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John Jason Payne-James

John Jason Payne-James
Forensic Healthcare Services Ltd · Forensic & Legal Medicine

40.49
 · 
LLM MSc FRCS FRCP FFFLM FCSFS RCPathME DFM LBIPP

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254
Publications
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Introduction
Jason Payne-James currently works at Forensic Healthcare Services Ltd. He is Honorary Clinical Professor at William Harvey Research Institute, Queen Mary University of London. He is Lead Medical Examiner at the Norfolk & Norwich University Hospital.

Publications

Publications (254)
Chapter
Geriatric Forensic Medicine and Pathology - edited by Kim A. Collins September 2020
Article
Cambridge Core - Medical Law, Ethics and forensic Medicine - Geriatric Forensic Medicine and Pathology - edited by Kim A. Collins
Article
Full-text available
Conversion therapy is a set of practices that aim to change or alter an individual’s sexual orientation or gender identity. It is premised on a belief that an individual’s sexual orientation or gender identity can be changed and that doing so is a desirable outcome for the individual, family, or community. Other terms used to describe this practice...
Chapter
Forensic and legal medicine focuses on the interaction between law and medicine. All medical practitioners should have knowledge about the basics of forensic and legal medicine to call upon in the absence of specialists; hence, it is important for any practitioner to be fully aware of laws, statutes, codes of practice, regulations, and professional...
Article
Full-text available
Conversion therapy is a set of practices that aim to change or alter an individual’s sexual orientation or gender identity. It is practiced in every region of the world by health professionals, religious practitioners, and community or family members often by or with the support of the state. Conversion therapy is performed despite evidence that it...
Chapter
One of the most important functions of any healthcare professional (HCP) (doctor, nurse or paramedic) is the ability to assess, document and interpret visible injuries, wounds, cutaneous marks, or scars, which may have been sustained as a result of trauma or violence.
Chapter
The term “forensic medicine” is now used to embrace all aspects of forensic work of a medical nature. In the past, the term was often used interchangeably with “forensic pathology”—the branch of medicine which investigates death. This is further confounded by the recognition of ‘forensic & legal medicine’ or ‘legal and forensic medicine’ as distinc...
Article
Full-text available
Spit guards, also known as spit hoods or spit masks (and occasionally bite guards) are devices intended to cover the mouth, face and sometimes the head of a restrained person in order to prevent them spitting at, or biting others. There is substantial controversy about their use with views often polarised between civil and human rights campaigners...
Article
Full-text available
Article 25 of the Charter of Fundamental Rights of the European Union (adopted in Nice on 7 December 2000) recognizes and respects the rights of older people to lead a life of dignity and independence and to participate in social and cultural life. It also highlights the importance of prevention and recognition of elder abuse, especially since expo...
Article
Full-text available
Complaints management is an integral component of good clinical governance and an essential contributor to patient safety. Little is known about complaints against health-care professionals (HCPs) in police custodial settings and sexual assault referral centres. This study explored the frequency with which complaints are made against such HCPs work...
Article
Since the evolution of humans, there have been interactions between human beings and animals for a variety of reasons including food, agriculture, hunting, and companionship. Contact with animals, for whatever reason, can result in a variety of injuries, fatal or nonfatal. This chapter explores (predominantly) nonfatal injuries, giving examples of...
Article
This chapter focusses on forensic healthcare in short-term police custody where a detainee (or prisoner) is in custody, generally immediately following arrest and are suspects in the initial stages of investigation of an alleged crime. It will also include those who have been brought to a police station for questioning about an offense, or who have...
Article
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Blunt injury is the most widespread type of injury sustained, ranging from everyday knocks and bumps, trips and slips to the most severe high-velocity impacts, such as falling from heights or being struck by vehicles. Forces applied can be both direct and indirect. The nature and range of injury sustained is wide, and in order to understand the pos...
Article
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Sharp-force and cutting-edge injuries represent a large group of inflicted injury. Any sharp or bladed object can cause a range of injuries, in which stab- or slash-type injuries are predominant. The nature of injury is dependent on a wide variety of factors, including nature of implement, sharpness of blade, and sight of contact. This chapter expl...
Article
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Deaths in police or prison custody are matters of great public concern. It is important to reassure families and society that appropriate care is provided to the detainees. Where deaths occur they must be properly investigated and, if appropriate, individuals or systems held accountable. Equally, lessons must be learnt from previous incidents where...
Article
Full-text available
Handcuffs of many types are widely used as a means of restraint and control. The general form is of two wrist pieces joined to limit movement of hands and upper limbs. The wrist pieces are applied around the wrist. Simple application should cause no sequelae. A struggle by the prisoner, or force applied to the handcuffs by whoever has applied them,...
Article
Full-text available
Riot control or public order utilizes a variety of techniques. Many of these ‘use of force’ techniques are termed ‘less-lethal’ as unlike firearms they are less likely to result in fatality. The term ‘nonlethal’ is often used, often incorrectly as fatalities may occur. A number of firearms are adapted to fire impact rounds (known by a variety of na...
Article
Forensic medicine enhances clinical forensic pathology and medical jurisprudence and whether term used emphasizes the link between medicine and the law and judicial systems. The development of forensic medicine has a long history going back thousands of years. It is generally considered that the framework of the field originated in China. This chap...
Article
Full-text available
Batons are part of the armamentarium of most police and security forces and often the first line of restraint when verbal or empty-hand techniques have failed to control a situation. The drawn baton may in itself act as a means of control. Failing that the baton may be used to strike an individual. The majority of injuries are blunt impact, althoug...
Article
Full-text available
Asphyxial injury can be manifest in a number of ways. The recognition of possible signs of asphyxia, by whatever means, is dependent on full assessment, documentation, and interpretation. The different types of asphyxiation are discussed and emphasis is placed on the need to not rigidly classify, but rather interpret findings in the context of the...
Article
It is widely assumed outside the forensic medical arena that sexual assault of any nature will result in anogenital injury. This is only the case in a minority of assaults. Appropriate assessment, documentation, and interpretation of findings in complainants and suspects will best allow the court to determine appropriate outcomes. Consistency and q...
Article
Exposure to carbon monoxide can have a substantial clinical response, whether over the short-term or long-term. The diagnosis of carbon monoxide poisoning or intoxication is a difficult one, mimicking as it can, many other conditions. This chapter summarizes the pathophysiology, the clinical efforts, and how the diagnosis is made and potential mana...
Article
Presentations of deliberate self-harm or self-injury are not uncommon and may range from the trivial to the severe and fatal. For the forensic physician, who sees an often unique group of potential self-harmers within the medicolegal system, the question of deliberate self-harm may be challenging. This chapter discusses the classical features of ph...
Article
Full-text available
Irritant sprays (formerly known as incapacitant sprays) are in widespread use in police and other settings as a means of restraint and control. There are wide variety of different sprays. This chapter focusses on the nature, effect, and complications associated with the two sprays used by UK police services – CS and PAVA sprays.
Article
The care of detainees (prisoners) in police custody has had much focus in recent years. The nature of the role of the doctor or other healthcare professionals within the police custodial setting may often be subject to conflicts, but their respective duties as healthcare professionals should generally overide any police or forensic issue that may b...
Chapter
Determining the time of death, or time since death, may be crucial in the investigation of crime in assisting with the identification of a perpetrator or the exclusion of an individual. While no single method for determining time of death has proved to be consistently accurate and reliable, the state of food digestion and degree of gastric emptying...
Chapter
Excited Delirium Syndrome (ExDS) is a term used to describe a form of extreme agitation. It has been criticized by some as having been fabricated as a diagnosis to justify deaths that occur in some agitated individuals during police arrest involving restraint. The medical profession holds a number of views on ExDS. An American College of Emergency...
Chapter
This chapter explores the risks to prisoners (detainees) in short-term police custody. In most jurisdictions short-term police custody refers to the period after arrest whilst police investigations are being undertaken; it lasts often no more than a few days. The healthcare needs of detainees are complex and are often dependent on the nature and qu...
Article
Full-text available
Death and harm is well-recognised in detainees in police custody worldwide. Based on the results of previous global surveys and the CPT (European Committee for the Prevention of Torture) recommendations a questionnaire was developed to summarise the current medical aspects of police custody in European countries. The survey was distributed to named...
Book
Encyclopedia of Forensic and Legal Medicine, Volumes 1-4, Second Edition is a pioneering four volume encyclopedia compiled by an international team of forensic specialists who explore the relationship between law, medicine, and science in the study of forensics. This important work includes over three hundred state-of-the-art chapters, with artic...
Chapter
Full-text available
The relationship between substance misuse and crime is of huge importance worldwide. This chapter will give some historical and current examples of these substantial and complex relationships. Many crimes are drug related, either being involved in acquiring drugs for use, or dealing and trafficking drugs.
Chapter
Documentation of injuries and other cutaneous marks and scars is essential to the proper administration of justice when previous assault or other trauma is alleged. The principles of documentation include detailed history and examination, with, ideally, written, body diagram and photographic documentation. This chapter identifies the key features o...
Book
The misuse of both legally prescribed and illegally supplied drugs is now so widespread that it affects, either directly or indirectly, a high proportion of the population, impacting many areas of daily life. There are few countries that are not touched by some aspect of substance misuse and the consequences for individuals, families and the wider...
Article
Full-text available
Virginity examinations are practiced in many countries, and often forcibly, in a number of contexts, including in detention places; on women who allege rape; on women who are accused by authorities of prostitution; and as part of public or social policies to control sexuality. In other states, the practice is illegal. The purpose of this medico-leg...
Conference Paper
Full-text available
An investigator who is involved in assessing the likelihood of physical abuse must make a decision as to whether the injury seen matches the explanation given. In some instances the pattern of these injuries can give the investigator a possible link to the cause of the injury. Photographic imaging is used to record the patterned cutaneous injuries...
Article
Full-text available
An investigator who is involved in assessing the likelihood of physical abuse must make a decision as to whether the injury seen matches the explanation given. In some instances the pattern of these injuries can give the investigator a possible link to the cause of the injury. Photographic imaging is used to record the patterned cutaneous injuries...
Article
Full-text available
Abstract Investigators assessing the likelihood of physical abuse, must make a decision as to whether the injury seen matches the explanation given. In some instances the pattern of these injuries can give the investigator a possible link to the cause of the injury. Thus, matching an injury pattern to an implement or weapon used has forensic implic...
Article
The provision of clinical forensic medicine services is dependent on jurisdiction and relevant legal instruments. A needs analysis was performed to understand the current service provision within NSW and compare and contrast the service with other jurisdictions in Australia. The aim of this study was therefore to identify the roles, functions and c...
Chapter
This chapter, written by a registered medical practitioner (doctor) and a specialist criminal barrister, is intended to give a brief, very practical perspective on the experience of giving evidence in court. This perspective is intended to ensure that the individual giving evidence is able to assist the court to the best of their ability and feel c...
Article
Full-text available
In the United Kingdom (UK) police restraint and control of detainees is undertaken by assorted means. Two types of incapacitant spray (IS) are approved by the UK Home Office for use: CS (o-chlorobenzylidine malononitrile, dissolved in an organic solvent-methyl iso-butyl ketone and pelargonic acid vanillyamide (PAVA). The aim of this study was to do...
Article
Full-text available
The aim of this study was to determine the incidence of, and any changes in, usage patterns of the less-lethal forms of Use of Force (UoF) modalities-incapacitant spray, impact rounds, and Taser(R)-between 2007 and 2011 by English and Welsh police services. Additional information regarding the deployment and discharge of firearms was also sought. T...
Chapter
Related TermsForensic medicine; Forensic pathology; Forensic and legal medicine; Legal medicineDescriptionForensic medicine is that medical speciality that embraces all medical matters involving the law and all kinds of judicial process. Two main branches exist, clinical forensic medicine, which deals predominantly with the living person and is und...
Article
Full-text available
Alleged fatalities associated with conductive-energy devices (CEDs) are similar to alleged serious adverse events (SAEs) after the use of pharmaceutical products: both types of case arise rarely, in complex (if not unique) combinations of circumstances, frequently when there are multiple concomitant putative aetiologies for the injury, and after th...
Article
For the clinician managing a woman who has been violated sexually, core values of compassion, understanding and concern for the woman's distress are essential. The nature of the violation itself places the woman in a uniquely dependant, anxious, vulnerable and exploitative state. Capacity, consent and confidentiality derive from the principle of au...
Article
Full-text available
The aim of the study was to determine the quality and nature of photographic images submitted to the National Injuries Database (part of the National Policing Improvement Agency) in the United Kingdom, for expert assessment and interpretation. A prospective analysis of cases (n = 50) were assessed for the number, origin, type and quality of images....
Article
Recently, the National Institute of Justice (NIJ) of the United States of America convened a meeting of experts in the area of Excited Delirium Syndrome (ExDS). The history of ExDS, the clinical presentation, the pathophysiology, differential diagnoses and management options were discussed. Though the specific pathophysiological pathways of ExDS ha...
Chapter
The term “forensic medicine” is now used to embrace all aspects of forensic work of a medical nature. In the past, the term was often used interchangeably with “forensic pathology” – the branch of medicine which investigates death. Nowadays the phrase “clinical forensic medicine” is properly applied to that part of medical practice whose scope invo...
Article
IntroductionSafeguarding children is a fundamental responsibility of paediatricians but perceived as an increasingly unattractive task against a backdrop of adverse publicity from serious complaints. All paediatric consultants should be competent to undertake child safeguarding work relevant to their professional role.AimsTo determine (a) whether c...
Chapter
Injury visualizationNomenclaturePhotographyAging of injuriesForce of injuryMedical limitations and considerationsGenito-anal injuries in the adultChild abuseSelf-inflicted injuryOther specialist opinionsOpinionsHow to avoid errorsReferences
Article
Full-text available
IntroductionSexual assault settings and characteristicsFindings after sexual assaultToxicology and sexual assaultForensic science and sexual assaultTreatment after sexual assaultSummaryReferences
Article
IntroductionForensic aspects of self-harmPsychiatric aspects of self-harmEpidemiologyClassifi cation of self-harmThe clinical dilemmaManagementLong-term outcomeConclusion References
Book
Although forensic medicine has been in existence for centuries in one guise or another, it is only with the recent growth in international research that it has begun to be acknowledged as a specific discipline in its own right. Many areas of progress are being made and this text aims to provide a unique, in-depth and critical update on selected top...
Book
Full-text available
This book summarizes and explains the main approaches to age estimation in the living, defining when a parameter may be of use and raising awareness of its limitations. This text ensures that practitioners recognize when an assessment is beyond their area of expertise or beyond verification depending upon the clinical data available. Each key appro...
Chapter
IntroductionPrinciples of PracticeDuties of the Examining PractitionerCriminal Issues in Age Determination in the LivingPractical ImplicationsSummaryReferences
Chapter
IntroductionContrasts between Age Assessment in the Living and the DeceasedReasons for Age Estimation of Bodies and Human RemainsReasons for Age Estimation of Living IndividualsAssessment TechniquesHow Age May Be Specifically DocumentedBirth CertificatesIdentity CardsDriving LicencePassportsAge Verification CardsOther DocumentsMedical IssuesCommuni...
Article
Serious harm is rare, but incident reporting needs to be improved
Article
Full-text available
Little is known about the general healthcare needs of detainees in police custody. The aims of this study were to: determine the level of general health issues, diseases and/or pathology for detainees in police custody, and to determine how well those general health issues, diseases and/or pathology are being managed. This was done by a detailed an...
Chapter
Full-text available
The investigation of allegations of sexual assault requires appropriate medical examinations and forensic sampling of both complainant and the alleged perpetrator. Such examinations require knowledge of normal human anatomy and physiology, principles of appropriate examination, appropriate methods of assessment and forensic sampling, appropriate me...
Article
Full-text available
Introduction: Police services within England and Wales are required under the Police and Criminal Evidence Act 1984 to ensure appropriate healthcare to those detained in police custody (forensic medical services). Traditionally doctors have been used by police services to provide an appropriate level of care. Changes within the Act allowed other h...

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