
OF CLINICAL FORENSIC
EXAMINATIONSNAND
DOCUMENTATION OF INJURIES TO
THE LEVEL THAT IS PROVIDED IN
FORENSIC PATHOLOGY
NHS TAYSIDE INTRANET
LINKS
• ECS(EMERGENCY CARE
SUMMARY)
• MiDiS (MENTAL HEALTH
DATABASE)
• LONG TERM CONDITIONS
• CENTRAL VISION
• CHI look up
• VISION - Virtual Practice
1 APRIL 2010 - 31 MARCH 2011
FORENSIC NURSES
• Total number of patients:
• Total number of consults:
- drug issue
- alcohol issue
- alcohol and drug
- mental health
- medication
2705
8550
1548
365
1951
107
10165
1 April 2010 – 31 March 2011
FORENSIC PHYSICIANS
•Total number of
callouts : 768
•2009-2010: 902
•2008 > 4000
callouts
•Fitness to plead:188
•Fitness to detain: 51
•Paediatric examinations: 73
•Sexual Assault Victim: 50
•Sexual Assault Suspect:39
•Physical Assault Victim: 16
•Physical Assault Suspect: 26
•Suspicious Deaths: 118
•Section 4 RTA bloods: 37
•Intimate Search: 25
EDUCATION AND TRAINING
• OCTOBER 2009 – GRADUATE
CERTIFICATE IN FORENSIC NURSING
• OCTOBER 2010 – GRADUATE DIPLOMA
IN FORENSIC NURSING
• ONGOING DEVELOPMENT OF TRAINING
COURSE FOR GPs WORKING AS
FORENSIC PHYSICIANS
EVALUATION
• 2 YEAR EVALUATION OF SERVICE
FUNDED BY ACPOS COMMENCED
NOVEMBER 2009.
• INTERIM REPORT DECEMBER 2010
• FINAL REPORT DUE DECEMBER 2011
University of Dundee and Scottish Institute
for Policing Research
PROGRESS SO FAR………
• May 2009 – agreement from Crown Office Procurator
Fiscal Service for nurses to commence venepuncture
for section 5RTA
• September 2009 – nurses commenced assisting
Forensic Physicians with physical and sexual assault
examinations
• April 2010 – Nurses commence Fitness to Release
examinations
• June 2010 – following training in Alcohol Brief
Interventions nurses commenced
• May 2011 – SARN Sexual Assault Referral Network
A&E ATTENDANCES
2009
2010
Reduction of 12% in
total numbers 2008
Reduction of 40% in
Dundee
Reduction of 13%
in total numbers 2009
Reduction of 16% in
Perth