Clinical pathways to support adults who experienced sexual assault: consultation

Appendix C: National Form

Please see the consultation page for a copy of the National Form. Please note, the body maps have been removed for the purpose of consultation; however they are available on request.

The National Form is intended to be used by medical and forensic staff, to support clinical care and forensic assessment. Guidance for use is included in the body of the form. This form has been developed by a subgroup of the CMO Taskforce Clinical Pathways Group, building on previous work to ensure consistent documentation of the clinical and forensic elements of immediate care for people who have experienced sexual violence, to improve the quality of clinical care, forensic assessment, and progress through the justice system for those who choose to engage with Police Scotland. Professionals from Police Scotland, SPA, COPFS, and forensic services in all regions of Scotland have developed this form. The working version of the National Form also contains sections for specific documentation of clinical findings on body maps. These have been omitted from this version of the Form.

It is important that the National Form contains the core data set to support immediate clinical care, forensic assessment and documentation of care planning. It is also important that it allows services to monitor quality of services and plan service improvements. Work is ongoing within the Quality Improvement subgroup of the CMO taskforce, who have been developing a list of Key Business and Technical Requirements for an ideal National Clinical IT System to support healthcare and forensic medical examinations and to support the improvement of services for victims of rape, sexual assault and child sexual abuse. An Outline Business Case is also being developed. In order that the National Form aligns with future IT system developments, there may need to be further amendments to the format of this document.