AR-2010-2011 - Victorian Institute of Forensic Medicine
Transcription
AR-2010-2011 - Victorian Institute of Forensic Medicine
Victorian Institute of Forensic Medicine Annual Report 2010/2011 SERVING THE COURTS CONNECTING WITH THE COMMUNITY ii Victorian Institute of Forensic Medicine Annual Report 2010/11 Report of Operations – Accountable Officer’s Declaration In accordance with Financial Management Act 1994, I am pleased to present the Report of Operations for the Victorian Institute of Forensic Medicine for the year ending 30 June 2011. Stephen Cordner Director 1 VIFM Annual Report 2010/11 Connecting With the Community Contents OVERVIEW Report of Operations – Accountable Officer’s Declaration inside front cover Who We Are 2 Chairman’s Report 4 Director’s Report 6 Obituaries and Tributes 9 OUR SERVICES 12 Medico-Legal Death Investigation Services 16 Clinical Forensic Medicine Service 24 Forensic Scientific Services 28 Donor Tissue Bank of Victoria 34 Department of Forensic Medicine (Monash University) 38 National Coronial Information System (NCIS) 43 International Program 44 46 Administration Support Services CORPORATE GOVERNANCE 54 55 Our Governance The Institute Council 55 FINANCIAL PERFORMANCE 63 Legislative and Statutory Reporting 66 70 Risk Attestation APPENDICES 71 Appendix A: Publications 71 Appendix B: Presentations and Abstracts 74 Appendix C: Committees 83 Appendix D: VIFM Staff by Department 85 Appendix E: VIFM Contract Staff 88 FINANCIAL STATEMENTS 89 2 Who We Are We are committed to making our community a safer place to live. As Australia’s most comprehensive forensic medical centre, the Victorian Institute of Forensic Medicine serves the community and the courts. Our statutory responsibilities are to provide independent, expert forensic medical and scientific services to the justice system, tissue for transplantation, to teach and to undertake research. The VIFM provides the justice system with evidence to underpin safe convictions and appropriate acquittals. Its doctors help investigate deaths reported to the Coroner, examine alleged offenders and assess, treat and support victims of crime. The Donor Tissue Bank of Victoria supports patients and their families by providing safe tissues for transplantation and medical research. As part of Monash University, the Department of Forensic Medicine teaches and conducts forensic medical, scientific and public health focused injury research often in collaboration with international organisations. Our Legislation The Victorian Institute of Forensic Medicine is a statutory authority established by the Victorian Institute of Forensic Medicine Act 1985 (VIFM Act 1985). It operates under the auspices of the Department of Justice, reporting to Parliament through the Attorney-General, the Hon Robert Clark. The Victorian Institute of Forensic Medicine Act 1985 provides the main statutory framework for the Institute’s operations, setting out its objects, functions, powers and other requirements. The Coroners Act 2008 provides further legislative requirements for our role as medical investigators undertaking autopsies and other medical and scientific examinations to assist coroners. The Human Tissue Act 1982 sets the rules under which the Donor Tissue Bank of Victoria (DTBV) undertakes its work. Compliance with the Therapeutic Goods Act 1989 also underpins the operation of the DTBV. The Act also regulates the donation and retrieval of human tissue before and after death, prohibits the trading in human tissue and gives a legal definition of death. Our Vision We will be recognised for excellence in what we do. Our Mission Underpinned by ethical principles, our purpose is to: • provide independent forensic medical services to the Victorian public and justice system • contribute more broadly to community health and safety (of communities in Australia and overseas) • increase knowledge through teaching and research and • enable the provision of high quality human tissue grafts for transplantation. “ Veritas Omnia Vincit – Truth Conquers All 3 VIFM Annual Report 2010/11 Connecting With the Community We respect all people, our history, our calling and the law. Openness We are open minded. We are open to each other, and open to knowledge and learning. Service We provide services for the community that are dedicated, responsive and client focused. Integrity We will be beyond reproach. We commit to truth, confidentiality, impartiality and accountability. We commit to systems that are secure, reliable, accurate, valid and safe. Innovation We are creative and curious. We are not afraid to do things differently. We will continue our search for knowledge and truth. Our Working Relationships The Institute’s success depends on the strength of our partnerships and our working relationships with those to whom we report and with whom we work, including: the Attorney-General, courts including the Coroners Court of Victoria (CCOV), the Department of Justice, Monash University, the University of Melbourne, the Australian Federal Police (AFP), Victoria Police, public and private hospitals. The legislation under which the Institute is established, and the mission which guides its strategic direction, require the VIFM to undertake teaching and research in forensic medicine and related scientific disciplines, including tissue banking. Academic activities in forensic medicine and related disciplines are fundamental to the VIFM’s credibility in the courts, the justice system and its standing in the medical and scientific environment. Our Strategic Goals The Institute’s five year strategic plan 2008–12 sets out four key goals which are fundamental to achieving our vision and delivering our mission. The four goals are: 1. Improve provision of quality forensic and scientific services and access to human tissue 2.Ensure a highly trained forensic, medical, scientific and technical workforce 3. Increase VIFM’s research output, with an emphasis on death and injury prevention and public health and 4. Secure a sustainable future for the Donor Tissue Bank of Victoria. Further information can be found in the VIFM Strategic Plan on the VIFM website: www.vifm.org ct . open e n sp es s . ser vice tion . a v o re n n Respect Our Role in Teaching, Training and Research r nteg ity . i .i Our Core Values 4 Chairman’s Report “ The reputation of the Institute was considerably enhanced by the manner in which its members efficiently and sensitively accomplished the task of identifying the victims of the recent Victorian bushfires. This expertise has been made available internationally for example, in East Timor, Solomon Islands, Indonesia and Thailand. VIFM Annual Report 2010/11 Connecting With the Community The Victorian Institute of Forensic Medicine has been serving the community for almost 25 years. It is no idle boast to assert that it is one of the leading institutes in the international world of forensic medicine. One of the unique features of the VIFM is the diversity of its operations. As a provider of objective, independent, expert evidence on medical and scientific matters, the Institute has acquired the confidence of the Courts. I can speak personally of the views of my colleagues on the Supreme Court, including those of the Chief Justice. The presentation of expert evidence to the Courts in the area of Medico-Legal Death Investigation, and in cases of physical and sexual assault, is perhaps the principal activity of the Institute. The VIFM also serves the community in Disaster Victim Identification. The reputation of the Institute was considerably enhanced by the manner in which its members efficiently and sensitively accomplished the task of identifying the victims of the recent Victorian bushfires. This expertise has been made available internationally for example, in East Timor, Solomon Islands, Indonesia and Thailand. The Institute houses the Donor Tissue Bank of Victoria with its capacity to improve the quality of life of the living, with tissues for transplantation provided by the dead. A team of specialist doctors and nurses make up the Clinical Forensic Medicine section of the Institute. Their work includes being on call to assess the injuries of victims of sexual and other assaults. The commitment of the Institute to teaching and research is another aspect of its service to the community. In the last 10 years, scientific papers, conference presentations and the publication of specialist books have totalled in excess of 500 – an extraordinary achievement. This academic output underpins the rationale for the Institute being the appropriate organisation to operate the National Coronial Information System, as it has since its inception for 10 years. In addition to its role teaching local medical students and graduates, the VIFM is assisting developing countries to establish forensic capabilities. In partnership with the Australian Federal Police it has undertaken a workshop in East Timor on forensic evidence and a forum for African Forensic Pathologists in Botswana. It is now in the process of training African doctors. Forensic dental training in the United Arab Emirates, and a programme on sexual violence in Namibia for African clinicians, are recent activities. Further international programmes are in the planning phase. The essential independence of the Institute is derived from its status as a statutory body governed by a highpowered Council comprising judges, leading bureaucrats, the Deans of the Melbourne and Monash medical schools, and an Assistant Commissioner of Police. Another significant factor in sustaining the Institute’s activities over the period of its existence has been the provision of adequate government funding. The fact is that Victorian governments of both political persuasions have supported the work of this Institute and that support ought to be acknowledged. I would particularly like to mention the initiatives of successive Attorney-Generals: • The Honourable Jim Kennan, who, at the urging of Chief Justice John H Phillips and Professor Vernon Plueckhahn, established the Institute • The Honourable Jan Wade, who not only expanded the Institute to include Clinical Forensic Medicine, but also provided considerable funds for the VIFM to establish and develop the National Coronial Information System and • The Honourable Rob Hulls who obtained the funding to redevelop the premises housing the Institute and the Coroners Court of Victoria. The Institute welcomes the support of the new AttorneyGeneral of Victoria, The Honourable Robert Clark, who, in April 2011 launched the new VIFM website with its modern and comprehensive showcasing of the organisation through textual references and YouTube presentations. In the past year, a number of individuals have made important contributions to the operation of the Institute. Once again the members of the Council have selflessly devoted their valuable time to ensure that the VIFM continues to perform its statutory functions for the benefit of the community. The considerable work of Professor Bob Conyers as Chair of the Executive & Finance and the Audit & Risk committees should be acknowledged, as should that of Mari-Ann Scott, the Chief Operating Officer. During the reporting period Associate Professor David Ranson and Dr Noel Woodford each ably occupied the position of Acting Director for 6 months (while Professor Stephen Cordner was undertaking an Outside Studies Programme). Some of the challenges that they faced are canvassed in the Director’s Report. The Institute also benefited from the support of the Department of Justice – in particular the Secretary of the Department – Penny Armytage and Louise Glanville, Executive Director, Legal and Equity. We look forward to working with the incoming Executive Director, Marisa De Cicco who took up her role in mid-June. The lifeblood of any organisation is its staff. The success of the VIFM has been built upon the efforts of the current staff and their predecessors. It is the staff who perform the post mortems, the medical examinations, the dental and anthropological investigations and who conduct the scientific tests. They frequently undertake these vital tasks with time constraints, and in the knowledge that their opinions and the results of their tests may be publicly scrutinised in the Courts. It is well and truly time that the public was made aware of the skill that members of this Institute bring to their work and the pride they take in it. Those who view the 21st century website of the Victorian Institute of Forensic Medicine will be left in no doubt that its members are dedicated to serving the Victorian community, a task more skilfully achieved because of service also nationally and internationally. The Hon John Coldrey QC Chairman 5 6 Director’s Report “ This year has seen further advances in the area of ‘cold case’ investigation with provision of funding from Victoria Police to Forensic and Scientific Services for collection of DNA samples from relatives of missing individuals and analysis in our molecular biology laboratory. VIFM Annual Report 2010/11 Connecting With the Community The last year has been particularly important for the Victorian Institute of Forensic Medicine. The substantial investment made by the government in forensic medical services has started to be realised with the commencement of the major redevelopment of the Institute’s premises in Southbank. A building project of this scale, taking place in premises that are continuously being used to serve the community, takes considerable coordination. The Institute is very grateful for the work of the project steering group of the Department of Justice which is overseeing this project and we would particularly like to thank Ms Vicky Winship who is coordinating the building project for the Institute and ensuring that we are able to continue functioning during this very busy time. Professor Stephen Cordner has been away on an Outside Studies Programme over the past year and the role of Director has been shared by Associate Professor David Ranson and Dr Noel Woodford. This has been a particularly busy year for us with major changes underway not only in the building in which we work but in regards to the operational aspects of our work with Victoria Police, health care agencies and the courts. This Annual Report is testament to the very large range of activities the Institute carries out on behalf of the community in supporting both our health care and justice systems. We would encourage you to visit the Institute’s new website (www.vifm.org), which was launched by the Attorney General in April 2011 to gain a further understanding of the wide range of services we provide in Victoria and in other jurisdictions. The work of our Clinical Forensic Medicine service has undergone a major review this year. Laboratory and hospital-style quality systems have been integrated into Clinical Forensic Medicine. This has allowed the Institute to collaborate with the National Association of Testing Authorities (NATA) in moving towards the development of common national standards for clinical forensic medical services in Australia. Sexual assault services in Victoria are undergoing a review in particular with regard to the availability of high quality premises in which our patients are examined. This has involved reorganisation of the Forensic Nursing Service and investigation of the appropriate facilities that are required for sexual assault centres. The Donor Tissue Bank of Victoria has undertaken a business review and at the same time has provided a submission to the state’s Legislative Council enquiry into organ donation. The Institute’s building redevelopment has been a major challenge for the tissue bank. The laboratories and storage facilities have had to be moved and the new locations recommissioned to comply with national quality standards for the provision of safe tissues for transplantation. During the year Dr Marisa Herson decided to step down from her role as the Head of the Donor Tissue Bank of Victoria for personal reasons and in order to pursue a wider range of tissue transplant activities, both in Victoria and nationally. We wish her well in these pursuits and would like to thank her sincerely for the commitment she displayed in one of the very demanding roles at the Institute. The successful grant of $13M from the Commonwealth for the new DTBV facility stands as a testament to this. The Forensic Pathology service has instigated a major review of its case management system aimed at improving the efficiency of the service we offer to the Coroners Court of Victoria and Victoria Police. The Courtlink project at the Coroners Court of Victoria has also involved a review of operations within the Forensic Pathology Service which we believe will be of great benefit to the Victorian community. Pathologists have met with senior police within the homicide squad and state forensic science services to improve the way in which we undertake investigations at death scenes with regard to trace evidence collection and security. We have been fortunate in being able to recruit new forensic pathology staff from the United Kingdom, New Zealand, and the United States of America. It is very satisfying to know that we are a centre that is able to attract experienced and enthusiastic forensic pathologists to come and work with us. Over the year we have been able to assist the Coroners Court of Victoria in dealing with many of the complicated cases involving deaths in the setting of medical treatment. And we have assisted in providing a new range of services in this area which is increasing the efficiency of these death investigations. This work has enormous benefits to the community as it provides healthcare agencies with critical information that enables them to improve patient care and safety in their own organisations. This year has seen further advances in the area of ‘cold case’ investigation with provision of funding from Victoria Police to Forensic and Scientific Services for collection of DNA samples from relatives of missing individuals and analysis in our molecular biology laboratory. These endeavours have so far resulted in the positive identification of one previously unidentified person. The toxicology laboratory has consolidated its work with Victoria Police in the identification of drugs in injured drivers and continues to play an important role in the provision of an overnight toxicology service in support of our preliminary examination of deceased individuals admitted to the Institute. Over the year the Institute has been privileged to receive visitors from around the world. Dentists and Forensic Pathologists from the United Arab Emirates have visited the Institute looking at the ability for training provision and to undertake a number of the experience-based training programs that we offer. We have had visitors from Israel, China, India, Malaysia, Argentina, Singapore and Indonesia and currently have a Swiss lawyer visiting us exploring the impact of virtual autopsy on the legal system. We continue to support forensic anthropology work in East Timor in association with the Argentinian Forensic Anthropology Team and to provide training for pathologists from Sri Lanka. Professor Stephen Cordner became the patron of the African Forensic Medicine Network, which is helping to bring forensic pathologists 7 8 together across the African continent and is working to set standards and improve training in many African countries. Specialists from the VIFM, with support from the Australian Federal Police, conducted a workshop in Sexual Violence in Namibia. The Department of Forensic Medicine at Monash University will soon be hosting candidates from Kenya, Uganda and Nigeria into the Masters in Forensic Medicine Program. In keeping with our theme of supporting and working with the community, the Institute played a major part in the Royal College of Pathologist’s open public forum on pathology and forensic pathology held at the Old Melbourne Gaol. There we were able to demonstrate to the public at large the work of forensic pathology and its contribution to justice and the health and welfare of a community in Victoria. This was extremely well attended and demonstrated the interest of the community in the work we do. were all very disappointed at the behaviour of the individual involved. We have taken the opportunity to reflect on how we secure the information entrusted to us, and look after the privacy of those involved. We would like to emphasise that no criminal or coronial investigation was interfered with by virtue of the breach. This record, in something around 100,000 deaths investigated during our history, remains intact. One of recommendations was that the Attorney General ask the State Services Authority to undertake a review of the relationship between the State Coroner/Coroners Court of Victoria and the VIFM. This review commenced in July 2011. Also during the year was the Ombudsman’s investigation and report into the improper use of information by one of our staff. We provided the executive support to the Institute’s Security Review Committee founded in the wake of the investigation. The report made four recommendations which, at the time of writing, have either been addressed or are in the process of being addressed. The management and staff of the Institute Finally, it would be remiss not to address some of the major crises around the world that the Institute has been able to assist with. The devastating earthquake in Christchurch required a major disaster victim identification response. The Institute provided pathology and technical support in Christchurch at this very difficult time. Our hearts go out to those who were so deeply and personally affected by this tragedy. The tsunami and devastation in Japan was another major international incident where the Institute played a very small and mostly advisory role. Professor Cordner visited Japan for discussions on the nature of the responses that could be made to the disaster and we kept in close contact with our professional colleagues and friends in Japan who were working so hard at a very difficult time. Associate Professor David Ranson Acting Director (June – November 2010) Dr Noel Woodford Acting Director (December 2010 – June 2011) VIFM Annual Report 2010/11 Connecting With the Community Obituaries and Tributes James Harley “Jim” Kennan SC 24/02/1946 – 04/08/2010 Jim Kennan laying the Foundation Stone on 2 June 1986. A tribute by Stephen Cordner, Director of the VIFM. While battling cancer, Jim collapsed unexpectedly at work and died on 4 August 2010. The headlines of Jim’s career are well known. He obtained his Masters in Law from the University of Melbourne, was called to the bar in 1971, became a founding member and later President of the Victorian Society of Labor Lawyers and a founding member of the Fitzroy Legal Service. He was elected to the Legislative Council in 1982 and moved to the Assembly in 1989 as the member for Broadmeadows. He had no fewer than 7 portfolios in his 11 years in Parliament, and for 2 years was Deputy Premier. At the time he left parliament in 1993 he was head of the Opposition. It was during his time as Attorney General that the VIFM was established. In November 1983, the month after his appointment as Attorney General, Professor Vernon Plueckhahn, John Phillips QC and Professor Graeme Schofield met with him. They were given firm assurance of his support for the establishment of a new Coronial Services Centre housing the coroners courts and a new separate entity: the Victorian Institute of Forensic Pathology (VIFP). He agreed that the person appointed to the Chair of Forensic Medicine at Monash University should also be the Director of the VIFP. In December 1983 he instructed the then Law Department to investigate the availability of suitable sites for the new facility. By July 1984, a detailed client concept brief and a feasibility study were complete. Jim unveiled the foundation stone for the new centre on 2 June 1986 and the Centre was opened by the Premier on 26 July 1988. in the light of issues of expert evidence in the Chamberlain case and the appalling physical facilities, and their consequences, at the Coroners Court in Flinders Street Extension. His leadership meant that Victoria anticipated many of the recommendations of The Royal Commission into Aboriginal Deaths in Custody (RCIADIC, 1987-1991) designed to remedy the poverty of death investigations it had revealed. Following his parliamentary life, he intersected with us via his work on the Australia India Council (a bilateral foreign relations council) and as a barrister. He helped ensure the success of the Indo-Pacific Congress of Law Medicine and Science held in Melbourne in 2002 (five days after the twin towers outrage and the collapse of Ansett Airlines) by speaking to the 500 registrants gathered for dinner. He represented a number of clients, and as we historically have, we will always speak to legal representatives to help them understand what it is we have found and what it means. It is also right in this brief memoir to highlight his tremendous support for our sister institute, the Victorian Institute of Forensic Mental Health. Even more so than his support for forensic medicine, there were never any votes in supporting forensic psychiatry. But he not only did this while in government, but he afterwards served for 10 years as the Chair of its Board. Victoria owes Jim Kennan a huge debt for his support of forensic medicine and psychiatry. Australia struggles to properly recognise its leaders and to remember their achievements. Jim was never interested in seeking recognition, but a leader he was, and one who contributed in numerous tangible ways. Amongst these is an enduring legacy in coronial services, forensic medicine and forensic psychiatry in Victoria. David (Freddy) Freeman 04/07/1951 – 10/07/2011 He was an avid Geelong supporter, as is Professor Plueckhahn. He once referred to his role in the completed project as being alone in the goal square, the beneficiary of all the work up field, receiving a hand pass from Gary Ablett (senior) and simply having to put it through for a goal. That, he surely did. This eulogy was written by Stephen Cordner, Director of VIFM, and is based on what he delivered at David’s funeral. Jim was keen to receive regular updates personally about the development of services within the Centre. He understood completely the value of its work, especially David Freeman, the longest standing public servant on the VIFM staff, died in hospital following complications of surgery. David was a Pascoe Vale lad his entire life. 9 10 His father, Arthur, was a tram driver until he purchased and drove his own taxi. David had three older brothers: Les, Kevin and Peter and the home environment when he was growing up was a loving and safe one. However, as the youngest, there is not much doubt that David perhaps got away with more than any of his brothers! In short, he had fun as a child. He was a scout, went on camps with Peter, and the family knew the neighbourhood and all the people in it well. David went to school at St Joseph’s College and then Strathmore High where he completed his leaving certificate in 1968. He went to work with the Victorian Railways the following year, doing a further two leaving subjects at the same time. He moved to the Attorney General’s Department and then Agriculture, before returning to Attorney General’s in 1975. There he stayed, first in the Magistrate’s Court, then the Coroners Office, and finally the VIFM, in a range of finance and administrative roles. David lived with his parents in Pascoe Vale South for 20 years before moving with them to Pascoe Vale Road, and 40 years later was still living in the same house. Essentially David spent his whole life in the family home. This attachment to family was a characteristic that he extended to the campus here in Southbank, which he regarded as his second home, and everyone in it as part of his extended family. The night before he went to hospital for the last time he stayed at work very late. Dianne, his much loved partner of 21 years, finally coaxed him out for a meal at about 11pm. Nobody ever heard David say a bad word about anyone, or heard him buy into gossip or the politics of work life. This was one of the reasons that he commanded great affection. There were many elements to this affection people had for him: – nothing was ever too much trouble for him if it meant helping someone – often a person he had just met, an overseas visitor or (as is often the case here) someone walking around looking lost. – the smell of raisin toast early in the morning, even the weekends when there was a function on, and sometimes when there wasn’t – “don’t worry, I will fix that” – “do you want me to organise something for these people?” – looking completely at home with the refreshments in our foyer or the barbeque in the dock area – everything in hand, low key, tastefully within budget – his encyclopaedic knowledge of the stores – his unfailing eagerness to help – his ‘retro’ culinary skills: cabana, dips, perfect cheese cubes, meticulously sliced tomatoes and onions; his mysterious rissole recipe – his discretion and loyalty – his love of our place, its people and respect for its guests – his huge support of our visitors from Sri Lanka in particular, and Africa (Kenya, Tanzania and Nigeria) – evidenced by their unfailing gratitude in return and it would be wrong not to include his affection for beer: “the existence of beer is evidence that God meant us to be happy” he was quoted as saying by one of his nephews at his funeral! Dianne and David’s brothers are all agreed that David loved his work, loved his life at work and the camaraderie of work. This was a camaraderie he in part created. In his last days in hospital, he was asking Dianne for his mobile phone: “What about if work needs me?” he argued. From my own point of view, a huge contribution he made was the hospitality he offered to so many of our overseas visitors, including those with families, staying for a year or more. Those who have lived and worked away from home know more than most how important friendship and companionship can be in the face of loneliness and homesickness. David, and Dianne, as well as his brothers’ families, have contributed tremendously to the experience our visitors had of VIFM, and of Australia. His brother Peter told me, laughing, of David turning up on Christmas Day in a small minivan with the Sri Lankan family of one of our trainees. They were all immediately welcomed for the traditional Christmas lunch! The number of our overseas alumni who have written, having heard of David’s death, with so many fond memories of being looked after by him (and Dianne), speaks for itself. I came across a letter from an overseas elective student, here for perhaps six weeks: “David went out of his way to make me welcome in Melbourne; and it is down to him that the Melbourne Demons now have an extra supporter after watching them thrash St Kilda at the MCG.” Being a Melbourne fan myself, and knowing how desperately we need support, I can’t tell you how glad I was to read that. (David himself was a dyed in the wool Collingwood supporter). There was a Collingwood flag standing proudly at the foot of his hospital bed. In the same file were myriads of thank you letters from all sorts of people and organisations grateful for the hospitality shown them at VIFM by David. And at his funeral, over 200 people gathered to honour him and to share these and many other memories of a man who loved his family, his freedom, and gave generously to others in return. VIFM Annual Report 2010/11 Connecting With the Community Dr Stan Pilbeam 12/12/1925 – 02/05/2011 L–R: Adrian Nye, Chairman of the VMIA, Dr Stan Pilbeam, Mrs Marion Pilbeam, and former Victorian Premier John Brumby at the 2007 Rural Medicine awards. This obituary was kindly provided by Dr Stan Pilbeam’s son, Dr Mark Pilbeam. Stan Pilbeam was born on December 12, 1925 and grew up in the village of Firle, about 4 miles from the county town of Lewes in Sussex. His parents were workers on the estate of Lord Gage and he attended the village school. He showed remarkable scholastic aptitude and won a scholarship to Lewes County Grammar School, where he gained many prizes and awards, including a scholarship in 1944 to study medicine at Cambridge University. During his undergraduate training he won many exhibitions and prizes, obtaining his medical qualifications in 1948. Following his residency he served in the Royal Air Force and spent two years as a medical officer in Southern Rhodesia. Newly married to Marion, he returned to England and began postgraduate studies in clinical biochemistry and subsequently in other areas of pathology and returned to Africa to become the pathologist in Nyasaland (now Malawi). He obtained a diploma of clinical pathology in 1961 and was a founding member of the Royal College of Pathologists. In 1964 the family, now with four children, moved to Australia and Stan became the pathologist to the Gippsland Base Hospital in Sale. In 1966 they moved to Ballarat and it was there that he practiced as a pathologist, initially at the Ballarat Base Hospital with an appointment at the St John of God Hospital. Subsequently he became the regional director of pathology and was responsible for the development of a network of laboratories throughout western Victoria. He retired from the Ballarat Base Hospital in 1990 but continued to work at St John’s until 2001 when he retired from practice. In his retirement he continued to take a great interest in medicine, serving on different hospital committees and consulting on “cold” cases. He was passionate about pathology, and especially about forensic pathology. His early experiences in Africa and his insatiable curiosity drove his practice and for 25 years he was a coroner’s pathologist in western Victoria. His work was meticulous and held in high esteem by coroners, lawyers and police. He also worked at the old coroner’s mortuary in South Melbourne for many years and at the time of the opening of the new Coronial Services Centre in 1988 was one of the first pathologists appointed. He was determined that regional pathologists should have coronial experience and encouraged their attendance at VIFM. He was also a great promoter of education and was a founder of the Town and Country Pathologists Club, whose first meeting took place in Ballarat in 1967. Coronial matters were always on the agenda at the club meetings with many interesting cases presented. Stan was a man of great vision and could see the important role of science and the evidence-based approach in the development of modern medicine. His experiences in Africa taught him novel ways of solving diagnostic and administrative problems and the importance of a co-operative approach. He was greatly respected by his clinical and administrative colleagues and his opinions were always highly valued. We are all in his debt for the commitment he showed to his craft, and to his clinical and laboratory colleagues, all of whom he regarded as his friends. We will miss his ready wit and his impish smile as much as his incisive mind and organisational genius. Vale Stan. Michael Georgesz 27/01/1969 – 28/04/2011 L–R: VIFM staff Emily Orchard, Michael Georgesz, Joanne Hanna, Michael Pais pictured here after completing the Melbourne Marathon in 2007. Staff of the Victorian Institute of Forensic Medicine would like to acknowledge the passing of Michael Georgesz after a sudden and rapid illness on 28 April 2011. Many Institute staff will remember Michael as the Purchasing and Supplies Officer, a position he held from 2006 until his resignation to pursue other opportunities in August 2010. During the time he worked at the Institute, Michael was also a keen member of the VIFM running team and participated in many fundraising runs including the Melbourne Marathon in 2008. His death at such a young age is a tragedy for his family and for those of us here who knew him. 11 12 OUR SERVICES “ We must attract, develop and retain employees of the highest quality and provide a working and learning environment that will allow employees to maximise their contribution to the achievement of VIFM’s goals. 13 VIFM Annual Report 2010/11 Connecting With the Community Introduction We deliver the following services on a daily basis: • forensic pathology services for the Coroners Court of Victoria, and the State of Victoria • clinical forensic medical services • forensic scientific services • tissue banking services (Donor Tissue Bank of Victoria) and • administration and support services. In addition there are the services of teaching and research delivered through the Department of Forensic Medicine, which is part of the School of Public Health and Preventive Medicine in the Faculty of Medicine, Nursing and Health Sciences at Monash University. Service Structure The chart below shows the organisational structure of the VIFM as at the end of 2010–11. Council (& Council Committees) Deputy Director David Ranson DTBV Acting Head – Stefan Poniatowski Director Stephen Cordner Strategy & Planning Medico-legal and Media Forensic Pathology Services Head – Noel Woodford Administration & Support Services Chief Operating Officer Mari-Ann Scott Clinical Forensic Medicine Head – David Wells Forensic Scientific Services Head – Olaf Drummer Department of Forensic Medicine Head – Olaf Drummer Administration & Support Services Head – Mari-Ann Scott Monash Admin Support Service Heads have a reporting line into the COO for business and operational matters Our greatest and most valued asset is our highly skilled and committed workforce. We currently employ 180 staff working across the institute in a variety of specialist medical, scientific, technical, research and administrative fields. Positioning VIFM to meet the challenge of attracting and retaining a skilled workforce in today’s competitive market requires us to be innovative. We must attract, develop and retain employees of the highest quality and provide a working and learning environment that will allow employees to maximise their contribution to the achievement of VIFM’s goals. 14 VIFM Services and Obligations at a Glance The Victorian Institute of Forensic Medicine serves the courts and community in accordance with the Institute’s statutory objects and functions as set out in the Victorian Institute of Forensic Medicine Act 1985. The following is an overview of the services provided by VIFM: Medico-Legal Death Investigation Service Summary The VIFM Act 1985 provides that the functions of the Institute are: The Medico-Legal Death Investigation service provides detailed medical and related scientific information and reports (autopsy reports, medical examination findings and medico-legal opinions) to the Supreme, County, Magistrates and Coroners Courts of Victoria Police, legal and medical practitioners as well as a number of other public and private organisations. SECTION 64(2) to provide promote and assist in the provision of forensic pathology and related services in Victoria and as far as practicable, oversee and co-ordinate those services in Victoria. SECTION 66 to provide facilities and staff for the conduct of examinations in relation to deaths investigated under this Act; to identify by radiological or odontological examination or other means the remains of deceased persons whose deaths are being investigated under this Act. to conduct other appropriate investigations or examinations in relation to the cause of death of any person; to properly document and record findings and results of investigations and examinations; to provide reports to coroners about the medical causes of deaths and the findings and results of investigations and examinations; In relation to Reviewable deaths, to investigate, assess and instigate appropriate responses in respect of: i. The health or safety of a living sibling of a deceased child; and Forensic Scientific Clinical Forensic Services Medicine ii. The health of a parent of a deceased child, where the death of that child constitutes a reviewable death. Clinical Forensic Medicine (CFM) is the branch of clinical medicine that interfaces with both the medical and legal aspects of patient care. CFM at the VIFM applies expert medical knowledge to the collection and interpretation of medical evidence in order to provide impartial information that may assist victims, the police and the judicial process. SECTION 64(2) to provide, promote and assist in the provision of clinical forensic medicine and related services to the police force of Victoria and government bodies. The work of forensic and scientific services is carried out under the provision of ‘related services’ for Victoria both as an integral part of the work of the forensic pathologist for the coroner and also to provide services to the wider Victorian community. SECTION 64(2) to provide promote and assist in the provision of forensic pathology and related services in Victoria and as far as practicable, oversee and co-ordinate those services in Victoria. SECTION 66 to ensure the provision of clinical forensic medical services to the police force of Victoria and government bodies in accordance with agreements for services between those bodies and the Institute; SECTION 66 to conduct chemical, microscopic, serological, toxicological and other examinations of tissue and fluids taken from deceased persons coming under the jurisdiction of coroners in Victoria; VIFM Annual Report 2010/11 Connecting With the Community Teaching Donor Tissue Bank of Victoria Service Summary The VIFM Act 1985 provides that the functions of the Institute are: The core function of the DTBV is to provide Australian surgeons with tissue grafts for transplantation in many areas of orthopaedic, cardiothoracic, reconstructive surgery and burn care, benefiting many Australian citizens every year. DTBV also facilitates access for researchers who require access to human tissue for the completion of ethically approved research projects, further advancing health care and teaching. SECTION 64(2) to provide tissue banking facilities and services. The Department of Forensic Medicine operates as a department within the Faculty of Medicine, Nursing and Health Sciences at Monash University. Its primary function is to advance the discipline of forensic medicine and its associated disciplines both in terms of its training and development of future practitioners and to increase the evidence basis for the discipline through research SECTION 64(2) to promote, provide and assist in the undergraduate and postgraduate instruction in the field of clinical forensic medicine in Victoria; The Human Tissue Act 1982 regulates the donation and retrieval of human tissue before and after death, prohibits the trading in human tissue and gives a legal definition of death. to provide training facilities for doctors, medical undergraduates and such other persons as may be considered appropriate by the Council to assist in the proper functioning of the Institute; to promote, provide and assist in the post-graduate instruction and training of trainee specialist pathologists in the field of forensic pathology in Victoria. to promote, provide and assist in the post-graduate instruction and training of persons qualified in biological sciences in the fields of toxicological and forensic science in Victoria. Administration Support Services Research SECTION 66 to promote, provide and assist in the teaching of and training in clinical forensic medicine within medical, legal, general health and other education programs; The Institute continues to be a world leader in SECTION 64(2) its research efforts in our fields. to conduct research in the fields of forensic pathology, forensic science, clinical forensic medicine and associated fields as approved by the Council; SECTION 66 to contribute to reducing the number of preventable deaths and to promote public health and safety and the administration of justice; Our obligation to use our resources productively demands a high standard of management practice. Administration Support Services includes the business management functions of strategy, governance and risk, finance and business services, legal and policy, human resources and organisational development, quality and improvement, information management and technology services, which provide support and enabling services across the Institute. 15 16 Medico-Legal Death Investigation Services “ Determining disease and injuries that may be present at the time of a person’s death can have a positive impact on the health and wellbeing of the community. 17 VIFM Annual Report 2010/11 Connecting With the Community Forensic Pathology Services The Victorian Institute of Forensic Medicine serves the community and the courts by undertaking medico-legal death investigations (MLDIs) in deaths reported to the State Coroner of Victoria. Forensic pathologists focus on the examination of deceased people to assist coroners, police and courts to resolve critical medical issues, including causes of death, the circumstances in which deaths and injuries might have been caused and the relationship of pre-existing natural disease to all of these. Broadly speaking, Medico-Legal Death Investigation services at VIFM include: • Forensic Pathology Services • Forensic Technical Services • Human Identification Services • the Family Health Information Program These examinations include the review of medical histories, investigation of the scene of the death, interpreting the results of forensic scientific testing, x-rays and CT scans, as well as external and internal examinations of the body. (Forensic Scientific Services are considered separately.) The investigation is structured by the forensic pathologist to meet the needs of the many stakeholders involved in each case with the aim of synthesizing all the observations, information and results into a comprehensive report. The vast majority of deaths that are reported to the coroner are not crime related but due to natural causes. In these reported cases a forensic pathology examination is still required to be undertaken by the Institute if there are uncertainties about the circumstances of the death, what occurred around the time of the death, what (if any) diseases the person may have suffered from, and the actual causes of death. Reporting to Government The Institute reports to Government on its activities via the Budget Paper 3 (BP3) statistics. The information provides an accrued measure against target for number of medico legal investigations, quality of reports and timeliness of body turnaround and final reports. While the Institute will do all it can to work around it, the redevelopment of the facility may affect our ability to achieve our performance targets. The table below shows the outcomes for this year. Determining disease and injuries that may be present at the time of a person’s death can have a positive impact on the health and wellbeing of the community. Thus, one focus of Forensic Pathology today is public health, and continuously striving to identify preventable health and safety hazards which will allow the Coroners Court of Summary of Medico-legal Death Investigation outputs Unit of measure Year 2010–11 Comments Target Actual % var -9.3% Results for this performance measure are dependent on the number of deaths reported to Coroners. This has reduced since the implementation of the new Coroners Act 2008 which modified some categories of reportable death. Medico-legal death investigations1 number 4,992 4,530 Victorian Institute of Forensic Medicine Quality audit2 per cent 95% 94% Medical and scientific investigations on the body of the deceased completed within two days3 per cent 65% 81% 16.2% Procedural changes introduced following the new Coroners Act have allowed significant improvements in this measure. Medico-legal death investigation reports issued within agreed period4 per cent 70% 61% -9.4% An increase in complexity of full autopsy cases and the training of new pathologists continue to have an impact on this measure. -1% 1 Count of medico legal investigations as requested by the State Coroner. 2 The percentage of completed case reports found to be satisfactory as a result of a quality audit. 3 The component of time that the medical investigation requires access to the body of the deceased before return to the family. 4 Timeline for completion of an investigation based upon the complexity of the case. 18 Victoria and the Institute to make recommendations as to how particular deaths and injuries might be prevented in the future. In this work we are assisted by a range of other medical experts including nurses, radiologists, paediatric pathologists and neuropathologists who support us in particular cases. Duty Pathologist and Preliminary Examination This move away from the more complex autopsy-based medical death investigation procedures in favour of less invasive examinations has been materially assisted by Institute pathologists developing skills in and using post mortem CT imaging. In addition the availability of 24 hour turn around in toxicology testing and improvements in the availability of background medical documents has enabled pathologists to provide Coroners with far more relevant information and medical advice upon which they can base their case management decisions. Regional Cases On 1 November 2009, the new Coroners Act 2008 came into force resulting in significant changes to the way in which medico-legal death investigations are carried out in Victoria. For the first time in Australia the notion of “preliminary examinations” was created. Presentation of the body at the Institute is the trigger for a preliminary examination by the VIFM pathologist. Supported by VIFM, similar procedures have been adopted by regional pathologists as part of their investigations for the coroner. A preliminary examination involves an external examination of the body, collection of information and review of the circumstances of death and health information such as medical records relating to the deceased and a post mortem CT scan. The taking and testing of samples such as blood and urine, the taking of samples from the surface of the body and identification procedures may also form part of the preliminary examination in specific cases. Rapid toxicological analysis of blood samples can be performed and in certain cases is a critical component of the preliminary examination. Following completion of the preliminary examination, the duty pathologist attempts to formulate a reasonable medical cause of death and forms an opinion as to whether a full autopsy is required or not. Taking this information into account, along with legal aspects of the investigation process and often the expressed wishes of families, the Coroner then makes the final decision as to whether to direct an autopsy or not. The introduction of this process in Victoria continues to have a significant impact on the reduction in the overall autopsy rate for cases reported to the Coroner which is now less than 50% of reported deaths. The percentage of cases from regional Victoria arriving at the Coronial Services Centre has increased again this year to 77% as compared with 72% last year. Factors affecting this included the retirement of pathology consultants in regional areas and the cessation of services in Warrnambool. This is despite supporting an increase in the availability of pathology services regionally to conduct investigations for the coroner, principally through supporting the development of Ballarat and Bendigo as regional centres. Forensic Radiology There were 3,935 CT scans completed this year as compared with 4,183 last year. There were 111 plain x-rays completed this year as compared with 85 last year. Forensic Technical Services Forensic Technical Services provide a complete and comprehensive range of specialist forensic technical services to the Institute, including all aspects of routine mortuary work as well as some of the more advanced forensic techniques such as tissue retrieval for the Donor Tissue Bank of Victoria, forensic radiography, teaching and research, and contributing to the advancement of knowledge in forensic pathology. The introduction of the new Coroners Act last year impacted significantly on the work in the mortuary and this has continued into this year. The new requirement for a preliminary examination to be conducted on every case has resulted in an increase in workload from the Types of Medico-legal Death Investigations performed 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2370 1990 2169 2224 2383 2696 1977 2157 Inspection 947 1233 1296 1409 1484 1761 1985 1662 BDM referral* 145 373 398 444 447 586 588 711 Total 3462 3596 3863 4077 4314 5043 4550 4530 % full autopsy 68% 55% 56% 55% 55% 53% 43% 48% Full autopsy *Refers to cases in which deaths were initially only registered with Births Deaths and Marriages (BDM) but should have been referred to the coroner. 19 VIFM Annual Report 2010/11 Connecting With the Community time of admission. Timely CT examination, and toxicology testing is now part of a complete preliminary examination which informs the decision of the Coroner on the type of autopsy to be performed. Technicians have been involved in the testing and establishment at the VIFM of a technique for post mortem angiography. This is now performed in the assessment of cases pre-autopsy. This information forms an important part of the preliminary examination process, and is a big change in the routine duties of the forensic technicians. As the mortuary embarks on a major refurbishment, our practices need to change accordingly to accommodate an altered work environment. During these works the workflow and space within the mortuary will be significantly restricted challenging staff to meet key performance indicators. The staff of the VIFM forensic technical services team are actively involved nationally and internationally to assist with the management of disasters. The expertise we have gained in the past makes us leaders in this arena and our assistance is sought widely. Deployments in the last 12 months include: • Assistance to smaller countries with service provision in suspicious deaths such as Vanuatu, Norfolk Island and Samoa • Assistance with the AFP DVI operation following an aviation incident in Congo • Assistance in the DVI operation in the aftermath of the devastating earthquake in Christchurch To provide learning opportunities to staff, in mid-2010, VIFM came to an agreement with the Ontario Forensic Pathology Service in relation to staff exchanges. Accordingly, in January 2011, Dr Jodie Leditschke (Manager, Forensic Technical Services) left the Institute to spend 6 months working for the OFPS in Toronto. We expect that in the medium-term we will, in turn, host an OFPS staff member of similar seniority. Both organisations clearly benefit from this arrangement, as do the individuals involved. Also during the year was the Ombudsman’s investigation and report into the improper use of information by one of our staff. This was a very upsetting for all our staff who, like the Institute generally, felt very disappointed. We provided the executive support to the Institute’s Security Review Committee founded in the wake of the investigation. We fully support the improvements which have been and continue to be rolled out in relation to respect for privacy, confidentiality, physical security of records and IT security. Human Identification Services In line with the functions of the Institute set out under S 66 (1) (c) of the Victorian Institute of Forensic Medicine Act 1985 and at the request of the Coroner, we provide the scientific human identification services of forensic anthropology (skeletal remains) and forensic odontology (dental identification). These services, alongside DNA identification services provided by the molecular biology laboratory, are used where visual identification of the deceased is not possible or is inappropriate. Forensic Anthropology Forensic anthropology involves the examination and analysis human remains to provide answers to questions which, depending on the circumstances of the case, may include gender, age, stature, ancestry, and the circumstances and/or causes of death. Forensic anthropologists may also become involved in locating and recovering human remains which in many cases may be unrecognisable to the layperson or police and therefore overlooked. Such evidence can impact on the reconstruction of the remains and the interpretation of the timing (ante, peri- or post-mortem) of events. The forensic anthropologist may also assist with scene interpretation of buried and/or surface scattered remains. The interpretation may include the spatial-temporal relationships between the body and associated evidence, the body position and the number of individuals present. Forensic Odontology The role of forensic odontologists in the medico-legal death investigation process is an important one which is often not widely understood by the community. In addition to playing a fundamental role in the identification of unknown deceased persons (often in missing person, arson or homicide cases), forensic odontologists also Summary of Human Identification Services Outputs Forensic odontology Forensic anthropology 2009/10 2010/11 % change 114 70 39 93 66 29 20 contribute to aspects of age assessment, facial trauma reporting and bite-mark interpretations following incidents of assault and rape. Both on a local and international level, forensic odontologists support the community through the ongoing teaching and training of agencies involved in Disaster Victim Identification (DVI). The important role of odontology in medico-legal death investigation is reinforced in presentations given by Institute staff to legal, medical and dental students. to expert evidence. In addition, we try to ensure that staff attending court are accompanied by students, trainees or other junior staff. This enables the procedures of giving evidence-in-chief and being subject to crossexamination to be a learning experience for future forensic practitioners. Forensic pathologists and scientists also provided expert opinions with respect to forensic case work originating in interstate jurisdictions and overseas. Involvement in such cases expands the experience and knowledge of our staff which improves the quality of the service we can provide in Victoria. Highlights This reporting year has seen the continuing work of Institute staff with missing persons units around Australia to build awareness and understanding of the importance of collecting and translating ante-mortem dental records in missing person investigations. Based on this work, a national data-base of dental information is currently being compiled with the involvement of all state forensic odontology units. This year VIFM have also undertaken significant research into determining the age of refugees arriving in Australia with little or no documentation. Under Australian law, a refugee may have a different legal status depending on whether they are over the age of 18. Therefore, the expertise of trained forensic odontologists can be used to assess the age of refugees by interpreting the development and calcification of teeth. Pathology Serving the Courts Forensic pathologists and scientists regularly appear as experts in courts throughout Victoria. Coroners, Magistrates, County and Supreme Courts are exposed to a wide range of highly technical medical and scientific information which needs to be delivered in a manner which can be comprehended by a broad section of the community. Our medical and scientific staff undergo formal training in ‘witness skills’, and we try to ensure that all staff giving oral evidence receive feedback on their performance from senior staff who attend at court with them. This forms part of the Institute’s quality program with respect Court appearances relating to MLDIs Court % Coroners 32 26% County 13 11% Magistrates 39 32% 2 2% 35 29% Supreme Total 121 The Victorian Government introduced a new system for dealing with multiple child deaths in a family following recommendations in 2003 which are reflected in the functions of the VIFM Act 1985. Section 66(c) ‘The Institute also has a function to investigate, assess and instigate appropriate responses in the respect of – (a)The health or safety of a living sibling of a deceased child, and (b)The health of a parent of a deceased child – where the death of a child constitutes a reviewable death.’ The intention of the legislation is to ensure that Victorian systems and processes for handling deaths are capable of dealing effectively and humanely with all cases where, over time, multiple child deaths occur within a family. In doing so, the legislation seeks to balance the rights of grieving families with the public interest in ensuring that living children are protected in cases where intervention is necessary, and that families receive appropriate medical and social supports. As part of the process, the State Coroner may refer a reviewable death to the Institute for investigation and assessment of the health and safety needs of living siblings of a second or subsequent deceased child in a family and the health needs of the parents. Cases under consideration for referral to the Institute are discussed by both organisations before the formal review. The assessment conducted by Institute staff includes a review of any autopsies of the deceased children and the health and welfare of surviving siblings and parents. Magistrates 32% Instances Other Reviewable Deaths County 11% Other 2% Supreme 29% Coroners 26% VIFM Annual Report 2010/11 Connecting With the Community A Death Following Organ Transplantation A young woman who had suffered a stroke and was placed on life support in hospital. Her family consented to donation of various organs and her heart, lungs and kidney were transplanted. Three different recipients of these organs died of unknown causes within a short period of time, a very rare outcome in organ transplantation. One of the deceased persons was admitted to the VIFM where an autopsy was conducted and tissue samples were sent to the Victorian Infectious Diseases Reference Laboratory. The autopsy and subsequent virologist tests identified an unusual virus. This result was of considerable medical significance and raised important issues for urgent tissue donation protocols in the future, issues which were canvassed at a subsequent coroner’s inquest. A Peri-natal Death Jane was a young woman in her 20’s with a heroin addiction and a history of miscarriages and abortions. She presented at hospital with a deceased newborn infant and the doctor on duty completed a peri-natal death certificate. The death was later reported to the coroner and a forensic pathologist was asked to review the case. The question was whether the infant had been born dead or alive. A medical examination of Jane revealed a placental abruption and an ascending genital tract infection. An autopsy on the infant revealed the membrane was necrotic which indicated that the child had died in utero as a result of the abruption. These findings meant there was no question of Jane herself having been directly the cause of the infant’s death. The fictionalised case studies featured in this service section have been created as an amalgam of forensic case work in Australia and overseas over many years. They are included to illustrate various aspects of the work of the institute and readers should note that any similarity to actual medical or scientific investigation is coincidental. 21 22 Family Health Information Service Over the year many individuals and their families have directly benefited from the referral services provided through the VIFM Family Health Information Service. Since its commencement in 2001, over 700 families have been referred to medical specialists or general practitioners to follow up such findings as previously undiagnosed cancer, ischemic heart disease and other conditions with possible genetic significance. The referral service was developed to fill a gap in health services by directly supporting at-risk individuals and families in the community at a time when they are often at their most vulnerable, grieving the loss of a loved one. The referral service enhances the ability to detect and prevent familial disease as well as patterns of injury and death within the community that could be prevented. Inherited causes of sudden death are increasingly being recognised, on both a clinical and molecular level. When a sudden death occurs in Victoria, the Coroner may order an autopsy primarily to ascertain a cause of death. During this process the forensic pathologist may uncover previously unknown or little understood health issues that may have a genetic basis and therefore of significance to surviving family members. The pathologist, in partnership with the pathology nurses, is able to give family members direct and clear information with the objective to support families by putting them in contact with their practitioner or a specialist to formulate health care strategies that maximise their well-being and, in some cases, prevent premature death. Whilst individual experiences were unique, family stories followed a general pathway. Woven through these stories were feelings of shock about the death and uncertainty about the cause. For many there was an ongoing search for answers, an underlying view that opportunities to prevent the death had been missed, and overarching narratives of grief. Participants in the research generally felt cared for and supported through the forensic process, which was recognised as important by all. This feedback has been pivotal in work now underway to clarify roles and enhance the availability and effectiveness of this important family service. The VIFM considers this service an intrinsic facet of its practice and one which reflects a commitment to the emotional and physical wellbeing of the living through our work with the deceased. This year a qualitative study of this service commenced by contacting families who had experienced a recent loss in the family and were offered or sought support for their family members through the VIFM. The research was conducted by Murdoch Childrens Research Institute to explore how genetic information is communicated within families following a sudden death, the experiences of individuals and their attitudes towards the process. “ It is generally agreed that an autopsy is a procedure of considerable ethical significance as it interferes with the body. The significance is such that the community has a right to expect that systems are developed, within legal and resource constraints, and with community input and understanding, to ensure that the substantial potential benefits of performing an autopsy are realised and that the autopsy is not meeting only narrowly defined needs.1 1 Ethical Practice in Laboratory Medicine and Forensic Pathology. S. Cordner, M. El Nagel, B. Linehan, D. Wells, H. McKelvie. WHO. EMRO. 1999. p39 23 VIFM Annual Report 2010/11 Connecting With the Community Autopsies can save lives. Stephen was a fit, young man in his late teens who played for his local sporting club. With no history of illness, everyone was amazed when he collapsed during training. Despite immediate paramedic attention and being rushed to hospital, Stephen was not able to be resuscitated. An autopsy revealed the cause of Stephen’s death to be arrhythmogenic right ventricular cardiomyopathy (ARVC), which is a rare heart condition that can be passed on from one generation to another. The pathologist who performed the autopsy recommended that Stephen’s younger siblings both be tested. His sister was found to have ARVC and an intra-cardiac defibrillator (ICD) was implanted but there was no evidence that his brother had the condition. Both parents were recommended to have regular heart checks. Quite possibly, the careful investigation of Stephen’s tragic death, and the communication of the results to his family, have improved his sister’s longevity. Medical Liaison Nurse Consultant, Natalie Morgan. This year 272 cases have been referred by forensic pathologists to the family health program to follow up such findings as undiagnosed cancer, aortic dissection, haemachromatosis and ischaemic heart disease in the young. The tables below show the number of referrals by year and the percentage of cases in each category. Number of referrals to Family Health Program Referrals 2007/08 2008/09 2009/10 2010/11 262 254 275 272 Types of referral in 2010/11 Undiagnosed Cancer Heart Disease Inherited Blood Disorders Aortic Dissection Other 9% 69% 7% 4% 12% 24 Clinical Forensic Medicine Service “ Our specialist clinicians interface with both the medical and legal aspects of patient care by applying expert medical knowledge to the collection and interpretation of medical evidence to provide information that may assist victims, the police and the courts. 25 VIFM Annual Report 2010/11 Connecting With the Community Clinical Forensic Medicine (CFM) is the branch of forensic medicine that connects with a broad spectrum of our community. Our specialist clinicians interface with both the medical and legal aspects of patient care by applying expert medical knowledge to the collection and interpretation of medical evidence to provide information that may assist victims, the police and the courts. CFM provides an around-the-clock response across the state via a network of Forensic Medical Officers and Forensic Nurse Examiners in the following service areas: • determining whether a behaviour maybe the result of a medical condition • providing an acute health and forensic service to complainants or suspects • the collection, preservation and analysis of medical evidence in relation to subsequent legal action(s) • the presentation of evidence in courts of law, including the provision of ‘expert opinions’, and • delivering training to the medical, legal, policing and other groups on a range of medico-legal topics. Forensic practitioners must maintain a high standard of specialist skills and competency and continually build their knowledge. This is achieved through participation in a range of principal activities that are both interdependent and complementary. In the past year, CFM has provided the following services to victims of crime and Victoria Police: SERVICE 2009/10 2010/11 Adult Sexual Assault Examinations 444 482 Adult Physical Assault Examinations 247 240 Service Provided to Children (<18) 74 Biological Specimens Collection Forensic Nurse Examiner (FNE) network: During 2010–11 the Forensic Nursing Network (FNN) has continued to provide forensic services throughout Victoria. There are currently 12 trained active Forensic Nurses practicing in rural Victoria, and 8 across metropolitan Melbourne. Currently, 10 Registered Nurses are completing the Graduate Certificate in Nursing (Forensics) from various States around Australia. The Forensic Nursing Scope of Practice, which enables the VIFM to begin a competency assessment initiative for all Forensic Nurses, will be launched later this year. Furthermore, the VIFM continues to provide educational opportunities for all Forensic Nurses including the quarterly Forensic Case Group meetings, the weekly lecture series and quarterly FNE meetings which incorporate the policy and procedure updates and case reviews. VicRoads, Taxi Directorate of Victoria and Worksafe CFM is the medical advisor to VicRoads, the Victorian Taxi Directorate and Worksafe, providing medical opinions regarding drivers’ suitability to hold various licences, certificates and permits issued by those authorities. The CFM service model in Victoria is widely recognised as “best practice” in Australia and is often consulted by police and driver licensing authorities in other jurisdictions. As a result of their expertise in this field, CFM has participated in regular reviews of the Austroads National Guidelines for Assessing Fitness to Drive. 2009/10 2010/11 VicRoads – licence reviews 4,678 3,482 80 VicRoads – bicycle helmets unit 6 7 49 65 Taxi Directorate of Victoria 626 635 72 85 Fitness for Interview 444 409 Traffic Medicine 486 477 32 17 6 1 Medico-Legal Expert Opinion 466 567 Court Appearances 158 178 59 19 352 n/a 2,817 2,535 Approx 1,300 1,236 Ethical Standards Psychiatric Services Other Specialised Services Workforce Testing TOTAL Expert Medical Phone Advice resulting in case diversion (does not include phone triage on cases) SERVICE WorkSafe 26 In conjunction with the Neurosciences Department of St Vincent’s hospital, the CFM division operates Australia’s only specialist driving clinic. This has been very successful and attracts referrals from doctors all over Victoria. St Vincent’s Driving Clinic Patients 2009/10 2010/11 109 88 The CFM division continues to be involved in road safety research in conjunction with the Monash University Accident Research Centre (MUARC). Achievements and ongoing projects for 2010–11 include: • a study on chronic illness and crash risk • OzCanDrive – a 5 year project to document the driving practices of older drivers involving a prospective study of 200 older drivers using tracking devices in their vehicles • contributions to the review of the National Transport Commission licensing guidelines. CFM Teaching The role of the VIFM in teaching and training in the field of Clinical Forensic Medicine is detailed within the Department of Forensic Medicine section of this Annual Report. During this year our staff have participated in educational sessions, seminars and talks for a large number of external organisations including Victoria Police, the legal profession, hospital registrar training sessions and Grand Rounds, Divisions of General Practice, universities (medical, paramedical and nonmedical; undergraduate and post graduate), Schools and a diverse range of Community groups. They are regularly invited to deliver teaching programs nationally and internationally including an annual training program for medical practitioners across New Zealand. Much of this information is included in Appendix B. Social deprivation and acute medical emergency Sue, a homeless woman in her mid forties, was arrested at the local shopping centre for stealing two bottles of vodka and taken to the police station on suspicion of theft. Sue was unkempt. She had long matted and unwashed hair. Her nails were long and filthy. Her clothes were equally dirty and shabby. She looked severely undernourished. A forensic medical officer was called in to assess her. The FMO’s examination immediately revealed a severe lack of vitamin B and a case of Wernicke’s encephalopathy and Korsakoff syndrome which are conditions that are both due to brain damage caused by a lack of vitamin B1. A lack of this vitamin is common in people with alcoholism and those persons whose bodies do not absorb food properly. Left untreated, an individual with this condition may experience a permanent loss of memory, a permanent loss of thinking skills and a shortened life span. Sue was given vitamin B at hospital and her hallucinations and impaired memory improved in the days that followed her admission. In addition to this medical assistance, a representative from Social Services was consulted. The representative assisted Sue with housing and arranged for her to receive counselling for her alcoholism. She was housed soon after her discharge from hospital and registered with the local GP who has since referred her to a Drugs and Alcohol Unit. Forensic Medical Examiners (FMOs) regularly come into contact with highly vulnerable people in police custody who have fallen through the social services and medical nets. Contact with the FMO following their arrest, can very often be the only access these individual get to medical services. The fictionalised case studies featured in this service section have been created as an amalgam of forensic case work in Australia and overseas over many years. They are included to illustrate various aspects of the work of the institute and readers should note that any similarity to actual medical or scientific investigation is coincidental. VIFM Annual Report 2010/11 Connecting With the Community Determining Fitness to Face the Court Jack, a tradesman in his mid 30’s was charged with multiple counts of child sexual assault and was scheduled to appear in court. His defence team had enlisted the evidence of his general practitioner and treating specialist in an attempt to convince the court of his inability to appear. The practitioners claimed that Jack suffered from chronic fatigue syndrome and a bowel disorder which they maintained meant he was unfit for lengthy court appearances. The Office of Public Prosecutions (OPP) asked a Forensic Medical Officer to review the case and present her opinion at a preliminary court hearing. The FMO’s opinion was that Jack was indeed fit to face a court appearance. All three medical practitioners gave evidence, the presiding judge agreed with the OPP and Jack was ordered to appear. Jack was convicted of multiple crimes and is now serving a lengthy sentence. Helping victims of sexual violence Erica, a woman in her 30’s, attended the Southern Health Sexual Assault Follow Up Clinic a few weeks after allegedly being sexual assaulted. She had been experiencing some genital symptoms but was not comfortable attending a community sexual health clinic or her GP. Tests performed at the clinic revealed that Erica had a sexually transmitted infection. However, thanks to the specialty services housed under the one roof at the clinic, Erica received treatment and advice from sexual health specialists as well as a referral to services for counselling and legal advice. The Southern Health Sexual Assault Follow Up Clinic was set up by the VIFM in late 2009. The primary purpose of the clinic is to provide a Sexual Health Service for adolescent and adult victims of recent sexual assault. The clinic is held weekly at Monash Medical Centre and provides an important review of a range of medical issues (e.g. sexually transmitted infections, pregnancy, injuries), referral to other health services (psychiatric, drug and alcohol services, social work) and a linkage to ongoing health care (e.g. paediatric services, sexual health clinics and general practice). Detection and diversion of mentally-ill detainees Adam was a young man who was arrested by police for assault after he became violent toward his parents and threatened to kill them with a knife. He was taken to a local police station where a forensic medical officer (FMO) from VIFM was called in to assess Adam’s fitness for interview. When the FMO arrived at the police station he found Adam to be uncooperative, aggressive and generally pre-occupied with irrelevant and unimportant matters. Adam had no insight into his current predicament. Suspecting he was suffering from an acute mental illness, the FMO shared his concerns with Adam’s parents. Although they suspected Adam was suffering from a mental disorder they had been too scared of their own son to seek help. Thanks to the assessment of an FMO, Adam was subsequently diagnosed with schizophrenia and was able to be successfully treated. A year later he resumed his studies. The police did not charge him for the assault. The recognition and diversion of mentally ill individuals away from the criminal justice system and into medical services which best serve them is an important part of the role of a forensic medical officer (FMO). 27 28 Forensic Scientific Services “ The work of the Institute’s forensic scientists often has far reaching and sometimes ground-breaking impacts on the health and wellbeing of the Victorian community. 29 VIFM Annual Report 2010/11 Connecting With the Community The work of Forensic Scientific Services at the Institute is not only an integral part of the death investigation process, but also contributes to the improvement of the health of the Victorian community. Our forensic scientific service provides expertise to investigators and the courts in the following specialty areas: • Toxicology • Molecular Biology (DNA) • Histopathology • Microbiology • Entomology Highlights The laboratory continued to meet all key performance indicators despite a significant increase in the number of routine samples submitted for histological preparation along with a greater demand for specialised stains. A workshop was also held which involved key histology and pathology staff to investigate potential future developments in histopathology techniques that may form the basis of research or development opportunities as well as enhancing the current service provided by the laboratory. The work of the Institute’s forensic scientists often has far reaching and sometimes ground-breaking impacts on the health and wellbeing of the Victorian community. For example, research performed by VIFM’s toxicologists has led to improvements in the way drugs and other substances are detected to gain a better understanding of the way these substances can impact health and safety. Key Work Load Data for 2010–11 in comparison to 2009–10 The VIFM Molecular Biology laboratory provides DNA typing services for human identification which is often critical in cases involving missing persons, murder, suicide, accident, or suspected neglect of persons in care. Histopathology’s focus this reporting year has been to continue providing a comprehensive forensic histopathology service to VIFM pathologists and trainees, given a further increase in the routine and specialised workload (~ 32% over past 4 years). Histopathology Histology is the study of the structure and function of human tissues and plays an important role in the prevention of disease in the community. In the forensic setting, it forms an integral part of the autopsy by allowing the pathologist to examine human tissues microscopically for any disease or tissue injury. The number of tissue blocks produced by this laboratory increased by 10% to 52,295 for the year with a turnaround time of 97% of cases being completed within 5.0 days. Special stain requests also increased significantly from both last year and the previous year. The laboratory has particularly provided greater support to the neuropathology service in receiving significantly more samples and performing the Beta Amyloid Precursor Protein (BAPP) Immunohistochemistry (IHC) on a large portion of these samples. Tissue received into the laboratory undergoes several processes, culminating in the production of ultra-thin sections of stained tissue mounted on glass slides ready for microscopic examination. The tissue sections are “stained” with a variety of specialist dyes to image cellular structures in the various tissues of the body. The information obtained from this process, especially information on natural disease, has the capacity to prevent the deaths of others in the community. Summary of Histology outputs 2009/2010 2010/2011 % Change No. Cases 2,124 2,248 +5.5% No. Blocks 47,016 52,295 +10% 3,010 3,655 +17% 98 97 No. Special Requests % Routine Work Completed in 5 days 30 Forensic Toxicology The Forensic Toxicology department at the Institute provides a range of services to clients who include Victoria Police and the courts. Forensic Toxicology staff provide comprehensive drug testing in medico-legal death investigations (MLDI) as well as testing for the Victoria Police for their random drug testing program and the detection of alcohol and drugs in crime suspects, impaired and/or injured drivers Highlights In this reporting year the Toxicology laboratory has continued to improve an already outstanding service to the Victorian community with the routine Overnight Toxicology Screening Service. Using tandem liquid chromatography mass spectronomy (LC-MS), VIFM’s toxicologists are able to provide pathologists, and thus coroners, with comprehensive toxicology data at the preliminary investigation stage of a death. This service has a very tangible impact on the families of the deceased because the Coroner may be able to return the body to the family sooner than was possible in the past, thus avoiding further distress to the family during an already difficult time. Additional improvements in laboratory methodologies in this reporting year have included the development of a comprehensive drug screening and quantification method in urine for 240 different drugs and metabolites. This has produced significant improvements in laboratory efficiency and has increased the Institute’s capacity to measure drugs not typically detected using standard techniques. The laboratory has also made great strides in improving turnaround times for both MLDI and Victoria Police service work. Efficiency gains have resulted in all KPI’s being met or exceeded for the first half of 2011. A number of additional staff were employed to conduct this work in conjunction with a reorganisation of laboratory personnel and practices to accommodate the increased complexity and work outputs. A number of Approved Analysts were also formally gazetted (under the Victorian Road Safety Act) which strengthened the overall competency of the laboratory and increased throughput for Victoria Police casework. Toxicology staff continued to provide evidence in court as part of their role in both metropolitan Melbourne and rural Victoria. Overall, expert evidence was provided on 38 occasions in the Supreme, County, Magistrates and Coroners Courts of Victoria. Expert toxicology staff have also been involved in a training program at the Central Institute of Forensic Science in Thailand to increase the analytical capacity of their Bureau of Forensic Chemistry. Under the auspices of the National Institute of Forensic Science (NIFS) and the Senior Managers of Australian and New Zealand Forensic Laboratories (SMANZFL), Dr Dimitri Gerostamoulos continued his role as Toxicology Special Advisory Group (ToxSAG) Chair and attended the SMANZFL meeting in Adelaide (2010) as well as the ToxSAG meeting in Sydney (2010). The ToxSAG, with assistance from Senior Toxicologist Dr Jochen Beyer, formulated national guidelines for forensic toxicologists to identify drugs/compounds using mass spectrometry. This major achievement incorporates other analytical approaches from around the world and provides key guidelines to the VIFM’s toxicologists in terms of consistency in identifying drugs for medico-legal casework. Key Work Load Data for 2010–11 in comparison to 2009–10. The complexity of services delivered by FSS continued, with the number of medico-legal death investigations (MLDI’s) requiring toxicology slightly decreasing by 3.9% from 4,115 to 3,952 in the last financial year. These were completed with a median time of 23 days in comparison to 31 days from the previous year. Victoria Police service work increased by 6.5% comprising drug and alcohol detection in impaired and injured driver cases and random oral fluid drug testing. Drug facilitated sexual assault case work decreased by 14.3%. We anticipate significant impacts on the turnaround time for cases in the coming year referable to the redevelopment of the facility. Summary of Toxicology Outputs Case type 2009/10 2010/11 Difference Coronial 4,115 3,952 -3.9% Victoria Police traffic cases 5,793 6,173 +6.5% 160 137 -14% Drug facilitated cases VIFM Annual Report 2010/11 Connecting With the Community Drug and Alcohol Intelligence on Our Roads One of the ways in which the VIFM’s Forensic Scientific Services contributes to community health and wellbeing is through its commitment to making our roads safer. The work carried out by the Institute’s Toxicology staff produces information on the role of drugs and alcohol in road deaths and injuries to government, legislators, and researchers. On a daily basis, the Institute’s toxicology staff apply their expertise in forensic toxicology, pharmacology, and pharmacokinetics (concentrations of drugs in the body over time), to the ongoing improvement of road safety. All road deaths in Victoria are reported to the State Coroner and include motor vehicle collisions, as well as pedestrian and cyclist deaths. As part of the medico-legal death investigation these road deaths are assessed to determine whether drugs or alcohol played a role. The routine analysis of blood specimens over the last two years at VIFM has provided an insight into the types and extent of drug and alcohol use in drivers who have been injured or killed on our roads. Data collected by VIFM over this period shows that alcohol continues to be a factor in a significant number of driver deaths, not just in Victoria but nationwide. Approximately 30% of all drivers and pedestrians killed in Victoria have a blood alcohol concentration of over 0.05%. On average a further 15% of drivers are also cannabis positive. Similarly, among injured drivers almost 25% have a blood alcohol concentration of over 0.05%; and a further 12% are also cannabis positive. Work performed over a long period at VIFM has led to the introduction of countermeasures designed to discourage drug use in drivers. Data provided by the VIFM to the Parliamentary Road Safety Committee contributed to the decision to introduce the world’s first random drug testing program using oral fluid (saliva) in 2004. This program has been running for over 7 years in Victoria with a number of motorists being prosecuted for driving under the influence of drugs during that time. The current rate of drivers who randomly test positive to substances such as cannabis, speed or ecstasy is one in 60, compared with a rate of one in 180 of those randomly tested for alcohol. Other drugs that have been detected in drivers include cocaine, ketamine, amphetamines and heroin. Stimulants such as amphetamines are of particular concern to road safety since there is a common misconception, particularly among long-haul truck drivers, that these drugs can improve driving ability. Initially these drugs increase alertness but then can also increase risk-taking, tunnel vision and aggressive driving behaviour. Also, once amphetamines surpass their initial stimulatory phase they can result in serious fatigue and sleep deprivation, often with catastrophic and fatal outcomes. 31 32 Molecular Biology The Molecular Biology section provides DNA services to the Institute, ensuring the delivery of timely, high quality and high value nuclear DNA (nDNA) and mitochondrial DNA (mitDNA) profiling. These services support the Institute’s functions and objectives, providing DNA analysis to assist in the identification of deceased persons for: • Medico-Legal Death Investigations (MLDI) • Disaster Victim Identification (DVI), and • Missing person and cold case investigations for Victoria Police. of CrimTrac. The software is now used to house the Victorian Missing Persons DNA Database (VMPDD), to assist with the identification of missing persons, by storing DNA profiles for unidentified human remains as well as the DNA profiles from samples provided by the family of missing persons and performing kinship analysis. Such an application is the first in Australia and will ensure the safe keeping of this data for future missing person investigations. In addition, the section offers fee-for-service DNA testing to the wider community, including other Jurisdictions within Australia. For example, mitDNA analysis of hair samples for homicide investigations; mitDNA analysis for interstate missing person investigations; or paternity testing. The Molecular Biology section also has a strong research focus. This has recently being directed towards improving DNA extraction methods for compromised samples, such as bones from skeletised remains; as well as developing a mitDNA database for Victoria. In doing so, the section utilised skills in the areas of molecular genetics, molecular biology, biochemistry and bioinformatics. Highlights Since aligning the DNA profiling capability with other forensic laboratories in Australia, the Molecular Biology section (together with the other members of the BSAG) is assisting in the evaluation of newly developed profiling kits, to ultimately inform which genetic markers Australia will adopt for identification purposes going forward. Following the successful application of the C.O.D.I.S. (Combined DNA Index System – FBI) software during the 2009 Victorian Bushfires, the Molecular Biology section has maintained this capability with the support Summary of Molecular Biology Outputs Case type 2009/10 Coronial identification cases – nDNA 171 Coronial Identification cases – mitDNA 9 SLA Victoria Police cases – nDNA (a) 11 SLA Victoria Police cases – mDNA (a) 15 SLA Victoria Police cases – nDNA & mDNA (a) – SLA CODIS entry cases (b) 7 Other nDNA cases – fee for service 11 Other mitDNA cases – fee for service 10 Parentage cases 161 (a): denotes long term missing persons or cold case investigations (b): denotes request for targeted comparisons of DNA profiles housed in CODIS 2010/11 115 3 11 6 31 8 12 11 124 Change -33% -67% 0% -60% N/A 14% 9% 10% -23% VIFM Annual Report 2010/11 Connecting With the Community Missing Persons In May 2011, a positive identification was made of human remains as those of a missing person with the help of DNA evidence. This may strike most people as a fairly ordinary event in an age where DNA testing is ubiquitous on most TV crime dramas. The reality is that up until very recently, the ability to identify the remains of missing persons through DNA profiling was more difficult than finding a needle in the proverbial haystack. What was most significant about this recent positive identification was that it was the first of its kind in Victoria and represents a wonderful collaboration between the VIFM’s forensic scientists and Victoria Police. The breakthrough, however, was borne out of the tragic events of the 2009 Black Saturday bushfires. In the aftermath of the bushfires which killed 173 Victorians, staff at the VIFM worked closely with Victoria Police in a multi-disciplinary approach to disaster victim identification which involved methodologies of DNA profiling, forensic anthropology and odontology. Valuable expertise was also shared in the use of specialised software which was made available to VIFM staff by Victoria Police to assist with identification. DNA profiles were obtained from the victims of the fires as well as the families of the deceased and were brought together in a single DNA database which enabled the comparison of DNA profiles in a process known as ‘kinship matching’. Prior to Black Saturday in Australia, DNA profile information could not be stored in existing missing person databases so kinship matching was near impossible. In a light bulb moment, scientists from the VIFM and members of the Victoria Police’s missing persons task force (Belier Task Force) realised the potential to establish Australia’s first Missing Persons DNA database for the purpose of undertaking kinship matching. As a result, the VIFM and Victoria Police have worked together to establish a Victorian Missing Person DNA Database (VMPDD) with the view to capture and future-proof familial reference samples for missing person investigations so that they can be compared to DNA profiles whenever unidentified human remains are located in Victoria. Since July 2010, the VIFM has commenced the nuclear and mitochondrial DNA profiling of reference samples obtained from relatives of missing persons. To date, the VMPDD holds over 100 DNA profiles from relatives, with new profiles added on a weekly basis. These are routinely compared to the DNA profiles held in the database for unidentified human remains, in the constant search for kinship matches. Shortly after the DNA profiles of a mother and a sibling of a missing person were entered into the VMPDD, a match was made to the DNA profile of an unidentified human bone that had been discovered. The DNA evidence, together with other information arising from the missing person investigation, culminated in the first identification of the remains as those of the missing person by the VMPDD. Due to the work of the VIFM’s forensic scientists in collaboration with Victoria Police, one Victorian family was finally given some closure. We hope that other states across Australia are able to learn from Victoria’s experience, and one day Australia can achieve a national missing persons DNA database. 33 34 Donor Tissue Bank of Victoria “ The DTBV’s core function is to provide Australian surgeons with safe and effective tissue grafts for transplantation in many areas of orthopaedic, cardiothoracic, reconstructive surgery and burn care, benefiting many Australian citizens every year. VIFM Annual Report 2010/11 Connecting With the Community Established in 1989, the Donor Tissue Bank of Victoria (DTBV) was the first, and remains the only, multi-tissue bank in Australasia. It is also the only tissue bank which screens, processes, stores, tests and distributes multiple types of tissue from the one facility. It is a public sector not-for-profit operation. The DTBV’s core function is to provide Australian surgeons with safe and effective tissue grafts for transplantation in many areas of orthopaedic, cardiothoracic, reconstructive surgery and burn care, benefiting many Australian citizens every year. Tissue donation Amongst the key findings of the Review was the complexity of the chain of events from tissue donation to transplantation, and that the increasingly un-met demand, in particular of tissues that can only be sourced from deceased donors, can be overcome only by increased donation. The DTBV also provides forensic microbiology services to support the coronial process. The strategy to increase donor numbers was categorised into a series of initiatives including: • Strengthening the collaboration between DonateLife Victoria and the DTBV has paralleled the invigorated efforts towards increased organ and tissue donation via the establishment of both the Australian Organ and Tissue Authority and the DonateLife Network. There has been some traction into increased donations, in particular for cardiac tissue emanating from the success by DonateLife Victoria in increased organ and tissue donation following Donation after Cardiac Death (DCD). • DTBV can rely on a re-established team of Tissue Donor Coordinators complementing its capacity to identify and offer donation to families of potential donors screened within the Coronial setting and the wider Hospital community. • Increased levels of communication with the Coroner’s Initial Investigation Office. DTBV continues to receive privileged access to the coronial system to screen for potential tissue donors. The DTBV acknowledges the Coroners Court of Victoria’s ongoing support of organ and tissue donation. Business Review and Implementation of Recommendations All these activities are of course underpinned by the ongoing generosity of our donors and their families who support the program at an often difficult time. DTBV also facilitates access to corneas for the Lions Corneal Donation Service and our services extend to assisting researchers who require access to human tissue for the completion of ethically approved research projects. This is work that allows us to contribute to both directly advancing health care and also to facilitate the post graduate teaching of medical specialists. The Donor Tissue Bank of Victoria offers relatives the opportunity to salvage something positive from the tragic loss of someone they loved. The DTBV also provides a living donor program where people undergoing routine hip replacement can donate, for transplant, the otherwise discarded bone removed during the surgery. The Bank’s operations are overseen by the VIFM Ethics Committee and an advisory board with an emphasis on quality and safety. In mid-2010, the DTBV Business Review reported on the root causes of the DTBV financial deficit, established short, mid and long term turnaround strategies, and identified the best future arrangements for a sustainable future for the DTBV. The review of the DTBV involved a thorough reexamination of the key aspects of the entire DTBV operation. The review encompassed the market analysis and potential to grow DTBV revenue, the operating model and current finances, organisational structure and staff, cost and productivity, operating risks, and governance of the DTBV. This report, and the independent consultant reports, provided convincing evidence that the DTBV, as an important, complex and unique contributor to the tissue donation and transplantation sector in Victoria and beyond, should be structurally better positioned to deliver sustainable and improved outcomes. A set of recommendations emanated from the Business Review and were progressed through the Business Review Implementation Group, chaired initially by the Chief Operating Officer, Mari-Ann Scott and later by the Chief Finance Officer, Peter Ford. Although there has been decline in the deceased donor program, there was over the year significant efforts to boost the Living Donor Program resulting in a record number of Femoral Head donations from individuals undergoing hip replacements (the affected hip bone otherwise discarded as surgical waste). The program enrols suitable donors that pre-operatively consent for the removed tissue to be donated to the DTBV; once screened, processed, tested and released these tissues can provide significant amounts of bone allografts for use in orthopaedic surgery. The DTBV is grateful for the support received from the staff of more than 20 local and regional Victorian hospitals engaged in the program and of course by the thoughtfulness and generosity of these bone donors. 35 36 Tissue for Research Program Total Donors 2008 to 2011 The DTBV’s Tissue Donor Coordinators have traditionally facilitated researchers to access donated human tissues. Projects are first approved by the VIFM Ethics Committee and donor families are fully informed of the use and expected outcomes of the research project as part of the informed consent process. The program had to be put on hold for a period of time due to a shortage of staff but is once again operational. 800 700 600 500 400 DTBV Replacement facility 300 200 100 0 Cadaveric Donors 2008/09 Living Donor Bone Program 2008/09 2009/10 2010/11 66 54 53 464 622 670 CADAVERIC LDBP 2010/11 2009/10 Tissue grafts supplied for transplantation Demand has surpassed availability of tissues, in particular for cardiac valves and skin. Despite shortfalls, the DTBV was able to provide graft to benefit more than 700 recipients in Victoria and across Australia. Tissue supplied by year 2008–2011 1000 800 600 400 200 0 Cardiac 2008/09 Skin Musculoskeletal 2009/10 2010/11 2008/09 2009/10 2010/11 56 25 20 Skin 970 363 241 Musculoskeletal 656 553 560 Cardiac In January 2009, Commonwealth allocated $13 million for VIFM to build a replacement facility for the DTBV. The state-of-the-art facility will enable increased production of currently processed tissues as well as the implementation of the vision for the DTBV as a translation platform for incoming biotechnology enhanced tissue and cell products. The increased capacity will allow for improved skin storage capacity and eventually contribute, it is hoped, to a national program geared to secure a resource for mass casualties involving large numbers of burned individuals. Following the Black Saturday bushfires, allograft skin had to be imported from the US to meet demand. The building works for this replacement facility have started. As much as welcome, the early stages have caused significant disruption resulting in major efforts to ensure that practices remain compliant with the requirements of the Therapeutic Goods Administration. A stand-alone Temporary Clean Room has been installed and commissioned to reduce as much as possible any disruption to tissue processing and has enabled ongoing service provision as a result of temporary decommissioning or altering of the existing plant and processing rooms. VIFM Annual Report 2010/11 Connecting With the Community Myles’ Legacy Our son Myles was 15 when he passed away from complications from a cardio-respiratory arrest, brought on by an asthma attack. He was in a coma for three weeks from which he never woke up. But our story, which culminated in Myles’ becoming a tissue donor, started well before his passing. From the time he was born, Myles possessed a charming and caring disposition which he carried all his life, endearing him to all his family, friends, work colleagues and almost everyone he came into contact with. We used the adage “Myles & Myles of Smiles” and he would light up a room when he entered it. He was sometimes wise beyond his years and we put this down to facing a life that was markedly different from most others his age. He endured much in his young life: eczema (being completely wet dressed up until he was about 18 months), life threatening food allergies, asthma and eventually osteoporosis in his spine. In a lot of ways, he made the job of looking after him easier, as he never complained or questioned why but just got on with the task of making the most of what he had. His attitude was always to do what you could with what you had; an attribute we believe resulted from the long periods of inactivity he endured while in hospital. Many of father’s family suffer from polycystic kidney disease with five out of nine children diagnosed with this inherited condition. Despite having to endure dialysis for 7 hours, 3 times a week all held down full time jobs, raised families and were contributing members of their communities. We would see the difficulties that this disease presented each time we would visit and saw their health deteriorate. Eventually all made it onto transplant lists and the wait began. It was some years later my aunt was offered a transplant, and then over the years they all were accorded this “gift” for which they were truly grateful. For us, the difference the organ transplants made to their lives and to that of their families was remarkable and led to many conversations within our family about organ donation. The years passed and there were discussions, each time delving deeper into the logistics of organ donation. We all signed up to become organ donors, but Myles was most indignant when he found out that he could not sign his own consent form because he was under 16 years of age. His general simplistic view (as only a child can put it) was that if he didn’t need something, then he was happy for someone else to use it. I guess this demonstrated more of his “giving” nature. Towards the end, when we had decided to keep Myles comfortable and pain free, we contacted the Donor Tissue Bank of Victoria. We knew his wishes and wanted to ensure that they were carried out. It was to be the most intricate conversation of my life. We were introduced to a Donor Tissue Coordinator who guided us through the process in such a professional and compassionate manner at a most difficult time in our lives. I would imagine that that this empathy and compassion would be traits for all the staff who work at the DTBV. It was ultimately Myles’ own decision to donate his corneas, tissue, heart valves and skin to the DTBV. Having made up his mind to become a donor at a time when we assumed the actuality would be in the distant future, it made the decision easier when we were faced with the harsh reality only some months later. Our son, through a set of circumstances is no longer with us, but by donating his corneas, heart valves, tissue and skin, a little piece of him lives on somewhere with someone. The thought of this can sometimes be overwhelming, but it also brings us comfort to know that in his short life he has made a real difference to other’s lives. He always said that this was, “the ultimate form of recycling”. Myles lived his life one day at a time and packed a whole lot of loving and living into those 15 years. His real legacy to us will be to remind us that life is too short to make excuses. He dealt with difficult conversations and situations almost all of his life but if his experience can inspire other families to also have these conversations and to make their wishes known to other family members, it can only lead to positive outcomes. VIFM would like to sincerely thank Cynthia Caruana for allowing us to include her son’s inspiring story in this report. 37 38 Department of Forensic Medicine, Monash University “ …the Institute, together with the Department of Forensic Medicine, has produced many significant research findings that have contributed to death and injury prevention and public health benefits. VIFM Annual Report 2010/11 Connecting With the Community The legislation under which the Institute was established, and the mission which guides its strategic direction, require the VIFM to undertake teaching and research in a wide range of forensic medical and scientific disciplines. Strong academic performance underpins the Institute’s credibility in the courts, the justice and health care systems and in the wider community. • Re-establishment of the fortnightly Thursday lecture series • Placement of three public health trainees – Dr Angela Rintoul (oxycodone deaths) and Dr Chebi Kipsaina (mortuary data); and Dr Eeshara Kottegoda Vithana (mortuary data). The Department of Forensic Medicine (DFM), Monash University is the only academic department of its kind in Australia. The fact that it exists in parallel with an operational forensic medical service makes it particularly special. Support and oversight of postgraduate students At its inception in 1988, the Government viewed the Institute, with its connection with the DFM, as an “investment in public health” and the DFM was charged with the responsibility to act as the teaching and research arm of the Institute. Seven of the ten objects in Section 64(2) of the VIFM Act 1985 relates to training, teaching and research. Since then the Institute, together with the DFM, has produced many significant research findings that have contributed to death and injury prevention and public health benefits. It has also developed a significant postgraduate teaching output with the post-graduate courses in forensic medicine producing 62 graduates over 10 years. There have been almost 50 Bachelor of Science (honours) and Bachelor of Medical Science graduates, and almost 20 post-graduate degrees by research including doctors of philosophy (PhD), many of whom have stayed to work with us at the Institute. There have been over 500 publications in this time covering a variety of themes related to forensic medicine and science. Within Monash University, the Department is part of School of Public Health and Preventive Medicine (headed by Professor John McNeil). This School gathers together the Medical Faculty’s assets in public health and is comprised of the DFM, Department of Epidemiology and Preventive Medicine (DEPM), Department of Health Social Science (DHSS), components of the former Monash Institute for Health Services Research (MIHSR), the Centre for Obesity Research and Education (CORE), and the Michael Kirby Centre for Public Health and Human Rights. Achievements for the year There have been a number of notable achievements for the DFM during 2010–2011 including: • An external review which endorsed the Master of Forensic Medicine course recommended its reaccreditation for a further 5 years • The establishment of regular scientific meetings covering themes to assist in the development of staff to undertake research and to increase our research outputs • Publication of a special edition of Forensic Science International for 13 Victorian bushfire publications including many from Institute staff • Jennifer Pilgrim successfully completed her PhD research on pharmacogenetics and adverse drug reactions – in collaboration with Professor Angel Carracedo in Santiago de Compostela • Eva Saar continued her PhD on the toxicology of antipsychotic drugs completing her work on short and long term stability of a range of drugs and was able to identify a degradant for olanzapine, one of the most unstable of the antipsychotic drugs • Janet Davey continued her PhD on forensic studies of Graeco-Roman mummies focusing on interpretation of CT images for traumatic injuries and post-mortem artefacts • Richard Bassed continued his PhD studies on the assessment of age using CT and the development of an improved assessment for age of maturity (18 years) using both dental and other anatomical markers of aging and • Luke Rodda commenced his PhD studies in alcohol congener analysis in a forensic context. Vision for the future The vision is based on four strategies: a) to strengthen and increase the awareness and functions of the DFM b) to further develop and strengthen postgraduate teaching c) to increase the capacity to conduct and supervise research and d) to increase research outputs with an emphasis on injury and death prevention and public health. Prevention Research Services The role of prevention research services at DFM has been strengthened this year with the establishment of the Prevention Research Unit (PRU) headed by Professor Joan Ozanne-Smith and the appointment of a number of new staff. This was made possible by research funds ($1 million over two years) from the Institute for Safety, Compensation and Recovery Research (ISCRR) to continue work related fatality research previously undertaken for WorkSafe. The PRU has also undertaken projects for UNICEF and WHO, and has hosted Monash University, Department of Epidemiology and Preventive Medicine, Public Health Doctoral Fellows placements as well as international delegations from Japan and Sri Lanka. 39 40 Much of the focus in 2010 was on translational research focussed on identifying substantial injury issues from data systems and applying inter-disciplinary methods to provide evidence-based actionable policy and countermeasure recommendations to International agencies, governments and communities. Of national relevance, PRU research identified an emerging trend of oxycodone-related deaths, which reflects similar concerning trends in the US and UK. Oxycodone is an opioid analgesic medication used to treat moderate to severe pain. This has been brought to the attention of relevant authorities and published in the scientific literature. Also of national concern, is the substantial number of deaths and injuries associated with motorised mobility scooters among older persons. Research was conducted for the Australian Competition and Consumer Commission to inform directions for prevention at government, design, and community levels. Internationally, the PRU has contributed to the World Health Organization’s role in intervention programs for drink-driving and speeding in the cities of Suzhou and Dalian in China, where deaths and injuries associated with rapid motorisation have been predicted to escalate. China is one of 10 countries undertaking similar projects over 5 years. The PRU was also commissioned by the WHO to provide updated evidence on drowning prevention and, additionally parameters and attributes of effective swimming/survival swimming programs based on a combination of evidence and best practice. This follows from the identification of child drowning as the leading cause of injury death in childhood, and a leading cause of child death after infancy overall, in many countries. Low and middle income countries, in particular, lack useful data on fatal injury and the circumstances surrounding these deaths. The PRU has collaborated, through Monash University, with the World Health Organization to develop a mortuary based fatal injury surveillance system guide, for which pilot studies to trial the system commenced in 6 countries in 2010. The aim of this system is to provide reliable information to governments and communities to inform injury prevention. Teaching Undergraduate and Graduate Entry Medical Law Programs The Medical Indemnity Protection Society (MIPS)/ Avant Medical Law Tutorial Program, designed and coordinated by Associate Professor Leanna Darvall, is now in its tenth year and is an examinable component of the under-graduate medical curriculum at Monash University, Clayton. It covers ten key areas of law relevant to clinical practice and using 70 medical lawyers and clinicians delivers small group tutorials to students in years one, three and four of the MBBS course. In Year 5, legal perspectives are included in a multi-disciplinary panel examining patient safety issues. A number of Institute staff continue to be involved in the delivery of this program. A similar program is delivered in the Medical Law program for Monash Malaysia. Associate Professor Darvall also designed and co-ordinates the medical law component of the Gippsland program which is delivered as a multidisciplinary seminar series in each year of the program. In conjunction with the Faculty Office, Associate Professor Darvall is currently undertaking two surveys, the first of Monash Medical graduates to ascertain whether the Medical Law program content is relevant to clinical practice, the second of lawyers and clinicians to ascertain the appropriateness of the program as an educational tool. Findings from both surveys will inform future development and delivery of the Medical Law program. Under graduate teaching is also provided to medical students at Melbourne, Monash and Deakin Universities by A/Professor David Wells, Drs Morris Odell and Janet Towns. Elements of Forensic Medicine For 22 years, the Department of Forensic Medicine and the Faculty of Law have jointly offered teaching to undergraduate law students in the Elements of Forensic Medicine unit, a unique option in the Law curriculum. Each year Emeritus Professor Louis Waller and Professor Stephen Cordner provide current and relevant information to students using a variety of sources. The unit continues to be popular with 47 students enrolled in 2011. Some of the highlights for the students were the site visit to the Victoria Police Forensic Services Department at Macleod and presentations by senior members of staff in the VIFM, the Forensic Services Centre, and Forensicare. Each year the Victorian Institute of Forensic Medicine Prize for Elements of Forensic Medicine is awarded to the student who achieves the highest mark. Sponsored by the Department of Forensic Medicine, the $500 prize was awarded to Ms Alison Ross for being the best student in 2010. 41 VIFM Annual Report 2010/11 Connecting With the Community 2009 2010 2011 71 56 55 65 60 An external review of the Master of Forensic Medicine, which is a requirement for course re-accreditation, was conducted in late 2010. Excerpts of the reviewers’ key findings appear below. • ‘The Master of Forensic Medicine, which caters for medical practitioners working (or proposing to work) in the field of forensic medicine, is the only course of its kind in the English-speaking world. The course fills a unique niche in the educational domain of clinical forensic medicine. Monash University and VIFM should be credited for developing this program and having sustained • ‘The course represents the only viable and sustainable mechanism for developing and maintaining in-discipline academic standards within the Asia-Pacific Region.’ The department also offers a Graduate Certificate of Nursing (Forensic) course which is only available to Australian students. The course consists of four core units: Sexual Assault Nursing I and II, Understanding Injuries, and Nursing and the Criminal Justice System Graduate Certificate of Nursing (Forensic) 2011 2008 67 2010 2007 Student enrolments The course is delivered and administered well and produces graduates with an exceptionally high standard of training and knowledge.’ 2009 Master of Forensic Medicine 2006 Enrolments continue to remain consistent with 60 students enrolled in the various programs from all Australian states and territories, New Zealand and Kenya in 2011. This innovative course is a very important manifestation of the rich and dense collaborations between the Faculties of Law and Medicine. It is a very worthwhile development as clinical forensic medical practitioners practise within the framework of ethical and legal principles, standards and rules. 2008 Postgraduate teaching in forensic medicine was developed over a decade ago and the Master of Forensic Medicine continues to attract national and international students. it over the past several years. It is only through the development of programs like this that the discipline will develop some type of best practice or standard when it comes to important considerations, like sexual violence, in clinical forensic medicine. 2007 Postgraduate Teaching in Clinical Forensic Medicine Student enrolments 14 27 29 20 10 Members of Indonesian National Police, who had previously participated in VIFM training, at the VIFM as part of the DVI response to the Black Saturday bushfires. 42 Research The Institute continues to be a leader in research in the field of forensic medicine and allied scientific areas. Research included: • adverse drug reactions of serotonin active drugs • development of improved drug detection methods using tandem liquid chromatography-mass spectrometry • use of computerised tomography (CT) in forensic pathology for disease diagnosis • use of CT for age estimation • stability of antipsychotic drugs • improvements in the isolation of DNA from degraded remains • assessment of European loci for identification of human remains • development of an anthropological database using CT imaging. A detailed list of research activities is included in Appendix B. Research Governance The Research Advisory Committee (RAC) was established in 2010 to assist in research governance and to develop the strategic directions of research conducted at the facility. By working closely with chief investigators, the RAC assists in fostering key partnerships and collaborations with outside researchers, research organisations, government and in some cases industry partners. Ensuring the appropriate dissemination of research findings, acknowledgement of relevant parties and protection of the VIFM’s intellectual property are additional activities of the committee. Training and development of researchers and graduate students is also available via the RAC with valuable advice on structuring projects and writing proposals. VIFM Ethics Committee The VIFM Ethics Committee met four times in the 2010–11 financial year. 8 applications by researchers were considered and 7 approved. 5 of these applications sought to use human tissue for research and 3 sought approval to use data. In August 2010 the Ethics Committee held a Training Workshop on the commercialisation of research using human tissue and the ethical issues this raises. The Training Workshop was chaired by Dr Linda Barclay, Department of Philosophy, Monash University and assisted by Dr Alan Woods and Dr Buzz Palmer from the Bernard O’Brien Institute. The VIFM Ethics Charter has been reviewed and is currently with the VIFM Ethics Committee members for comment. The annual and final report templates for researchers have been revised and a new reminder system implemented. A much greater compliance rate has subsequently been achieved. Letters of approval to researchers have been revised to ensure that all researchers understand the ethical obligations following approval by the VIFM Ethics Committee. A new schedule of fees for the delivery of tissue has been implemented by the Donor Tissue Bank of Victoria (DTBV), enabling early notice to researchers of the fees applicable to each project. Ms Josie Boyle, Tissue Coordinator has been assigned to the research portfolio and is working with the Executive Officers of the VIFM Ethics Committee, Ms Fiona Leahy and Ms Helen McKelvie, to revise internal procedures. There are currently 11 ethically approved research projects requiring human tissue. 7 of these are active and the remainder have been put on hold by the researchers. The membership and terms of reference of the Ethics Committee are included in Appendix C. Importantly the committee advises the Institute’s Ethics Committee on the scientific merit of projects, and prioritises research projects for ethical review. “ The Institute continues to be a leader in research in the field of forensic medicine and allied scientific areas. 43 VIFM Annual Report 2010/11 Connecting With the Community National Coronial Information System (NCIS) The NCIS is managed by the Institute on behalf of the Federal, State and Territory Governments. It is a database housed and managed by the Institute to provide a resource for national and international research. It is funded by all state/territory justice departments and specific federal agencies. There are now over 200,000 fatalities recorded on the NCIS with data from the New Zealand coronial system soon be added to the database. The number of papers and reports published during the 2010–11 reporting year which referenced NCIS data included 10 articles published in academic literature, and a similar number of annual and research reports that drew extensively on NCIS data. The NCIS Committee provides guidance and support for the management of the NCIS and met twice during 2010–11. Issues covered included: • Endorsement of processes for indigenous focused research • Further clarification surrounding which international research groups should be eligible to gain direct online access to NCIS • Data entry issues • The feasibility of adding a field to identify domestic violence related fatalities. The detailed terms of reference and membership of this committee are included in Appendix C. During 2010–11 the NCIS was able to contribute to the identification of a number of previously unidentified trends about deaths reported to a coroner (fentanyl deaths, and suicides in particular venue type). The ability to identify fatalities which may seem to be isolated in one state/ territory, and to bring to them to the attention of a variety of groups which can investigate them further is the ideal use of the NCIS as an early warning tool. The NCIS actioned 45 requests from external groups for mortality data about certain incidents, and death investigation users conducted almost 17,000 searches of the system (Table below). Twenty new third party applications were approved for NCIS access in 2010–11, with 83 third party access agreements in total permitting government, researcher and non-profit agency access to the NCIS during the 2010–11 financial year. Data quality activities at the NCIS continued, with almost 20,000 cases individually reviewed for coding accuracy. At the time of writing, the Victorian Department of Justice, on behalf of the NCIS Board, is undertaking a review of the governance of NCIS. For more information on the NCIS, including its own detailed Annual Report, please visit the web site at www.ncis.org.au NCIS system used by death investigators to extract data Type of search 2008/09 2009/10 2010/11 Query Design 2,519 3,677 4,304 Coroners Screen 3,473 4,782 3,101 Find Case screen 7,061 9,137 9,446 ABS Search Screen 29 50 30 Requests made to NCIS staff 74 75 65 13,156 17,721 16,946 TOTAL 44 International Program VIFM has more than 20 years of experience in the provision of forensic medical training, and actively seeks to engage with the international forensic medical community to develop and improve its own knowledge and practices. Medical graduates from around the world travel to VIFM to train with its professional staff in order to take that knowledge and experience back to their home countries. Institute staff also travel overseas to train, and be trained by, forensic medical practitioners in other countries. VIFM International Activities 2010–11 Indonesia VIFM was invited by the Australian Federal Police to assist in strategic planning for the Indonesian National Police Forensic Medical Unit at the January, 2011 ASEAN Disaster Victim Identification (DVI) Commanders meeting. Our training activities have covered topics as diverse as management of victims of sexual assault, homicide investigation, paediatric forensic medicine, advanced forensic toxicology techniques, tissue transplantation, Disaster Victim Identification, post-mortem radiology and medical law. International & Humanitarian Work VIFM has been active in responding to natural and manmade disasters that have resulted in mass casualties in South East Asia and the Pacific. We have had a particular involvement where Australian citizens were victims, such as in the Bali bombings, the Australian Embassy bombing in Jakarta, the tsunami in Thailand and aviation crashes in Indonesia and Papua New Guinea. VIFM’s Disaster Victim Identification (DVI) team has also worked in East Timor, the Solomon Islands and Fiji. The Institute strengthens its capacity to respond to Australian mass casualty events, teach forensic medicine and contribute to research in the field through its international humanitarian capacity development and DVI work. VIFM has a number of highly specialised medical and scientific staff who have honed and broadened their niche skills through international humanitarian work in testing conditions in the aftermath of human induced (war, terrorism) or natural disasters. Our ability to rapidly deploy the infrastructure and logistics required to manage the large number of casualties is informed by our staff members’ experiences in working in the aftermath of the Bali Bombings, Kosovo following the NATO intervention, and Thailand following the Indian Ocean Tsunami. We saw first-hand how invaluable this international experience was when our staff worked for three months to care for and identify the 173 Black Saturday bushfire victims for their families and the community. VIFM has an established network of contacts with forensic medical professionals throughout the Pacific and South East Asia. We are part of a project to foster a collaborative network of forensic institutes in Asia which will focus on capacity development through training and information exchange. Above: Australian Federal Police Agent Don Craill, Executive Director Programs, Jakarta Centre for Law Enforcement Cooperation (JCLEC); Dr Anton Castilani, Chief of the Department of Police Medicine, Indonesian National Police and Professor Stephen Cordner, VIFM Director at the Asian Disaster Victim Identification Commanders Workshop held at JCLEC in Indonesia in January. VIFM Annual Report 2010/11 Connecting With the Community Africa Japan Earthquake and Tsunami Above: African clinicians at the Forensic Medical Investigation of Sexual Violence Workshop run by VIFM in Namibia in March 2011. Pursuant to an MOU between the VIFM and ICRC, VIFM was requested to provide advice to the ICRC in relation to requests from the Japanese Ministry for Foreign Affairs on possible assistance the ICRC could coordinate. VIFM has partnered with the Australian Federal Police (AFP) on a number of forensic medical capacity development activities in East and South Africa as part of a broader program to support Africa’s law and justice systems. The facilitation of a new regional forum, the African Network of Forensic Medicine (ANFM) by VIFM and the AFP is aimed at building pan-African professional and personal networks, and supporting mutual understanding of forensic medical services, problems and issues. The ANFM was further supported by the AFP with the establishment of a four year scholarship Masters of Forensic Medicine program for eight doctors from eligible African nations which is delivered by VIFM/ Monash University. In March VIFM delivered a week-long workshop in Namibia on the Forensic Medical Investigation of Sexual Assault for clinicians from eight African nations. This was funded by the Australian Government through the Australian Federal Police (AFP). United Arab Emirates VIFM provided a two week intensive Forensic Odontology workshop for five UAE police dentists in January 2011. VIFM undertook a Forensic Medical Capacity Assessment and Recommendations for Improvement for the UAE Department of Interior. VIFM has been invited to submit a proposal to coordinate five years of pathology training in Victoria for two to three UAE clinicians from the Abu Dhabi Police Force. Solomon Islands At the request of the Truth and Reconciliation Commission, VIFM Forensic Anthropologist, Dr Soren Blau provided training in exhumation techniques and grave mapping as part of an Argentine Forensic Pathology Team (EAAF) project. Dr Malcolm Dodd (VIFM Forensic Pathologist) also participated in the workshop and appeared as an expert witness in a trial related to previous exhumations. Christchurch Earthquake DVI Response Team VIFM sent a team to New Zealand following the earthquake disaster to assist in the international response. East Timor In December 2010, the VIFM/EAAF were successful in obtaining funding from the International Committee of the Red Cross (ICRC) to pursue the analysis and attempted identification of victims allegedly killed by the Indonesian Army in 1984. To date we have positively identified one of the eight individuals. This work is ongoing. The VIFM in collaboration with the Argentine Forensic Anthropology Team (EAAF) completed a three-year AusAID funded project in East Timor in March 2011. Members of the local police force and hospital staff were trained in aspects of human identification. Investigations were also undertaken to locate clandestine graves and recover human remains. The team recovered 16 deceased individuals and identified 12. After 18 years of not knowing the fate of their loved ones, these families were finally able to perform the relevant funeral rites. The project developed educational resources including A Practical Guide for Forensic Investigators in Timor-Leste, a DVD of 17 short films in Tetum entitled “The Attempted Location and Identification of Human Remains”, and a one hour cinematic documentary entitled The Search: Looking for the Victims of Santa Cruz which documents the process of investigating the 1991 Santa Cruz massacre. The VIFM/EAAF continues to undertake forensic investigations on behalf of the East Timor government in an area alleged to have clandestine graves. To date, two mass graves have been located and the attempted identification of the seven deceased individuals is ongoing. 45 46 Administration Support Services “ Our obligation to use our resources productively demands a high standard of management practice. VIFM Annual Report 2010/11 Connecting With the Community Our obligation to use our resources productively demands a high standard of management practice. Administration Support Services includes the business management functions of strategy, governance and risk, finance and business services, medico-legal and policy, human resources and organisational development, quality and improvement, information management and technology services, which provide support and enabling services across the Institute. The following details some of the key activities and achievements for the support areas. Highlights The Launch of the New VIFM Website & YouTube Channel Building Redevelopment Following the appointment of the John Holland Group in November 2010 as the contractor for the building works, we have commenced the journey of living and working in a building which is constantly under construction. We have moved most of our staff from one location to another including into two on site portables to free up space for demolition works. We have seen major parts of our building demolished and have worked with the builders and project managers to schedule outages of many services including water, power and fire protection while still maintaining our operations; and this is just the beginning. We were happy to celebrate the opening of our first enlarged refurbished area, molecular biology, in June 2011. The new VIFM website and YouTube channel was formally launched by the Attorney General on 19 April 2011 at a morning tea. Amid a sea of blue cupcakes, The Attorney General, the Hon Robert Clark MP, The Hon John Coldrey QC, Chair of the VIFM Council, VIFM staff and other members of the legal and medical fraternity were on hand to launch the Institute into the future. Featuring our very own YouTube Channel – VIFMTube – the website showcases the remarkable people and achievements the Institute. Deputy Director and Associate Professor, David Ranson commented, “Increasingly our patients and our families are turning to the internet for the information they need and VIFM needs to have a strong presence in this communication medium, one that is comprehensive, meaningful and accessible.” The Hon Robert Clark MP also commented on the new website in his speech by saying, “I must commend the innovation of putting video clips on the website. Experience shows that different people take in information in many different ways. That’s certainly relevant for both jurors and the general public. Putting information in the form of video clip is a very wise move.” The new website will be a constantly evolving entity which seeks to continuously improve the user’s online experience. Above: Launch of the new VIFM website. L–R: Associate Professor David Ranson, The Hon John Coldrey QC, The Hon Robert Clark MP and Professor Stephen Cordner. Above: Molecular Biology Lab Opening. The Hon John Coldrey QC and Dr Dadna Hartman cut the ‘double helix’ ribbon and officially declared the Molecular Biology Laboratory open. Quality & Improvement The Institute recognises the importance quality systems to achieve our vision of excellence. In this reporting year, the organisational structure of the Quality and Improvement team was remodelled to improve the way the Institute’s Integrated Quality Management System (iQMS) serves the individual needs of each service area. From August 2010, each service within the Institute has a dedicated Quality & System Improvement Officer. This restructuring aims to give each Officer a better operational understanding of their service area while maintaining their independence and objectivity by continuing to report to the Manager of Quality and Improvement. During the year, Ms Frances Adamas was appointed Manager of Quality and Improvement. A VIFM Quality Framework was also designed and implemented to further support the integrated quality management system. The framework is based upon the quality principles of the code of Good Manufacturing Practice from the Pharmaceutical Inspection Cooperation Scheme that can be applied across all sections of the Institute in a way that enhances current licensing, accreditation and certification requirements. 47 48 Recruitment of a new group of sessional auditors gave staff the opportunity to learn auditing and peer-auditing skills to benefit the VIFM’s laboratories. The Quality & Improvement Section, along with the DTBV and Australasian Tissue Banking Forum were heavily involved in the consultation process of the development of the Therapeutic Goods Administration’s (TGA) updated code of GMP for Human Blood and Blood Components, Human Tissues and Human Cellular Therapies and associated Standards for the Tissue Banking Sector. This code was implemented nationally in conjunction with the new TGA Biologicals Framework on 31 May 2011. The Implementation of the VIFM Quality Framework and Quality Management System in Clinical Forensic Medicine has provided a basis for engagement with the Australasian Association of Forensic Physicians and NATA to develop a NATA Clinical Forensic Medicine Accreditation. We look forward to continuing development in this area. Quality Assurance Programs The VIFM’s laboratories continued to test their proficiency against those of other laboratories through participation in the Quality Assurance Programs (QAP) organised by independent external organisations A total number of 66 Quality Assurance Programs were received and analysed by the various areas of Institute during this reporting year. This included quantitative and qualitative testing of various aspects of the service relevant to each section, the table below shows the number of QAPs participated in by the individual laboratories and the testing areas assessed by the QAP organisations. New to the VIFM 2010–11 QAP program activity is the participation of the pathologists as individuals in the RCPA Forensic Pathology Program. External Audits The DTBV was audited by the TGA in July 2010 and granted continuing license to manufacture human tissue for transplantation and the Microbiology lab ongoing license as a Testing Laboratory Blood Tissue and Cellular. Administration and Support Services and the NCIS were granted ongoing certification to ISO 9001:2008 in December 2010. The 18 month cycle of NATA audits means that VIFM did not undergo audit in FSS, Forensic Pathology or Microbiology the last 12 months. These audit results are an indicator that VIFM’s quality system continues to be compliant to our licensing, accreditation and certification requirements. Internal Audits The approach to internal auditing has shifted to a quality risk-based approach based on the internationally harmonised ICH 9 guidelines. There were 22 internal audits conducted for this period across the Institute. The audits confirmed the high level of compliance to standards but also identified a number of opportunities for improvements across the Institute in the following areas: • Staff training records • Updating documentation • Reports Number of Quality Assurance Programs Section Testing Areas Number QAP’s Forensic Pathology Anatomical pathology(general and forensic), Autopsy Program and Neuropathology 20 Histology Technical Modules 3 Microbiology Bacteriology and serology 23 Molecular Biology Parentage Testing and CTS DNA Profiling 5 Toxicology Forensic Toxicology, Blood Oximetry, Blood Alcohol testing, Drugs in Driving, Australasian Forensic Toxicology Program, Oral Fluid and Ketamine in hair 15 49 VIFM Annual Report 2010/11 Connecting With the Community Continuous Improvement Request and Corrective Action (CIRCA) The CIRCA system plays an integral role in identifying systemic issues and trends across the organisation. This year, 266 electronic CIRCAs were raised by staff compared with 168 last year. The increase in reporting of safety incidents, particularly near misses and issues relating to internal service, is an indication that staff are better identifying and taking up opportunities for improvement. OHSE issues have increased significantly in direct response to the building redevelopment works. A change in the way that external audit findings are being reported has resulted in a significant increase in audit CIRCAs. Audit findings were broken down and reported as individual findings so as to better incorporate and identify issue trends rather than indicate a routine external audit. Overall, an improved culture of issue and incident reporting combined with a better defined breakdown of the issues identified ensures improved reporting capabilities and risk management. Technology Services This is made up of the service areas of information technology, the VIFM Library and forensic imaging. Information Technology (IT) 2010–11 was a year of significant change and innovation by the IT department. The delivery of some major projects placed the Institute at the cutting edge of its supporting technology, with improved availability, security, performance and efficiency, as well as building a platform with scope for continuous improvement. Service The growth of the Institute has led to an increased reliance on the IT Service Desk – over 3,400 requests were completed in this reporting year, and with the addition of key staff looking after this role, our KPI of 80% of tickets closed within 2 days was achieved. Infrastructure • A program of consolidation was completed with the migration of the Windows server infrastructure to a virtualised and replicated environment • VIFM staff were migrated to the Lotus Notes platform, which was a huge undertaking which included a migration of staff email addresses to a more meaningful and professional format: firstname. [email protected] • A PC replacement program was initiated, along with a planned upgrade of desktop operating systems to simplify provisioning and increase security of our systems • A new webserver was commissioned to host the revamped www.vifm.org website that was released in April. The webserver has been configured in order to consolidate our entire external and internal web serving needs • As a result of the redevelopment, all of VIFM’s server and networking infrastructure was moved in November 2010 which was a significant process. A well planned project carried out by many members of the IT team ensured minimal impact on the business with all work being carried out over one weekend. Number and type of lodged CIRCAs Category Audit Complaint Compliment Evidence handling External service Improvement request Innovation Internal service OHSE issues Property damage Quality assurance program Safety incident TOTAL 2008/09 5 13 3 10 7 10 1 19 1 0 1 30 154 2009/10 9 10 3 10 2 6 0 26 2 1 0 30 168 2010/11 41 20 8 26 21 25 0 56 24 0 0 45 266 50 Development • During the 2010–2011 financial year, two major versions and two minor versions of the iCMS were released • The iCMS 7 / CourtView project has been a major development project involving liaison with CCoV and VIFM staff at many levels. The change management has also included analysis of requirements, development, communication and training • NCIS Version 5, 5.1 and 5.2 were released, as well as an update of the NCIS system to allow for coronial data from New Zealand. Innovation • The introduction of support for iPhone/iPad devices remotely, and also the creation of a fully functional webmail system have enabled staff to perform more of their roles wherever they are in the world • To support a requirement for mobile computing in the laboratory and mortuary environments, a wireless network was designed and installed • Development of an iPad ‘App’ which addressed evidence traceability concerns in the mortuary was also completed and is scheduled for rollout in July 2011. Security • Access to the Institute Case Management System (iCMS) has been tailored into a more role-based system with simplified approval and provisioning mechanisms • Server security has been strengthened with redundancy and an anti-hacking suite developed for all web-based services. Forensic Imaging The Forensic Imaging Department continued to provide high quality photography services to both the mortuary and Clinical Forensic Medicine. The design and printing of posters, presentations and other various digital imaging services assisted many staff members in giving lectures to both internal and external parties, as well as promoting the Institute’s professionalism at various conferences and symposiums throughout the world. The role was shared during the year which brought additional skills and innovations, including the possible use of infra-red photography within the mortuary environment for forensic purposes. Institute Library The small, focused collection reflects the areas of activity and changes in interest of research carried out at the Institute. This includes Forensic Pathology, Clinical Forensic Medicine, Forensic Toxicology, Forensic Odontology, Forensic Anthropology, Forensic Entomology, Injury Prevention, Expert Evidence, Human Rights, Medical Ethics, Medical Law and Tissue Donation. 50 books and reports were added to the Institute Library collection during the year. During the year, the Library has supported the core services and research activities of the Institute by providing 1,234 document delivery requests to staff and students, compared with the previous year of 1164, and conducted 55 literature searches for staff. We also fulfilled 147 requests from other libraries. This figure is less than previous years reflecting the rationalised journal holdings and the limited access to the library collection during the redevelopment of the Coronial Services Centre. Human Resource Management and Organisational Development The work of Human Resources & Organisational Development is guided by a mission to play a key role in supporting VIFM leadership, department heads and staff in the achievement of departmental goals and VIFM’s strategic goals. The Department is committed to recruiting, selecting, developing, rewarding, and retaining, the highest quality workforce attainable and provides quality human resources services with integrity, objectivity, responsiveness, sensitivity, and confidentiality. The Department and its operations were positively impacted by a number of HR staff appointments which consolidated internal operations and processes and allowed the shift from pursuing process oriented activities to a greater focus on proactive, value-added, strategic HR & OD initiatives/projects. The staff in Human Resources and Organisational Development department invested and delivered on a number of major projects this year. A number of these are outlined below: • initiatives for improved communications throughout VIFM, • supported the establishment of the Managers’ Action Group (MAG), • held a number of workshops to ensure elements of departmental Business Plans are directly referenced and imported into PMP (PDP) plans, • Updated all position descriptions to include OHS and EEO responsibilities, authorities and accountabilities • pursued and registered interest at accessing DoJ’s new electronic PDP system, • Introduced e-Learning to assist staff in personal and professional development • rolled out numerous training programs in response to the needs identified through internal assessment and the Employee Attitude Survey • developed and provided HR KPI reports updated monthly for management and executives • designed and introduced a new electronic induction program for all staff • organised two successful career sessions with over 75 students with very positive feedback in regards to program and content • managed end-to-end recruitment for over 25 vacant positions across VIFM • Reduced excessive leave balances through a targeted campaign of auditing leave balances across the organisation. VIFM Annual Report 2010/11 Connecting With the Community Finalisation of the Employee Attitude Survey Recruitment & Selection The biennial Employee Attitude Survey (EAS) was conducted at by the Department of Justice in early 2010. The results were subsequently discussed in staff presentations and the VIFM’s strengths and areas for improvement discussed and noted. The Institute is an equal opportunity employer (EEO), is committed to maintaining a non-discriminatory recruitment and selection process, and all appointments are selected via the KSC and merit. All managers involved in recruitment and selection processes across the organisation are educated in the importance of applying EEO principles when engaged in the recruitment of new staff. During 2010–11, there have been many initiatives implemented as a result of the survey, as referenced in our achievements outlined above. ROSII Awards The Institute acknowledges and celebrates outstanding work by staff/ teams through ROSII Awards. The awards are presented to staff who have demonstrated their commitment to the Institute’s core ROSII values: Respect, Openness, Service, Integrity and Innovation. The recipients of ROSII awards this year were: Gaie Russell – Receptionist The award was in recognition of her demonstrated continuous and consistent delivery of friendly, respectful efficient and professional delivery of service at the front reception desk of the VIFM. Gaie represents and upholds all of the VIFM values in a very demanding role. Vicky Winship – Manager, Data and Information Analysis The award was in recognition of her taking on the responsibility for co-ordinating and overseeing the redevelopment project for the Coronial Services Centre in addition to her other responsibilities. The commitment to the project and to fellow staff has shown through in the efficiency of the internal moves and minimization of negative impacts on staff. Learning Management System (LMS) A successful project rolled out during the year was gaining access to the DoJ Learning Management System (LMS). This program is in addition to on-the-job training and training provided by internal and external providers. The system can be accessed internally and externally by staff. Since the introduction of LMS, 164 VIFM staff enrolled in various online & face to face training sessions. Professional Development VIFM actively encourages and promotes professional development and provides opportunities for all staff to develop their abilities and skills in support of the goals of VIFM and for their ongoing professional career enhancement. Professional development and training opportunities for staff are identified and coordinated through a diverse range of providers at VIFM, utilising internal, regional and national providers. Attracting and retaining talented people within the Institute is crucial to the successful operation of the organisation and the services that we provide. Over the past twelve months we successfully advertised 37 vacant and new positions, and short-listed 724 applications. Positions were advertised on the VIFM Web site, Intranet, Government web site and Seek occasionally. Exit interview analysis A more rigorous exit interview process has been introduced for all staff, visitors and contractors. Since January 2011, exit interview questionnaires have been completed and returned for all departing staff with a copy of their signed confidentiality agreements provided on exit. Service Awards Service awards recognise employees’ service to VIFM. Awards are provided in five-year increments beginning with the tenth year of service. 10 Years Caroline Rosenberg, Karen Lee, Natalie Morgan, Danielle Mclean, Noelle Large 15 Years Carole Spence, David Wells, Kellie Hamilton 20 Years Luba Pylnik, Brian Lloyd, Maria Pricone, Dimitri Gerostamoulos External Recognition Professor Olaf Drummer, Dr Soren Blau, Dr Dimitri Gerostamoulos, Dr Jodie Leditschke and Dr Dadna Hartman were successfully nominated to be Founding Fellows of the Faculty of Science, Royal College of Pathologists of Australasia (RCPA). 51 52 Occupational Health & Environment Safety The focus for 2010–11 has been to engage all staff in issues of safety. This focus started with the introduction of a quarterly hazard inspection checklist to be completed in each business area. The intention of these checklists is to keep abreast of housekeeping issues that arise during the redevelopment and to encourage staff to become more aware of their changing environment. All VIFM managers attended a one day Managers OHS training course conducted by Department of Justice. The training covered areas such as safety in the workplace and staff and manager responsibilities. New managers to VIFM will be required to undertake this training. In addition the VIFM purchased access to the Workplace Safety Australia website. The access is open to all staff to use as it is a great on-line resource for obtaining information on safety issues and legislation. Other safety issues which were addressed this year include: • Printer Toners – are they safe? • Decanting Chemicals Safely • New WorkSafe campaign “Victorian workers returning home safe every day” • Safety Conference information • Bullying reform • New Safety website: Workplace safety Australia Health and Well-Being Fitness Programs The VIFM participated in two fitness programs which are designed to make people aware of and increase their daily activity: Global Corporate Challenge and Monash’s 10,000 steps. Staff Vaccinations To ensure staff are protected against the yearly flu, Provax attended on site on 2 occasions to vaccinate approximately 60 staff members. In additional vaccination of Pertussis (Whooping Cough) was also provided for pathology staff. Onsite Spinal Assessment The movement of people in to new desks and office areas highlighted the need to reassess workstations and ergonomics. In response to this, free on-site spinal and posture assessments were offered to all staff. Approximately 60 staff elected to undertake the assessment which gave individuals insight in to the health of their spine. Many staff also attended a lunch time seminar by a Chiropractor to encourage staff to review their ergonomics and posture both in the workplace and at home. First Aid Kits A process of ensuring the first aid kits are restocked was introduced. The first aid kits on site are now restocked twice a year in May and November by St Johns. There are 15 first aid kits at various locations around the VIFM and 4 car kits. Employee Assistance Program The Employee Assistance Program offered though PPC Worldwide continued its services to staff at the VIFM throughout the year. VIFM staff have access to counsellors to discuss personal and work related issues in a confidential environment 24 hours a day, 7 day a week. Training and Education Hazardous Substances and Dangerous Goods Training Training was conducted on site on the 21 March 2011 by Hazcon. The session was attended by 19 people from across areas of the VIFM. ChemGold 3 Program and Training In January 2011, the VIFM purchased an upgrade to the chemical management on-line system previously Chemwatch to ChemGold 3. Ten staff members from across the VIFM undertook training in the new program to become responsible for chemical management within their work areas. WorkSafe In April 2010, WorkSafe determined that there are manual handling risks associated with the current mortuary racking. In response to this, VIFM made engineering changes to the racking that eliminated the high force risk. These changes were accepted by WorkSafe in November 2010. The number of safety incidents reported in 2010–11 was 51, an increase of 7 incidents on the year prior (refer to table 1 for incident rates comparisons since 2007). Each incident was investigated and in many cases changes were implemented to ensure continual improvement and increased safety. Six reported incidents can be directly linked to the impact of the redevelopment. Four incidents relate to the smells of smoke and diesel or poor air quality related to building and soil remediation works. One incident relates to a noise complaint from staff whilst concrete drilling was being undertaken. An independent noise assessor determined the noise levels were an irritant, however within safe levels. The relocation of the compactus for use in the temporary library was identified as a hazard as its initial installation was unstable rendering it unsafe for use. After modifications, the compactus was resumed to a safe working manner. Whilst these incidents were found not to have posed any safety threat to staff, their reporting indicates a proactive approach to potentially unsafe events. The reporting of near misses is a positive indication that staff value the process of incident reporting as an important prevention measure. Of the 5 reported near misses, one related to the incorrect disposal of glass with in the laboratory environment. This indicated a gap in some staff training and a reminder of safe glass disposal was given in a team meeting. VIFM Annual Report 2010/11 Connecting With the Community Needle stick and incised injuries continue to be a significant source of incidents in the mortuary and Donor Tissue Bank of Victoria areas. A sharps training package has been developed that will be annually given to staff in these areas as a reminder of good sharps handling practise. New and improved cut and stab resistant gloves continue to be trialled in the mortuary as technology in this area advances. Musculoskeletal incidents such as strain and sprains have contributed to the incident rate in the mortuary. In August of 2010 a policy of only transferring deceased persons using the ceiling mounted lifters was introduced. Forensic Technical staff received task specific manual handling training from a physiotherapist/ergonomist and a manual handling training package was developed to ensure staff are reminded and retrained on the safe manual handling principles. There was one reportable incident to WorkSafe, when the lift doors malfunctioned, resulting in a person being contained in the lift until the doors were manually opened. WorkSafe did not investigate this incident, however internal investigations revealed the malfunction occurred within a couple of hours of the lift being serviced. The Service company rectified the lift fault. 2009/10 2010/11 Burn 2008/09 Type of Incident 2007/08 Table: 1 Type and Number of Incidents reported staff in 2010–11 compared to previous years - - 1 0 4 2 0 Bruise Facilities Management Maintenance of the property is a priority to enable effective and efficient business processes and contributes to the safety and wellbeing of our staff. This year has been an extremely busy one with the ongoing building redevelopment which imposes a substantial extra load on the shoulders of our Facilities Management Officer, Mr Jim Cosentino. During 2010–11, Facilities Management received 822 maintenance requests as compared with 756 last year. Coronial Services Centre Social Club The CSC Social Club is an integral part of the culture of the VIFM. The CSC Social club endeavours to provide a wide range of events and activities to cater to all staff. Some of the successful events organised and heavily subsidised by the Social Club included: • Mingles – on the last Friday of each month, staff get together after work to “mingle” over refreshments at various Melbourne watering holes. • Mingle Breakfasts – Members are treated to a delicious breakfast and a chance to socialise before work. • Healthy Lunches – Three times a year, the Social Club provides a healthy lunch for all staff. • Cake Day – Every fortnight, “celebrity chefs” bake up a storm. Proceeds from the sales of baked goods support the Social Club and various charities. • Zoo Twilight – Staff, family and friends enjoyed Leo Sayer at an evening concert at the Melbourne Zoo at subsidised ticket prices. • Winery Tour • Mid-Year Function – Dinner at Post Deng restaurant. • Hairspray the Musical • The VIFM Christmas Party – Story Bar at Queen’s Loft • Food and Wine Festival – subsidised lunch at Walter’s Wine Bar. • Footy Tipping Cut / puncture 5 13 11 9 Fall 2 - 3 0 Fire 1 1 Fumes/Odour 1 1 Hazard 7 1 2 Fundraising Knock - - 0 Oxfam Pakistan Floods, October 2010 – Raised $595 Near Miss 4 5 9 5 Needle stick 5 6 7 9 QLD/Vic Floods Fundraiser Cake Day and BBQ, Jan 2011 – Raised $900 Other 1 2 1 6 Oxfam Walk Fundraiser Cake Day, March 2011. Personal Safety / Threat - - 1 Property damage - 1 0 FaceBook Slip 1 - 5 4 Splash 3 1 1 3 Sprain 3 4 Strain 5 TOTAL Number 38 Reportable to WorkSafe 39 0 1 6 The Social Club page on Facebook has been reinvigorated. This allows past staff members to keep in contact and attend social club events such as Mingles. 2 1 3 42 50 2 1 51 53 54 CORPORATE GOVERNANCE “ Established in 1987, the Institute exists to promote, improve and sustain forensic medicine and related disciplines through its service delivery, integrated teaching and research functions. VIFM Annual Report 2010/11 Connecting With the Community Our Governance The Institute Council This year saw the development of a new Council Charter which provided for a revised and updated Council’s roles and responsibilities statement and more specific information around meeting rules and procedures. The Charter also provided for a more comprehensive guidance to Council members on their individual roles and responsibilities. In developing the new Charter, we drew heavily on the standards and guidance provided by the State Services Authority. At VIFM there is a Governor-in-Council appointed Board of Management, known as the VIFM Council. The Council is the governing body of the Institute and is constituted under the VIFM Act. The two key Council Committees (Executive and Finance and Audit and Risk Management sub-committees) also had their Terms of Reference updated. Our Guiding Principles for Corporate Governance VIFM Council has adopted the following guiding principles of corporate governance: • Lay solid foundations for management and oversight • Structure the Council to add value • Actively promote ethical and responsible decisionmaking • Have a structure to independently verify and safeguard the integrity of the Institute’s financial reporting • Recognise legal and other obligations to all key stakeholders • Establish a sound system of risk oversight, management and internal controls. Establishment of VIFM and Guiding Legislation The Institute is established under section 64 of the VIFM Act 1985. The Institute is bound by this and other statutory instruments, including, but not limited to the Coroners Act 2008, Human Tissue Act 1982, the Public Administration Act 2004 and the Financial Management Act 1994 which govern its functions and practices. Under these instruments, the Institute provides forensic medical and scientific services, tissue transplant services, and teaching and research. Established in 1987, the Institute exists to promote, improve and sustain forensic medicine and related disciplines through its service delivery, integrated teaching and research functions. Twenty years from its beginnings, VIFM: • provides independent forensic medical and scientific services to the Victorian public and justice system; • facilitates increased knowledge through teaching and research; and • enables the provision of high quality human tissue grafts for transplantation. VIFM’s formal independence is vital in the provision of these functions. Council Composition The Council comprises 12 members, 10 of whom are appointed by the Governor in Council as follows: a) the Director of the Institute (ex officio); b) the State Coroner (ex officio); c) a nominee of the Council of the University of Melbourne; d) a nominee of the Council of Monash University; e) a nominee of the Minister for the time being administering the Health Services Act 1988; f) a nominee of the Minister for the time being administering the Police Regulation Act 1958; g) a nominee of the Chief Justice; h) two nominees of the Attorney-General, at least one of whom is a Fellow of the Royal College of Pathologists of Australasia; i) a nominee of the Chief Commissioner of Police; j) a nominee of the Minister for the time being administering Part II of the Community Services Act 1970; and k) a nominee of the Minister for the time being responsible for women’s affairs in Victoria. The Chairman is appointed by the Attorney General from the Council members. In addition to these Council members, the Institute’s Chief Operating Officer and an external invited member of the Council’s Executive and Finance and Audit Committees attend Council meetings. 55 56 Council Members The Hon John Coldrey, QC Chairperson, nominee of the Attorney General Since becoming a barrister in 1966 John Coldrey has contributed to many different areas of the legal profession throughout Australia. Following his appointment as the Director of Public Prosecutions for Victoria in 1984 he became a Justice of the Victorian Supreme Court in 1991 where he served until 2008. He was also active in the Northern Territory where in his role as the Director of Legal Services for the Central Land Council he was involved in the grant of Aboriginal title to Uluru as well conducting Aboriginal land claims and negotiating major industry agreements with the Northern Territory Government and mining companies. John Coldrey has written numerous major conference papers and legal publications relating to the operation of the criminal law. He has been a member of various committees and councils including chairing the Consultative Committee on Police Powers of Investigation. In 2004, John Coldrey was awarded the Gold Medal of the International Society for Reform of Criminal Law (of which he is a Board member) in recognition of his contribution towards criminal law reform. He is currently a judicial member of the Adult Parole Board. He joined the Victorian Institute of Forensic Medicine Council in 2008. Peter Allen, Deputy Dean, the Australia & New Zealand School of Government, Nominee of the Minister of Health Peter Allen is Deputy Dean of the Australia and New Zealand School of Government and Victoria’s Public Sector Standards Commissioner. Previous appointments included Under Secretary in the Department of Human Services, the Victorian Government’s Chief Drug Strategy Officer, Secretary of the Department of Education, Secretary of the Department of Tourism, Sport and the Commonwealth Games, Director of Schools, and senior roles in the Departments of Health and Community Hon John Coldrey, QC Peter Allen Services. Between 2001–03 he was a Vice-Chancellor’s Fellow at the University of Melbourne. He is also Chair of the Management Committee of the Australian Health Practitioner Regulation Agency, Vice President of the Institute of Public Administration Australia and Vice President of the Victorian Division of the Institute of Public Administration. Professor James A Angus, Dean of the Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Nominee of the University of Melbourne James Angus was appointed Dean of the Faculty of Medicine, Dentistry and Health Sciences at the University of Melbourne in July 2003. Before becoming Dean, he was Professor and Head of the Department of Pharmacology and Deputy Dean of the Faculty of Medicine, Dentistry and Health Sciences. At the University of Melbourne, Professor Angus has been President of the Academic Board (2000-01) and Pro Vice-Chancellor (1999–01). Professor Angus was awarded the Gottschalk Medal of the Australian Academy of Science (1984), is a Fellow of the Academy (FAA) and has been a member of its Council. In 2003 he was awarded Australia’s Centenary Medal for contribution to Pharmacology and the Community. Professor Angus was a First Vice-President of the International Union of Pharmacology (IUPHAR) and was President of the Australasian Society of Clinical and Experimental Pharmacologists and Toxicologists. His current roles include President of Medical Deans Australia and New Zealand (elected in 2009), directorships of the Walter & Eliza Hall Institute, Bionic Ear Institute, Mental Health Research Institute, Melbourne Health, IJV PCCC and Victor Smorgon Institute at Epworth Pty Ltd. He is also the honorary Secretary, Victorian Rhodes Scholarship. Professor James A Angus VIFM Annual Report 2010/11 Connecting With the Community Deputy Chief Magistrate Felicity Broughton, Nominee of the Minister for Women’s Affairs Deputy Chief Magistrate Broughton has served as Victorian Magistrate since 2000, as Victims of Crime Assistance Tribunal Supervising Magistrate from 2001 to 2004, and as Supervising Magistrate for the sexual assault portfolio of the Magistrates’ Court of Victoria since the establishment of the portfolio in 2006. She is currently a member of the State Government’s Sexual Assault Advisory Committee, the Child Witness Service Advisory Committee and the Statewide Advisory Committee to Prevent Sexual Assault. From 1981 to 2000 she was a solicitor in private practice, with particular experience in matters relating to sexual assault, family violence and other issues relating to violence. She served as a member of the Victorian Community Council Against Violence from 1994 to 2007 and as a member of the Legal Professional Tribunal from 1997 to 2000. She was also a board member of the Children’s Protection Society from 1993 to 2000 and served as President from 1996 to 1999. Her Honour Judge Jennifer Coate, State Coroner, Victoria Her Honour initially worked for four years as a teacher in Victoria’s primary schools after completing a Teaching Diploma at Frankston Teachers’ College. In between completing the diploma and teaching she also completed an Arts degree at Monash University majoring in Linguistics and English Literature. After teaching and travelling the world, in that order, she returned to study full-time and completed a Law Degree at Monash University. After completing her Articles, Her Honour worked as an employee solicitor and later entered a partnership practising in Fitzroy and East Melbourne in family law, criminal law, crimes compensation and Children’s Court work. After selling the practices she worked as a duty lawyer for the Legal Aid Commission, then in Policy and Research in the Attorney-General’s Department before being appointed as a Magistrate in March 1992. Deputy Chief Magistrate Felicity Broughton Judge Jennifer Coate In December 1995, Her Honour took up an appointment as the Senior Magistrate at the Children’s Court and in September 1996 was promoted to the position of Deputy Chief Magistrate. On 23 June 2000, Her Honour was appointed as a judge of the County Court and on 26 June 2000 as the first President of the Children’s Court of Victoria. In October 2001, Her Honour was appointed as a part-time Commissioner to the Victorian Law Reform Commission. Her Honour commenced sitting at the County Court on a full time basis in April 2006. Her Honour was appointed as the State Coroner on 29 November 2007. Professor Robert Conyers, Senior Consultant Pathologist, Nominee of the Attorney-General BSc(Hons), MB, BS, DPhil, MBL, FRCPA, FAICD, MRACMA, MAACB, MRACI Professor Robert Conyers is currently a Senior Consultant Pathologist at PathCare, Geelong and holds NonExecutive Director positions as a Council member at VIFM; and as a Board Member (Treasurer) of AMA Victoria. He received his specialist training at Sydney Hospital and St Vincent’s Hospital, Sydney and was then awarded a Nuffield Medical Fellowship to the University of Oxford where he completed his DPhil on the regulation of carbohydrate metabolism. Returning to Australia, he was Senior Consultant Pathologist and Head of the Metabolic research Group at the Institute of Medical and Veterinary Science, Adelaide. He then became the Director of Biochemistry, Alfred Hospital and the Head of the Cardiac Metabolic Laboratory, Baker Medical Research Institute. His metabolic and nutritional research has been into oxalate urolithiasis, cancer cachexia, exercise (sports) energy metabolism and metabolic support of the heart in surgery and transplantation. His last position in major teaching hospitals was as Executive Director of Pathology (1994–1998) for the North West Health Care Network (which included Royal Professor Robert Conyers 57 58 Melbourne and Western Hospitals). He then became Executive (Group) Medical Director (1998–2005) for the Gribbles Group which had pathology services across Australia and in New Zealand and Malaysia. He is Adjunct Professor in the Faculty of Medicine, Nursing and Health Sciences, Monash University and has additional qualifications in business and board directorship. He has held senior positions on major hospital committees, in professional and scientific associations, and on peak government advisory committees in relation to diagnostic pathology and animal welfare. Professor Stephen Cordner, Director of the Victorian Institute of Forensic Medicine Stephen was appointed Foundation Professor of Forensic Medicine at Monash University and Director of the Victorian Institute of Forensic Medicine in 1987. In addition to leading the Institute, in more recent years Stephen has developed his interest in the intersection of Forensic Medicine and Human Rights. This has involved work in East Timor, the Former Yugoslavia, Iraq, West Bank, Burma and, very recently, Jamaica. He strongly believes that this work also contributes to the Institute’s credibility and sustainability helping to attract, and retain, the best possible people to work at the Institute. In 2010/11, he took sabbatical leave (more formally known as Outside Studies Program), during which he continued the development of teaching and training materials to further develop the forensic pathology components of Monash’s Masters in Forensic Medicine. He also undertook a number of overseas missions and consultancies to Jamaica, Cambodia, Indonesia, United Arab Emirates and Japan further developing the Institute’s international platform. Luke Cornelius APM, Assistant Commissioner, Victoria Police, Nominee of the Chief Commissioner, Victoria Police Assistant Commissioner Luke Cornelius leads the Southern Metropolitan Region, Victoria Police. He joined Victoria Police as a Commander in 2003, to head its Legal Services Department and went on to lead the Ethical Standards Department in December 2005. Professor Stephen Cordner Luke Cornelius APM Luke assumed his current role in April 2010. Luke is an advocate for ethical leadership and the delivery of policing services in ways which are grounded in human rights, display respect and accord dignity to all and which enhance social cohesion and public safety. Luke is also a member of the Victoria Police Leadership Group and the Victoria Police Operations Committee. Luke served as a Federal Agent for 14 years with the Australian Federal Police, with roles in Drug Operations, Legal Policy, East Timor and Human Resources, concluding his service as their Director, People Strategies (with the rank of Commander). Luke has also served as the National Secretary of the Australian Federal Police Association and was the founding Chief Executive Officer of the Police Federation of Australia. Luke was awarded the Australian Police Medal (APM) in the 2010 Australia Day Honours List for distinguished service to policing in recognition of his contribution to police reform in the Federal Police and the Victoria Police, the promotion of ethics and integrity in policing, human rights, engagement with vulnerable communities and his contribution to capacity building in East Timor. Luke has also been awarded the National Medal, the Police Overseas Service Medal and the United Nations Medal for service in East Timor. He has also been awarded a Commissioner’s commendation for outstanding service while serving with the United Nations Transitional Authority in East Timor. Luke holds a Masters of Public Administration (Executive) (Monash), an Honours Degree in Law (Flinders), a Graduate Diploma in Legal Practice (ANU) and is admitted to practice in the ACT Supreme Court. Mary McKinnon, Director, Department of Human Services, Nominee of the Minister for Community Services Mary currently holds the position of Director, Child Protection, Placement and Family Services within the Department of Human Services, Victoria. Key responsibilities include policy development, forward planning and strategic directions for the DHS child protection, placement and support, family violence, sexual assault and family support services. Mary McKinnon VIFM Annual Report 2010/11 Connecting With the Community Mary’s qualifications include a Bachelor of Arts in Social Work from South Australian Institute of Technology; a Certificate of Management in Organizational Leadership and a Bachelor of Media Arts University of RMIT. Mary has also completed the Executive Fellows Program for Senior Public Sector Executives with the Australian and New Zealand School of Government. Prior to joining the Department of Human Services Mary worked at Melbourne Citymission from 1995–2001. Neil Robertson, Director, Bushfires Royal Commission Coordination, Department of Justice, Nominee of the Minister of Police and Emergency Services Neil Robertson is currently the Director, Bushfires Royal Commission Coordination in the Department of Justice. His role includes providing advice to the Department’s Secretary and Minister for Bushfire Response and supporting the State Management and Coordination Council’s Bushfires Sub-Committee. Before his current role, Neil was the Director, Criminal Law Policy, Department of Justice where he led a team developing legislative proposals for the Victorian Government. Neil’s qualifications include a Bachelor of Arts (Honours) and Bachelor of Laws from Monash University, Graduate Diploma in Business Administration from Swinburne University of Technology and Executive Masters in Public Administration from the Australian and New Zealand School of Government. He is also a Fellow of the Williamson Community Leadership Program and was awarded a Public Service Medal in the Queen’s Birthday 2011 Honours. Neil is a member of the Institute’s Executive and Finance and Audit and Risk Management Committees. He is also a Director and Company Secretary of Crime Stoppers Victoria Ltd. Her Honour Judge Meryl Sexton, Nominee of the Chief Justice Judge Sexton was appointed to the County Court in 2001. Before that, she had been a Crown Prosecutor since 1995, and from 1997 to 2001, was an Advocate Member of the Legal Profession Tribunal. Judge Sexton has lectured extensively on the practice and procedure of criminal law and the sexual assault reforms since 2006 to a variety of groups across jurisdictions and disciplines. She has contributed to a number of publications including editorial work on the Benchbook of Children giving evidence in Australian Courts (Australasian Institute of Judicial Administration 2009), and the Victorian Criminal Charge Book (Judicial College of Victoria). Judge Sexton was a member of the Advisory Committee to the Victorian Law Reform Commission on Sexual Offences: Law and Procedure, and is currently a member of the State Government’s Sexual Assault Advisory Committee, and a member of the Advisory Committee for the Child Witness Service. In October 2005, she became the inaugural Judge in Charge of the Sex Offences List in the County Court, a position which she held for nearly 5 years. She is consulted regularly by a wide range of people and organisations about sexual offences law and practice. Professor Steve Wesselingh, Dean of the Faculty of Medicine, Nursing and Health Sciences, Monash University, nominee of Monash University Professor Steve Wesselingh is currently Dean of the Faculty of Medicine, Nursing and Health Sciences, Monash University, one of Australia’s leading health Faculties. Prior to taking up the Deanship in October of 2007, Professor Steve Wesselingh was Director of the Burnet Institute (from 2002). Also based in Melbourne, the Institute is Australia’s largest research and public health group that specialises in infectious diseases, immunology, and public health. In January 1999 he was appointed Professor and Director of the Infectious Diseases Unit, The Alfred Hospital, Monash University. Neil Robertson Judge Meryl Sexton Professor Steve Wesselingh 59 60 Attendees Ms. Mari-Ann Scott, Chief Operating Officer, Victorian Institute of Forensic Medicine Mr. Tim Fitzmaurice, Executive Manager Enterprise Risk & Program Office, Transport Accident Commission (TAC) Tim is currently the Executive Manager Enterprise Risk & Program Office for the Transport Accident Commission (TAC). Tim has held a number of senior roles at the TAC in the areas of enterprise risk and assurance management, finance and accounting (as Chief Finance and Accounting Officer), investments and information technology. Tim is a qualified accountant and a fellow of the CPA. He is also a member of Institute’s Audit and the Executive Management Committees. Ms. Leanna La Combre, Manager, Governance, Strategic Projects & Risk, Victorian Institute of Forensic Medicine. Attendance at Council Meetings 2010–11 Council Members 4/2010 10 AUG 5/2010 12 OCT 6/2010 14 DEC 1/2011 8 FEB 2/2011 12 APR 3/2011 4 JUNE John Coldrey (Chair) 4 4 4 4 N/A 4 Felicity Broughton 4 4 4 X 4 4 Stephen Cordner Outside Studies Program David Ranson (Acting Director Jun–Nov 2010) 4 4 4 N/A N/A N/A N/A N/A N/A 4 4 4 N/A Steven Wesselingh 4 4 4 X X 4 Meryl Sexton 4 4 4 4 X 4 Jennifer Coate X 4 X 4 4 4 Robert Conyers 4 4 4 4 4 4 James Angus 4 X X X X 4 Neil Robertson 4 4 4 4 4 X Mary McKinnon 4 X X 4 4 4 Peter Allen 4 4 4 4 N/A N/A Luke Cornelius 4 X 4 4 4 X Tim Fitzmaurice 4 4 4 4 4 4 Mari-Ann Scott 4 4 4 4 4 4 Leanna La Combre 4 4 4 4 4 4 Noel Woodford (Acting Director Dec 2010–May 2011) In attendance: N/A – Not Applicable Mr. Tim Fitzmaurice Ms. Mari-Ann Scott Ms. Leanna La Combre VIFM Annual Report 2010/11 Connecting With the Community Council Sub-Committees The Council has five sub-committees to ensure compliance with legislative, accreditation and other regulatory requirements. • The Executive and Finance Committee assists the Council in fulfilling its financial oversight responsibilities pursuant to the Financial Management Act 1994. • The Audit Committee is responsible for the functions specified in the Victorian Government’s Financial Management Compliance Guidelines. • The Ethics Committee is established in accordance with the National Health and Medical Research Council Guidelines. It assesses the merits from an ethical and scientific validity point of view of research projects carried out at the Institute. The Ethics Committee’s approval is typically a prerequisite for funding and publication of medical research in Australia. • The National Coroners Information System (NCIS) Committee monitors the operation of the NCIS, oversees the provision of services by the NCIS, and provides guidance and support necessary for the NCIS to provide its service to the core stakeholders (the Council, state and territory coroners, public health and safety researchers) and any other key stakeholders. • The Donor Tissue Bank Advisory Board provides advice to the Council about the operations of the Donor Tissue Bank of Victoria. The composition and terms of reference of these committees is included in Appendix C. Management Responsibility Management’s responsibilities are to: a)Prepare the Institute’s vision, strategic direction, goals and KPIs for consideration, input, and approval by the VIFM Council b) Develop and shape policy and strategy for consideration by the Council c) Develop the Institute’s Strategic Plan for the input and ratification of the Council d) Implement and monitor policy and strategy and e)Lead, manage and deliver forensic medical & scientific services, tissue banking services, teaching and research activities, and business support functions, the combination of which enable the Institute to achieve its mission. The Institute’s Senior Leadership Arrangements The Institute’s Executive team provides the highest level of management within the Institute and comprises: Stephen Cordner, Director See biography under Council above. David Ranson, Deputy Director David Ranson has been with the VIFM since it was formed in 1988 and is currently the Deputy Director. He is a specialist in Forensic Pathology & Clinical Forensic Medicine with a strong professional interest in Medical Law. David graduated in Medicine from The University of Nottingham and in Law from the University of the West of England. He has worked at various hospitals in England and lectured in Pathology at Bristol University. He has also practised clinical forensic medicine as a Police Surgeon to Avon and Somerset Constabulary. He is a Fellow of both the Royal College of Pathologists of Great Britain and of the Royal College of Pathologists of Australasia. He is State Councillor for Victoria for the latter. He holds the Diploma in Medical Jurisprudence of the Royal Society of Apothecaries (forensic pathology). He is a Foundation Fellow of the Australian College of Legal Medicine and the Faculty of Forensic and Legal Medicine of the Royal College of Physicians in the UK. David has been heavily involved in establishing research units aimed at preventing avoidable death and injury, namely the National Coroners Information System and the Clinical Liaison Service. He is a member of the Australian Suicide Prevention Advisory Committee. Mari-Ann Scott, Chief Operating Officer Mari-Ann Scott was appointed as Head, Corporate Services at the Institute in July 2007 before being appointed to her current role of Chief Operating Officer in September, 2008. She is responsible for the Institute’s corporate functions. She is the Chief Finance and Accounting Officer and is the Executive Officer for Council. Prior to joining the Institute, Mari-Ann held the role of relationship manager in the Budget and Financial Management Division of the Department of Treasury & Finance and before this she held a range of senior positions in the health sector. Mari-Ann is an economist by training. She holds a Master of Philosophy Degree in Health Economics. Peter Ford, Chief Finance Officer Peter Ford joined the Institute in November 2007 as the Manager, Finance and Business Services and was appointed as Chief Finance Officer in November 2010. He qualified as an accountant in the UK and was granted Fellowship of the Association of Chartered Certified Accountants (FCCA) in October 2010 Prior to joining the institute Peter worked in the UK and has over 20 years of experience working in finance at a senior level in both private and state health care sectors. 61 62 Noel Woodford, Head Forensic Pathology Services Noel is Head of Forensic Pathology Services at the institute. He leads a team of 10 forensic pathologists in addition to specialists in paediatric pathology, radiology, odontology, anthropology and entomology. Having trained in anatomical pathology he spent time at the Institute as a Fellow before heading to the UK where he was appointed senior lecturer in forensic pathology at the University of Sheffield. He returned to the Institute 7 years ago. He is a Fellow of both the Royal College of Pathologists of Australasia and the Royal College of Pathologists (UK), holds the Diploma of Medical Jurisprudence from the Society of Apothecaries of London, and gained a Master of Laws from Cardiff University during his time in the UK. Noel is an examiner for the RCPA and oversees the Quality Assurance Program in Forensic Pathology for the College. Noel has a particular interest in sudden unexpected adult death and the application of radiological techniques in forensic pathology. David Wells, Head Clinical Forensic Medicine David is head of Clinical Forensic Medicine at the Victorian Institute of Forensic Medicine and Associate Professor in the Departments of Forensic Medicine and Paediatrics at Monash University. David is a clinician who previously held the role of Victoria Police Surgeon (1987–1994). His postgraduate qualifications are in forensic medicine, criminology and education. He holds honorary appointments at the Monash Medical Centre, the Royal Children’s Hospital and the Royal Women’s Hospital. He was awarded a Churchill Fellowship in 1992 and in 2008 he received the Order of Australia Medal for services to forensic medicine. He is co-ordinator of the post graduate program in Forensic Medicine at Monash University. His recent work includes activities with the World Health Organisation in Geneva and with Amnesty International in Africa, assisting in the establishment of medico-legal services for victims of sexual violence in developing countries. Olaf Drummer, Head Forensic Scientific Services Olaf is the Head (Forensic Scientific Services) and also holds the position of Adjunct Professor in the Department of Forensic Medicine, Monash University. He is a forensic pharmacologist and a toxicologist and has been involved in the analysis of drugs and poisons and in the interpretation of their biological effects for over 30 years. He lectures widely on this subject and has given evidence in court in well over 200 cases. He is gazetted as an approved expert under the Road Safety Act (1986). He has published over 200 papers in scientific journals and other reports and is the main author of the book “The Forensic Pharmacology of Drugs of Abuse” (Arnold, June 2001). He has written many chapters and other contributions in the area of research pharmacology and toxicology. He is the Associate Editor (toxicology) for the journal Forensic Science International. His formal qualifications include a Bachelor of Applied Science (Chemistry) from RMIT (1974) and Doctor of Philosophy in Medicine (Ph.D.) in Pharmacology from Melbourne University (1980). He is a member of a number of professional societies including the Australasian Society of Clinical and Experimental Pharmacologists and Toxicologists (ASCEPT), and the Royal Australian Chemical Institute (RACI). He is an Honorary Fellow of the Royal College of Pathologists of Australasia (RCPA). He is President of the International Association of Forensic Toxicologists (TIAFT) (2008–2011) and Chair of the Drugs of Abuse Committee of the International Association of Therapeutic Drug Monitoring & Clinical Toxicology (IATDMCT). Marisa Herson, Head Donor Tissue Bank of Victoria Marisa is the head of the Donor Tissue Bank of Victoria (DTBV). Marisa was born in Brazil, where she graduated from Medical School in 1979. She emigrated to Israel, where she trained as a general surgeon and later as a Plastic Surgeon. The care of burn victims became a focus in her career early on. In 1990, she returned to Brazil to a fellowship program in Plastic Surgery – what was planned to be a two year training period, became a 15 year position at the University of Sao Paulo Medical School – Hospital das Clinicas, Plastic Surgery Department. In the years before moving to Australia, Marisa held a clinical appointment there as the leader of the Burn Sequelae Reconstruction group. Earlier on, she undertook a PhD at the University of Sao Paulo investigating the development of an in vitro skin substitute involving cell cultures and a dermal matrix – this later evolved into a research nucleus into wound healing and skin substitute models and an active role in the University department. Her involvement in burn care highlighted the value of skin banking and from that, it was a sensible step to undertake the leadership in a program developed in Brazil by the International Atomic Energy Agency which enabled the Hospital das Clinicas to revamp the local tissue bank. The circle was complete – the patients bringing the motivation, the tissue bank as a source of biomaterials to improve clinical outcomes and the research lab as an opportunity to put different components together and bring some answers to the many queries faced in the clinical setting. Three years ago, tissue banking brought Marisa and her family into Australia – a unique opportunity to join a vibrant organization and live in a wonderful country. (For personal reasons, Marisa resigned on June 30, 2011. Stefan Poniatowski has been appointed Acting Head of the DTBV). Marisa is also a Council member of the Australian Organ and Tissue Donation and Transplantation Authority, a member of the Eye and Tissue Working Group of the Authority and a member of the VIFM Ethics Committee. 63 VIFM Annual Report 2010/11 Connecting With the Community Financial Performance Five Year Financial Summary ($ thousand) Year 2006/07 2007/08 2008/09 2009/10 2010/11 8,146 10,394 14,841 20,980 24,008 Total income from transactions 16,420 18,702 23,912 25,777 27,815 Total expenditure from transactions 16,592 20,018 24,012 25,658 27,900 Income from Government Net result from transactions (171) (1,316) (100) 119 (84) Net result for the period (171) (1,312) (180) 133 (658) 950 (1,239) 914 554 963 10,263 11,775 13,358 14,790 17,414 3,477 4,596 5,373 6,672 7,285 Net cashflow from operating activities Total assets Total liabilities 30,000 Current year financial review Overview 25,000 The Victorian Government considers the net result from transactions to be the appropriate measure of financial management that can be directly attributed to government policy. This measure excludes the effects of revaluations (holding gains or losses) arising from changes in market prices and other changes in the volume of assets shown under ‘other economic flows’ on the Comprehensive operating statement, which are outside the control of the Institute. $’000 20,000 15,000 10,000 5,000 0 (5,000) 2006–7 2007–08 2008–09 2009–10 2010–11 Financial year Total income from transactions Total expenditure from transactions Net result from transactions In 2010–11 the Institute achieved a net deficit result from transactions of $84,428, $203,966 less than in 2009–10. Both Income and expenses from transactions have increased since 2006-07 up to 2010–11 and the net result from transactions is relatively consistent to 2008–09. The overall net result of $657,617 is inclusive of a one off expense related to the write down of the institues CT scanner following a plant and equipment revaluation review which is performed every 5 years. Total net assets have grown with an increase of $1.985 million in 2010–11 to $8.875 million and is reflective of both building and plant and equipment revaluations. The increase in operating cash inflows to $1.117 million from last year’s $0.554 million is mainly due to the increase in funding from State Government 64 Financial performance and business review The Institute’s principal output against appropriation income is the provision of Forensic and Pathology resources and services to the Coroners Court of Victoria. From 2009–10 other outputs against income from governement now include Clinical Forensic Medicine services and related toxicology previously reported as ‘Income from the rendering of services’. Income Grant – Department of Justice While the institute achieved higher total income from transactions, the net result from transactions has derived a deficit for the period. The additional income received is due to increase governmant funding and has mainly directed toward increases in staffing costs and other operational expenses. $ $ $ $ 2007/08 2008/09 2009/10 2010/11 10,394,220 14,841,440 20,980,056 24,008,203 Distribution of goods – Donor Tissue Bank 1,790,523 1,892,235 1,577,083 1,616,853 Income from the rendering of services 6,404,077 7,094,526 3,185,825 2,145,577 113,255 83,935 34,262 44,691 18,702,075 23,912,136 25,777,226 27,815,324 Interest income Total income from transactions Total income from transactions 20,000,000 $’000 Distribution of goods – Donor Tissue Bank 6% 25,000,000 Income from the rendering of services 8% Interest income 0% 15,000,000 10,000,000 50,00,000 Grant – Department of Justice 86% 0 2007–08 2008–09 2009–10 2010–11 Financial year Grant – Department of Justice Distribution of goods – Donor Tissue Bank Income from the rendering of services Interest income 65 VIFM Annual Report 2010/11 Connecting With the Community Expenses from transactions have increased in line with the additional income received. Specific funding from government to provide forensic services have increased both staff and other operational expenses. Expenditure has increased in consumable cost, professional services including temporary staff and maintenance cost. Expenses Employee expenses Depreciation and amortisation Supplies and services Other operating expenses Total expenditure form transactions $ $ $ $ 2007/08 2008/09 2009/10 2010/11 12,827,508 14,244,919 17,503,442 18,987,143 699,818 710,327 833,220 888,793 6,473,712 9,028,546 7,303,997 8,005,404 17,203 27,902 17,030 18,412 20,018,241 24,011,694 25,657,689 27,899,752 Total expenditure from transactions Supplies and services 29% 20,000,000 Other operating expenses 0% $’000 15,000,000 10,000,000 5,000,000 Depreciation and amortisation 3% Employee expenses 68% 0 2007–08 2008–09 2009–10 2010–11 Financial year Employee expenses Depreciation and amortisation Supplies and services Other operating expenses In addition the overall comprehensive result of $657,617 deficit is due to the write down of the Institutes CT scanner. As part of the formal revaluation undertaken, the scanner useful life was reduced and net book value adjusted accordingly. The scanner is due to be replaced as part of the Institutes asset replacement program in 2011–12. Financial position – balance sheet Net assets increased by $1.97 million primarily as a result of building revaluations of $2.43 million and equipment additions of to plant and equipment of $1.02 million which were offset by plant and equipment revaluations of $0.55 million. The Institute has commenced an asset replacement program which will be prioitised to replace assets which have passed their useful lives. Cash flows The overall cash surplus of $2.3 million for the 2010–11 financial year was a net increase of $0.2 million compared to the previous year. Net cash inflows have increased as a result of increased funding through State Government and income from transactions classified as section 29 reciepts from Government. 66 Legislative and Statutory Reporting Diversity reporting All areas of the Institute are conscious of cultural and religious practices surrounding death which are of primary importance to the families of the deceased. Staff of the Institute work cooperatively with the Coroners Court of Victoria to accommodate the cultural and religious requirements of the family of the deceased. When required the Institute provides for extended periods of attendance by the families. Skeletal remains from our indigenous community require special handling and consideration of cultural beliefs. The Institute works with Aboriginal Affairs Victoria, to ensure remains and documentation are managed appropriately and sensitively. The Institute continues to foster workplace diversity and demonstrates its commitment through a variety of initiatives throughout the year. These initiatives focus on providing education and training opportunities to pathologists from various countries and offer the Directors Scholarship in Postgraduate Forensic Pathology to international students from under developed countries. Public Administration Act The Institute is committed to the public sector values and employment principles detailed in the Public Administration Act 2004, and apply merit and equity principles when appointing staff. The selection process ensures that applicants are assessed and evaluated fairly and equitably based on the key selection criteria and other accountabilities without discrimination. Upholding these values and principles is fundamental to the Institute’s human resources strategies. Codes of conduct Codes of conduct guide behavior within VIFM. They are a public statement of how the VIFM and its employees interact with the government, community and each other. They promote adherence to the public sector values. The code is binding on any person to whom it applies and breaching the code may constitute misconduct. The Public Administration Act outlines the public sector values. All public sector employees and other public officials must adhere to the values, and employers must promote them in their organisations. Employers must also ensure that any statement of values adopted or applied in their organisation is consistent with the public sector values. The values are outlined in Section 7 of the Public Administration Act, which states that public sector employees should demonstrate: • responsiveness • integrity • impartiality • • • • accountability respect leadership human rights. During induction, all new employees are made aware of their rights and responsibilities in relation to Privacy & Confidentiality, Discrimination, Sexual Harassment and Bullying. The Institute takes a proactive approach in education and promotion of all Policies and the elimination of discrimination, harassment and bullying within the workplace. Behaviours and Culture An organisation is defined by its culture. A good workplace culture can improve morale, boost productivity and improve an organisation’s reputation. VIFM and its employees share a mutual responsibility to work together by: • creating pride in public sector workplaces • delivering responsive public services • earning the community’s trust in the public sector • supporting the Government of the day in serving Victorians. Grievances In the 2010–11 reporting period, there were no grievances recorded. Employee Assistance Program The Employee Assistance Program is a free, professional and confidential counselling service for all Institute employees, immediate family members and members of their household. The service provides for timely intervention to assist employees and their families. Koori Recruitment and Career Development Strategy Koori Recruitment and Career Development Strategy (KRCDS) is an initiative of the Victorian Aboriginal Justice Agreement. The Institute supports this initiative by providing newly-appointed staff the opportunity to identify as an Indigenous Australian. Career Information Afternoons The Institute receives a large number of enquiries regarding work experience opportunities. We are unable to offer work experience due to the sensitive and confidential nature of the work carried out by the Institute. Instead, Career Information Afternoons are held biannually for students between Year 10 and Year 12. The Career Information afternoons offer a thorough insight into various career options in forensic medicine and science and provide information on academic requirements. 67 VIFM Annual Report 2010/11 Connecting With the Community Employee Relations Statement The Institute employs medical staff including medical specialists, forensic pathologists, forensic odontologists, forensic physicians and forensic nurse examiners. We also employ a large number of Victorian Public Servants including Scientists and Medical Research Officers covered under the Public Administration Act 2004 terms and conditions of the Victorian Public Service Agreement 2006 (2009 Extended and Varied version). The Institute is committed to its employees by offering excellent benefits and a fulfilling career and is committed to helping employees balance their careers with their personal commitments through a range of work/life initiatives. Workforce Statistics As at the 30th June 2011, a total of 180 staff were employed by the Institute compared to 162 at 30 June 2010. Employment status by category: Ongoing Employees Fixed Term Employees Total Full time (headcount) Part time (headcount) Full time (headcount) Part time (headcount) Employees (headcount) FTE 2009–10 111 29 14 8 162 147 2010–11 104 38 26 12 180 159.7 Ongoing Ongoing (FTE) (headcount) Fixed Term (headcount) Fixed Term (FTE) Total (headcount) Total (FTE) 16 15.6 58 54.5 Status of employees in current positions – Headcount & FTE Male 42 38.9 Female 100 87.9 22 17.3 122 105.2 Total 142 126.8 38 32.9 180 159.7 Executive contracts At 30 June 2010 At 30 June 2011 2 2 Executive level employees Workforce Diversity Age Bracket Male Female Total % Total FTE 15–24 1 3 4 2.2 4 25–34 16 42 58 32.2 53 35–44 19 42 61 33.9 54.4 45–54 11 16 27 15.0 21 55–64 9 16 25 13.9 23.5 65+ 2 3 5 2.8 3.8 Total 58 132 180 100 159.7 68 Energy and Water Efficiency Due to the nature of our work we are a large consumer of both water and electricity but are always mindful of trying to reduce our usage and eliminate waste. The increases noted this year are most likely due to the soil contamination works completed earlier this year and the building redevelopment works which commenced in January. Year Gas (Mj) Electricity (kWh) Water (kl) 2008–09 6,338,235 2,737,337.40 5,957 2009–10 5,886,433 2,324,793.12 5,296 2010–11 4,972,325 2,696,928.78 5,590 -15% +16% +5% % change from previous year Whistleblowing Objectives of Whistleblowers Protection Act 2001 The Whistleblowers’ Protection Act 2001 was introduced in Victoria on 1 January 2002. The legislation aims to encourage whistleblowers to disclose improper conduct by public officers and public bodies. It protects whistleblowers and establishes a system to investigate disclosed matters. In 2010 a whistleblower complaint regarding the conduct of a VIFM employee was made to the protected disclosure coordinator at the Department of Justice and subsequently referred to the Victorian Ombudsman. The complaint was investigated by the Ombudsman and a report entitled “Investigations into the improper release of autopsy information by a Victorian Institute of Forensic Medicine employee” was tabled in Parliament on 4 May 2011. The Institute has accepted the recommendations of the Ombudsman and is engaged in implementing actions in response. Statement of support to whistleblowers The Victorian Institute of Forensic Medicine is committed to the aims and objectives of the Whistleblowers’ Protection Act 2001. We do not tolerate improper conduct by our employees, officers or members, nor the taking of reprisals against those who come forward to disclose such conduct. The Institute recognises the value of transparency and accountability in our administrative and management practices, and supports the making of disclosures that reveal corrupt conduct, conduct involving a substantial mismanagement of public resources, or conduct involving a substantial risk to public health and safety or the environment. The Institute will take all reasonable steps to protect people who make such disclosures from any detrimental action in reprisal for making the disclosure. It will also afford natural justice to the person who is the subject of the disclosure. Reporting system and contact persons for the Victorian Institute of Forensic Medicine The Institute uses the reporting system and procedures established by the Department of Justice. The procedures can be found at www.justice.vic.gov.au/whistleblowers. Disclosures of improper conduct or detrimental action by the Victorian Institute of Forensic Medicine or our employees may be made to either: Ombudsman Victoria 3/459 Collins St (South Tower) Melbourne VIC 3000 Tel: 03 9613 6222 Tel: (toll free) 1800 806 314 Protected Disclosure Coordinator Department of Justice GPO Box 4356QQ Melbourne VIC 3001 Tel: 03 8684 0031 Freedom of Information Act 1982 The Institute is subject to the Freedom of Information Act 1982 (FOI Act). In the 2010–11 year the Institute received three direct requests for the release of information pursuant to the FOI Act, and one request from another agency for information required to respond to FOI applications made to that agency. The Institute provided the requested information to the other agency. The Institute was unable to comply with two of the direct requests, as the requested information is not held by the Institute. The remaining direct request is currently being processed within the statutory time limit. Freedom of Information Officer Ms Helen Mckelvie Manager Medico-Legal Policy and Projects Victorian Institute of Forensic Medicine VIFM Annual Report 2010/11 Connecting With the Community Privacy The Victorian Institute of Forensic Medicine (VIFM) must deal with identified personal and health information in accordance with the relevant provisions of the Victorian Institute of Forensic Medicine Act 1985 (Vic) (‘the VIFM Act’), the Human Tissue Act 1982 and both the Information Privacy Act 2000 (Vic) and the Health Records Act 2001 (Vic). VIFM must also follow the Coroners Court Rules in relation to distribution of reports provided to the coroner. Adhering to these legislative provisions and rules ensures that VIFM has the ability to perform its statutory functions and objects, and also to properly respect the privacy of individuals whose personal and health information we handle There were no privacy complaints received at VIFM during 2010–11. In the 2010–11, the Privacy Officer has undertaken a review and update of the VIFM Privacy Statement and the internal privacy and confidentiality policy and procedures. An updated confidentiality agreement has been developed. All staff, visitors and contractors have been required to sign a new agreement. A new Information Security policy is being developed to complement the Privacy and Confidentiality policy. Updated staff privacy training has been rolled out across the Institute. In addition, a targeted training package is being developed to assist staff to understand their privacy and confidentiality obligations in relation to the sensitive information held at the Institute and the particular challenges that arise from the nature of the work we undertake. Further information regarding the Victorian Institute of Forensic Medicine Privacy Policy is available on our website at www.vifm.org. Privacy Officer Ms Helen McKelvie Manager Medico-Legal Policy and Projects Victorian Institute of Forensic Medicine Disclosure of Consultancies The Institute has not entered into any consultancies under $100,000 during 1 July 2010 to 30 June 2011. Disclosure of major contracts The Institute has not entered into any contracts greater than $10 million during 1 July 2010 to 30 June 2011. Statement of compliance with National Competition Policy The Institute continues to comply with the requirements of the National Competition Policy. This includes compliance with the requirements of the policy statement Competitive Neutrality: A Statement of Victorian Government Policy, the Victorian Government Timetable for the Review of Legislative Restrictions on Competition and any subsequent reforms. Statement of compliance with the Building Act 1993 The Minister for Finance guidelines, pursuant to section 220 of the Building Act 1993, promote better standards for buildings owned by the Crown and public authorities, and require entities to report on achievements. 69 70 Risk Attestation VIFM Annual Report 2010/11 Connecting With the Community Appendix A: Publications Bassed R, Hill A. The use of computed tomography (CT) to estimate age in the 2009 Victorian bushfire victims: A case report. Forensic Science International 2011; 205(1–3): 48–51. Bassed R, Leditschke J. Forensic medical lessons learned from the Victorian Bushfire Disaster: Recommendations from the Phase 5 debrief. Forensic Science International 2011; 205(1–3): 73–79. Bassed R, Briggs C, Drummer O. Analysis of time of closure of the spheno-occipital synchondrosis using computed tomography. Forensic Science International 2010; 200: 161–164. Bassed R, Drummer O, Briggs C, Valenzuela A. Age estimation and the medial clavicular epiphysis: Analysis of the age of majority in an Australian population using computed tomography. Forensic Science, Medicine and Pathology 2011; 7(2): 148–154. Beyer J, Vo T, Gerostamoulos D, Drummer O. Validated method for the determination of ethylglucuronide and ethylsulfate in human urine. Analytical and Bioanalytical Chemistry 2011; 400(1): 189–196. Blau S, Briggs C. The role of forensic anthropology in Disaster Victim Identification (DVI). Forensic Science International 2011; 205(1–3): 29–35. Grills N, Ozanne-Smith J, Bartolomeos K. The mortuary as a source of injury data: Progress towards a mortuary data guideline for fatal injury surveillance. International Journal of Injury Control and Safety Promotion 2011; 18()2): 127–134. Hamilton K, Herson M. Skin Bank development and critical incident response. Cell and Tissue Banking – Special edition 2011; 12(2): 147–151. Hartman D, Drummer O, Eckhoff C, Scheffer J, Stringer P. The contribution of DNA to the disaster victim identification (DVI) effort. Forensic Science International 2011; 205(1–3): 52–58. Hartman D, Benton L, Morenos L, Beyer J, Spiden M, Stock A. The importance of Guthrie cards and other medical samples for the direct matching of disaster victims using DNA profiling. Forensic Science International 2011; 205(1–3): 59–63. Hartman D, Benton L, Morenos L, Beyer J, Spiden M, Stock A. Examples of kinship analysis where Profiler Plus™ was not discriminatory enough for the identification of victims using DNA identification. Forensic Science International 2011; 205(1–3): 64–68. Breen K. Doctor’s health: can we do better under national registration? Medical Journal of Australia 2011; 194(4): 191–192. Hill A, Lain R, Hewson I. Preservation of dental evidence following exposure to high temperatures. Forensic Science International 2011; 205(1–3): 40–43. Bugeja L, Clapperton A, Killian J, Stephan K, Ozanne-Smith J. Reliability of ICD-10 external cause of death codes in the National Coronial Information System. Health Information Management (HIM) Journal 2010; 39(3): 16–26. Hill A, Hewson I, Lain R. The role of the forensic odontologist in disaster victim identification: Lessons for management. Forensic Science International 2011; 205(1–3): 44–47. Bugeja L, McClure R, Ozanne-Smith J. The public policy approach to injury prevention. Injury Prevention 2011; 17: 63–65. Burke M, O’Donnell C, Opeskin K. Spontaneous acute subdural hematoma complicating arachnoid cyst. American Journal of Forensic Medicine and Pathology 2010; 31(4): 382–384. Cordner S, Woodford N, Bassed R. Forensic aspects of the 2009 Victorian Bushfires Disaster. Forensic Science International 2011; 205(1–3): 2–7. Craig P, Davey J. Mummified child – a further investigation. Buried History 2009; 45: 15–22. Cutajar M, Mullen P, Ogloff J, Thomas S, Wells D, Spataro J. Schizophrenia and other psychotic disorders in a cohort of sexually abused children. Archives of General Psychiatry 2010; 67(11): 1114–1119. Cutajar M, Mullen P, Ogloff J, Thomas S, Wells D. Spataro J. Psychopathology in a large cohort of sexually abused children followed up to 43-years. Child Abuse and Neglect 2010; 34: 813–822. Drummer OH, Cordner, SM. Preface. Forensic Science International 2011; 205(1–3): 1. Drummer O, Gerostamoulos D, Jochen B. Drug testing development. Forensic Technology Review 2010: 160–167. Edlin A, Williams B, Williams A. Pre-hospital provider recognition of intimate partner violence. Journal of Forensic and Legal Medicine 2010; 17: 359–362. Ehsani J, Ibrahim J, Bugeja L, Cordner S. The role of epidemiology in determining if a simple short fall can cause fatal head injury in an infant: a subject review and reflection. American Journal of Forensic Medicine and Pathology 2010; 31(3): 287–298. Erkoboni D, Ozanne-Smith J, Cao R, Winston F. Cultural translation: Acceptability and efficacy of a US-based injury prevention intervention in China. Injury Prevention 2010; 16: 296–301. Gerostamoulos D, Beyer J. Medical issues: Drug screening in clinical and forensic toxicology: are there differences? Journal of Law and Medicine 2010; 18(1): 25–27. Gerostamoulos D, Beyer J, Wong K, Wort C, Drummer O. Carbon monoxide concentrations in the 2009 Victorian Bushfire disaster victims. Forensic Science International 2011; 205(1–3): 69–72. Ibrahim J, Ehsani J, McInnes J. The effect of printed educational material from the Coroner in Victoria, Australia, on changing aged care health professional practice: A subscriber survey. Journal of the American Geriatric Society 2010; 58(3): 585–91. Iino M, O’Donnell C. Post mortem CT findings of upper airway obstruction by food. Journal of Forensic Sciences. 2010; 55(5): 1251–1258. Kamel J, Christensen B, Odell M, D’Souza W, Cook M. Evaluating the use of prolonged video-EEG monitoring to assess future seizure risk and fitness to drive. Epilepsy and Behavior 2010; 19: 608–611. Lain R, Taylor J, Croker S, Craig P, Graham J. Comparative dental anatomy in Disaster Victim Identification: Lessons from the 2009 Victorian Bushfires. Forensic Science International 2011; 205(1–3): 36–39. Leditschke J, Collett S, Ellen R. Mortuary operations in the aftermath of the 2009 Victorian bushfires. Forensic Science International 2011; 205(1–3); 8–14. McInnes J, Ibrahim J. Minimising harm to older Victorians from heatwaves: A qualitative study of the role of community-based health profession and carer organisations. Australasian Journal of Ageing 2010; 29(3): 104–110. McNeilly B, Ibrahim J, Bugeja L, Ozanne-Smith J. The prevalence of work-related deaths associated with alcohol and drugs in Victoria, Australia 2001–2006. Injury Prevention 2010; 16(6): 423–428. Mihrshahi S, Brand C, Ibrahim J, Evans S, Jolley D, Cameron P. Validity of the indicator ‘death in low-mortality diagnosis-related groups’ for measuring patient safety and healthcare quality in hospitals. Internal Medicine Journal 2010 40(4): 250–257. O’Donnell C, Baker M. Postmortem CT findings of gastromalacia”: a trap for the radiologist for forensic interest. Forensic Science, Medicine, and Pathology 2010; 6(4): 293–297. O’Donnell C, Iino M, Mansharan K, Leditschke J, Woodford N. Contribution of postmortem multidetector CT scanning to identification of the deceased in a mass disaster: Experience gained from the 2009 Victorian bushfires. Forensic Science International 2011; 205(103): 15–28. O’Donnell C. An image of sudden death: utility of routine postmortem computed tomography scanning in medico-legal autopsy practice. Diagnostic Histopathology 2010; 16(12): 552–555. 71 72 O’Donnell C, Woodford N. Postmortem imaging: a supplement to not replacement for autopsy in medico-legal death investigation. [Letter]. BMJ 2010 Dec 30; 341:c7415. Clement J, Bassed R, Graham J. Forensic Dentistry. Chapter 34. In: Freckelton I, Selby H. eds. Expert Evidence. Thomson Reuters, 2010. O’Donnell, C, Woodford, N. Imaging the dead: Can supplement but not replace autopsy [Letter]. BMJ 2011, 342. Cordner S. Forensic pathology. In: Blau S, Fondebrider L. eds. A Practical Guide for Investigators in Timor-Leste. Southbank, Victorian Institute of Forensic Medicine, 2011. pp.43–61. Pilgrim J, Gerostamoulos D, Drummer O. Pharmacogenetic aspects of the effect of cytochrome P450 polymorphisms on serotonergic drug metabolism, response, interactions, and adverse effects. Forensic Science, Medicine and Pathology 2011; 7(2): 162–184. Pilgrim J, Gerostamoulos D, Drummer O. Deaths involving MDMA and the concomitant use of pharmaceutical drugs. Journal of Analytical Toxicology 2011, 35 (4), 219–226. Ranson D, Iles L. Medical Issues: Death from minor head trauma and alcohol. Journal of Law and Medicine 2011; 18(3): 453–456. Reynolds M, Warwick R, Poniatowski S, Trias E. European coding system for tissues and cells: a challenge unmet? Cell and Tissue Banking 2010; 11(4): 353–364. Routley V, Ozanne-Smith J, Yu M, Wang J, Wu M, Zhang J, Qin Y, Zhao M. Focus on seat belt use in China. Traffic Injury Prevention 2010; 11: 578–586. Russell M, Hill K, Day L, Blackberry I, Schwartz J, Giummarra M, Dorevitch M, Ibrahim J, Dalton A, Dharmage S. A randomized controlled trial of a multifactorial falls prevention intervention for older fallers presenting to emergency departments. Journal of the American Geriatric Society 2010; 58(12): 2265–2274. Saar E, Gerostamoulos D, Drummer O, Beyer, J. Identification and quantification of 30 antipsychotics in blood using LC-MS/MS. Journal of Mass Spectrometry 2010; 45: 915–925. Studdert D, Cordner S. Impact of coronial investigations on manner and cause of death determinations in Australia, 2000–2007. Medical Journal of Australia 2010; 192(8): 444–447. Taylor G, Blau S, Mays S, Monot M, Lee O, Minnikin D, Besra G, Cole S, Rutland P. Mycobacterium lepra genotype amplified from an archaeological case of lepromatous leprosy in Central Asia. Journal of Archaeological Science 2009; 36: 2408–2414. Tu E, Bagnall R, Duflou J, Lynch M, Twigg S, Semsarian C. Postmortem pathologic and genetic studies in “dead in bed” cases in type 1 diabetes mellitus. Human Pathology 2010; 41: 392–400. Williams A, Williams B. The early recognition of intimate partner violence by paramedics. [Letter to editor]. Emergency Medicine Australasia 2010; 22(6): 575. Drummer O, Karch S. Interpretation of Toxicological Data. In: Moffat AC, Osselton MD, Widdop B, Watts J. eds. Clarke’s Analysis of Drugs and Poisons. 4th ed. London, Pharmaceutical Press, 2011. Drummer O. Pharmacokinetics and Metabolism. In: Moffat AC, Osselton MD, Widdop B, Watts J. eds. Clarke’s Analysis of Drugs and Poisons. 4th ed. London, Pharmaceutical Press, 2011. Fondebrider L, Blau S. Victim Identification. In: Blau S, Fondebrider L. eds. A Practical Guide for Investigators in Timor-Leste. Southbank, Victorian Institute of Forensic Medicine, 2011. pp.151–152. Gerostamoulos D. Forensic Toxicology. In: Blau S, Fondebrider L. eds. A Practical Guide for Investigators in Timor-Leste. Southbank, Victorian Institute of Forensic Medicine, 2011. pp.103–119. Hill A. Forensic Odontology. In: Blau S, Fondebrider L. eds. A Practical Guide for Investigators in Timor-Leste. Southbank, Victorian Institute of Forensic Medicine, 2011. pp.83–91. Hill A. Forensic Odontology/Odontology Aspect of DVI Chapter. In: Freckleton and Selby eds. Expert Evidence, 2011. Odell M. Traffic Medicine. Chapter 41A. In: Freckelton I, Selby H. eds. Expert Evidence. Thomson Reuters, 2010. Ranson, D. Research, Forensics, Public Health, Injury Prevention and Policy Development. In: Hovenga E, Kidd M, Garde S, Cossio C, eds. Health Informatics: an Overview. Amsterdam, IOS Press, 2010. Studies in Health Technology and Informatics. Vol. 151. Chapter 25. pp. 341–359. Wells D. Sexual Violence: An Introduction for Police, Health Workers and the Legal Profession. In: Blau S, Fondebrider L. eds . A Practical Guide for Investigators in Timor-Leste. Southbank, Victorian Institute of Forensic Medicine, 2011. pp.63–81. In Press Bassed R, Briggs C, Drummer O. Age estimation and the developing third molar tooth: An analysis of an Australian population using computed tomography. Journal of Forensic Sciences. Published online 6 April, 2011. Zhang P, Ozanne-Smith J, Zhu Zonghan, eds. Child injury prevention and emergency care. Beijing, China (text in Chinese) 2010. Blau S, Fondebrider L. Dying for independence: Proactive investigations into the 12th November 1991 Santa Cruz Massacre. International Journal of Human Rights. Published online 19 October 2010. Books and Chapters Chu M, Gerostamoulos D, Beyer J, Rodda L, Boorman M, Drummer O. The incidence of drugs of impairment in oral fluid from random roadside testing. Forensic Science International. Published online 12 June, 2011. Blau S, Fondebrider L. eds. A practical guide for forensic investigators in Timor-Leste. Southbank, Victorian institute of Forensic Medicine, 2011. Blau S, Fondebrider L, Johnstone M. An overview of forensic science and medicine. In: Blau S, Fondebrider L. eds. A Practical Guide for Investigators in Timor-Leste. Southbank, Victorian Institute of Forensic Medicine, 2011. pp.14–41. Blau S. Forensic anthropology. In: Blau S, Fondebrider L. eds. A Practical Guide for Investigators in Timor-Leste. Southbank, Victorian Institute of Forensic Medicine, 2011. pp.93–101. Blau S, Fondebrider L, Saldanha G. Working with families of the Missing: A case study from East Timor. In: Lauritsch K, Kernjak F. eds. We Need the Truth: Enforced Disappearances in Asia. Colonia Bran, Guatemala: ECAP. 2011. pp: 136–144. Briggs C, Donlon D, Wood B. Forensic osteology. In: Freckelton I, Selby H. Expert Evidence. Chapter 35. Thomson Reuters, 2010. Charlton JL, Koppel S, Odell M, Devlin A, Langford J, O’Hare M, Kopinathan C, Andrea D, Smith G, Khodr B, Edquist J, Muir C, Scully M. Influence of chronic illness on crash involvement of motor vehicle drivers. 2nd ed. Clayton. Monash Accident Research Centre (MUARC). Report.No. 300, 2010. Davey J. Standard of mummification in Graeco/Roman child mummies. Yearbook of Mummy Studies 2011. Drummer O, Kourtis I, Beyer J, Tayler P, Boorman M. Gerostamoulos D. The prevalence of drugs in injured drivers. Forensic Science International. Published online 5 March 2011. George K, Archer MS, Toop T. Effect of bait age, larval chemical cues and nutrient depletion on colonisation by forensically important Calliphoridae and Sarcophagidae (Diptera). Medical and Veterinary Entomology. In Press. Johnson A, Wallman J, Archer M. Ambient temperature corrections in forensic entomology: length of correlation, distance between death scene and weather station, and temperature measurement periodicity. Journal of Forensic Sciences. In Press. Jones C, Ibrahim J, Ozanne-Smith J. Work-related non-crash heavy vehicle driver fatalities in Australia, 2000–9. Injury Prevention. Published online March 10, 2011. Milroy C, Pollanen M, Wells D. eds. Polson’s Essentials of Forensic Medicine. 5th ed. London, Hodder Arnold, In Press. VIFM Annual Report 2010/11 Connecting With the Community Pedraza J, Herson M. The importance of ethics in the field of human tissue banking. Cell and Tissue Banking. Published online 15 December 2010. Pilgrim J, Gerostamoulos D, Drummer O. Deaths involving contraindicated and inappropriate combinations of serotonergic drugs. International Journal of Legal Medicine. Published online 1 December 2010. Pilgrim J, Gerostamoulos D, Woodford N, Drummer O. Serotonin toxicity involving MDMA (Ecstasy) and moclobemide. Forensic Science International. Published online 13 May, 2011. Rintoul A, Dobbin M, Drummer O, Ozanne-Smith J. Increasing deaths involving oxycodone, Victoria, Australia, 2000–20009. Injury Prevention. Published online December 16, 2010. Saar E, Gerostamoulos D, Drummer OH, Beyer, J. Assessment of the stability of 30 antipsychotic drugs in stored blood specimens. Forensic Science International. Published online 26 March, 2011. Wells D. Genito-anal pathology. In: Milroy C, Pollanen M, Wells D. eds. Polson’s Essentials of Forensic Medicine. 5th ed. London, Hodder Arnold, In press. Wells D. Gaya S. Clinical Forensic Medicine. In: Freckelton I, Selby H. eds. Expert Evidence. Thomson Reuters, 2011. Submitted Bugeja L, Ibrahim J, Ozanne-Smith J, Brodie L. Defining occupational deaths in a medico-legal context: towards prevention. Submitted to Australian and New Zealand Journal of Public Health. Davey J, Craig P, Drummer O, Ranson D, Robertson S. Mummified child – a further investigation. Submitted to Buried History. Ehsani J, McNeilly B, Ibrahim J, Ozanne-Smith J. Work-related fatal injury among young persons in Australia, July 2000–June 2007. Submitted to Injury Prevention. Routley V, Ozanne-Smith J, Qin Y, Zhao M. Case study comparison: introduction of seat belt wearing in China and Australia. Submitted to Traffic Safety. Van Wijk, M, Herson M, Poniatowsi, S. Results of the clinical donor case and quality system case workshops of the European Association of Tissue Banks Annual Meeting 2009. Cell and Tissue Culture. Books Burke, M. Forensic Pathology Fractures and Mechanisms of Injury – an Introduction to Routine CT Scanning in Forensic Pathology. Taylor & Francis. Submitted 2010. Poniatowski S, Tyszkiewicz I, Slaper-Cortenbach I. Coding and traceability. Chapter in: Tissue and Cell Processing. Wiley-Blackwell. 73 74 Appendix B: Presentations and Abstracts Conference Presentations & Abstracts Archer M, Johnson A, O’Donnell C, Leigh-Shaw L, Brown M, Wallman J. “Radiology for the masses”: The problem of non-invasive visualisation of maggot masses and a possible solution using CT scanning. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Bassed R, Drummer O, Briggs. The scientific analysis of age using computed tomography. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Bedford P. Sexual Homicide- African Network of Pathologists, Windhoek Namibia March14–18, 2011. Beyer J, Vo T, Gerostamoulos D, Drummer O. Detection and validated quantification of ethylglucuronide and ethyl sulfate in human urine. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sep, 2010. Beyer J, Benton L, Bowman Z, Davawala A, Devenish-Meares J, Drummer O, Hartman D, Schlenker A, Spiden M, Stock A. DNA analysis and its application to forensic investigations at the Victorian Institute of Forensic Medicine. Pathology Update 2011, 4–6 March, Melbourne Convention Centre. Bassed R. The Victorian bushfires, February 7th 2009”, American Academy of Forensic Sciences meeting, Seattle, Feb 22–27, 2010. Bassed R. Invited speaker, “Aspects of Forensic Odontology”, University of Otago faculty of Dentistry, Dunedin April 15th, 2010. Bassed R. “Disaster Victim Identification”, Inaugural Forensic Pathology conference, Gaborone, Botswana, May 16–20, 2010. Bassed R. “Scientific Analysis of the Age of Majority using Computed Tomography”, Australian and New Zealand Forensic Science Society (ANZFSS) conference, Sydney, 5th–9th September 2010. Bassed R. “Forensic Odontology in Australia”, Faculty of Dental Science, University of Grenada, Spain, November 12th, 2010. Blau, S. Investigation and training projects in East Timor. Reclaiming Stolen Lives: Forensic Sciences and Human Rights Investigations Conference, Jakarta, Indonesia, June 2010. Blau S, Fondebrider L. Dying for independence: proactive investigations into the 12th November 1991 Santa Cruz massacre, East Timor. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Blau S, Combridge T. Estimating ancestry : a cautionary tale. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Cauchi D, Hanna J, Pais M. Demonstration of bruising in decomposed deceased using immunohistochemical detection of GPA. . Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Collett S. A high risk autopsy: bio-containment of an emerging zoonotic virus. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Cordner S. Disaster victim identification (DVI) and mass casualty events: The Victorian Institute of Forensic Medicine (VIFM) response to the 2009 Victorian bushfires. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Crockett L. The National Coroners Information System. 38th Annual Florida Medical Examiners Educational Conference, Florida, USA. June 22–24 2011. Crockett L. The National Coroners Information System. Mississippi Medical Examiners Educational Conference, Mississippi, USA, June 2011. Crump K. Staikos V, Beyer J, Burke M, Gerostamoulos D. Use of segmental hair analysis for evidence of overdose and previous exposure to drugs. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Daking L. Challenges of collecting and disseminating indigenous data from the coronial system. Health Information Management Association of Australia Conference, 27–29 October 2010. Davey J, Bowyer P, Drummer O, Gize A, Hagenmaier C, Ranson DL, Robertson SD. (Abstract) Forensic Egyptology, Luxor Mummification Museum 2010. Davey J, Ranson D, Robertson S, Drummer O. (Abstract) An investigation of Graeco/Roman child mummies using CT scan and graphics workstation images. 7th Congress on Mummy Studies, 12–16 June 2011, San Diego, USA. Drummer O. (Keynote) The role of forensic toxicology in courts. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sept, 2010. Drummer O, Kourtis I, Beyer J, Boorman M, Gerostamoulos D. The extent of drug-associated driving in Victoria. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sept, 2010. Drummer O. H. New Trends in Forensic Toxicology. The French Society of Analytical Toxicology (Société Française de Toxicologie Analytique, SFTA) & Société Toxicologie Clinique (STC), Chamonix, Mont Blanc, France, 21–26 March 2011. Drummer O. Assessing the effects of drugs and alcohol in driving: Responsibility analysis GiFT Meeting Desenzano del Garda, Italy, 1–3 April, 2011, Desenzano del Garda, Italy, 1–3 April. Fondebrider L, Blau S. Personal identification from skeletal remains in human rights investigations: challenges from the field. 62nd Annual Scientific Meeting of the American Academy of Forensic Sciences, Seattle, Washington. Feb, 2010. George K, Archer M, Toop T. Calliphorid (Diptera: Calliphooridae) colonization of remains. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. George K, Archer M, Toop T. (Poster). Effects of ageing, larval cues and nutrient depletion on colonization frequency by blowflies. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Gerostamoulos D, Wallington J, Wort C, Drummer O. (Abstract) The involvement of prescribed drugs in road trauma. SOFT, Richmond, Virginia, USA. 18–22 October, 2010. Glowacki L, Gerostamoulos D, Wynne P. (Poster). Structureretention relationships for drugs on different GC phases. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sep, 2010. Glowacki L, Gerostamoulos D, Wynne P. (Poster). The metabolism and excretion of quinine by the greyhound. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sep, 2010. Haas S, Pearse J and Ozanne-Smith J. Extent of underestimation of alcohol involvement within Australian injury-related deaths. Australasian Mortality Data Interest Group Workshop, Melbourne, 18–19 Nov, 2010. VIFM Annual Report 2010/11 Connecting With the Community Hamilton K. Presentation: “Operational models in Tissue Banking – Victoria”. Australasian Tissue & Biotherapeutics Forum (ATBF), 12th meeting, Melbourne, 10–13 May 2011. Haouchar R. Impact of the Coroners Act 2008 on the autopsy services at VIFM. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Herson M. Presentation: “The DTBV Commonwealth funded facilitymeeting the concept of a “translation platform”. Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, Melbourne 11 May, 2011. Herson M. Chair of the Organising Committee of Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10 – 13 May, 2011. Hill A. Forensic Odontology Proficiency Trial. 20th International Symposium on the Forensic Sciences of the Australian and New Zealand Forensic Science Society (ANZFSS), Sydney, 5th–9th Sept, 2010. Hill A. Dental Aging of Infants. 20th International Symposium on the Forensic Sciences of the Australian and New Zealand Forensic Science Society (ANZFSS), Sydney, 5th–9th Sept, 2010. Hill A. Use of Multi-detector CT Scanning During Disaster Victim Identification Incidents Interpol DVI meeting, Lyon June 2011. Hislop-Jambrich J, Thomas C, Briggs C, Hall C, Blau S, Clement J. Using mortuary CT data to establish age and stature from the femur. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Ibrahim J. Measuring for improvement. Royal Australasian College of Physicians pre-conference workshop Internal Medicine Society of Australia and New Zealand, Broadbeach Queensland, 1 Oct 2010. Ibrahim J. Chronic Disease Management and the Australian Health System. 6th Annual National Disease Management Conference, Melbourne, 20 Aug 2010. Ibrahim J. CRE in Patient Safety Seminar: Heatwaves and Health – From impact to harm prevention, Melbourne, 19 Aug 2010. Ibrahim J. CRE in Patient Safety Seminar: Reviewing in-hospital mortality, Melbourne, 24 Jun 2010. Ibrahim J. IFA 10th Global Conference on Aging, Melbourne, May 6 2010. Ibrahim J, Nay R, Balding K, Cameron M. Innovation in residential aged care: addressing clinical governance and clinical risk. IFA 10th Global Conference on Aging, Melbourne, May 6 2010 [symposium]. Ibrahim J. Measuring for clinical improvement or organisational management. Royal Australasian College of Physicians preconference workshop Internal Medicine Society of Australia and New Zealand, Broadbeach Queensland 1 Oct 2010. [oral presentation]. Ibrahim J. Plenary Session 20th August Chronic Disease Management and the Australian Health System. 6th Annual National Disease Management Conference, Melbourne, 19–20 Aug 2010. [Chair] Ibrahim J. How can the health impact of heatwaves be reduced? CRE in Patient Safety Seminar: Heatwaves and Health-From impact to harm prevention, Melbourne, 19 Aug 2010. [Chair and moderator]. Ibrahim J. Hospital review CRE in Patient Safety Seminar: Reviewing in-hospital mortality, Melbourne, 24 Jun 2010. [Chair and moderator]. Ehsani JP, McNeilly B, Ibrahim JE, Ozanne-Smith J. Work-related fatal injury among young persons in Australia, July 2000–June 2007. APHA 139th Annual Meeting and Exposition, Washington, DC, 29 Oct–2 Nov 2011 [Poster]. Ibrahim J, McInnes JA, Andrianopoulos N, Evans S. Minimising harm to older people from heatwaves: a survey of the awareness, knowledge and practices of community-based health professionals and care providers in Victoria, Australia (abstract) Injury Prevention 2010; 16(Supp 1): A84. The 10th World Conference on Injury Prevention and Safety Promotion, Queen Elizabeth II London England, 21– 24 Sep 2010 [Poster]. McInnes JA, Ibrahim JE. Minimising harm to elderly Victorians from heatwaves: A qualitative study of the role of community-based health profession and carer organisations (abstract). Injury Prevention 2010; 16(Supp 1): A85. The 10th World Conference on Injury Prevention and Safety Promotion, Queen Elizabeth II London England, 21–24 Sep 2010 [Poster]. Bugeja L, Ibrahim JE, Ozanne-Smith J, Brodie L, McClure R. Coroners recommendations and the prevention of fatal injury. Injury Prevention 2010; 16 (Supp 1): A134 The 10th World Conference on Injury Prevention and Safety Promotion. Queen Elizabeth II London England, 21–24 Sep 2010 [oral presentation]. Johnson A, Archer M, Wallman J. (Oral presentation). Thermal effects of maggot massing and their implications for forensic entomology. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Johnson A, Wallman J, Archer M. Experimental and casework validation of ambient temperature corrections in forensic entomology. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Johnson A, Archer M, O’Donnell C, Leigh-Shaw L, Brown M, Wallman J. (Oral presentation). Visualisation and volumisation of maggot masses using CT technology 7th International Congress of Dipterology, International Conference Centre, Ramada Herradura Hotel, Costa Rica, 8–13 August 2010. Jones C, Green M, Ozanne-Smith J, Ibrahim J. Identifying opportunities in unintentional fatality prevention. Australian Mortality Data Interest Group Annual Meeting, Melbourne, Nov 2010 [C Jones oral presentation]. Killian J, Ozanne-Smith J, Drummer O. Extracting and using alcohol and drugs data in injury deaths in Victoria, Australia. Safety 2010 World Conference. London, 21–24 Sep, 2010. Kipsaina C. The mortuary as a source of injury prevention data in low-middle income countries. The Australasian Mortality Data Interest Group (AMDIG) Workshop, Melbourne, 2010. Kottegoda Vithana E, Ozanne-Smith J, Bartolomeos K. Piloting of WHO/ Monash mortality based fatal injury surveillance project in Sri Lanka. Australian Mortality Data Interest Group Workshop, Melbourne, 18–19 Nov 2010. Kotsos A, Gerostamoulos D, Drummer O. Analysis of benzodiazepines in postmortem blood and liver by ESI HPLC/MS ion trap. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Evans S, Ibrahim J, Mulligan T. Quality Improvement: Basic Principles Emergency Department Management Seminar, Department of Epidemiology and Preventive Medicine, Melbourne, 10 Mar 2010. Melbourne K, Archer M, Wallman J. (Oral presentation). Interspecific interactions between larvae of carrion-breeding blowflies. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Ibrahim J, Balding C, Ow P, Cameron M. Clinical Governance and Risk management in Aged Care. VHA Conference “Control or Chaos”, Melbourne, 19 May 2010 [invited presentation workshop]. Odell M, Brennan P. Clinical forensic medicine on trial – The role of clinical competencies in forensic medicine and their relevance to the legal process. Abstract of oral presentation. Australian and 75 76 New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Ozanne-Smith J. Child injury prevention and child development, International Society for Child and Adolescent Injury prevention, Bristol UK, Sep 2010 (invited presentation). Ozanne-Smith J, Routley V. Work-related Suicide. Safety 2010 World Conference, London UK, Sep 2010. Ozanne-Smith J, Routley V. Work-related Suicide. Australasian Mortality Data Interest Group Conference, Melbourne, Nov 2010. Peden M, Bartolomeos K, Ozanne-Smith J, Kipsaina C, Grills N. Mortuary-based injury surveillance. International collaborative Injury Data Conference, Swansea Wales UK, Sep 2010. Ozanne-Smith J, Bartolomeos K, Contribution of mortuary-based survillance. Global Burden of Disease Africa meeting, Swansea Wales UK, Sep 2010. Ozanne-Smith J, Grills N. (poster and published abstract) The mortuary as a source of injury data: progress towards a mortuary data guideline for fatal injury surveillance. Safety 2010 World Conference, London UK, Sep 2010. Patterson B, Gerostamoulos D, Drummer OH, Beyer J. Comparison of methods for the determination of xenobiotics in biological samples: Targeted vs. two different General Unknown Screening (GUS) methods, 59th ASMS Conference on Mass Spectrometry, Colorado Convention Centre, Denver, USA, 5–9 June 2011. Pearse J. and Harrison J. Developments in suicide identification. Australasian Mortality Data Interest Group Workshop, Melbourne, 18–19 Nov, 2010. Perera C, Briggs C, Cordner S. Medico-legal perspectives of terrorist suicide bombings – a review of Sri Lankan experience. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Pilgrim J, Gerostamoulos D, Drummer O. Deaths involving selective serotonin reuptake inhibitors. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sept, 2010. Pilgrim J, Gerostamoulos D, Drummer O. Serotonin toxicity involving MDMA and moclobemide. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sept, 2010. Poniatowski S. Presentation: “ATBF Coding Workshop – update and the way forward”. Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, Melbourne 11 May, 2011. Ranson D. Australian College of Legal Medicine Annual Scientific Meeting, “Forensic Medicine – Academic Discipline”, Sydney, Sep 2010. Ranson D. “Suicide Prevention and Medico-Legal Death Investigation”, National Suicide Prevention Conference, Sydney, Sep 2010. Ranson D. Dorevitch – Pathology for General Practitioners Workshop, “Accidental and non-accidental deaths in men”, Oct 2010. Ranson D. Sri Lankan Medico-Legal Society, “Tissue Transplantation and Forensic Pathology”, Sri Lanka, Dec 2010. Ranson D. Sri Lankan College of Forensic Medicine, “Modern Medico-Legal Death Investigation and Forensic Imaging”, Sri Lanka, Dec 2010. Ranson D. Sri Lankan College of Forensic Medicine, “Clinical Forensic Medicine – Specimen Contamination and the Jama Case”, Sri Lanka, Dec 2010. Ranson D. Annual Scientific Programme for RCPA, Old Melbourne Gaol Workshop, “Forensic Pathology: Fact and Fiction”, Mar 2011. Ranson D. Annual Scientific Programme for RCPA, “Giving the Evidence”, Mar 2011. Ranson D. RCPA Trainees Induction Day Meeting, “The Role of the State Councillor”, Melbourne, Mar 2011. Rintoul AC, Dobbin MHD, Drummer OH, Ozanne-Smith J. Prescription opioid deaths, Victoria, 2000–2009, Australian Professional Society on Alcohol and Drugs (APSAD), Canberra, Nov– Dec 2010. Rintoul AC, Dobbin MHD, Drummer OH, Ozanne-Smith J, Identifying drug related deaths using coronial data, AMDIG, Melbourne, Nov 2010. Routley V. Work related suicide. Suicide Prevention: a dialogue across disciplines and cultures, 4th Asia Pacific Regional Conference of the IASP, Brisbane, 17–20 Nov 2010. Rintoul AC, Nielsen S, Drummer OH, Dobbin M. Benzodiazepine supply and heroin-related deaths in Victoria: The success of flunitrazepam regulation compared with escalating deaths involving alprazolam. Drugs and Alcohol Review: Vol. 29 (Suppl. 1) 2–82, p 62. Proceedings of the 30th Australasian Professional Society on Alcohol and other Drugs Conference, National Convention Centre, Canberra, 28 November–1 December 2010. Russell J, Benton L, Hartman D, Spiden M, Stock A. The 2009 Victorian bushfires disaster: examples that illustrate the importance of analysing a sufficient number of DNA loci for the accurate identification of a large number of disaster victims. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Saar E, Gerostamoulos D, Beyer J, Drummer O. Stability of antipsychotic drugs in stored blood samples. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sep, 2010. Sadler K, Poniatowski S, Herson M. (Poster). Developing a procedure for non-water based scrubbing. 12th Annual Scientific Meeting of the Australasian Tissue & Biotherapeutics Forum, Melbourne May 101–13, 2011. Stewart B, Poniatowski S, Herson M. (Poster). Validation of a manual method for the freezing of skin. 12th Annual Scientific Meeting of the Australasian Tissue & Biotherapeutics Forum, Melbourne May10–13, 2011. Sadler K, Poniatowski S, Herson M. Presentation: “Developing a procedure for a non-water based scrubbing.” Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10 – 13 May, 2011. Wallington J, Gerostamoulos D, Burke M, Drummer O. An unusual death involving codeine in a toddler. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Wells D. Child Sexual Abuse: International Developments. Sexual Abuse Conference, Manchester. Feb 2011. Wallman J, Melbourne K, Archer M. Interspecific interaction between larvae of carrion-breeding blowflies. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Williams A, Parekh V. Sexual assault in the elderly – a 10 year review. Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Williams A. Identifying false reporting – is it possible? Abstract of oral presentation. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sep, 2010. Woodford N. Quality Assurance in Forensic Pathology. RCPA Pathology Update February 2010. Melbourne. Woodford N. Pathology Management of 2009 Victorian Bushfire Disaster. RCPA Annual Scientific Meeting. Rotorua. September 2010. VIFM Annual Report 2010/11 Connecting With the Community Woods J, Gerostamoulos D, Drummer O. Twenty years of heroinrelated death statistics: how the Victorian drug scene has changed. 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sept, 2010. – – Wort C, Gerostamoulos D, Wong K, Beyer J, Drummer O. Carboxyhaemoglobin determination in persons who died in the 2009 Victorian bushfires. Australian and New Zealand Forensic Science Society (ANZFSS). 20th International Symposium on the Forensic Sciences: ‘Forensic Science on Trial’, Sydney, 5–9 Sept, 2010. – Wynne P, Glowacki L, Gerostamoulos D. (Poster). Species differences in the metabolism of Phalaris alkaloids, 48th Annual meeting of The International Association of Forensic Toxicologists (TIAFT). Bonn, Germany, 29 Aug – 2 Sept, 2010. Other Presentations Bassed R. – DVI and Reconciliation, Presentation to national mortuary managers, Oct 2010. – Disaster Victim identification, Presentation to CFM students, Oct 2010. – Reconciliation and Odontology, Presentation to police reconciliation course, Jan 2011. – Analysis of the age of majority using computed tomography, Presentation to UAE delegates Jan 2011. –PhD results presentation, VIFM lunchtime lecture series, Mar 2011. – Forensic Odontology and CT imaging, Presentation to CFM case group meeting, May 2011. – DVI and odontology, Presentation to pathology registrars, June 2011. Bedford P. –Histology Society of Victoria, Sep 2010. –Homicide Squad Victoria training session, Oct 2010. – Australian Federal Police Trainees, Canberra, Dec 2010. – Congo Aviation Crash, VIFM, August 2010. – Polycystic Kidneys, VIFM, Dec 2010. Blau S. – Forensic Anthropology at the VIFM, Presentation to Japanese Delegation, VIFM, June 2010. – Forensic Anthropology. Contributions to Domestic and International Investigations. Invited Lecture, ANZFSS (Victorian Branch), Aug. 2010. – Forensic Anthropology, Lecture to SCO, VIFM, Aug 2010. – Forensic Anthropology Lecture to Arson Squad Detectives, VIFM, Nov 2010. – Forensic Anthropology Lecture to Homicide Squad Training, VIFM, Dec 2010. – Forensic Anthropology Lecture to Detective Training School, VIFM, Dec 2010. –The role of forensic anthropology in Missing Persons investigations, Presentation to NSW Coroner/Police Delegation, Jan 2011. – Forensic Anthropology Lecture to Detective Training School, VIFM, March 2011. – Forensic anthropology abroad: Update on the VIFM’s work in East Timor. Presentation to the Pathology Update, Melbourne May 2011. – Forensic Anthropology Lecture to Registrars, VIFM, May 2011. – Forensic Anthropology Lecture to Detective Training School, VIFM, May 2011. Cotsonis J. –Presentation about the NCIS. Justice Portfolio Data Network Meeting, Melbourne, 29 March 2011. Gaya S. – Forensic Medicine, Victorian Medical Postgraduate Foundation Inc, Hamilton, 19 November, 2010. – Forensic Medicine, Victorian Medical Postgraduate Foundation Inc, Warrnambool, 16 June, 2011. Drummer OH. –Expert Evidence Workshop conducted by Anna Davey at VIFM – – and the County Court, Melbourne, 13–14 August 2010. RCPA Annual General Meeting, VIFM, 15 November 2010. VIFM Planning Day, Queen’s Loft, Southbank, 17 November 2010. Chaired Drug Data Session, Australasian Mortality Data Interest Group meeting, Melbourne, 18 November 2010. RMIT Pharmaceutical Sciences Program Advisory Committee meeting, Old Magistrate’s Court, Melbourne, 14 December 2010. Department of Forensic Medicine Operational Plan meeting, Story, Southbank, 9 March 2011. Herson M. – 2011 DonateLife Network Annual Forum – Workshop Facilitator – Tissue Banking. Hill AJ. – Forensic Odontology at the VIFM, Presentation to Japanese Delegation, June 2010. – Forensic Odontology and the Law, Elements of For. Science, VIFM Aug 2010/May 2011. – Forensic Odontology and the Coronial System – State Coroner’s Office, VIFM, Aug 2010. – Forensic Odontology Lecture to Victoria Police Arson Squad Detectives, VIFM, Nov 2010. – Forensic Odontology Lecture to Detective Training School, Dec 2010/Mar 2011/May 2011. –HR Careers lecture, June 2010/May 2011. – Record Keeping and Legal Requirements of Dent. Assistants; D.A Convention June 2011. – Role of the Dental Profession in Forensic Investigations; ADAVic., June 2011. – Role of the Forensic Odontologist in Missing Persons Investigations. Missing Persons Units/CrimTrac Representatives. ACT Nov 2010. –The role of Forensic Odontologist in Missing Persons Investigations. –NSW Coroner/Victoria Police, Melbourne 2011. –The role of Forensic Odontologist in Missing Persons Investigations Queensland Coroner/Queensland MPU, Melbourne 2011. – Role of Forensic Odontology in the Identification process and DVI investigations. Path Update Presentation Old Melbourne Goal Watch House 2011. – Dental Aging of Neo-Nates: A Pilot Study. Scientific Advisory Group Age Estimation Workshop, Adelaide, May 2010. Kipsaina C. – Injury – Determinants, prevention and rehabilitation, Masters of Public Health Students, Burnet Institute, June 2011 Kitching F. –Targeted Study of Injury Data Involving Motorised Mobility Scooters, ACCC, Canberra, December 2010 Kottegoda Vithana E. –Healthcare care services provision to Internally Displaced Population in Sri Lanka, VIFM R&T presentation, May 2011. –Healthcare care services provision to Internally Displaced Population in Sri Lanka, SPHPM Seminar, June 2011. McKelvie H. – An alternative legal career, Our Lady of Sion College, Box Hill August 2010. Odell M. – Old Drivers, St Georges Hospital, Kew, Trainees in Geriatrics 1 July, 2010. – Fitness to Drive, GP Group, 26 August, 2010. – Medico Legal Aspects of Traffic Medicine, ACLM Scientific Meeting, Sydney 4 September, 2010. – Clinical Forensic Medicine on trial, the role of the clinical competencies in forensic medicine, ANZFSS Symposium, (Sydney), 6 September, 2010. – Member of a panel on DNA Contamination, ANZFSS Symposium (Sydney), 8 September, 2010. –Poster presentation on the AAFP, ANZFSS Symposium (Sydney) 9 September, 2010. 77 78 – Diabetes and Driving, Bogong GP’s 16 September, 2010. –Traffic Medicine and Forensic Medicine, Medical Students Deakin, Geelong 15 April, 2011. –Traffic Medicine, Monash Law Students, Monash University 19 April, 2011. – MUARC seminar on drowsy drivers, Melbourne 21 April, 2011. Pearse J. –Presentation about the NCIS, LaTrobe University subject “Inquests, Inquiries and Commissions” 4 February 2011. Routley V. – Rail suicides in Victoria: an overview. MTM Board Safety Committee, 26 May, 2010. –Patterns of rail suicide in Victoria. VIFM Research and Training seminar 28 June 2011. Towns J. – STI’s, Monash Medical Centre, ED Registrars, 8 June, 2011. Wells D. –Paediatric Forensic Medicine, Monash Law Students, Monash 12 April, 2011. – Adult Sexual Assault, Monash Law Students, Monash 12 April, 2011. – Sexual Violence, African Forensic Medical Networking, Namibia 14 – 18 March, 2011. – Sex Crimes & Young Children: An International Perspective, St Mary’s Centre Conference, Manchester, UK March 2011. Williams A. –Poster presentation. – Setting National Standards in Forensic Medicine. – Dilemmas in Assessing Fitness for Interview. – Definitions of contamination. – Sexual Assault in older persons – a 10 year review. – False reporting: Is it Diagnosable? – ANZFSS Symposium (Sydney), 6 – 9 September, 2010 (2 days). – Medical Women’s Lecture, VIFM 14 September, 2010. Woodford N. –Use of CT Scanning in Mass Disaster. East Grampians Health Service AGM. Ararat. October 2010. –The Pathologist at the Scene. Victoria Police Detective Training School. Melbourne. September 2010. – Interaction between Pathologists and Police Investigators. State Police Coroner’s Assistant’s Unit Meeting. Melbourne. August 2010. Teaching Blau S. – Forensic Anthropology, Lecture to Elements of Forensic Science, VIFM, Aug 2010 – Workshop on Forensic Investigations of Cases of Political and Ethnic Violence: Recovery and Analysis of Human Remains for Identification Purposes. Delivered with the EAAF to the Truth and Reconciliation Commission, Solomon Islands, March 2011. –Preservation and Interpretation of Forensic Evidence in the Context of Human Rights Investigations. Workshop for the Office of the Providoria for Human Rights and Justice (PDHJ), Dili, East Timor, May 2011. Boyd-O’Reilly A. – Victoria Police Recruits, VIFM, Apr & June 2011. Daking L. – Supervision of three (3) Health Information Management 2nd and 3rd year placement students. Drummer OH. –Lecture to RMIT undergraduate students on “Principles of Toxicology”, Bundoora Campus, 20 September 2010. – RMIT undergraduate students Moot Court/Toxicology laboratory at VIFM, 27 September2010. – RMIT undergraduate students Moot Court/Toxicology laboratory at VIFM, 4 October2010. Gaya S. –Police Recruits, VIFM, Aug 2010. –Police Negotiators, VPC, Oct 2010. – Discipline Investigation Course, Bendigo, Oct 2010. –ESD lecture, Watsonia, Nov 2010. – Detective Training School, VIFM, Dec 2010. – Detective Training School, Academy Mount Waverley, Dec 2010. –Police Recruits, VIFM, Dec 2010. –ESD lecture, VPC, Mar 2011. – Constables Course, Kingston Links, Mar 2011. Haas S. – Supervision of Masters Criminology Student from University of Melbourne, Industry Placement Herson M. – International On Line Tissue Banking Course – Transplant Procurement Management, University of Barcelona , 21st March–27th May, 2011 – Module 2–4 – Ethical and Regulatory Issues in Tissue Banking (along Mr Scott Brubaker and Mr Johann Kurtz) – 4th –10th April, 2011. – Coordination of visit of the Indian delegation led by the Director General of Health Services – New Dehli, Dr R.K. Srivastava. – Invited Visiting Professor (International) – Instituto de Pesquisas Energeticas e Nucleares (University of Sao Paulp) – Brazil – Examination Panel for the evaluation of final presentation for the obtention of Doctorate Degree – candidate: Fabiana de Andrade Bringel – “Morphofunctual evaluation of human skin preserved by glycerol and submitted to gama radiation and grafted in athymic mice” – 25th April 2011. – Invited Visiting Professor (International) – Instituto de Pesquisas Energeticas e Nucleares (University of Sao Paulo) – Brazil – Examination Panel for the evaluation of final presentation of Master Degree candidate: Silvana Cereijido Altran “Replacement of xenobiotic components, applied in the culture medium for the maintenance of humans keratinocytes in cultures, by human similar” – 3rd June 2011. Hill AJ. – Forensic Odontology and the Law, Elements of Forensic Medicine, VIFM Aug /May 2011. – Management of Dead Bodies Following Disasters: An important aspect of a disaster preparedness plan. ASEAN Member States Preparedness in Human Remains Management (HRM) and Disaster Victim Identification (DVI) Following Mass Fatalities, Jakarta Indonesia . –Understanding the Use of Forensic Evidence in Criminal Investigations: An Introductory Course for Prosecutors and Police in Timor-Leste. Dili, East Timor. – Management of Human Remains for First Responders, Malaysian Civil Defence/International Committee of the Red Cross. Kula Lumpur Oct 2010. –General Forensic Odontology Training to UAE delegates. VIFM. Jan. 2011. – Master of Forensic Medicine curriculum. New course outline written Jan/Feb 2011. – Forensic Unit in Master of Forensic Medicine. Non Accidental Injury –Bitemark Evidence. – Curriculum details for Forensic Odontology Accreditation Royal College of Pathologists. Jones CB. – An Introduction to Law and Doctor-Patient Communication: obtaining medical consent; Confidentiality in clinical practices: legal aspects; Mental Health Legislation and Clinical Practice, MIPS/Avant Medical Law Tutorial Program. McKelvie H. – Medical Law Program, Department of Forensic Medicine, Monash University. Odell M. – Constables Course, Academy Mount Waverley, Jul 2010. – Constables Course, Academy Mount Waverley, Sep 2010. –Police Negotiators, VPC, Sep 2010. –Police Recruits, VIFM, Nov 2010. – Road Policing Strategic Advisory Group, Dandenong, Nov 2010. VIFM Annual Report 2010/11 Connecting With the Community – Detective Training School, VIFM, Nov 2010 – General Education talk – Kieran Walshe, VIFM, Mar 2011. –Police Recruits, VIFM, Mar 2011. –ESD lecture, Port Melbourne, Apr 2011. Ozanne-Smith J. –PhD supervision: 8 students (2010/11). Parkin J. – Detective Training School, VIFM, Jun 2011. – DTS, VIFM, Sep 2010. –Police Recruits, VIFM, Sep 2010. – First Responder Sexual Assault, Horsham, May 2011. – Detective Training School, VIFM, May 2011. Poniatowski S. – International On Line Tissue Banking Course – Transplant Procurement Management, University of Barcelona , 21st March–27th May, 2011 – Module 4–5 – Quality Assurance – Quality Control & Tissue Banking Organisation (along Dr Deirdre Fehily and Dr Izabela Tyszkiewicz) – 11th –17th April, 2011. Ranson D. –Post Graduate Pathology teaching, “Forensic Pathology and the Medico-Legal Autopsy”, RCPA, Jul 2010. –Homicide Squad, “Senior Investigation and Trace Evidence Management”, VIFM, Jul 2010. – Masters of Public Health – Unit 2086, “Applied Safety and Quality – Forensic Pathology Aspects”, Monash University, July 2010. – Coroners Court Open Day, “Forensic Pathology and Medical Death Investigation”, Jul 2010. –Lecture “Expert Witness Perspective”, VIFM, Aug 2010. – “A Career in Pathology and Forensic Pathology”, University of Melbourne Medical Student Society, Aug 2010. –National Institute of Forensic Science New Practitioners Workshop, “Forensic Pathology and the Forensic Scientist”, Sep 2010. – Coroners Court Open Day, “Forensic Pathology and Medical Death Investigation”, Nov 2010. – “Medico-Legal Report Writing”, VIFM, Jan 2011. –Tribunals and Quasi-Judicial Bodies Course, “Medico-Legal Death Investigation and the Coroners Inquest”, La Trobe University, Feb 2011. – Coroners Court Open Day, “Forensic Pathology and Medical Death Investigation”, Feb 2011. – Detective Training School of Victoria Police, “Forensic Pathology and Death Investigation, Mar 2011. – Victoria Police Melbourne Crime Desk Course, “The Role of the Forensic Pathologist”, April 2011. – Medical Law Tutorial, Monash University, “Consent”, Apr 2011. – Medical Law Tutorial, Monash University, “End of Life”, Apr 2011. – Medical Law Tutorial, Monash University, “Organ and Tissue Legal Issues”, May 2011. – Medical Evidence Workshop, Department of Forensic Medicine, Monash University, May 2011. – Detective Training School of Victoria Police, “Forensic Pathology and Death Investigation, May 2011. – Coroners Court Open Day, “Forensic Pathology and Medical Death Investigation”, Jun 2011. Sungaila A. – SOCAU Course, Moorabbin, Aug 2010. – ESD lecture, Bentleigh Club, Sep 2010. – Constables Course, Rowville, Nov 2010. –Police Recruits, Academy Mount Waverley, May 2011. – Discipline Investigation Course, Ararat, May 2011. Towns J. – ESD lecture, Broadmeadows, Aug 2010. – Police Recruits, VIFM, Sep 2010. – Constables Course, Academy Mount Waverley, Oct 2010. – Police Recruits, VIFM, Oct 2010. – Constables Course, Kingston Links, Dec 2010. – Police Recruits, VIFM, Jan 2011. – Constables Course, Kingston Links, Feb 2011. – Police Recruits, VIFM, Feb 2011. – – – – – Police Recruits, VIFM, Feb 2011. Constables Course, VIFM, Feb 2011. Police Recruits, VIFM, Feb 2011. Constables Course, VIFM, Mar 2011. Police Recruits, VIFM, Apr 2011. Wells D. –Police Recruits, VIFM, Jul 2010. –Prisoner Management Forum, South Yarra, Jul 2010. –Paediatric Forensic Medicine, Elements of Forensic Medicine, April 2011. – Sexual Assault, Elements of Forensic Medicine, April 2011. –ESD lecture, Morwell, Jul 2010. –Police Negotiators, Victoria Police, May 2011. – Forensic Practitioners, Windhoek, Namibia Williams A. – Forensic Case Group, VIFM, 11/22/2010. – SOCAU Course, Academy Mount Waverley, 7/30/2010. – SOCAU Course, Moorabbin, 3/15/2011. – SOCAU Course, Academy Mount Waverley, 5/26/2011. Woodford N. – RCPA QAP in Forensic Pathology. Preparation and Marking of Module. Research National Coronial Information System – A joint project was conducted between the Australian Institute of Criminology and the NCIS Unit to compare the Deaths in Custody database and the NCIS to determine the concordance of information held between the two data sets. Centre for Human Identification – – – – Bassed, RB: The Scientific analysis of the age of majority using computed tomography – PhD research completed June 2011. Dr Soren Blau, Dr Tony Hill, Dr Jodie Leditschke, Helen Messinis. Estimating Age at Death: Refining Current Anthropological Techniques for neonates (birth) to early childhood (6 years). Dr J Graham, Dr AJ Hill. An on-going collaboration was established in October 2010 between VIFM and Dr J Graham to conduct research into the use of CT imaging of the development and calcification of the human dentition as it relates to age assessment of neo-nates Dr J Bouchner, Dr AJ Hill. In May 2011 collaboration was proposed between the VIFM and the University of Saskatchewan to investigate the influence of jaw size on molar initiation, impaction and agenesis. Donor Tissue Bank of Victoria – – – Herson M. Ongoing collaboration with Monash Medical School – The Alfred Cell culture Laboratory – Ms Heather Cleland Herson M. Ongoing collaboration – CSIRO Biomaterials Dept. – Mr Jerome Werkmeister Herson M. Ongoing collaboration – Melbourne University – Department of Bioengineering – Andrea O’Connor Forensic Scientific Services – Saar E (PhD student). Eva Saar has been conducting research into the area of antipsychotic drugs in the context of postmortem toxicology. This project involved a development of an analytical method for the detection of antipsychotic drugs in post-mortem blood. This method development has resulted in two peer-reviewed publications. Antipsychotic drugs seem to show instability in post-mortem blood, however, the extent of this and the implications have not been studied extensively. Therefore, Eva Saar focused on a systematic study to determine the stability of the most common antipsychotic drugs in blood samples. Olanzapine showed extensive stability problems and was therefore targeted for further studies. These experiments also resulted in two peerreviewed publications. 79 80 – Pilgrim J (PhD student). The candidate has found a significant proportion of deaths reported to the coroners have inadvisable combinations of commonly used drugs. This suggested both poor prescribing and ill-informed patients risking their health. The research identified a number of ways to improve the detection of such cases and reduce mortality. – Wort C, Beyer J. Catherine Wort has been seconded from routine work to assist in the development of a screening method for the detection of 234 compounds in human urine. This method will assist the toxicology laboratory to detect more compounds, improve the sensitivity of detection, and speed up the turn-around times of the laboratory. The method development has been finalised and the method is now implemented for routine use. The project has resulted in a conference publication and will also result in a peer reviewed publication in the near future. – Vo T, Beyer J. Tu Vo has been assisting in the development of a method for the detection and quantification of ethylglucuronide and ethylsulfate in human urine. This method enables the laboratory to provide the analysis of these ethanol metabolites and helps in the interpretation of ethanol positives cases. The projected resulted in a conference presentation and a peer reviewed article. – Hargreaves M, Beyer J. Melynda Hargreaves has been assisting in the development of a second updated and improved version of our successfully introduced overnight toxicology screening. This updated version will enable the toxicology laboratory to detect more compounds in the overnight screening and improves the robustness of the method. The project is still ongoing, however close to completion. – – Chu M. Mark Chu has applied a recently developed method for the detection of the most common drugs of abuse in oral fluid to cases submitted by Victoria Police. These samples originate from impaired drivers which are routinely tested for three proscribed drugs of abuse. This project and the application of the new method allowed determining the prevalence of nonproscribed drugs in impaired drivers. The project has resulted in a conference presentation and a peer reviewed article. VIFM LC-MS method for the detection of ethylglucuronide and ethylsulfate in urine. Sophie Turfus, Tu Vo and Jochen Beyer have started the comparison experiment, and the data will be presented at an upcoming conference and also be published in a peer reviewed journal article. – Ammann J. Julia Ammann will assist in the development of a method for the detection of novel synthetic cannabinoids in biological samples. The synthetic cannabinoids have recently become popular in the rapidly changing drug scene in order to provide a legal alternative to cannabis. Many countries have already acted on this recent development and illegalised the consumption of these compounds, however currently available drug test are not able to detect these compounds. The method development at VIFM will contribute to the ability to detect synthetic cannabinoids and enable the determination of their prevalence in Australian populations. The research project is still ongoing. – Ammann D. Dominic Ammann will assist in the development of a method for the detection of synthetic cathinone-type designer drugs in biological samples. The cathinone-type designer drugs have been reported to be used extensively in the rapidly changing drug scene. Recent case reports have alerted to fatalities after consumption. The method development at VIFM will contribute to the ability to detect cathinone-type designer drugs and enable the determination of their prevalence in Australian populations. The research project is still ongoing. Department of Forensic Medicine – Monash University – Jones C.B. Advice was given to the NCIS on a data change characteristics research program. This will be ongoing involvement. – Kottegoda Vithana E. Sri Lankan Pilot on WHO/ Monash mortuary based injury surveillance project – Ozanne-Smith J. Mortuary based fatal injury surveillance. As a joint project of the World Health Organization and the Monash University Department of Forensic Medicine, this project was established in early 2009 and has continued through 2010 and 2011. This project has been supported by Victorian Public Health Training Fellows and public health doctoral candidates, Dr Nathan Grills and Dr. Chebi Kipsaina, on placement at the Department between 2009 and 2011. VIFM pathologists pretested the data collection instrument. Dr. Eeshara Kottegoda Vithana joined the team in October 2010 as a visiting Research Fellow from Sri Lanka. He led the Sri Lankan pilot study. A further four countries, mostly in Africa, have completed pilot studies to date and evaluation of the pilots is underway at the DFM. Two studies on drowning prevention have been commissioned by the World Health Organization. Beyer B. (In conjunction with ABSciex) VIFM toxicology was able to secure cooperation with ABSciex to perform two comparison projects for improvement of general unknown screening techniques. These general unknown screenings enable to test for substances that are currently not covered by toxicology screening techniques. In both projects, ABSciex has provided instrument time, as well as a staff member (Brad Patterson) to assist. The analysis of the samples in one of the projects was performed on a newly released mass spectrometry system which is currently not available in Australia. ABSciex has therefore provided funds to travel to Shanghai, China. – – Both projects have attracted much interest amongst toxicology colleagues and could be presented at conferences relevant to the field. It should be mentioned that one of the projects was able to secure a conference talk at the largest mass spectrometry conference worldwide (ASMS) Beyer B. (In conjunction with Pharmacology at Monash University) Jochen Beyer has been co-supervising a honours research project at Monash University. This project enables the determination of the effects of intralipid, a lipid injection that assists in the treatment of acute intoxications. To date, intralipid is used as a last option in the management of acute intoxications with sedatives and local anaesthetics in the hope to reduce the blood concentrations of these drugs and to save patient lives. This project will determine the effectiveness of the treatment by measuring the blood concentrations before and after treatment with intralipid in an in vitro experiment. The project is still ongoing and has so far resulted in a conference presentation. Turfus S, Vo T, BeyerJ (in conjunction with Microgenics) VIFM toxicology was able to secure cooperation with Microgenics to perform a comparison study of a recently developed commercial test for ethylgluguronide in urine with the newly developed (1)Update on the evidence for effectiveness of childhood drowning prevention measures (2) Attributes of an optimal program for swimming and water survival training – Ozanne-Smith J. RS-10 road safety intervention in China. Internationally, the PRU contributes to the World Health Organization’s role in evaluated intervention programs for drink-driving and speeding in the cities of Suzhou (Jiangsu Province) and Dalian (Liaoning Province) in China, where deaths and injuries associated with rapid motorisation have been predicted to escalate. China is one of 10 countries undertaking similar projects over 5 years with funding from Bloomberg Philanthropies (2010–2014). – Ozanne-Smith J. Work related fatality. The Department of Forensic Medicine received substantial funding from WorkSafe via the Institute for Safety, Compensation and Recovery Research (ISCRR) over two years for a project entitled “WorkRelated Fatality”, which commenced October 2009. This major project continued throughout 2010 and into 2011. Research themes include work related suicide and a variety of unintentional work related fatality and methodology studies. VIFM Annual Report 2010/11 Connecting With the Community – – Ozanne-Smith J. Prevention of Motorised Mobility ScooterRelated Deaths and Injuries. The substantial number of deaths and injuries associated with motorised mobility scooters among older persons is of national concern. Research was conducted for the Australian Competition and Consumer Commission to inform directions for prevention at government policy and regulation, design, and community levels. Dodd M. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010 Ozanne-Smith J. Deaths involving Oxycodone. This study was conducted in Victoria in response to an emerging epidemic of fatal drug toxicity involving oxycodone in the United States and Canada. Angela Rintoul led this study while participating in the Victorian Public Health Training Scheme. Conference presentations and a publication from this study have continued in 2010/11. – Forensic Science and Technology Conference, Shanghai Police Department, 19–22 October 2010. Keynote speaker, Academic Committee of Forensic Science, Shanghai. – Mass Spectrometry in Forensic Toxicology, GTFCh Meeting, International Symposium on Clinical Toxicology, Homburg, Germany, 3 December 2010. – Monash University Management Conference, Clayton Campus, 10 February 2011. Conference Attendance Anderson M. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. Baber Y. – British Association of Forensic Medicine, November 2010, Cambridge, UK. –Paediatric Abusive Head Trauma, 7–8th July, San Francisco, USA. Bedford P. – 18th International Federation of Clinical Chemistry and Laboratory Medicine, Berlin May 15–19. – 32nd Pathology Education Symposium, Snowmass– Colorado, Feb 6–11, 2011. Blau S. – Reclaiming Stolen Lives: Forensic Sciences and Human Rights Investigations Conference, Jakarta, Indonesia, June 2010 – 20th International Symposium on the Forensic Sciences of the Australian and New Zealand Forensic Science Society (ANZFSS), Sydney, 5th–9th Sept, 2010. Drummer OH. – 48th Annual Meeting of TIAFT, Joint Meeting with the GTFCh, Bonn, Germany, 19 August–2 September 2010. –Homicide by Poisoning and Forensic Toxicology, RCPAPathology & Melbourne’s Underbelly, The Old Melbourne Gaol Watch House. – RCPA Annual General Meeting and Forensic Advisory Committee Meeting, Pathology Update, 3–5 March 2011. –Plenary lectures at joint meeting of the French Toxicological Society & TIAFT (with Society for Hair Testing) meeting, Chamonix, France, and the Italian Society of Forensic Toxicology meeting in Desenzano, Italy, 21–26 March 2011. – Chaired the Annual TIAFT Board Meeting, Zagreb, Croatia, and held a 2-day symposium for Eastern European forensic toxicologists with the Balkan countries. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010. Keynote presentation: “The role of Forensic Toxicology in Courts” – Forensic and Clinical Toxicology Association (of Australasia), (FACTA) meeting, IMAX Theatre, Darling Harbour, Sydney, 8 September 2010. Beyer J. – 48th Annual Meeting of The International Association of Forensic Toxicologists (TIAFT), Joint Meeting with the Society of Toxicological and Forensic Chemistry (GTFCh), Bonn, Germany, 19 August–2 September 2010. Conducted Workshop on “Detection of drugs in alternative matrices: focus on oral fluid” and Bouwer H. – International Association of Medical Examiners ans Coroners, Annual training Conference, Las Vegas, 20 – 24 Jun, 2011 Fitzsimons A. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 12th May, 2011 Melbourne. Chu M. – 48th Annual Meeting of TIAFT, Joint Meeting with the GTFCh, Bonn, Germany, 19 August–2 September 2010. Gaya S. – FFLM (Faculty of Forensic and Legal Medicine), London, UK 13 –14 May, 2011. Collett S. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010 Gerostamoulos D. – 48th Annual Meeting of TIAFT, Joint Meeting with the GTFCh, Bonn, Germany, 19 August–2 September 2010. Cotsonis J. – Asia-Pacific Coroners Society Conference, Auckland, 23–25 November, 2010. Lecture on “Comparison of pros and cons for urine vs. Oral fluid vs. hair testing”. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010. Keynote presentation: “The role of Forensic Toxicology in Courts” Cordner S. – Asian DVI Commanders Conference, Jakarta Centre for Law Enforcement Co-Operation, Semarang, Indonesia, Jan 2011. – Forensic and Clinical Toxicology Association (of Australasia), (FACTA) meeting, IMAX Theatre, Darling Harbour, Sydney, 8 September 2010. Crockett L. – 38th Annual Florida Medical Examiners Educational Conference, Florida, USA. June 22–24 2011. – Mississippi Medical Examiners Educational Conference, Mississippi, USA, June 2011. Conducted Workshop on “Detection of drugs in alternative matrices: focus on oral fluid” and Daking L. – Australasian Mortality Data Interest Group Workshop, Melbourne, 18–19 Nov, 2010. –Health Information Management Association of Australia Conference, 27–29 October 2010 Davies K. – Australasian Tissue Biotherapeutics Forum, 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. Lecture on “Comparison of pros and cons for urine vs. Oral fluid vs. hair testing”. Haas S. – Australasian Mortality Data Interest Group Workshop, Melbourne, 18–19 Nov, 2010. Hamilton K. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. 81 82 Haouchar R. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010 Herson M. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. Higgins S. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010 Hill AJ. – 20th International Symposium on the Forensic Sciences of the Australian and New Zealand Forensic Science Society (ANZFSS), Sydney, 5th–9th Sept, 2010. Jones CB. – Safety In Action, Melbourne. April, 2011 Kottegoda Vithana E. – Australian Mortality Data Interest Group Workshop, Melbourne, 18–19 Nov 2010 Kourtis I. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010. Keynote presentation: “The role of Forensic Toxicology in Courts” – Forensic and Clinical Toxicology Association (of Australasia), (FACTA) meeting, IMAX Theatre, Darling Harbour, Sydney, 8 September 2010. Conducted Workshop on “Detection of drugs in alternative matrices: focus on oral fluid” and Lecture on “Comparison of pros and cons for urine vs. Oral fluid vs. hair testing”. Lynch M. – 7th International Congress of the Baltic Medico-Legal Association, Helsinki, Finland, 11–14 Nov 2010. – Medical Negligence Conference, Melbourne, 18 Mar 2010. Manning L. – Asian DVI Commanders Conference, Jakarta Centre for Law Enforcement Co-Operation, Semarang, Indonesia, Jan 2011. McKelvie H. –Leadership for the Future: Hope Dignity and Spirit in Organisation, Group Relations Conference, Sept.27–Oct 2 2010, Parkville Australia. Odell M. – Australian College of Legal Medicine Annual Scientific meeting, Sydney 4 – 5 September, 2010. – ANZFSS Symposium, Sydney 6 – 9 September, 2010. – International Traffic Medicine Association (ITMA) Traffic Medicine Conference, Chonqquing, China, 13 May, 2011 (10 days). Pilgrim JL. –The International Association of Forensic Toxicologists. Bonn, Germany, 29 Aug – 3 Sep 2010. Pearse J. – Asia-Pacific Coroners Society Conference, Auckland, 23–25 November, 2010. – Data Governance 2011 Conference, Melbourne. Markert T. – Security Sensitive Biological Agents Regulatory Scheme Workshop, July 2010. Mc Neil K. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. Poniatowski S. – 19th Attendance of International Congress of the European Association of Tissue Banks, Berlin, Germany, Nov 3–5 2010. Rapporteur for the Quality Workshop. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. Routley V. – 10th World Conference on Injury Prevention and Safety Promotion, London. 21–24 Sep 2010 – Suicide Prevention: a dialogue across disciplines and cultures, 4th Asia Pacific Regional Conference of the IASP, Brisbane, 17–20 Nov 2010 – 22nd World Congress of International Traffic Medicine Association, Chongqing China, 13–16 May 2011 Sadler K. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. Stewart B. – Australasian Tissue Biotherapeutics Forum 12th Annual Scientific Meeting, 10–13 May, 2011 Melbourne. Shaw L. – ANZFSS 20th International Symposium on the Forensic Sciences: “Forensic Science on Trial”, Sydney Convention & Exhibition Centre, 5–9 September 2010 Towns J. – Advanced Life Support Course, RACGP (Melbourne) 18 – 20 March, 2011. –HIV S100 Prescribing Course, GPV (Melbourne) 28 – 29 May, 2011. Wells D. – African Forensic Medical Network meeting, Windhoek, Namibia 14 – 18 March, 2011. – St Mary’s Conference, Manchester, UK 22 – 24 February, 2011. Williams A. – Australian College of Legal Medicine Annual Scientific Meeting, Sydney 4 – 5 September, 2010. Ozanne-Smith J. – International Society for Child and Adolescent Injury prevention, Bristol UK, Sep 2010 – – Safety 2010 World Conference, London UK, Sep 2010 – SIDS and Kids Annual Conference. Sydney. October 2010. – International collaborative Injury Data Conference, Swansea Wales UK, Sep 2010 – RCPA Annual Scientific Meeting, Rotorua. September 2010. – ANZFSS Meeting. Sydney. September 2010. – Global Burden of Disease Africa meeting, Swansea Wales UK, Sep 2010 – Australasian Mortality Data Interest Group Conference, Melbourne, Nov 2010 Parsons S. – Australasian Mortality Data Interest Group Conference, Melbourne, Nov 2010 – Medico-legal Conference, New York, July 2010 – Medico-legal Conference, Melbourne, Mar 2010. ANZFSS Symposium, Sydney 7 September, 2010. Woodford N. – RCPA Pathology Update. Melbourne. February 2011. Woods J. – 48th Annual Meeting of TIAFT, Joint Meeting with the GTFCh, Bonn, Germany, 19 August–2 September 2010. VIFM Annual Report 2010/11 Connecting With the Community Appendix C: Committees Council Sub-Committees The Ethics Committee The Council has five working committees to ensure compliance with legislative, accreditation and other regulatory requirements. The Ethics Committee is constituted and operates in accordance with the National Health & Medical Research Council National Statement on Ethical Conduct in Research Involving Humans. Executive and Finance Committee (EFC) The Committee considers and where appropriate approves, on the basis of ethical principles, applications for: • research involving the use of human tissue retrieved from the deceased undergoing a medical examination for the investigation of cause of death; and • research involving the use of information generated and/or stored at VIFM; The Council of the Victorian Institute of Forensic Medicine (“the Institute”) has appointed an Executive and Finance Committee (“the EFC”) to assist it in fulfilling its governance responsibilities. The Council has delegated certain functions to the EFC, as set out below. The EFC is a standing Committee of Council and its functions are to: • Oversee and monitor the service and financial performance of the Institute against the strategic plan and the budget; • Review and recommend the annual budget prior to submitting it to Council for approval; • Contribute to the development of the Institute’s strategic plan; • Oversee and monitor the performance of key policies and strategies, as required; • Advise Council about the Institute’s progress towards the delivery of the strategic plan; • Recommend to Council the undertaking of reviews of service areas, as required; • Consider any other matters referred to it by Council and or management; and • Review executive and medical salaries pursuant to Section 3.4.7 of the Standing Directions of the Minister for Finance under the Financial Management Act 1994. In performing its duties, the EFC will maintain effective working relationships with the Council and management. Members: Professor R Conyers (Chair), Professor S Cordner, Mr. N Robertson, Mr. Tim Fitzmaurice, Ms Mari-Ann Scott (member & executive officer) Audit and Risk Management Committee (ARMC) The Council of the Victorian Institute of Forensic Medicine (the Institute) has appointed the Audit and Risk Management Committee (ARMC) to assist it in fulfilling its governance responsibilities. In particular, the ARMC is to assist the Council in overseeing matters of accountability and internal control affecting the operations of the Institute. The Council has delegated certain functions to the ARMC as set out below. The ARMC is a standing committee of Council and its functions are to: • Consider reports from employees of the Institute and the auditors about the integrity of the Institute’s financial processes, systems and reporting; • Advise Council on the effectiveness of the financial and other risk management frameworks, including reviewing and approving the annual risk management framework and attestation statement; • Review the financial and other risk policies of the Institute; • Oversee all internal and external audit processes; • Review and advise the Council on matters of accountability and the delegation of financial authority; • Review, monitor and advise the Council on systems of financial control; • Review and approve the Institute’s process for monitoring compliance with laws and regulations including, but not limited to, financial management; and • Review other strategic policies that are of relevance to the ARMC, including but not limited to, delegations, procurement, purchasing and outsourcing/contractors. Members Prof. R Conyers (Chair), Mr. N Robertson, Mr. Tim Fitzmaurice, Ms Mari-Ann Scott (in attendance) The Committee considers any other questions of ethics affecting the operation of the VIFM as referred by the Director of VIFM. These matters do not include performance issues concerning the conduct of individual employees. It considers and advises the VIFM Council on the development of guidelines and policies relating to the ethical aspects of research at the VIFM and provides ethical guidance on issues submitted to it that relate to the operations of the Institute. Members Mr Stephen Nossal (Chair), Deputy Chief Magistrate Felicity Broughton, Magistrate Jacinta Heffey, Coroner Audrey Jamieson, Mr Trent Brickle, Ms Joanne Nolan, Ms Lynne Wenig, Professor Stephen Cordner, Associate Professor David Wells, Dr Marisa Herson, Dr Richard Nowotny (retired July 2010), Dr Danny Sullivan (appointed February 2011). Executive Officers: Ms Fiona Leahy, Ms Helen McKelvie. The Donor Tissue Bank Advisory Board The Advisory Board is a sub-committee of council and was established by Council. 1.The functions of the Board are: –To advise the Council and the Director of the VIFM about management and operations of the Donor Tissue Bank of Victoria; –To oversee and monitor the operational guidelines of the Donor Tissue Bank of Victoria. This includes review of proposed amendments to technical procedures and of relevant documents to assure compliance with the Bank’s procedures; –To refer any matters involving issues of ethics to the VIFM Ethics Committee for advice and –To receive reports, suggestions, and advice from the various user groups as represented on the Board. 2.The Board may create subcommittees to assist in its functions but may not delegate any of its functions. 3.Preparation of the papers for meetings is a responsibility of the Head, Donor Tissue Bank of Victoria. 4. The minutes of Board meetings will be included in the Agenda papers for the meeting of the Council immediately following. The Donor Tissue Bank Advisory Board (the Board) is established and its membership appointed by the Council of the VIFM. 5. The Chair of the Advisory Board is the Director of the VIFM. 6. Membership of the Board is for a three year period, or any lesser period decided by the Council. Appointments to the Board are renewable. 7. The Board meets at least three times a year, usually in February, June and October. Members Professor S Cordner (Chair), Mr. N Bergman, Ms. H Cleland, Mr. B Davis, Mr. P Skillington, Mr. D Spelman, Mr. I West, Ms L. Ireland. Executive Officer – Dr Marisa R Herson 83 84 The National Coronial Information System Committee The National Coronial Information System (NCIS) is managed by the Victorian Institute of Forensic Medicine and the NCIS Committee is established to provide guidance and support for that management. The Committee’s functions are to: 1. Monitor the operation of the National Coronial Information System; 2.Provide guidance and support necessary for the NCIS to discharge its responsibilities to the core funders, the VIFM Council, State and Territory Coroners and any other key stakeholders; 3. Oversee the provision of services by the NCIS in accordance with agreements made with user agencies; 4. Receive and approve budget statements; 5. Receive and approve quarterly operational reports; 6. Receive and approve bi-annual and annual reports to be provided to the NCIS Board of Management via the VIFM Council; 7.Play an active role in ensuring effective communication between the NCIS and the core funders, the VIFM Council; State and Territory coroners (including the Australasian Coroners’ Society) and any other key stakeholders; CSC Social Club Committee Murray Hall (President), Jarrod Boxall (Vice President), Joanne Hanna (Treasurer), Emily Orchard (Secretary 2010), Melynda Hargraves, Mark Chu, Jennifer Pilgrim, Luke Rodda, Michelle Spiden, Fiona Lawrence, Leanna La Combre, Leanna Daking, Kim McNeil, Alex Alimansjah, Penny Tayler. Internal Governance The Research Advisory Committee The Research Advisory Committee has been established to: • To provide a strategic direction in the conduct of research at VIFM and for projects using VIFM intellectual property that are conducted off site. • To advise the Institute’s Ethics Committee on the scientific merit of projects. • To establish and manage a research project register of all proposed, current and post research projects. • Encourage collaborative partnerships amongst researchers in similar fields • Assist project leaders in accessing the scientific merit and project design of each proposal. 8. Oversee and review the NCIS user pays system; Members Professor Olaf Drummer, Professor Joan Ozanne-Smith, Dr Irene Kourtis, Dr Dadna Hartman, Dr Belinda Gabbe and Ms Fiona Leahy. 9.Provide advice on privacy or ethical issues; and Quality Review Committee 10. Assess the feasibility of any proposals for new enhancements or major developments for the NCIS; and provide recommendations to the NCIS Board of Management about such proposals. The Quality Review Committee (QRC) oversees and monitors the VIFMs quality system and operational quality issues. Members Judge Jennifer Coate (Chair and VIC State Coroner), Magistrate Mary Jerram (NSW State Coroner), Professor James Harrison (Director of National Injury Surveillance Unit), Professor Joan OzanneSmith (Head, Prevention Research Unit), Professor Olaf Drummer (Head of Forensic Scientific Services, VIFM) Other Institute Committees Occupational Health, Safety & Environment (OHS&E) Committee The OHS&E committee meets every bi-monthly and is a forum for representatives from all parts of the Coronial Services Centre to raise any OHS&E issues for action. Hazards are identified and reported by staff through the Continuous Improvement and Corrective Action system (eCIRCA) or directly to their OHS committee representatives. Incidents are reviewed by the OHS&E committee allowing incident trends and continuous improvement actions to be discussed and implemented. The purpose of this committee is to: • Develop and review safety procedures in use in the VIFM and the State Coroner’s Office; • Develop and review staff training and education in relation to OHS&E; • Study incident statistics and examine any trends and recommend control measures and improvements; and • Commission regular OHS&E audits, and recommend changes flowing from these. Members from VIFM Leanna La Combre (Chair), Katie Sadler, Emily Orchard, Frances Adamas, Mark Chu, Jim Cosentino, Ben Stewart, Helen Makrakis (on leave from July 2010 to June 2011), Ms D Stevens , Fiona Lawrence, Lyndie-Leigh Shaw, Luke Rodda (Deputy Warden), Joy Beyer, Vicky Winship, Kimberley McNeil, and Jodie Wadeson. Members from CCoV Ms E Catford, Ms K Pieters, Ms S Mallon During 2010–11, the committee reviewed and approved the VIFM Quality Framework. The committee also reviewed VIFM Internal Audit Program findings, Quality Assurance Program (QAP) performance, and Continuous Improvement – Corrective Action (CIRCA) trends and issues relating to Complaints, Compliments, Equipment, Evidence Handling, External Service, Improvement Request, Internal Service, OHSE Issues, Safety Incidents and QAPs. The committee reviewed a number of internal investigation reports initiated as a result of complaints received or any other significant issue affecting VIFM’s service quality. Operations staff and Heads of Service have been invited to report on the implementation of recommendations resulting from these investigations which was also monitored by the committee. Members Mari-Ann Scott (Chair), A/Prof David Ranson and Noel Woodford (attendance as Acting Director), Prof Olaf Drummer, Leanna La Combre and Frances Adamas. Client Liaison Groups Work Related Fatality Project: Steering Committee (2010/11) Professor Joan Ozanne-Smith (DFM, Chair), Associate Professor Alex Collie (ISCRR), Professor Olaf Drummer (DFM), Mr Trevor Martin (WorkSafe 2010), Ms Jane Hall (WorkSafe 2011) WHO/Monash Mortuary Based Injury Surveillance Project: International Advisory Group Dr Margie Peden (WHO), Dr Yvette Holder (St Lucia), Professor Shanthi Ameratunga (Uni Auckland, NZ), Dr Lois Fingerhut (USA), Professor Gordon Smith (Uni Maryland,USA), Associate Professor James Harrison (Flinders Uni, Australia), Professor Stephen Cordner (VIFM) , Dr Eeshara Kottegoda Vithana (MOH Sri Lanka), Dr Kavi Balla (Harvard USA), Dr Richard Matzopoulus (MRC, South Africa), Dr Nathan Grills (DFM), Professor Joan Ozanne-Smith (DFM) VIFM Annual Report 2010/11 Connecting With the Community Appendix D: VIFM Staff by Department Director’s Office Director – Stephen Cordner AM MA MB BS BMedSci Dip Crim DMJ(Path) FRCPATH FRCPA Deputy Director – David Ranson BMedSci BM BS LLB FACLM FRCPath FRCPA FFFLM DMJ(Path) Human Resources and Organisational Development Manager Human Resources and Organisational Development – Richard Prokop Human Resources Consultants: Chief Operating Officer – Mari-Ann Scott BEcon (Hons) MPhil Lisa Omer Manager Medico-legal – Helen McKelvie LLB BA Angela Piacente Senior Medico-legal Officer – Fiona Leahy LLB(Hons) BA Amir Qajar BA Hons MBA HRM Medico-legal Research Officer – Katrina Stuart BBNSc (Hons), JD Manager National and International Programs – Elizabeth Manning B.Arts (Hons) PhD (Sociology) Donor Tissue Bank of Victoria Internal Management Consultant – Peter Wallace Manager, DTBV Operations – Stefan Poniatowski BSc (Hons) MIBMS Manager Information and Data Analysis – Vicky Winship BSc (Hons) Graphic Designer and Photographer – John Lloyd-Fillingham Administration Support Services Head, Administration Support Services – Mari-Ann Scott BEcon (Hons) MPhil Manager Governance Strategic Projects and Risk – Leanna La Combre BA GradDipPP LLB Senior Occupational Health and Safety Consultant – Emily Orchard BSc MFc Sc MBA (Exec) Communications Project Officer – Andrea Hince BA DipHR Executive Administration Officer – Fiona Lawrence Finance and Business Services Chief Finance Officer – Peter Ford FCCA Finance Manager – Lauren Murton BA/Bcom DipModLang CPA Facilities Management Officer – Jim Cosentino Finance Officer – Margaret Stolke Functions and Administration Officer – David Freeman Purchasing and Supplies Officer – Bryce Marshall Head Donor Tissue Bank of Victoria – Marisa Herson MD PhD Administration Officers: Charmain Anderson Dianne Ansell Tissue Donor Co-ordinators: Josephine Boyle Seana Casey-Giles RN Ma CommMgt Karen Davies Ainslie Fitzsimons Senior Scientist – Research and Development – Kellie Hamilton BSc (Hons) Scientist – Katy Sadler MSc Scientist – Ben Stewart BSc Microbiologists: Alina Inserra Tyra Markert BSc (Hons) Jenny Milne BSc (Hons) MSc B.Litt MASM Technicians: Alastair Freemantle Danielle McLean Kimberley McNeil BSc Health (Paramedic) Talitha Pitt Jonathon Tarascio BAppSc Dip Lab Tech Receptionist – Gaie Russell Technology Services Manager Technology Service – Murray Hall BAppSc Beng Senior Project Officer – Jarrod Boxall Cert(IT) Service Desk Support Officer – Lakshan De Run BITS Senior Analyst/Developer – Peter Edbrooke BAppSci (CompSci) Manager VIFM Library – Kerry Johannes ARMIT AALIA Information Support Analyst – Jenny Neame BA GradDip AppSci GradDip TESOL DipEd Forensic Scientific Services Head, Forensic Scientific Services – Olaf Drummer PhD(Med) BAppSc(Chem) MRACI FRCPA FFSC FACB Business Operations Manager – Irene Kourtis PhD BAppSc(Hons) GDip IP Law Quality and Improvement Officer – Soumela Horomidis BSc Executive Administration Officer – Ceril Pereira Administration and Clerical Assistant – Luba Pylnik Systems Architect – Gavin Reichel BComp Toxicology Acting Manager, Forensic Imaging Services – Clair Richards BAppSc (Hons) Manager, Toxicology – Dimitri Gerostamoulos PhD BSc (Hons) Windows & Desktop Administrator – Ron Rose BAppSc Senior Research Officer – Sophie Turfus BSc (Hons) MSc PhD Manager, Forensic Imaging Serv – Caroline Rosenberg BSc CertIVForSc Quality and Improvement Manager Quality and Improvement – Frances Adamas BSc(Hons) MBiotechBus Quality and System Improvement Officer – George Djordjevic BSc Quality and Improvement Officer – Soumela Horomidis BSc Quality and System Improvement Officer – Tram Lam Quality Support Officer – Helen Makrakis Senior Applications Chemist – Jochen Beyer PhD B. Pharm Senior Scientists: Kerryn Crump DipAppSc BAppSc MSc Linda Glowacki PhD BAppSc (Hons) Alex Kotsos MSc BSc Maria Pricone Bsc (Hons) Voula Staikos BAppSc Scientists: Mary Boratto BSc (Hons) Mark Chu PhD (Med), BSc (Hons) Matthew Di Rago BAppSc Jessica Fernandez BSc (Hons) Natalia George BAppSc MBA Melynda Hargreaves 85 86 Elizabeth Jenkins BSc (Hons) MSc Brenda Kirkby BBiotech(Hons) Jennifer Pilgrim PhD BSc(Hons) Luke Rodda BAppSc (Hons) PhD Candidate Eva Saar BPharm PhD candidate Penny Tayler MSc BSc Tu Vo BAppSc Tham Vu BSc (Hons) Jennifer Wallington BAppSc (Hons) Sophie Widdop Katherine Wong BSc (Hons) Catherine Wort BSc BA Su Wan Yap Technical Officers: Irene Kantzidis Karen Lee U/Grad BSc Melissa Peka Grace Wang Histopathology Manager, Histology – David Cauchi BSc Senior Scientist – Joanne Hanna BAppSc Scientist – Patricia Lai BAppSc Scientist – Michael Pais BAppSc Technician – Robert Coyle Dip Lab Tech Molecular Biology Manager, Molecular Biology – Dadna Hartman BSc (Hons) PhD Senior Scientist – April Stock BSc (Hons) Senior Scientist – Joy Beyer BA/BSc (Hons) Scientists: Linda Benton BSc Ashil Davawala BSc GradDip (BioTech) GradDip (MedLabSci) Jane Devenish-Meares Andrew Schlenker BSc Adv (Hons) Michelle Spiden MSc BSc/BA Research Assistant – Zoe Bowman National Coronial Information System Manager, National Coronial Information System – Jessica Pearse BIM Analyst Programmer – Alexander Alimansjah BComp Coder FRC Database – Tracey Caulfield QA IT Officer – Cheuk Chan Access Officer – Joanna Cotsonis Coronial Liaison Officer – Lisa Crockett Quality Manager – Leanne Daking BHlM BBusIT Administration Officer – Catherine Daley BSocSc Grad Dip(Arts) GradCert(Arts). Administration Officer – Andrea Gallo Senior Research Officer – Steven Haas Bpharm BPharmSci(Hons) PhD Senior Coder FRC Database – Bronwyn Hewitt BHIM Quality Assistant – Jill Russell FRCD Quality Assistant – Jennifer To Medico-Legal Death Investigations Forensic Pathology Services Head Forensic Pathology – Noel Woodford MBBS LLM DMJ(Path) FRCPA FRCPath Acting Head, Forensic Pathology (Dec 2010 – June 2011) – Melissa Baker MBBS (Hons) FRCPA Business Operations Manager – Jeff Lomas BA Grad Dip Social Science (Gestalt Therapy) Forensic Pathologists: Yeliena Baber MBBS MRC SEd FRCPath Paul Bedford MB BS FRCPA DipForensPath Michael Burke MB BS BSc FRCPA DipForensPath Malcolm Dodd MBBS FRCPA DMJ(Path) AssocDipMLT FFFLM (RCP-UK) FACBS MACLM GradCertHealth Prof Ed (Monash) Linda Iles BMSc MB BS (Hons) FRCPA DMJ (Path) Jacqueline Lee MD Matthew Lynch MB BS LLB (Hons) FRCPA DipForens Path DMJ (Path) Sarah Parsons B Med Sci (Hons) MB BS (Hons) (Tas) FRCPA Shelley Robertson MBBS LLB AMusA FRCPA DMJ(Path) FACLM DAvMed MHealSc FFFLM Fellow in Forensic Pathology – Heinrich Bouwer Radiologist – Chris O’Donnell MBBS FRANZCR MMed GradDipForMed Pathology Registrars: Eleanor Bott MBBS BSc (Hons) Pritinesh Singh MBBS Medical Liaison Nurse Consultants: Melissa Mogford BA (Nursing) GradDip (Paed Crit Care) GradCert (Health Management) Natalie Morgan Patricia O’Brien GradDipCrim MBA BA ITN RM RN Jill Thompson Medical Administration Officers: Laura Hart Mary Reddan Jill Lloyd Pathology Records and Accounts Officer – Jeanette Buckley Medical Records and Case Management Officer – Carole Spence Forensic Technical Services Manager, Forensic Technicial Services (on international exchange) – Jodie Leditschke BSc PhD Acting Manager Forensic Technical Services – Rebecca Ellen Senior Forensic Technical Officers: Keith Bretherton Sarsha Collett BSc (Hons) Samantha Higgins BSc Barry Murphy CertAnatPath Emily Orchard BSc MFc Sc MBA (Exec) Manager, Forensic Imaging Services – Peter Bury Dip MedLabSci DipPhoto Forensic Radiographer – Jacqueline Hislop-Jambrich Forensic Technicial Officers: Evan Leckenby BAppSc (MedSci) Abby McClure BSc Helen Messinis Erin Olsen Gemma Radford Stephen Russell Lyndie-Leigh Shaw Dip HealthSci (Nursing) Dip(Ambulance Paramedic) Danielle Stevens Jennah Tiu BSc Cert III(Path) Forensic Technical Assistant – Leah Leighton VIFM Annual Report 2010/11 Connecting With the Community Human Identification Services Visiting Research Fellow – Chebi Kipsaina MD(Moscow) MPH(WA) Forensic Entomologist – Melanie Archer BSc (Hons) PhD Visiting Research Fellow – Eeshara Kottegoda Vithana MBBS MSc MD Forensic Odontologist – Richard Bassed BDS GradDipForOdont PhD Candidate Senior Forensic Anthropologist – Soren Blau BA Hons MSc PhD Forensic Anthropologist – Christopher Briggs DipEd BSc MS PhD Senior Forensic Odontologist – Anthony Hill BDS GradDipForOdont Clinical Forensic Medicine Services Head, Clinical Forensic Medici – David Wells OAM MA MBBS DMJ GradCertHigherEd DipRACOG FRACGP FACLM FFLM Senior Forensic Physician – Morris Odell BE (Hons) MBBS FRACGP DMJ FACLM FFFLM Forensic Physicians: Nicola Cunningham BMed FACEM Sanjeev Gaya MB BS DMJ (Clin) MFFLM Janet Towns BMed FRACGP MForensMed Angela Williams MBBS MForensMed Grad Dip Law FACLM MFFLM Angela Sungaila MBBS MForensMed Consultant Physician George Jelinek CFM Registrars: Alison Boyd-O’Reilly John Lindsay Jo Ann Parkin Fernando Pisani Quality Management System Implementation Officer – Tanya Corocher Senior Project Manager – Barbara Thorne BA GradDipCrim Sexual Assault Projects and Policy Officer – Alexander Gillard Business Operations Manager – Elisabeth Lowry BHMSc Business Support Coordinator – Maria Mammen Administration Officers: Gabrielle Conners Charlotte Smith Noelle Large Administration Assistant – Elizabeth Daly Department of Forensic Medicine, Monash University Chair of Forensic Medicine – Stephen Cordner AM MA MB BS BMedSci Dip Crim DMJ(Path) FRCPATH FRCPA Head of Department – Olaf Drummer PhD BAppSc MRACI FRCPA FFSC FACB Department Manager – Vicki McAuliffe Exec CertBusMgt Administrator, Postgraduate Courses – Debbie Hellings CertBus Administrative Officer – Dimitria Semertjis BA(Hons) Medical Law Program Convenor, Medical Law Program – Leanna Darvall LLB PhD Administrative Officer, Medical Law Program – Natalie Oakley Prevention Research Unit Head, Prevention Research Unit – Joan Ozanne-Smith MBBS MPH MA MD FAFPHM Consultant, Forensic Physician – Joseph Ibrahim MBBS PhD FAFPHM FRACP Senior Research Fellow Virginia Routley BEc GradDipAppSci MPH PhD Research Fellow – Chris Jones LLB(Hons) GDLP PhD Research Assistant – Gael Trytell BSc BA(Hons) Research Assistant – Fiona Kitching BA/BSci Administrative Officer – Marie-Claire Davis BPsych(Hons) PhD Students Richard Bassed BDS GradDipForOdont PhD candidate Janet Davey MSc PhD candidate Jennifer Pilgrim BSc(Hons) PhD candidate Luke Rodda BAppSc(Hons) PhD Candidate Eva Saar BPharm(Germany) PhD candidate Adjunct Staff Adjunct Associate Professor – Christopher Briggs Adjunct Associate Professor – David Wells Adjunct Clinical Associate Professor – David Ranson Bethia Wilson Melanie Archer Helen McKelvie Melissa Baker Malcolm Dodd Jodie Leditschke Noel Woodford Soren Blau Terence Donald Matthew Lynch Shelley Robertson Angela Williams Morris Odell Marisa Herson Sarah Parsons Anthony Hill Chris O’Donnell Linda Iles Sanjeev Gaya Dadna Hartman Cecily Jane Freemantle Dimitri Gerostamoulos Jochen Beyer Lyndal Bugeja 87 88 Appendix E: VIFM Contract Staff Forensic Medical Officers Providing services across Victoria Malcolm Alston Kelly Davis Nick Demediuk John Guymer Ruth Hand John Henderson Louisa Hope Joanne Love Rebecca McGowan Jennie Mills Dev Mitra John Moran Veronica Moule Gerald Murphy Brian Murphy Morris Odell JoAnn Parkin Ian Price Cameron Profitt Jill Ramsey Nicole Reid Matt Ryan Belinda Schoeffel Dianne Sherrif Andrew Soloczynskyj Ruth Srewart David Wilson Forensic Nurse Examiners Judy Armishaw Hazel Bickerton Christine Biesiekierski Prunella Gifford-Ellis Beverley Guilmartin Josephine Heard Karyn Hollenback Renee McMahon Colleen Mentis Tanya Moseby Simone Mulvihill Patricia Muroyiwa Adele O’Hehir Jennifer Oxley Shirley Pilkington Sue Schulz Kate Sloan First Name Surname Jill Thompson Margaret Trail Sheenah Van Eck Suzanne Wallis Tracie Warburton Blood Service Nurses Phillipa Ashworth Adrian Barker Kerry Barker Mary Brettell Anita Carol Carboon Caroline Citerelli Julienne Coleman Paula Deavin Vicky Dekraker Damian Dorgan Michelle Drummond Jenny Elgood Prunella Gifford-Ellis Beverley Guilmartin Frances Hammer Josephine Heard Karyn Hollenback Ruth Jenkins Angela Keating Diane Kuipers Helen Markham Linda McCurdy Debra Milroy Sharna Moloney Laurene Moore April Morton Tanya Moseby Jason Moss Adele O’Hehir Christine Paraska Leanne Parrello Robyn Potter Andrea Quanchi Gerald Scanlon Sue Schulz Gillian Shilton Armajit Singh Kate Sloan John Stafford Lisa Tatchell Jodie Thornhill Patrick Turner Erica Valeri Sheenah Van Eck Suzanne Wallis Tracie Warburton Debbie Weir Fiona Weir Ann Whelan VIFM Annual Report 2010/11 Connecting With the Community FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 30 JUNE 2011 89 90 91 VIFM Annual Report 2010/11 Connecting With the Community Comprehensive operating statement 30 June 2011 Comprehensive operating statement For the financial year ended 30 June 2011 2011 $ Notes Continuing operations Income from transactions Grant - Department of Justice Other income Total income from transactions 2010 $ 2(c) 2(a) & (b) 24,008,203 3,807,120 27,815,323 20,980,056 4,797,170 25,777,226 3(a) 3(b) 3(c) 3(d) (18,987,142) (888,793) (18,412) (8,005,404) (27,899,751) (17,503,442) (833,220) (17,030) (7,303,997) (25,657,689) (84,428) 119,537 (567,595) (3,134) (2,460) (573,189) 10,372 2,818 13,190 Net result (657,617) 132,727 Comprehensive result (657,617) 132,727 Expenses from transactions Employee expenses Depreciation Interest expense Other operating expenses Total expenses from transactions Net result from transactions (net operating balance) Other economic flows included in net result Net gain/(loss) on non-financial assets Net gain/(loss) on financial instruments Other gain/(loss) from other economic flows Total other economic flows included in net result 4(a) 4(b) 4(c) The Comprehensive operating statement should be read in conjunction with the accompanying notes. 92 Balance sheet 30 June 2011 Balance sheet As at 30 June 2011 Notes Assets Financial assets Cash and deposits Receivables Total financial assets 2011 $ 2010 $ 2,324,579 6,196,878 8,521,457 2,043,336 5,826,907 7,870,243 16,813 8,875,499 8,892,312 14,364 6,889,836 15,492 6,919,692 17,413,769 14,789,935 1,340,976 203,475 5,026,531 713,626 7,284,608 1,233,993 281,794 4,523,393 632,793 6,671,973 Net assets 10,129,161 8,117,962 Equity Accumulated surplus/(deficit) Physical asset revlaution surplus Contributed capital Net worth (2,573,122) 2,433,863 10,268,420 10,129,161 (1,915,505) 10,033,467 8,117,962 16 5 Non-financial assets Inventories Property, plant and equipment Non-financial physical assets classified as held for sale Total non-financial assets 7 6 Total assets Liabilities Payables Borrowings Provisions Other liabilities Total liabilities Commitments for expenditure Contingent assets and contingent liabilities 8 9 10 13 14 The Balance sheet should be read in conjunction with the accompanying notes. 93 VIFM Annual Report 2010/11 Connecting With the Community Statement of changes in equity 30 June 2011 Statement of changes in equity For the financial year ended 30 June 2011 Note Physical asset revalution surplus $ Accumulated surplus Contributions by owner Total $ $ $ Balance at 1 July 2009 Net result for the year Capital appropriations - (2,048,232) 132,727 - 10,033,467 - 7,985,235 132,727 - Balance at 30 June 2010 - (1,915,505) 10,033,467 8,117,962 2,433,862 - (657,617) - 234,955 2,433,862 (2,573,122) 10,268,421 Net result for the year Transfer to accumulated surplus - on revaluation of assets Capital appropriations Balance at 30 June 2011 20 The above Statement of changes in equity should be read in conjunction with the accompanying notes. (657,617) 2,433,862 234,955 10,129,161 94 Cash flow statement 30 June 2011 Cash flow statement For the financial year ended 30 June 2011 Notes 2011 $ 2010 $ Cash flows from operating activities Receipts Receipts from Government Receipts from other entities Interest received Total receipts 23,935,667 3,461,862 44,691 27,442,219 19,067,122 5,312,909 34,262 24,414,293 Payments Payments to suppliers and employees Interest and other costs of finance paid Total payments (26,306,500) (18,412) (26,324,912) (23,843,267) (17,030) (23,860,297) Net cash flows from/(used in) operating activities 1,117,307 553,996 (1,009,747) 17,050 (992,697) (730,260) Cash flows from financing activities Owner contributions by State Government Repayment of finance leases Net cash flows from/(used in) financing activities 234,953 (78,321) 156,633 (63,280) (63,280) Net increase/(decrease) in cash and cash equivalents 281,243 (239,544) 16(b) Cash flows from investing activities Purchases for non-financial assets (Proceeds) from the sale of Property Plant & Equipment Net cash flows from/(used in) investing activities Cash and cash equivalents at beginning of the financial year Cash and cash equivalents at end of the financial yea 16(a) Non-cash transactions 16(b) The Cash flow statement should be read in conjunction with the accompanying notes. (730,260) 2,043,336 2,282,880 2,324,579 2,043,336 95 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Note 1. Summary of significant accounting policies The annual financial statements represent the audited general purpose financial statements for the Victorian Institute of Forensic Medicine (the Institute). The purpose of the report is to provide users with information about the Institute's stewardship of resources entrusted to it. To gain a better understanding of the terminology used in this report, a glossary of terms and style conventions can be found in Note 20. (a) Statement of compliance These general purpose financial statements have been prepared in accordance with the Financial Management Act 1994 (FMA) and applicable Australian Accounting Standards (AAS), which include Interpretations issued by the Australian Accounting Standards Board (AASB). In particular, they are presented in a manner consistent with the requirements of the AASB 1049 Whole of Government and General Government Sector Financial Reporting . Where appropriate, those AAS paragraphs applicable to not-for-profit entities have been applied. The annual financial statements were authorised for issue by the Director of the Victorian Institute of Forensic Medicine on 7 September 2011. Accounting policies are selected and applied in a manner which ensures that the resulting financial information satisfies the concepts of relevance and reliability, thereby ensuring that the substance of the underlying transactions or other events is reported. (b) Basis of accounting preparation and measurement The accrual basis of accounting has been applied in the preparation of these financial statements whereby assets, liabilities, equity, income and expenses are recognised in the reporting period to which they relate, regardless of when cash is received or paid. The financial statements are presented in Australian dollars, the functional and presentation currency of the Institute. In the application of AAS, judgements, estimates and assumptions are required to be made about the carrying values of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on professional judgements derived from historical experience and various other factors that are believed to be reasonable under the circumstances. Actual results may differ from these estimates. The estimates and associated assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised and also in future periods that are affected by the revision. Judgements made by management in the application of AASs that have significant effects on the financial statements and estimates, with a risk of material adjustments in the next year, are disclosed throughout the notes to the financial statements. This report has been prepared in accordance with the historical cost convention. Historical cost is based on the fair values of the consideration given in exchange for assets. Exceptions to the historical cost convention include: ● non-financial physical assets which, subsequent to acquisition, are measured at a revalued amount being their fair value at the date of the revaluation less any subsequent accumulated depreciation and subsequent impairment losses. Revaluations are made with sufficient regularity to ensure that the carrying amounts do not materially differ from their fair value; and ● the fair value of an asset other than land is generally based on its depreciated replacement value. The accounting policies set out below have been applied in preparing the financial statements for the year ended 30 June 2011 and the comparative information presented for the year ended 30 June 2010. 96 Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 (c) Reporting entity The financial statements cover the Victorian Institute of Forensic Medicine as an individual reporting entity. The Institute is a body corporate established under Part 9 of the Victorian Coroners Act 1985 operating under the auspices of the Department of Justice and reporting to Parliament through the Attorney-General. The Institute's objectives, functions, powers and duties are set out in sections 64 to 66 of the Act. Its principal address is: Victorian Institute of Forensic Medicine 57-83 Kavanagh Street, Southbank, Victoria, 3006 Objectives and funding The Institute works predominantly in accordance with two pieces of legislation: the Coroners Act 1985 and the Human Tissue Act 1982. Section 64(2) of the Coroners Act 1985 provides that the objectives of the Institute are: ● to provide, promote and assist in the provision of forensic pathology and related services in Victoria and, as far as practicable, oversee and co-ordinate those services in Victoria; ● to promote, provide and assist in the post-graduate instruction and training of trainee specialist pathologists in the field of forensic pathology in Victoria; ● to promote, provide and assist in the post-graduate instruction and training of persons qualified in biological sciences in the field of toxicological and forensic science in Victoria; ● to provide training facilities for doctors, medical undergraduates and such other persons as may be considered appropriate by the Council to assist in the proper functioning of the Institute; ● to conduct research in the fields of forensic pathology, forensic science, clinical forensic medicine and associated fields as approved by the Council; ● to provide, promote and assist in the provision of clinical forensic medicine and related services to the police force of Victoria and government bodies; ● to promote, provide and assist in under-graduate and post-graduate instruction in the field of clinical forensic medicine in Victoria; ● to promote, provide and assist in the teaching of and training in clinical forensic medicine within medical, legal, general health and other education programs; and ● to provide for the storage of tissue, taken in accordance with the Human Tissue Act 1982 from deceased persons coming under the jurisdiction of coroners in Victoria, for use for therapeutic purposes. The Human Tissue Act 1982 regulates the donation of human tissue by living persons and after death. It provides authority for post-mortem examinations, prohibits the trading in human tissue and gives a definition of death. (d) Scope and presentation of financial statements Comprehensive operating statement Income and expenses in the comprehensive operating statement are classified according to whether or not they arise from ‘transactions’ or ‘other economic flows’. This classification is consistent with the whole of government reporting format and is allowed under AASB 101 Presentation of financial statements . ‘Transactions’ and ‘other economic flows’ are defined by the Australian system of government finance statistics: concepts, sources and methods 2005 Cat. No. 5514.0 published by the Australian Bureau of Statistics (see Note 20). ‘Transactions’ are those economic flows that are considered to arise as a result of policy decisions, usually interactions between two entities by mutual agreement. Transactions also include flows within an entity, such as depreciation where the owner is simultaneously acting as the owner of the depreciating asset and as the consumer of the service provided by the asset. Taxation is regarded as mutually agreed interactions between the Government and taxpayers. Transactions can be in kind (e.g. assets provided/given free of charge or for nominal consideration) or where the final consideration is cash. ‘Other economic flows’ are changes arising from market re-measurements. They include: ● ● ● gains and losses from disposals, revaluations and impairments of non-current physical and intangible assets; actuarial gains and losses arising from defined benefit superannuation plans; and fair value changes of financial instruments. The net result is equivalent to profit or loss derived in accordance with AASs. 97 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Balance sheet Assets and liabilities are presented in liquidity order with assets aggregated into financial assets and non-financial assets. Current and non-current assets and liabilities (those expected to be recovered or settled beyond 12 months) are disclosed in the notes, where relevant. Cash flow statement Cash flows are classified according to whether or not they arise from operating, investing, or financing activities. This classification is consistent with requirements under AASB 107 Statement of cash flows . Statement of changes in equity The statement of changes in equity presents reconciliations of each non-owner and owner equity opening balance at the beginning of the reporting period to the closing balance at the end of the reporting period. It also shows separately changes due to amounts recognised in the comprehensive result and amounts recognised in other comprehensive income related to other non-owner changes in equity. (e) Income from transactions Income is recognised to the extent that it is probable that the economic benefits will flow to the entity and the income can be reliably measured. Government grants Income from the outputs the Institute provides to Government is recognised when those outputs have been delivered and the relevant Minister has certified delivery of those outputs in accordance with specified performance criteria. Interest Interest includes interest received from investments. Interest income is recognised on a time proportionate basis that takes into account the effective yield on the financial assets. Other income Amounts disclosed as income are, where applicable, net of returns, allowances and duties and taxes. Income is recognised for each of the Institute's major activities as follows: The Fee for Service Fund and the Donor Tissue Bank The Fee for Service Fund and the Donor Tissue Bank income represents services rendered to clients which are recognised when the service is provided. (f) Expenses from transactions Expenses are recognised as they are incurred and reported in the financial year to which they relate. Employee expenses These expenses include all costs related to employment (other than superannuation which is accounted for separately) including wages and salaries, fringe benefits tax, leave entitlements, redundancy payments and Work Cover premiums. Superannuation - State superannuation defined benefit plans The amount recognised in the Comprehensive operating statement in relation to employer contributions for members of defined benefit superannuation plans is simply the employer contributions that are paid or payable to these plans during the reporting period. The level of these contributions will vary depending upon the relevant rules of each plan, and is based upon actuarial advice. The Department of Treasury and Finance (DTF) in their Annual Financial Statements, disclose on behalf of the State as the sponsoring employer, the net defined benefit cost related to the members of these plans as an administered liability. Refer to DTF's Annual Financial Statements for more detailed disclosures in relation to these plans. 98 Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Depreciation and amortisation All infrastructure assets, buildings, plant and equipment and other non-current physical assets (excluding items under operating leases and assets held-for-sale) that have finite useful lives are depreciated. Depreciation is generally calculated on a straightline basis, at rates that allocate the asset’s value, less any estimated residual value, over its estimated useful life. The estimated useful lives, residual vales and depreciation method are reviewed at the end of each annual reporting period, and adjustments made where appropriate. The following are typical estimated useful lives for the different asset classes for both current and prior years. Asset class Buildings Plant, equipment and vehicles Useful life 26 years 3 to 15 years Interest expense Interest expenses is recognised in the period in which it is incurred. Refer to Glossary of terms and style conventions in Note 20 for an explanation of interest expense items. Other operating expenses Other operating expenses generally represent the day-to-day running costs incurred in normal operations. Supplies and services Supplies and services expenses are recognised as an expense in the reporting period in which they are incurred. The carrying amounts of any inventories held for distribution are expenses when distributed. Bad and doubtful debts Refer to Note 1(i) Impairment of financial assets. (g) Other economic flows included in the net result Other economic flows measure the change in volume or value of assets or liabilities that do not result from transactions. Net gain/(loss) on non-financial assets Net gain/(loss) on non-financial assets and liabilities includes realised and unrealised gains and losses as follows: Revaluation gains/(losses) of non-financial physical assets Refer to Note 1(i) Revaluations of non-financial physical assets. Disposal of non-financial assets Any gain or loss on the sale of non-financial assets is recognised at the date that control of the asset is passed to the buyer and is determined after deducting from the proceeds the carrying value of the asset at that time. Impairment of non-financial assets All other assets are assessed annually for indications of impairment, except for: ● ● inventories (refer Note 1(j)); and non-financial physical assets held for sale (refer Note (1(j)). If there is an indication of impairment, the assets concerned are tested as to whether their carrying value exceeds their recoverable amount. Where an asset's carrying value exceeds its recoverable amount, the difference is written off as an other economic flow, except to the extent that the write-down can be debited to an asset revaluation surplus amount applicable to that class of asset. If there is an indication that there has been a change in the estimate of an asset's recoverable amount since the last impairment loss was recognised, the carrying amount shall be increased to its recoverable amount. This reversal of the impairment loss occurs only to the extent that the asset's carrying amount does not exceed the carrying amount that would have been determined, net of depreciation or amortisation, if no impairment loss had been recognised in prior years. 99 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 It is deemed that, in the event of the loss or destruction of an asset, the future economic benefits arising from the use of the asset will be replaced unless a specific decision to the contrary has been made. The recoverable amount for most assets is measured at the higher of depreciated replacement cost and fair value less costs to sell. Recoverable amount for assets held primarily to generate net cash inflows is measured at the higher of the present value of future cash flows expected to be obtained from the asset and fair value less costs to sell. Refer to Note 1(j) in relation to the recognition and measurement of non-financial assets. Net gain/(loss) on financial instruments Net gain/(loss) on financial instruments includes: ● ● ● realised and unrealised gains and losses from revaluations of financial instruments at fair value; impairment and reversal of impairment for financial instruments at amortised cost (refer to Note 1(h)); and disposals of financial assets. Other gains/(losses) from other economic flows Other gains/(losses) from other economic flows include the gains or losses from: ● the revaluation of the present value of the long service leave liability due to changes in the bond interest rates. (h) Financial instruments Financial instruments arise out of contractual agreements that give rise to a financial asset of one entity and a financial liability or equity instrument of another entity. Due to the nature of the Institute's activities, certain financial assets and financial liabilities arise under statute rather than a contract. Such financial assets and financial liabilities do not meet the definition of financial instruments in AASB 132 Financial Instruments: Presentation . Where relevant, for note disclosure purposes, a distinction is made between those financial assets and financial liabilities that meet the definition of financial instruments in accordance with AASB 132 and those that do not. The following refers to financial instruments unless otherwise stated. Categories of non‑derivative financial instruments Loans and receivables Loans and receivables are financial instrument assets with fixed and determinable payments that are not quoted on an active market. These assets are initially recognised at fair value plus any directly attributable transaction costs. Subsequent to initial measurement, loans and receivables are measured at amortised cost using the effective interest method, less any impairment. Loans and receivables category includes cash and deposits (refer to Note 1(i)), term deposits with maturity greater than three months, trade receivables, loans and other receivables, but not statutory receivables. Financial assets and liabilities at fair value through profit and loss Financial assets are categorised as fair value through profit or loss at trade date if they are classified as held for trading or designated as such upon initial recognition. Financial instrument assets are designated at fair value through profit or loss on the basis that the financial assets form part of a group of financial assets that are managed by the entity concerned based on their fair values, and have their performance evaluated in accordance with documented risk management and investment strategies. Financial instruments at fair value through profit or loss are initially measured at fair value and attributable transaction costs are expensed as incurred. Subsequently, any changes in fair value are recognised in the net result as other economic flows. Any dividend or interest on a financial asset is recognised in the net result from transactions. Financial liabilities at amortised cost Financial instrument liabilities are initially recognised on the date they are originated. They are initially measured at fair value plus any directly attributable transaction costs. Subsequent to initial recognition, these financial instruments are measured at amortised cost with any difference between the initial recognised amount and the redemption value being recognised in profit and loss over the period of the interest‑bearing liability, using the effective interest rate method. 100 Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Financial instrument liabilities measured at amortised cost include all payables, deposits held and advances received, and interest‑bearing arrangements other than those designated at fair value through profit or loss. Offsetting financial instruments Financial instrument assets and liabilities are offset and the net amount presented in the consolidated balance sheet when, and only when, the Institute concerned has a legal right to offset the amounts and intend either to settle on a net basis or to realise the asset and settle the liability simultaneously. (i) Financial assets Cash and deposits Cash and deposits, including cash equivalents, comprise cash on hand and cash at bank. Receivables Receivables consist of: ● statutory receivables, which include predominately amounts owing from the Victorian Government; and ● contractual receivables, which include mainly debtors in relation to goods and services and finance lease receivables (refer to Note 1(l)). Receivables that are contractual are classified as financial instruments. Statutory receivables are not classified as financial instruments. Receivables are recognised initially at fair value and subsequently measured at amortised cost, using the effective interest rate method, less any allowance for impairment. A provision for doubtful receivables is made when there is objective evidence that the debts may not be collected and bad debts are written off when identified. Impairment of financial assets At the end of each reporting period, the Institute assesses whether there is objective evidence that a financial asset or group of financial assets is impaired. Objective evidence includes financial difficulties of the debtor, debts which are more than 60 days overdue, and changes in debtor credit ratings. All financial instrument assets, except those measured at fair value through profit or loss, are subject to annual review for impairment. Bad and doubtful debts for financial assets are assessed on a regular basis. Those bad debts considered as written off by mutual consent are classified as a transaction expense. The bad debts not written off by mutual consent and allowance for doubtful receivables are classified as ‘other economic flows’ in the net result. In assessing impairment of statutory (non-contractual) financial assets which are not financial instruments, professional judgement is applied in assessing materiality using estimates, averages and computational methods in accordance with AASB 136 Impairment of assets . (j) Non-financial assets Inventories Inventories include goods and other property held either for sale, or for distribution at zero or nominal cost, or for consumption in the ordinary course of business operations. Inventories held for distribution are measured at cost, adjusted for any loss of service potential. All other inventories are measured at the lower of cost and net realisable value. Where inventories are acquired for no cost or nominal consideration, they are measured at current replacement cost at the date of acquisition. Bases used in assessing loss of service potential for inventories held for distribution include current replacement cost and technical or functional obsolescence. Technical obsolescence occurs when an item still functions for some or all of the tasks it was originally acquired to do, but no longer matches existing technologies. Functional obsolescence occurs when an item no longer functions the way it did when it was first acquired. 101 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Non-financial physical assets classified as held-for-sale, including disposal group assets Non-financial physical assets (including disposal group assets) are treated as current and classified as held-for-sale if their carrying amount will be recovered through a sale transaction rather than through continuing use. This condition is regarded as met only when: ● the asset is available for immediate use in the current condition; and ● the sale is highly probable and the asset's sale is expected to be completed within twelve months from the date of classification. These non-financial physical assets, related liabilities and financial assets are measured at the lower of carrying amount and fair value less cists to sell, and are not subject to depreciation or amortisation. Property, plant and equipment All non-financial physical assets are measured initially at cost and subsequently revalued at fair value less accumulated depreciation and impairment. The initial cost for non-financial physical assets under a finance lease (refer to Note 1(l)) is measured at amounts equal to the fair value of the leased asset or, if lower, the present value of the minimum lease payments, each determined at the inception of the lease. For the accounting policy on impairment of non-financial physical assets, refer to impairment of non-financial assets under Note 1(g)). Revaluations of non-financial physical assets Non-financial physical assets measured at fair value in accordance with Financial Reporting Directions (FRDs) issued by the Minister for Finance. A full revaluation normally occurs every five years, based upon the asset’s government purpose classification, but may occur more frequently if fair value assessments indicate material changes in values. Independent values are used to conduct these scheduled revaluations. Any interim revaluations are determined in accordance with the requirements of the FRDs. Revaluation increases or decreases arise from differences between an asset's carrying value and fair value. Net revaluation increases (where the carrying amount of a class of assets is increased as a result of a revaluation) are recognised in 'Other economic flows - other movements in equity' and accumulated in equity under the revaluation surplus. However, the net revaluation increase is recognised in the net result to the extent that it reserves a net revaluation decrease in respect of the same class of property, plant and equipment previously recognised as an expense (other economic flow) in the net result. Net revaluation decreases are recognised immediately as other economic flows in the net result, except that the net revaluation decrease shall be recognised in 'Other economic flows - other movements in equity' to the extent that a credit balance exists in the asset revaluation surplus in respect of the same class of property, plant and equipment. The net revaluation decrease recognised in 'other economic flows - other movements in equity' reduces the amount accumulated in equity under the asset revaluation surplus. Revaluation increases and decreases relating to individual assets within a class of property, plant and equipment, are offset against one another within that class but are not offset in respect of assets in different classes. Any asset revaluation surplus is not normally transferred to accumulated funds on derecognition of the relevant asset. Other non-financial assets Prepayments Other non-financial assets include prepayments, which represent payments in advance of receipt of goods and services or that part of expenditure made in one accounting period covering a term extending beyond that period. 102 Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 (k) Liabilities Borrowings Borrowings are initially measured at fair value, being the cost of the borrowings, net of transaction costs (refer also to Note 1(l)). Subsequent to initial recognition, borrowings are measured at amortised cost with any difference between the initial recognised amount and the redemption value being recognised in net result over the period of the borrowing using the effective interest rate method. Payables Payables consist of: ● contractual payables, such as accounts payable and unearned income. Accounts payable represent liabilities for goods and services provided to the Institute prior to the end of the financial year that are unpaid, and arise when the Institute becomes obliged to make future payments in respect of the purchase of those goods and services; and ● statutory payables, such as fringe benefits tax payable. Contractual payables are classified as financial instruments and categorised as financial liabilities at amortised cost (refer to Note 1(h)). Statutory payables are recognised and measured similarly to contractual payables, but are not classified as financial instruments and not included in the category of financial liabilities at amortised cost, because they do not arise from a contract. Provisions Provisions are recognised when the Institute has a present obligation, the future sacrifice of economic benefits is probable, and the amount of the provision can be measured reliably. The amount recognised as a liability is the best estimate of the consideration required to settle the present obligation at reporting date, taking into account the risks and uncertainties surrounding the obligation. Where a provision is measured using the cash flows estimated to settle the present obligation, its carrying amount is the present value of those cash flows, using discount rate that reflects the time value of money and risks specific to the provision. Employee benefits Provision is made for benefits accruing to employees in respect of wages and salaries, annual leave and long service leave for services rendered to the reporting date. (i) Wages and salaries, annual leave and sick leave Liabilities for wages and salaries, annual leave and accumulating sick leave are recognised in the provision for employee benefits, classified as current liabilities. Those liabilities which are expected to be settled within 12 months of the reporting period, are measured at their nominal values. Those liabilities that are not expected to be settled within 12 months are recognised in the provision for employee benefits as current liabilities, measured at present value of the amounts expected to be paid when the liabilities are settled using the remuneration rate excepted to apply at the time of settlement. (ii) Long service leave Liability for long service leave (LSL) is recognised in the provision for employee benefits. Unconditional LSL is disclosed in the notes to the financial statements as a current liability even where the Institute does not expect to settle the liability within 12 months because it will not have the unconditional right to defer the settlement of the entitlement should an employee take leave within 12 months. The components of this current LSL liability are measured at: ● nominal value - component that the Institute expects to settle within 12 months; and ● present value - component that the Institute does not expect to settle within 12 months. Conditional LSL is disclosed as a non-current liability. There is an unconditional right to defer the settlement of the entitlement until the employee has completed the requisite years of service. 103 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 This non‑current LSL liability is measured at present value. Any gain or loss following revaluation of the present value of non‑current LSL liability is recognised as a transaction, except to the extent that a gain or loss arises due to changes in bond interest rates for which it is then recognised as an ‘other economic flow’ (refer to Note 1(g)). (iii) Termination benefits Termination benefits are payable when employment is terminated before the normal retirement date, or when an employee accepts voluntary redundancy in exchange for these benefits. The Institute recognises termination benefits when it is demonstrably committed to either terminating the employment of current employees according to a detailed formal plan without possibility of withdrawal or providing termination benefits as a result of an offer made to encourage voluntary redundancy. Benefits falling due more than 12 months after balance sheet date are discounted to present value. Employee benefits on-costs Employee benefits on-costs such as payroll tax, workers compensation and superannuation are recognised separately from provision for employee benefits. (l) Leases A lease is a right to use an asset for an agreed period of time in exchange for payment. Leases are classified at their inception as either operating or finance leases based on the economic substance of the agreement so as to reflect the risk and reward incidental to ownership. Leases of property, plant and equipment are classified as finance infrastructure leases whenever the terms of the lease transfer substantially all the risks and rewards of ownership from the lessor to the to the lessee. All other leases are classified as operating leases. Finance leases Institute as lessee At the commencement of the lease term, finance leases are initially recognised as assets and liabilities at amounts equal to the fair value of the lease property or, if lower, the present value of the minimum lease payment, each determined at the inception of the lease. The lease asset is depreciated over the shorter of the estimated useful life of the asset or the term of the lease. Minimum finance lease payments are apportioned between reduction of the outstanding lease liability, and periodic finance expense which is calculated using the interest rate implicit in the lease and charged directly to the Comprehensive operating statement. Contingent rentals associated with finance leases are recognised as an expense in the period in which they are incurred. (m) Equity Contributions by owners Additions to net assets which have been designated as contributions by owners are recognised as contributed capital. Other transfers that are in the nature of contributions or distributions have also been designated as contributions by owners. (n) Commitments Commitments are disclosed at their nominal value and inclusive of the goods and services tax (GST) payable. (o) Contingent assets and contingent liabilities Contingent assets and contingent liabilities are not recognised in the Balance sheet, but are disclosed by way of a note and, if quantifiable, are measured at nominal value. Contingent assets and liabilities are presented inclusive of GST receivable or payable respectively. (p) Accounting for the Goods and Services Tax (GST) Income, expenses and assets are recognised net of the amount of associated GST, unless the GST incurred is not recoverable from the taxation authority. In this case it is recognised as part of the cost of acquisition of the asset or as part of the expense. Receivables and payables are stated inclusive of the amount of GST receivable or payable. Cash flows are presented on a gross basis. 104 Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 The Department of Justice manages the GST transactions on behalf of the Institute and the net amount of GST recoverable from or payable to, the taxation authority is recognised in the Department of Justice's financial statements. (q) AASs issued that are not yet effective Certain new AASs have been published that are not mandatory for the 30 June 2011 reporting period. DTF assesses the impact of these new standards and advises departments and other entities of their applicability and early adoption where applicable. As at 30 June 2011, the following standards and interpretations had been issued but were not mandatory for the financial year ending 30 June 2011. The Institute has not adopted these standards. 105 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 (q) AASs issued that are not yet effective (continued) Standard/Interpretation Summary AASB 9 Financial instruments. This standard simplifies requirements for the classification and measurement of financial assets resulting from Phase 1 of the IASB’s project to replace IAS 39 Financial Instruments: Recognition and Measurement (AASB 139 Financial Instruments: Recognition and Measurement ). AASB 124 Related Party Disclosures (December 2009). Government related entities have been granted partial exemption with certain disclosure requirements. Applicable for annual Impact on financial reporting periods beginning statements or ending on Beginning 1 January 2013. Detail of impact is still being assessed. Beginning 1 January 2011. Preliminary assessment suggests the impact is insignificant. However, the Institute is still assessing the impact and whether to early adopt. AASB 1053 Application of Tiers of Australian Accounting Standards. This Standard establishes a Beginning 1 July 2013. differential financial reporting framework consisting of two tiers of reporting requirements for preparing general purpose financial statements. The Victorian Government is currently considering the impacts of Reduced Disclosure Requirements (RDRs) for certain public sector entities and has not decided if RDRs will be implemented to the Victorian Public Sector. AASB 2009-11 Amendments to Australian Accounting Standards arising from AASB 9 [AASB 1, 3, 4, 5, 7, 101, 102, 108, 112, 118, 121, 127, 128, 131, 132, 136, 139, 1023 and 1038 and Interpretations 10 and 12]. This Standard gives effect to consequential changes arising from the issuance of AASB 9. Detail of impact is still being assessed. AASB 2010-2 Amendments to Australian Accounting Standards arising from Reduced Disclosure Requirements. This Standard makes Beginning 1 July 2013. amendments to many Australian Accounting Standards, including Interpretations, to introduce reduced disclosure requirements to the pronouncements for application by certain types of entities. Beginning 1 January 2013. Does not affect financial measurement or recognition, so is not expected to have any impact on financial result or position. May reduce some note disclosures in financial statements. 106 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 (q) AASs issued that are not yet effective (continued) Standard/Interpretation Summary Applicable for annual Impact on financial reporting periods beginning statements or ending on Beginning 1 January 2011. No significant impact on the financial statements. AASB 2010-4 Further Amendments to Australian Accounting Standards arising from the Annual Improvements Project [AASB 1, AASB 7, AASB 101 & AASB 134 and Interpretation 13]. This Standard makes numerous improvements designed to enhance the clarity of standards. AASB 2010-5 Amendments to Australian Accounting Standards [AASB 1, 3, 4, 5, 101, 107, 112, 118, 119, 121, 132, 133, 134, 137, 139, 140, 1023 & 1038 and Interpretations 112, 115, 127, 132 & 1042]. This amendment contains editorial corrections to a range of Australian Accounting Standards and Interpretations, which includes amendments to reflect changes made to the text of IFRSs by the IASB. Beginning 1 January 2011. No significant impact on the financial statements. AASB 2010-6 Amendments to Australian Accounting Standards – Disclosures on Transfers of Financial Assets [AASB 1 & AASB 7]. This amendment adds and changes disclosure requirements about the transfer of financial assets. This includes the nature and risk of the financial assets. Beginning 1 July 2011. This may impact on departments and public sector entities as it creates additional disclosure for transfers of financial assets. Detail of impact is still being assessed. 107 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 2. Income from transactions 2011 $ (a) Interest Interest from financial assets not at fair value through P/L: Interest from investments Total interest 2010 $ 44,691 44,691 34,262 34,262 (b) Sale of goods and services Distribution of goods - Donor Tissue Bank Rendering of services Total sale of goods and services 1,616,853 2,145,576 3,762,429 1,577,083 3,185,825 4,762,908 Total other income 3,807,120 4,797,170 (c) Grants and other income transfers Section 29 receipts Department of Justice Total grants and other income transfers 7,598,603 16,409,600 24,008,203 5,794,388 15,185,668 20,980,056 Total income from transactions 27,815,323 25,777,226 108 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 3. Expenses from transactions 2011 $ (a) Employee expenses Post employment benefits Defined contribution superannuation expense Defined benefit superannuation expense Salaries, wages and long service leave Other on-costs (fringe benefits tax, payroll tax and workcover levy) Total employee expenses (b) Depreciation and amortisation Depreciation of property, plant and equipment Buildings Plant, equipment and vehicles Total depreciation and amortisation (c) Interest expense Interest on finance leases Other interest expense Total interest expense (d) Other operating expenses Supplies and services Purchase of supplies and consumables Purchase of services Maintenance Lease expense Total other operating expenses 2010 $ 1,309,388 161,680 16,446,679 1,069,395 18,987,142 1,058,950 145,863 15,377,383 921,246 17,503,442 111,871 776,922 888,793 111,871 721,349 833,220 16,066 2,346 18,412 15,309 1,721 17,030 4,706,104 2,082,974 1,215,181 1,145 8,005,404 4,379,808 1,874,506 1,048,548 1,135 7,303,997 109 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 4. Other economic flows included in net result 2011 $ (a) Net gain/(loss) on non-financial assets Net gain/(loss) on disposal of property, plant and equipment Total gain/(loss) on non-financial assets 2010 $ (567,595) (567,595) - (b) Net gain/(loss) on financial instruments Recovery of loans and receivables Total gain/(loss) on financial instruments (3,134) (3,134) 10,372 10,372 (c) Other gain/(loss) from other economic flows Net gain/(loss) arising from revaluation of long service leave liability (i) Total gain/(loss) from other economic flows (2,460) (2,460) 2,818 2,818 Note: (i) Revaluation gain/(loss) due to changes in bond rates. 110 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 5. Receivables Current receivables Contractual Other receivables (i) Provision for doubtful contractual receivables (i) (see also Note 5(a) below) Statutory Amounts owing from Department of Justice (ii) Total current receivables Non-current receivables Statutory Amounts owing from Department of Justice (ii) Total non-current receivables Total receivables 2011 $ 2010 $ 1,169,490 (50,828) 1,118,662 868,922 (47,695) 821,227 4,573,216 4,573,216 4,537,120 4,537,120 5,691,878 5,358,347 505,000 505,000 468,560 468,560 505,000 468,560 6,196,878 5,826,907 Notes: (i) The average credit period on sales of goods and/or services is 30 days. No interest is charged on other receivables. A provision has been made for estimated irrecoverable amounts from the sale of goods and/or services, determined by reference to past default experience. The decrease was recognised in the operating result for the current financial year. (ii) The amounts recognised from Victorian Government represent funding for all commitments incurred through the appropriations and are drawn from the Consolidated Fund as the commitments fall due. (a) Movement in the provision for doubtful contractual receivables 2011 $ 2010 $ Balance at beginning of the year Increase/(decrease) in provision recognised in net result Amounts recovered during the year Reversal of provision of receivables written off during the year as uncollectible (47,695) (15,493) 12,360 (58,066) (33,914) 44,285 - Balance at end of the year (50,828) (47,695) (b) Ageing analysis of contractual receivables Please refer to Table 15.3 in Note 15(b) for the ageing analysis of contractual receivables. (c) Nature and extent of risk arising from contractual receivables Please refer to Note 15(b) for the nature and extent of credit risk arising from contractual receivables. 111 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 6. Non-current assets classified as held for sale 2011 $ 2010 $ Non-current assets Plant and equipment under finance lease - 15,492 Total non-current assets classified as held for sale - 15,492 112 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 7. Property, plant and equipment Table 7.1. Classification by 'Purpose Group' (i) - Carrying amounts Public Safety and Environment 2010 2011 $ $ Nature based classification (i) Buildings at fair value less accumulated depreciation 4,785,000 4,785,000 2,905,738 (442,730) 2,463,008 7,711,169 (3,821,534) 3,889,635 8,246,190 (4,083,417) 4,162,773 327,075 (126,211) 200,864 326,632 (62,577) 264,055 Plant, equipment and vehicles at cost: Plant and equipment at cost less accumulated depreciation Plant and equipment under finance lease at cost less accumulated depreciation Net carrying amount of Property, plant and equipment 8,875,499 6,889,836 Note: (i) Property, plant and equipment are classified primarily by the 'purpose' for which the assets are used, according to one of six 'Purpose Groups' based upon Government Purpose Classifications (GPC). All assets within a 'Purpose Group' are further sub-categorised according to the asset's 'nature' (i.e. buildings, plant and equipment etc), with each sub-category being classified as a separate class of asset for financial reporting purposes. Victorian Institute of Forensic Medicine Opening balance Additions Disposals Transfer to assets classified as held for sale Depreciation expense Revaluation Closing balance 2,463,008 (111,871) 2,433,863 4,785,000 2011 $ 2010 $ 2,463,008 2,574,879 (111,871) Buildings at fair value 4,162,773 991,870 (569,274) (695,734) 3,889,635 2011 $ 4,162,773 4,089,115 730,260 (656,602) 2010 $ Plant and equipment at cost Table 7.2. Classification by 'Public Safety and Environment' Purpose Group - Movements in carrying amounts Note 7. Property, plant and equipment (continued) Notes to the financial statements continued For the financial year ended 30 June 2011 264,055 33,370 (15,372) (81,189) 200,864 2011 $ 264,055 167,181 230,739 (53,626) (15,492) (64,747) 2010 $ Plant and equipment under finance lease at cost 6,889,836 1,025,240 (584,646) (888,793) 2,433,863 8,875,499 2011 $ Total 6,831,175 960,999 (53,626) (15,492) (833,220) 6,889,836 2010 $ Notes to the financial statements 30 June 2011 VIFM Annual Report 2010/11 Connecting With the Community 113 114 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 7. Property, plant and equipment (continued) The following useful lives of assets are used in the calculation of depreciation: Buildings Plant, equipment and vehicles 25 years 3 to 15 years Freehold buildings carried at fair value An independent valuation of the Institute's buildings was performed by the Valuer-General Victoria to determine the fair value of the buildings. The valuation, which conforms to Australian Valuation Standards, was determined by reference to the amounts for which assets could be exchanged between knowledgeable willing parties in an arm's length transaction. The valuation was based on independent assessments. The effective date of the valuation is 30 June 2011. 115 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 8. Payables 2011 $ Current payables Contractual Supplies and services Amounts payable to other government agencies (i) 2010 $ 1,315,599 25,377 1,340,976 1,203,567 13,000 1,216,567 - 17,426 Total current payables 1,340,976 1,233,993 Total payables 1,340,976 1,233,993 Statutory Taxes payable - Fringe benefits tax Note: (i) Terms and conditions of amounts payable to other government agencies vary according to a particular agreement with that agency. (a) Maturity analysis of contractual payables Please refer to Table 15.4 in Note 15 for the maturity analysis of contractual payables. (b) Nature and extent of risk arising from contractual payables Please refer to Note 15 for the nature and extent of risks arising from contractual payables. 116 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 9. Borrowings 2011 $ 2010 $ Current borrowings Finance lease liabilities (i) (Note 12) Total current borrowings 123,106 123,106 112,549 112,549 Non-current borrowings Finance lease liabilities (i) (Note 12) Total non-current borrowings 80,369 80,369 169,245 169,245 203,475 281,794 Total borrowings Note: (i) Secured by the assets leased. Finance leases are effectively secured as the rights to the leased assets revert to the lessor in the event of default. (a) Maturity analysis of borrowings Please refer to Table 15.4 in Note 15 for the maturity analysis of borrowings. (b) Nature and extent of risk arising from borrowings Please refer to Note 15 for the nature and extent of risks arising from borrowings. 117 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 10. Provisions 2011 $ 2010 $ Current provisions Employee benefits (i) (Note 10(a)): Unconditional and expected to settle within 12 months (ii) Unconditional and expected to settle after 12 months (iii) 2,882,494 931,736 2,552,973 877,412 Provisions related to employee benefit on-costs: Unconditional and expected to settle within 12 months (ii) Unconditional and expected to settle after 12 months (iii) Total current provisions 568,200 139,100 4,521,531 483,587 140,861 4,054,833 438,958 66,042 505,000 407,040 61,520 468,560 5,026,531 4,523,393 Non-current provisions Employee benefits (i) (Note 10(a)) Employee benefits on-costs Total non-current provisions Total provisions (a) Employee benefits and related on-costs (i) 2011 $ 2010 $ Current employee benefits Annual leave entitlements Long service leave entitlements 1,212,628 2,601,603 1,069,207 2,361,177 Non-current employee benefits Long service leave entitlements Total employee benefits 438,958 4,253,189 407,040 3,837,424 707,300 66,042 773,342 624,449 61,520 685,969 5,026,531 4,523,393 Current on-costs Non-current on-costs Total on-costs Total employee benefits and related on-costs Notes: (i) Provisions for employee benefits consist of amounts for annual leave and long service leave accrued by employees, not including on-costs. (ii) The amounts disclosed are nominal amounts. (iii) The amounts disclosed are discounted to present values. 118 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 10. Provisions (continued) (b) Movement in provisions On-costs 2011 $ Opening balance Additional provisions recognised Closing balance 685,969 87,374 773,342 Current Non-current 707,300 66,042 773,342 119 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 11. Superannuation Employees of the Institute are entitled to receive superannuation benefits and the Institute contributes to both defined benefit and defined contribution plans. The defined benefit plan(s) provides benefits based on years of service and final average salary. The Institute does not recognise any defined benefit liability in respect of the plan(s) because the entity has no legal or constructive obligation to pay future benefits relating to its employees; its only obligation is to pay superannuation contributions as they fall due. The Department of Treasury and Finance recognises and discloses the State's defined benefit liabilities in its financial report. However, superannuation contributions paid or payable for the reporting period are included as part of employee benefits in the Comprehensive operating statement of the Institute. The name and details of the major employee superannuation funds and contributions made by the Institute are as follows: Fund Contribution outstanding at year end 2010 2011 2010 $ $ $ Paid contribution for the year 2011 $ Defined benefit plans State Superannuation Fund - revised and new 161,680 145,863 - - Defined contribution plans VicSuper Other 631,064 678,324 512,967 545,984 - - 1,471,068 1,204,814 - - Total Notes: (i) The bases for determining the level of contributions is determined by the various actuaries of the superannuation plans. (ii) The above amounts were measured as at 30 June of each year, or in the case of employer contributions they relate to the years ended 30 June. 120 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 12. Leases Disclosure for lessees - finance leases Leasing arrangements Finance leases relate to motor vehicles with lease terms of 3 years. Minimum future lease payments Present value of minimum future (i) lease payments Finance lease liabilities payable Not longer than one year Longer than one year and not longer than five years Minimum future lease payments Less future finance charges Present value of minimum lease payments 2011 $ 2010 $ 132,185 81,455 213,640 (10,165) 203,475 125,857 178,423 304,280 (22,485) 281,794 Included in the financial statements as: Current borrowings lease liabilities (Note 9) Non-current borrowings lease liabilities (Note 9) 2011 $ 123,106 80,369 203,475 203,475 112,549 169,245 281,794 281,794 123,106 80,369 112,549 169,245 203,475 281,794 Note: (i) Minimum future lease payments includes the aggregate of all lease payments and any guaranteed residual. (a) Maturity analysis of finance lease liabilities Please refer to Table 15.4 in Note 15(c) for the ageing analysis from finance lease liabilities. (b) Nature and extent of risk arising finance lease liabilities Please refer to Note 15 for the nature and extent of risks arising from finance lease liabilities. 2010 $ 121 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 13. Commitments for expenditure (a) Capital expenditure commitments There are no capital expenditure commitments. (2010 - Nil). (b) Other expenditure commitments There are no other expenditure commitments. (2010 - Nil). (c) Lease commitments Finance lease liabilities are disclosed in Note 12 to the financial statements. 122 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 14. Contingent assets and contingent liabilities There were no contingent asset and liabilities at balance date not provided for in the Balance sheet. (2010 - Nil). 123 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 15. Financial instruments (a) Financial risk management objectives and policies The Institute's principal financial instruments comprise of; ● ● ● ● cash assets; receivables (excluding statutory receivables); payables (excluding statutory payables); and finance lease payables. Details of the significant accounting policies and methods adopted, including the criteria for recognition, the basis of measurement, and the basis on which income and expenses are recognised, with respect to each class of financial asset, financial liability and equity instrument are disclosed in Note 1 to the financial statements. The main purpose in holding financial instruments is to prudentially manage the Institute's financial risks within the Government policy parameters. The carrying amounts of the Institute's contractual financial assets and contractual financial liabilities by category are in Table 15.1. 124 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 15. Financial instruments (continued) Table 15.1. Categorisation of financial instruments Contractual financial assets - loans and receivables 2011 Contractual financial assets Cash and deposits Receivables Total contractual financial assets 2,324,579 1,118,662 3,443,241 Contractual financial liabilities at amortised cost Contractual financial liabilities Payables Borrowings Total contractual financial liabilities $ $ 1,340,976 203,475 1,544,451 Note: (i) The total amounts disclosed here exclude statutory amounts (e.g. amounts owing from Victorian Government and taxes payable). Contractual financial assets - loans and receivables 2010 Contractual financial assets Cash and deposits Receivables Total contractual financial assets 2,043,336 821,227 2,864,563 Contractual financial liabilities at amortised cost Contractual financial liabilities Payables Borrowings Total contractual financial liabilities $ $ 1,216,567 281,794 1,498,361 Note: (i) The total amounts disclosed here exclude statutory amounts (e.g. amounts owing from Victorian Government and taxes payable). 125 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 15. Financial instruments (continued) Table 15.2. Net holding gain/(loss) on financial instruments by category Total interest income $ 2011 Contractual financial assets Cash and deposits Total contractual financial assets 44,691 44,691 Contractual financial liabilities Financial liabilities at amortised cost Total contractual financial liabilities 16,065 16,065 Total interest income $ 2010 Contractual financial assets Cash and deposits Total contractual financial assets 34,262 34,262 Contractual financial liabilities Financial liabilities at amortised cost Total contractual financial liabilities 15,309 15,309 The net holding gains or losses disclosed are determined as follows: ● For cash and cash equivalents and receivables, the net gain or loss is calculated by taking the interest revenue; and ● For financial liabilities measured at amortised cost, the net gain or loss is calculated by taking the interest expense. (b) Credit risk Credit risk arises from the financial assets of the Institute, which comprise cash and deposits and trade and other receivables. The Institute's exposure to credit risk arises from the potential default of the counter party on their contractual obligations resulting in financial loss to the Institute. Credit risk is measured at fair value and is monitored on a regular basis. Credit risk associated with the Institute's financial assets is minimal because the main debtor is the Victorian Government. For debtors other than Government, it is the Institute's policy to only deal with entities with high credit rating. Provision of impairment for financial assets is calculated based on past experience, and current and expected changes in client credit ratings. The carrying amount of financial assets recorded in the financial statements, net of any allowances for losses, represents the Institute's maximum exposure to credit risk without taking account of the value of any collateral obtained. 126 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 15. Financial instruments (continued) Financial assets that are either past due or impaired Currently the Institute does not hold any collateral as security nor credit enhancements relating to any of its financial assets. As at the reporting date, there is no event to indicate that any of the financial assets were impaired. There are no financial assets that have had their terms renegotiated so as to prevent them from being past due or impaired, and they are stated at the carrying amount as indicated. The following table discloses the ageing only of financial assets that are past due but not impaired. Table 15.3. Ageing analysis of contractual financial assets (i) Past due but not impaired Not past Less than 1 due and not month impaired Carrying amount 2011 Cash and deposits Receivables 2010 Cash and deposits Receivables $ $ $ 1 to 3 months 3 months to 1 year $ $ 2,324,579 1,118,662 2,324,579 - 934,986 75,186 108,490 3,443,240 2,324,579 934,986 75,186 108,490 2,043,336 821,227 2,043,336 - 393,586 239,085 188,555 2,864,563 2,043,336 393,586 239,085 188,555 Note: (i) Ageing analysis of financial assets must exclude the types of statutory financial assets (eg. Amounts owing from Victorian Government). (c) Liquidity risk Liquidity risk arises when the Institute is unable to meet its financial obligations as they fall due. The Institute operates under the Government fair payments policy of settling financial obligations within 30 days and in the event of a dispute, make payments within 30 days from the date of resolution. The Institute's exposure to liquidity risk is deemed insignificant based on prior periods' data and current assessment of risk. Maximum exposure to liquidity risk is the carrying amounts of financial liabilities as disclosed in the face of the Balance sheet, except as detailed in the following table. 127 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 15. Financial instruments (continued) Table 15.4. Maturity analysis of contractual financial liabilities 2011 Payables Interest bearing liabilities 2010 Payables Interest bearing liabilities Weighted average interest rate % 6.65% 6.78% Maturity dates (i) Carrying amount Nominal amount $ Less than 1 month $ 1 to 3 months $ 3 months 1 to 5 years to 1 year $ $ $ 1,340,976 203,475 1,340,976 213,640 1,318,085 15,717 14,831 (600) 101,636 23,490 81,455 1,544,451 1,554,616 1,333,802 14,831 101,036 104,945 1,216,567 281,794 1,216,567 304,280 1,192,170 23,649 907 44,041 23,490 58,166 178,423 1,498,361 1,520,847 1,215,819 44,948 81,656 178,423 Note: (i) The amounts disclosed are the contractual undiscounted cash flows of each class of financial liabilities. (d) Market risk The Institute's exposure to market risk is deemed insignificant based on prior periods' data and current assessment of risk. (e) Fair Value The Institute considers that the carrying amount of financial assets and financial liabilities recorded in the financial statements to be a fair approximation of their fair values, because of the short-term nature of the financial instruments and the expectation that they will be paid in full. 128 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 16. Cash flow information (a) Reconciliation of cash and cash equivalents 2011 $ 2010 $ (i) Total cash and cash equivalents disclosed in the Balance sheet 2,324,579 2,043,336 Balance as per Cash flow statement 2,324,579 2,043,336 Note: (i) Due to the State of Victoria's investment policy and government funding arrangements, government departments and agencies generally do not hold a large cash reserve in their bank accounts. Cash received by a department and agencies from the generation of revenue is generally paid into the State's bank account, known as the Public Account. Similarly, any departmental or agency expenditure, including those in the form of cheques drawn by the Institute for the payment of goods and services to its suppliers and creditors are made via the Public Account. The process is such that, the Public Account would remit cash required for the amount drawn on the cheques. This remittance by the Public Account occurs upon the presentation of the cheques by the Institute's suppliers or creditors. (b) Reconciliation of net result for the period 2011 $ Net result for the period Non-cash movements Depreciation and amortisation of non-current assets Allowance for doubtful debts Write down of fixed assets Movements in assets and liabilities (Increase)/decrease in receivables (Increase)/decrease in inventories (Decrease)/increase in payables (Decrease)/increase in provisions (Decrease)/increase in other liabilities Net cash flows from/(used in) operating activities 2010 $ (657,617) 132,727 888,793 3,134 567,595 833,220 (10,372) - (373,104) (2,449) 106,983 503,138 80,833 1,117,307 (1,603,985) 2,901 (30,213) 978,294 251,424 553,996 129 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 17. Responsible Persons In accordance with the Ministerial Directions issued by the Minister for Finance under the Financial Management Act 1994 , the following disclosures are made regarding responsible persons for the reporting period. Names The persons who held positions of Ministers and Accountable Officers in the Institute are as follows: Attorney-General The Hon. Rob Hulls, MP The Hon. Robert Clark, MP Council Members of the Institute Chairperson of the Victorian Institute of The Honourable John Coldrey QC Forensic Medicine and Nominee of the AttorneyGeneral Director of the Victorian Institute of Forensic Medicine During the year the following people held the position of Acting Director Nominee of the Attorney-General Nominee of the Chief Commissioner of Police Nominee of the Chief Justice Nominee of the Council of Monash University Nominee of the Minister for Health Nominee of the Minister for Women Nominee of the Minister of Community Services Nominee of the Minister of Police Nominee of the University of Melbourne State Coroner Prof. Stephen Cordner A/Prof. David Ranson Dr Noel Woodford Prof. Robert Conyers Mr Luke Corneilius Judge Meryl Sexton Prof. Steven Wesselingh Mr Peter Allen (awaiting reappointment) Ms Felicity Broughton Ms Mary McKinnon Mr Neil Robertson Prof. James Angus Judge Jennifer Coate 1 July 2010 to 1 December 2010 2 December 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 June 2010 to 30 November 2010 1 December 2010 to 12 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 21 September 2010 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 1 July 2010 to 30 June 2011 Remuneration Remuneration received or receivable by the Accountable Officer in connection with the management of the Institute during the reporting period was in the range: $410,000 to $420,000 ($350,000 to $360,000 in 2009/10). Amounts relating to Ministers are reported in the financial report of the Department of Premier and Cabinet. Related party transactions Prof. Stephen Cordner who is Director of the Victorian Institute of Forensic Medicine (the Institute) is employed by Monash University. During the financial year, the Institute and Monash University conducted business transactions at arms length and at normal commercial terms. Other transactions Other related transactions and loans requiring disclosure under the Directions of the Minister for Finance have been considered and there are no matters to report. 130 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 18. Remuneration of executives The number of executive officers, other than the Accountable Officer, and their total remuneration during the reporting period are shown in the first two columns in the table below in their relevant income bands. The base remuneration of executive officers is shown in the third and fourth columns. Base remuneration is exclusive of bonus payments, longservice leave payments, redundancy payments and retirement benefits. Income Band Total Remuneration 2011 2010 No. No. Base Remuneration 2011 2010 No. No. $160,000 to $169,999 $170,000 to $179,999 $180,000 to $189,999 $190,000 to $199,999 $200,000 to $209,999 2 1 1 - 1 1 - 1 1 - Total numbers 2 2 2 2 Total amount $407,203 $380,166 $365,790 $341,810 131 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 19. Remuneration of auditors 2011 $ Victorian Auditor-General's Office Audit or review of the financial statements 2010 $ 27,500 27,000 27,500 27,000 132 Notes to the financial statements 30 June 2011 Notes to the financial statements continued For the financial year ended 30 June 2011 Note 20. Transfer to accumulated surplus - on revaluation of assets 2011 $ Revaluation of buildings Reverse accumulated depreciation on buildings upon revaluation 1,879,261 554,601 2,433,862 2010 $ - 133 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Note 21. Glossary of terms and style conventions Actuarial gains or losses on superannuation defined benefit plans Actuarial gains or losses reflect movements in the superannuation liability resulting from differences between the assumptions used to calculate the superannuation expense from transactions and actual experience. Amortisation Amortisation is the expense which results from the consumption, extraction or use over time of a non-produced physical or intangible asset. This expense is classified as an other economic flow. Associates Associates are all entities over which an entity has significant influence but not control, generally accompanying a shareholding and voting rights of between 20 per cent and 50 per cent. Borrowings Borrowings refers to interest-bearing liabilities mainly raised from public borrowings raised through the Treasury Corporation of Victoria, finance leases and other interest-bearing arrangements. Borrowings also include non-interest-bearing advances from government that is acquired for policy purposes. Comprehensive result The net result of all items of income and expense recognised for the period. It is the aggregate of operating result and other non-owner movements in equity. Capital asset charge The capital asset charge represents the opportunity cost of capital invested in the non‑current physical assets used in the provision of outputs. Commitments Commitments include those operating, capital and other outsourcing commitments arising from non‑cancellable contractual or statutory sources. Current grants Amounts payable or receivable for current purposes for which no economic benefits of equal value are receivable or payable in return. Depreciation Depreciation is an expense that arises from the consumption through wear or time of a produced physical or intangible asset. This expense is classified as a ‘transaction’ and so reduces the ‘net result from transaction’. Effective interest method The effective interest method is used to calculate the amortised cost of a financial asset and of allocating interest income over the relevant period. The effective interest rate is the rate that exactly discounts estimated future cash receipts through the expected life of the financial instrument, or, where appropriate, a shorter period to the net carrying amount of the financial asset or financial liability. Employee benefits expenses Employee benefits expenses include all costs related to employment including wages and salaries, fringe benefits tax, leave entitlements, redundancy payments, defined benefits superannuation plans, and defined contribution superannuation plans. Financial asset A financial asset is any asset that is: (a) cash; (b) an equity instrument of another equity; (c) a contractual or statutory right; ● to receive cash or another financial asset from another entity; or ● to exchange financial assets or financial liabilities with another entity under conditions that are potentially favourable to the entity; or 134 Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 (d) a contract that will or may be settled in the entity's own equity instruments and is: ● a non-derivative for which the entity is or may be obliged to receive a variable number of the entity's own equity instruments; or ● a derivative that will or may be settled other than by the exchange of a fixed amount of cash or another financial asset for a fixed number of the entity's own equity instruments. Financial instrument A financial instrument is any contract that gives rise to a financial asset of one entity and a financial liability or equity instrument of another entity. Financial assets or liabilities that are not contractual (such as statutory receivables or payables that arise as a result of statutory requirements imposed by governments) are not financial instruments. Financial liability A financial liability is any liability that is: (a) a contractual obligation: (i) to deliver cash or another financial asset to another entity; or (ii) to exchange financial assets or financial liabilities with another entity under conditions that are potentially unfavourable to the entity; or (b) a contract that will or may be settled in the entity’s own equity instruments and is: (i) a non-derivative for which the entity is or may be obliged to deliver a variable number of the entity’s own equity instruments; or (ii) a derivative that will or may be settled other than by the exchange of a fixed amount of cash or another financial asset for a fixed number of the entity’s own equity instruments. For this purpose the entity’s own equity instruments do not include instruments that are themselves contracts for the future receipt or delivery of the entity’s own equity instruments. Financial statements Depending on the context of the sentence where the term ‘financial statements’ is used, it may include only the main financial statements (i.e. comprehensive operating statement, balance sheet, cash flow statements, and statement of changes in equity); or it may also be used to replace the old term ‘financial report’ under the revised AASB 101 (September 2007), which means it may include the main financial statements and the notes. Grants and other transfers Transactions in which one unit provides goods, services, assets (or extinguishes a liability) or labour to another unit without receiving approximately equal value in return. Grants can either be operating or capital in nature. While grants to governments may result in the provision of some goods or services to the transferor, they do not give the transferor a claim to receive directly benefits of approximately equal value. For this reason, grants are referred to by the AASB as involuntary transfers and are termed non‑reciprocal transfers. Receipt and sacrifice of approximately equal value may occur, but only by coincidence. For example, governments are not obliged to provide commensurate benefits, in the form of goods or services, to particular taxpayers in return for their taxes. Grants can be paid as general purpose grants which refer to grants that are not subject to conditions regarding their use. Alternatively, they may be paid as specific purpose grants which are paid for a particular purpose and/or have conditions attached regarding their use. Grants for on-passing All grants paid to one institutional sector (e.g. a State general government) to be passed on to another institutional sector (e.g. local government or a private non‑profit institution). Intangible assets Intangible assets represent identifiable non‑monetary assets without physical substance. Interest expense Costs incurred in connection with the borrowing of funds Interest expenses include interest on bank overdrafts and short‑term and long‑term borrowings, amortisation of discounts or premiums relating to borrowings, interest component of finance leases repayments, and the increase in financial liabilities and non‑employee provisions due to the unwinding of discounts to reflect the passage of time. Interest income Interest income includes unwinding over time of discounts on financial assets and interest received on bank term deposits and other investments. 135 VIFM Annual Report 2010/11 Connecting With the Community Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Joint ventures Joint ventures are contractual arrangements between the Department and one or more other parties to undertake an economic activity that is subject to joint control. Joint control only exists when the strategic financial and operating decisions relating to the activity require the unanimous consent of the parties sharing control (the venturers). Net acquisition of non-financial assets (from transactions) Purchases (and other acquisitions) of non‑financial assets less sales (or disposals) of non‑financial assets less depreciation plus changes in inventories and other movements in non‑financial assets. It includes only those increases or decreases in non‑financial assets resulting from transactions and therefore excludes write‑offs, impairment write‑downs and revaluations. Net result Net result is a measure of financial performance of the operations for the period. It is the net result of items of income, gains and expenses (including losses) recognised for the period, excluding those that are classified as 'other non‑owner changes in equity'. Net result from transaction/net operating balance Net result from transactions or net operating balance is a key fiscal aggregate and is income from transactions minus expenses from transactions. It is a summary measure of the ongoing sustainability of operations. It excludes gains and losses resulting from changes in price levels and other changes in the volume of assets. It is the component of the change in net worth that is due to transactions and can be attributed directly to government policies. Net worth Assets less liabilities, which is an economic measure of wealth Non-financial assets Non‑financial assets are all assets that are not ‘financial assets’. It includes inventories, land buildings, infrastructure and plant and equipment. Non-profit institution A legal or social entity that is created for the purpose of producing or distributing goods and services but is not permitted to be a source of income, profit or other financial gain for the units that establish, control or finance it. Other economic flows Other economic flows are changes in the volume or value of an asset or liability that do not result from transactions. It includes: ● gains and losses from disposals, revaluations and impairments of non‑current physical and intangible assets; ● actuarial gains and losses arising from defined benefit superannuation plans; ● fair value changes of financial instruments; and In simple terms, other economic flows are changes arising from market re ‑measurements. Payables Includes short and long term trade debt and accounts payable, grants, taxes and interest payable. Receivables Includes amounts owing from government through appropriation receivable, short and long term trade credit and accounts receivable, accrued investment income, grants, taxes and interest receivable. Sales of goods and services Refers to income from the direct provision of goods and services and includes fees and charges for services rendered, sales of goods and services, fees from regulatory services and work done as an agent for private enterprises. It also includes rental income under operating leases and on produced assets such as buildings and entertainment, but excludes rent income from the use of non‑produced assets such as land. User charges includes sale of goods and services income. Supplies and services Supplies and services generally represent cost of goods sold and the day‑to‑day running costs, including maintenance costs, incurred in the normal operations of the Institute. 136 Notes to the financial statements 30 June 2011 Notes to the financial statements For the financial year ended 30 June 2011 Transactions Transactions are those economic flows that are considered to arise as a result of policy decisions, usually an interaction between two entities by mutual agreement. They also include flows within an entity such as depreciation where the owner is simultaneously acting as the owner of the depreciating asset and as the consumer of the service provided by the asset. Taxation is regarded as mutually agreed interactions between the government and taxpayers. Transactions can be in kind (e.g. assets provided/given free of charge or for nominal consideration) or where the final consideration is cash. In simple terms, transactions arise from the policy decisions of the government. VIFM Annual Report 2010/11 Connecting With the Community 137 138 139 VIFM Annual Report 2010/11 Connecting With the Community Disclosure index Disclosure index The Annual report of the Institute is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of the Institute's compliance with statutory disclosure requirements. Legislation Requirement Ministerial Directions Report of Operations - FRD Guidance Charter and purpose FRD 22B FRD 22B FRD 22B Manner of establishment and the relevant Ministers Objectives, functions, powers and duties Nature and range of services provided Management and structure FRD 22B Organisational structure Financial and other information FRD 8B Budget portfolio outcomes FRD 10 Disclosure index FRD 12A Disclosure of major contracts FRD 15B Executive officer disclosures FRD 22B, SD 4.2(k) Operational and budgetary objectives and performance against objectives FRD 22B Employment and conduct principles FRD 22B Occupational health and safety policy FRD 22B Summary of the financial results for the year FRD 22B Significant changes in financial position during the year FRD 22B Major changes or factors affecting performance FRD 22B Subsequent events FRD 22B Application and operation of Freedom of Information Act 1982 FRD 22B Compliance with building and maintenance provisions of Building Act 1993 FRD 22B Statement on National Competition Policy FRD 22B Application and operation of the Whistleblowers Protection Act 2001 FRD 22B Details of consultancies over $100,000 FRD 22B Details of consultancies under $100,000 FRD 22B Statement of availability of other information FRD 24C Reporting of office-based environmental impacts FRD 25 Victorian Industry Participation Policy disclosures FRD 29 Workforce data disclosures SD 4.5.5 Risk management compliance requirements SD 4.2(g) General information requirements SD 4.2(j) Sign-off requirements Financial statements Financial statements required under Part 7 of the FMA SD 4.2(a) Statement of changes in equity SD 4.2(b) Operating statement SD 4.2(b) Balance sheet SD 4.2(b) Cash flow statement Other requirements under Standing Directions 4.2 SD 4.2(a) Compliance with Australian accounting standards and other authoritative pronouncements SD 4.2(a) Statement of compliance SD 4.2(d) Rounding of amounts SD 4.2(c) Accountable officer's declaration 140 Disclosure index Disclosure index Other disclosures as required by FRD's in notes to the financial statements FRD 9A Departmental disclosure of administered assets and liabilities FRD 11 Disclosure of ex-gratia payments FRD 13 Disclosure of parliamentary appropriations FRD 21A Responsible person and executive officer disclosures FRD 102 Inventories FRD 103D Non-current physical assets FRD 104 Foreign currency FRD 106 Impairment of assets FRD 109 Intangible assets FRD 107 Investment properties FRD 110 Cash flow statements FRD 112A Defined benefit superannuation obligations FRD 113 Investments in subsidiaries, jointly controlled entities and associates FRD 114A Financial instruments - General government entities and public non-financial corporations FRD 119 Contributions by owners Legislation Freedom of Information Act 1982 Building Act 1983 Whistleblowers Protection Act 2001 Victorian Industry Participation Policy Act 2003 Financial Management Act 1994 Multicultural Victoria Act 2004 VIFM Annual Report Team John Lloyd Fillingham Peter Ford Andrea Hince Leanna La Combre Bryce Marshall Lauren Murton Vicky Winship Deb Withers Linda Cerkvenik Outsource Design 144 Victorian Institute of Forensic Medicine 57–83 Kavanagh Street Southbank 3006 Tel: +61 3 9684 4444 Fax +61 3 9682 7353 www.vifm.org