By W. D. S. McLay
Forensic medication is the scientific forte that covers any subject the place drugs and the legislation overlap. A forensic clinician needs to be a consultant in lots of components, in a position to make a scientific evaluation of the accused and/or their sufferer, deal with these in custody, supply occupational future health suggestion to the police, and move opinion at the paintings of others within the related box. this article is the definitive consultant for all such practitioners, be they police surgeons, forensic physicians, twist of fate and emergency experts, paediatricians, gynaecologists or genito-urinary physicians.
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Extra resources for Clinical Forensic Medicine 2nd ed.
Calls made on the services of doctors assisting police have increased in number, in complexity and in variation over the years. Such services have traditionally been given by general practitioners, working part-time and paid on a retainer plus item of service fee basis. Historically, such services were initially confined to attendance at cases of sudden or unexpected death, the health care of detainees and of police officers and their families. With the advent of the National Health Service (NHS) in 1948, responsibility for the primary health care of the latter shifted to the local general practices.
Because of the present training deficiency, there is already a tendency towards a two-tier FME service, with `generalists' who cope with daily `run-of-the-mill' cases, and `specialists' who are also competent, for example, in adult and child sexual abuse, and who are called upon specifically in these cases, but this is undesirable. It is the highest common denominator that is required, not the lowest. The next stage which, bearing in mind existing pressures, must follow in the development of CFM, will be mandatory training, assessment and accreditation of those doctors whose work takes them regularly to this interface.
References Bluglass RS 1990 Letter to The Times March 3. Brahams D 1992 R v Salim and Saha. Lancet 340: 1462. Davis N 1990 Letter to The Times, March 13. : Medico-Legal Journal 62 (2) 44-61. Report of the Working Party of Three Medical Royal Colleges 1992: The Education and Training of Doctors in the Health Care Service for Prisoners: RCP, RCGP and RCPsych. Wells D 1993 Current Practices and Future Directions in Forensic Medicine: Winston Churchill Memorial Trust. Woolf LJ 1995 Access to Justice: Interim Report to the Lord Chancellor on the Civil Justice System in England and Wales, ch 23.