Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

1.     Specific Areas of the Havens

The Havens provides acute and follow-up services to adult and child victims of rape and sexual assault who either self-refer or are referred via the police or other agencies.

We offer a 24/7 service providing telephone advice, forensic examination and immediate medical aftercare.  We also provide follow-up medical care, Independent Sexual Violence Advocacy (ISVA) and psychological services, which may generally be accessed up to a year post-assault.

The Havens aims:

·       To provide excellent clinical care in to those who have been acutely sexually assaulted. This will be provided in conjunction with forensic medical examinations when appropriate which may contribute to the investigation of the allegation and assist the Criminal Justice Process;

·       To sustain and develop partnership working with the Metropolitan Police Service, along with healthcare staff both within KCH and other health care settings and the voluntary sector;

·       To develop and improve standards of care, with innovative training methods;

·       To utilise patient feedback, audit and research to maintain and improve standards; and

·       To contribute to the development of regional and national SARC policies and to other SARCS, where appropriate.

2.     Clinical organisation.

 The Havens is a multidisciplinary clinical service comprising medical, nursing, paediatric, crisis work, ISVA and counselling and psychology teams. The day time service is supported by an additional cohort of Havens-trained out-of-hours examiners, paediatricians and crisis workers to deliver the 24/7 forensic service.

The Havens sits within Planned Medicine at KCH. The Havens is led by the Clinical Lead for the Havens’ Adult Service, the Clinical Lead for the Havens Children and Young People’s Service, Matron and Service Manager who are part of a wider senior leadership team which includes the leads for other disciplines within the service.

Departmental Staffing

The CYP Havens team comprises a Consultant Clinical Lead for CYP, 1.2 WTE substantive consultant paediatricians, 3 additional out of hours consultant paediatricians and 1 locum day-time consultant paediatrician, a dual-trained sexual offences examiner, a speciality post doctor, a Family Nurse Advocate, a Child and Family Clinical Advocate, an Adolescent Nurse Advocate, Child Psychologists, and Children and Young People’s ISVAs. 

Across the Havens’ three sites, we have:

·       Approximately 150 multidisciplinary staff

·       3.2 WTE medical consultants leading the adult and paediatric services

·       Approximately 9 WTE daytime forensic physician posts of whom 3 WTE are forensic nurse examiners and 6 WTE are sexual offences examiners (doctors)

·       A number of examiners and crisis workers who contribute to the out-of-hours forensic rota including the staffing listed in the CYP team.

·       0.8 WTE paediatric speciality doctor for the child and young peoples’ service (starting March 2025)

·       Specialist CYP Havens team, as outlined above

Clinical Responsibilities 

·       Participate in the medical assessment and management of children and young people attending the service for medical assessments after non-recent child sexual abuse, alongside a consultant paediatrician

·       Participate in the medical assessment and management of children and young people attending the service for a forensic medical examination after acute child sexual abuse or assault, alongside a consultant paediatrician

·       Develop skills in video documentation of genital examinations

·       Participate in Adolescent Clinic for the assessment and management adolescent patients requiring aftercare following sexual assault including sexual health screening and mental health risk identification

·       Participate in MDT safeguarding meetings and provide medical opinion in safeguarding cases

·       Write professional reports to communicate with Children’s Services, medical professionals and police

·       Participate in peer review  

·       Provide written witness statements for court when required and attend court if called as a witness of fact