The challenges of making a challenge
A patient’s solicitor sought disclosure of a GMC expert report after a case had been closed. Medical Protection successfully challenged this, only for the decision to be overturned at appeal. Kirsty Sharp, content editor at Medical Protection, looks at the challenges of making a challenge
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Inquests - Northern Ireland
An inquest is a fact-finding exercise that is conducted by the Coroner and, in some cases, in front of a jury. The purpose of an inquest is to find out who the person was and, how, when and where they died. This factsheet gives further information about what happens at an inquest.
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Is my patient fit to fly?
Now that the peak holiday season is upon us, GPs may find themselves asked to declare patients “fit to fly”. Dr Rachel Birch, medicolegal adviser at Medical Protection, presents two case scenarios, illustrating what GPs can do to support patients while minimising potential risks.
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Practice nurses – the right indemnity for you
As nurses take on additional roles in practices, it is vital that you understand your requirements with regards to professional indemnity. Diane Baylis, Clinical Risk and Education Manager at Medical Protection, looks at the different options.
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Redaction and anonymisation - doing your bit for data protection
New data protection regulations came into force on 25 May and MPS is committed to fulfilling its legal obligations – correct redaction and anonymisation is one way that you can play your part in safeguarding data.
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The General Data Protection Regulation (GDPR)
From 25 May 2018, the EU General Data Protection Regulation (GDPR) (1) will come into force and will have a direct effect in every EU country.
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Delayed diagnosis
Mrs F, a 30-year-old housewife, visited her GP, Dr O, with a four-week history of diarrhoea. Dr O arranged a stool sample for microscopy and culture (which was negative) and prescribed codeine. Four months later, Mrs F was still having diarrhoea, especially after meals, and she had started to notice some weight loss. She returned to the surgery and this time saw Dr P, who examined her and found nothing remarkable, but decided to refer her to gastroenterology in view of her persistent symptoms.
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Failure to review nitrofurantoin: hepatitis and rash
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Delayed diagnosis of Achilles tendon rupture
Mr E, a 50-year-old accountant, was playing squash with a colleague after work and hurt his left ankle. He couldn’t keep playing but he was able to walk, so he went home. The next day his ankle became quite swollen, so Mr E kept it on ice and took some ibuprofen...
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Failure to act on cauda equina
Mr X, a 25-year-old fit and active man, was reviewed by his GP, Dr A, with a recurrence of lower back pain. He had noticed lumbar back pain intermittently throughout his 20s, but played a lot of sports to which he attributed his symptoms.
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A missed diagnosis but no negligence
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Failure to monitor renal impairment
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Missed spinal arteriovenous malformation
Sciatic nerve injury but no negligence
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Strong record-keeping – strong defence
Ms Q, 58 years old, consulted Dr G, a gastroenterologist, with a history of dyspepsia, early satiety and altered bowel habit. Clinical examination, including digital rectal examination, was recorded as normal...
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Starting GP training? Here are your ten top tips
Deskilled disciplinary proceedings
Mr H was a senior consultant general and breast surgeon who worked in a district general hospital. He was recognised by his colleagues as an expert in breast surgery and an informal arrangement was put in place to transfer all patients with breast problems to Mr H. This arrangement was endorsed by the hospital clinical director but was not formally agreed...
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A pain in the knee
Miss F, an overweight 11-year-old, attended her GP, Dr A, complaining of knee pain and clicking for two months following a twisting injury whilst playing football...
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A case of mistaken haemorrhoids
A patient presents with symptoms of haemorrhoids but is it something more sinister?
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Antibiotic allegations
A patient alleges her GP was negligent for failing to prescribe antibiotics
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Problematic pacemaker placement
Mr U, a 29-year-old teacher, was referred to Dr N, a consultant cardiologist, with a history of several episodes of dizziness, perspiration and palpitations. A 24-hour ECG had shown episodes of tachycardia and bradycardia, and second-degree Mobitz type II heart block was demonstrated when symptomatic.
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How to avoid medication errors
Cosmetic injections and vaccinations: ask the expert
Dr Rachel Birch, Medical Protection medicolegal adviser and Practice Matters editor-in-chief, answers some recent queries on cosmetic injections and vaccination errors.
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