INTRODUCTION
A Police Surgeon is a registered medical practitioner, who is contracted to provide services by a
particular Police Force. These services should be provided from a standpoint of total objectivity and
independence. Apart from any statutory obligations, they should relate only to the clinical demands
of the case in question.
These guidelines have been produced for Greater Manchester Police, for the use of their Police
Surgeons.
The contents contain fact, references and opinion. The opinion is that of the author, but hopefully
represents a consensus of what is considered good practice in clinical forensic medicine.
Greater Manchester Police (GMP) is the largest Constabulary Force in England, outside the
Metropolitan Police Service; however, as each force in the United Kingdom is autonomous certain
specific aspects of this document will be parochial to GMP and will not be relevant to other forces.
Such variance will only relate to specific named forms and procedures, and the application will be
just as valid to Police Surgeons in other forces, even if the documentation varies.
The Police Surgeon's work does fall into certain categories, some of which are more natural than
others. For the sake of this document an arbitrary division has been devised thus:-
1. Clinical records
2. Consent
3. Disclosure
4. Statement & Report Writing
5. Fitness to be Detained
6. Fitness to be Interviewed
7. Examination in Cases of Assault
8. Examination of Victim in Cases of Sexual Assault
9. Examination of Suspect in Cases of Sexual Assault
10. The Scene of Death
11. Mental Health
12. Road Traffic Offences
13. Appendices
List of Acronyms, References and Index
It is advised that the whole document is read so that the reader can familiarise him/herself
with the layout and relationship of the chapters. Most of the chapters can be read
independently.
Appendicies are referrenced in the following way: Appendix 3b relates to the second appendix
referred to in chapter 3.
It is intended to update these guidelines regularly, to take account of new treatment plans, changes
in workload, case law and legislation.
The guidelines are meant to be advisory and not proscriptive. It appears that it would be even more
difficult to achieve rigid protocols in forensic medicine, that would satisfy all the possible situations,
than in other branches of medical practice. The guidelines have been well researched, and it is
recommended that the advice contained is followed where applicable.
There has never been any intention that this text replaces standard textbooks or the various journals
relating to clinical forensic medicine. It is meant to be a practical guide to areas which are not and
could not be approached by the more academic publications. Certain aspects of the guide will not go
into great depth, one example would be estimation of time since death. It is hoped that the
information in the chapters that follow will however point the forensic clinician in the direction of
resources for more in-depth reading.
A Note About Training
Clinical forensic medicine is changing rapidly. Practitioners have a duty to seek in-depth training in
all aspects of the field, and particularly, but not exclusively, in the areas of medical jurisprudence in
which they practise.
Continued professional development, keeping abreast of world literature and attending lectures and
seminars is as important for the experienced physician as it is for the novice.
Throughout the document Police Surgeons are referred to by that title or as Forensic Medical
Examiner (FME) and occasionally as Forensic Clinician. Many other titles have been considered,
and this choice of usage should not be taken as an endorsement of any particular appendage, but is
for consistency and ease.
If a situation is encountered which is not covered by these advisory notes, a summary of the
situation clearly stating the problems encountered would be welcome by the principal author. Such
information should be sent to:-
DR STEPHEN P ROBINSON
GMP SENIOR POLICE SURGEON
ROSE COTTAGE
SUNBANK LANE
RINGWAY
CHESHIRE
WA15 0PZ
Download the entire book: http://www.mediafire.com/?5yl88nhrhqxl5nf
A Police Surgeon is a registered medical practitioner, who is contracted to provide services by a
particular Police Force. These services should be provided from a standpoint of total objectivity and
independence. Apart from any statutory obligations, they should relate only to the clinical demands
of the case in question.
These guidelines have been produced for Greater Manchester Police, for the use of their Police
Surgeons.
The contents contain fact, references and opinion. The opinion is that of the author, but hopefully
represents a consensus of what is considered good practice in clinical forensic medicine.
Greater Manchester Police (GMP) is the largest Constabulary Force in England, outside the
Metropolitan Police Service; however, as each force in the United Kingdom is autonomous certain
specific aspects of this document will be parochial to GMP and will not be relevant to other forces.
Such variance will only relate to specific named forms and procedures, and the application will be
just as valid to Police Surgeons in other forces, even if the documentation varies.
The Police Surgeon's work does fall into certain categories, some of which are more natural than
others. For the sake of this document an arbitrary division has been devised thus:-
1. Clinical records
2. Consent
3. Disclosure
4. Statement & Report Writing
5. Fitness to be Detained
6. Fitness to be Interviewed
7. Examination in Cases of Assault
8. Examination of Victim in Cases of Sexual Assault
9. Examination of Suspect in Cases of Sexual Assault
10. The Scene of Death
11. Mental Health
12. Road Traffic Offences
13. Appendices
List of Acronyms, References and Index
It is advised that the whole document is read so that the reader can familiarise him/herself
with the layout and relationship of the chapters. Most of the chapters can be read
independently.
Appendicies are referrenced in the following way: Appendix 3b relates to the second appendix
referred to in chapter 3.
It is intended to update these guidelines regularly, to take account of new treatment plans, changes
in workload, case law and legislation.
The guidelines are meant to be advisory and not proscriptive. It appears that it would be even more
difficult to achieve rigid protocols in forensic medicine, that would satisfy all the possible situations,
than in other branches of medical practice. The guidelines have been well researched, and it is
recommended that the advice contained is followed where applicable.
There has never been any intention that this text replaces standard textbooks or the various journals
relating to clinical forensic medicine. It is meant to be a practical guide to areas which are not and
could not be approached by the more academic publications. Certain aspects of the guide will not go
into great depth, one example would be estimation of time since death. It is hoped that the
information in the chapters that follow will however point the forensic clinician in the direction of
resources for more in-depth reading.
A Note About Training
Clinical forensic medicine is changing rapidly. Practitioners have a duty to seek in-depth training in
all aspects of the field, and particularly, but not exclusively, in the areas of medical jurisprudence in
which they practise.
Continued professional development, keeping abreast of world literature and attending lectures and
seminars is as important for the experienced physician as it is for the novice.
Throughout the document Police Surgeons are referred to by that title or as Forensic Medical
Examiner (FME) and occasionally as Forensic Clinician. Many other titles have been considered,
and this choice of usage should not be taken as an endorsement of any particular appendage, but is
for consistency and ease.
If a situation is encountered which is not covered by these advisory notes, a summary of the
situation clearly stating the problems encountered would be welcome by the principal author. Such
information should be sent to:-
DR STEPHEN P ROBINSON
GMP SENIOR POLICE SURGEON
ROSE COTTAGE
SUNBANK LANE
RINGWAY
CHESHIRE
WA15 0PZ
Download the entire book: http://www.mediafire.com/?5yl88nhrhqxl5nf
1 comments:
very thnx f0r this artice
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