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NB: This vacancy closed to applications on 18/07/2019.

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Medical Examiner Officer (Clinical)

Job Reference: 234-19-CS802

Norfolk and Norwich University Hospitals NHS Foundation Trust
Norfolk and Norwich University Hopsital, Norwich
£30,401 - £37,267 per annum

At NNUH it is our privilege to provide healthcare to over one million people across Norfolk and surrounding areas. Our vision is to ‘provide every patient with the care we want for those we love the most’, and if this inspires you and you share our values, we really want you to join our team.

Our values support our vision and guide the behaviour of everything we do, these are:

People-focused: We look after the needs of our patients, carers and colleagues, to provide a safe and caring experience for all.

Respect: We act with care, compassion and kindness and value others’ diverse needs.

Integrity: We take an honest, open and ethical approach to everything we do.

Dedication: We work as one team and support each other to maintain the highest professional standards.

Excellence: We continuously learn and improve to achieve the best outcomes for our patients and our hospital.

Wish you were here..? Take a look at our recruitment brochure under the 'Further links' section to find out more about our Hospital and what we have to offer

Recommendations from the Shipman Inquiry, Third Report (2003) concluded that existing arrangements for death certification are confusing and provide inadequate safeguards. The government’s response to the Inquiry was published in ‘Learning from Tragedy, Keeping Patients Safe’ (2007) which proposed that all Medical Certificates of Cause of Death (MCCDs) should be subject to scrutiny by an independent doctor known as a Medical Examiner who should be linked to clinical governance teams.

Medical Examiner Officers coordinate the full end to end process of death certification within the Medical Examiner Service. They work under delegation of the Medical Examiners and communicate with the next of kin, various clinical teams involved with patient care and the coroner and registration service. A Clinical MEO in particular is expected to be able to read the medical circumstances of all patient deaths coming into the medical examiner office and highlight issues to the medical examiner, discuss with families, including being an important source of additional information, which may have been provided prior to the MEs involvement.

The overarching duties are to administratively support Medical Examiners in their role in scrutinising the circumstances and causes of death and to be a point of contact and source of advice for relatives of deceased patients, healthcare professionals and coroner and registration services.

To support the delivery of a high quality, safe and compassionate healthcare service, all staff are expected to act as a role model to others in all aspects of their work and consistently demonstrate NNUH’s ‘PRIDE’ values of People focused, Respect, Integrity, Dedication and Excellence

Examples of specific aspects of the role (full details can be seen in the Job Description) and responsibilities include:

  • Work with Medical Examiners to aid them in their responsibility for overseeing the death certification process for all deceased patients in the organisation.
  • To establish the circumstances of individual patient deaths by performing a preliminary review of medical records to identify clinical and circumstantial information, sourcing additional details where required, for scrutiny by the Medical Examiner.
  • To refer patients to the coroner for further investigation on approval by the medical examiner
  • To act as an intermediary between the bereaved and clinicians to establish and escalate any concerns relating to a patient’s death.
  • To assist in highlighting cases for assessment by the Structured Judgement Review team (SJR), Child Death Overview Panel (CDOP), Clinical Governance teams and the Learning Disability Review Teams (LeDeR)
  • To act as a source of expertise, advice and knowledge for relatives and health care professionals involved in the process
  • To improve the processes of death certification and referrals to the Coroner
  • To work with the Regional Lead Medical Examiner Officer (when the Regional Lead is appointed) to maintain the Medical Examiners service in line with national proposals and contribute to the development of the service
  • Communicate by telephone, over email and face to face with families, carers, clinical teams, in relation to mortality case records reviews and associated quality improvement
  • To carry out the initial screening of medical notes of deceased patients to identify cases that clearly require referral to the Coroner
  • To assist medical staff in formulation cause of death and refer cases of uncertainty to the Medical Examiners
  • To work with the Medical Examiners to ensure proper and proportionate scrutiny of medical notes

To act autonomously in reporting cases to HM Coroner when medical staff/Medical Examiner are not available.

Monday – Friday 08:30 – 16:30

Full Time: 37.5 hours per week

Applications Open: 9th July 2019

Applications Close: 18th July 2019

For further details / informal visits contact:

Jason Payne-James, Medical Examiner (Lead)



Meryl Hepple, Bereavement Manager



Berenice Lopez, Associate Medical Director Quality and Safety


The Job Description provides details of responsibilities and requirements for this role. Please use your supporting statement to demonstrate how you meet the person specification.

DBS: If this post involves working with children or vulnerable adults the application form will ask for information regarding previous convictions as you will be required to undertake a Criminal Record and Barring Check known as a DBS check.

If you are a new employee or registering with the Staff Bank you will need to meet the cost of this unless your salary is less than point 9 of AfC.

NHS Service: Should you be appointed to the post we will need to establish any previous NHS service via the ESR IAT and we will accept the submission of your application as your agreement to this.

Tier 2 Sponsorship – (not apprenticeships): We are pleased to consider applicants who require Tier 2 sponsorship to work in the UK but it is unlikely that we would be able to appoint if a suitably qualified, experienced and skilled EU/EEA candidate is available.

UK Registration: You will need to have current UK professional registration where this is a requirement of the role.

Application: All our communication with you regarding your application will be by e-mail so please check your e-mails (and Spam) regularly.

We value equality in our team and recruit from all sections of the community. We recognise there is a wealth of talent among people who have a disability and if you meet the minimum criteria detailed in the person specification and have a disability, you may wish to be considered under the Guaranteed Interview Scheme by indicating this in the relevant section on your application.

Data Protection: A privacy notice detailing how we will handle your data is attached to this advert as a document. Your application will be transferred to our recruitment management system (Trac) once the advert has closed and you will receive notification then detailing how Trac will handle your data.

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