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Privacy and dignity (PD) standard

Rationale
A PMC-SI service is by its very nature a sensitive service. Relatives, carers and friends of the deceased will seek assurance that the service is delivered and carried out with respect; preserving the dignity and privacy of the deceased. Facilities should be designed and staff should be trained appropriately for this key part of service delivery. Where facilities are shared or not dedicated to post-mortem imaging, particular attention should be paid to managing the flow of the work through the facility to ensure that other users and PMC-SI users are adequately and respectfully separated. Details about the service should support equality of access to both information and the service.

PD1  Privacy and dignity of the deceased is maintained

PD2 Provision of information

PD3 Equalities legislation and respect for personal characteristics and traits

PD1  Privacy and dignity of the deceased is maintained

Rationale:
Facilities for PMC-SI may be dedicated to post-mortem use or form part of a larger diagnostic imaging service.  Wherever the service is delivered there should be evidence to support a sensitive approach to service delivery from arrival of the deceased through to their return back to the referral service.

Criteria:
a. Systems in place to evidence that respect for the deceased while in transit, waiting areas or undergoing a scan is considered eg documented systems of work, appropriate communication channels, sensitive signage,
b. Systems in place to demonstrate that all relevant staff are aware of, and trained to, demonstrate appropriate respect for the deceased. 

Commentary:
No discrimination should be made on any grounds and culturally sensitive needs should be considered. eg timeliness of examinations, religious artefacts remaining with the deceased etc. Documentation around processes and systems of work is required. A protocol should exist and staff should be trained in the protocol for managing the deceased’s examination pathway.

PD2  Provision of information

Rationale: 
A PMC-SI service should implement and monitor systems to provide sensitive and useful information to relatives and significant others of the deceased about PMC-SI. Wherever and however the service is delivered, due regard to providing suitable information to relatives, carers or friends should be made.

Criteria:
a. Systems in place to ensure that information is provided in a format that is accessible to the client and presented in such a way as to support understanding, 
b. Systems in place to audit information provided.

Commentary:
Information provided must be appropriate and take account of local circumstances. Where possible user feedback should support the development of appropriate information.

PD3  Equalities legislation and respect for personal characteristics and traits

Rationale:
Clients from all walks of life may require access to the service.  Clients should be treated as individuals with respect for their own particular unique characteristics. Issues around access and referral to the service should be considered including uptake.
Staff will require the appropriate training and information to ensure compliance with the Equalities Act, 2010 and ensure that any individual accessing the service has their personal characteristics and traits respected.

Criteria:
a. Systems in place that demonstrate staff have the required knowledge and training to deliver the service in line with legislation and with regard to cultural mores.

Commentary:
Relatives or people associated with the deceased may be in an emotional state at the time of the examination and particularly sensitive.  They may have a raised awareness of protecting the cultural, religious or personal preferences of the deceased.  Staff should be confident and competent to address concerns or requests made to the service and respond appropriately.

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