Patients who are kept informed about their condition and are involved in deciding on the appropriate treatment are more likely to comply with the treatment you suggest, and less likely to complain if things go wrong.
Intimate examinations are something that every GP will have to carry out at some point in their career, but it’s important that they are conducted in an appropriate manner, especially if one is required during a home visit. Dr Gabrielle Pendlebury, medicolegal consultant at Medical Protection, gives her advice on how best to manage these situations
Should you mention the C word when it is probably nothing?
Time to read article: 3 mins
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You are concerned there’s a small chance a patient might have cancer. You want to refer them for tests. Do you tell them the possible, albeit unlikely, diagnosis and risk upsetting or scaring them? Or do you try and keep them calm and not mention the C word at all?
Suzanne Creed, Clinical Risk Education Manager explains how to increase your understanding of conflict and provides some key strategies to deal with it more effectively.
A common cause of claims at Medical Protection is injection errors. While generally low in value, they frequently cause anxiety to patients and clinicians, and are easily avoided. Dr Dawn McGuire, Medical Claims Adviser at Medical Protection, looks at some typical cases.
Online prescription services: what if you disagree?
Time to read article: 2 mins
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Online prescription services offer great convenience to patients, but they also come with risks. What do you do if one of your patients has been taking medication prescribed online that you do not think they require? Dr Marika Davies, senior medicolegal adviser at Medical Protection, explores this issue.
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.
Redaction and anonymisation - doing your bit for data protection
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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.
Poor communication between doctors lies at the heart of many complaints, claims and disciplinary actions. Dr Mark Dinwoodie, consultant in medical education, explains the importance of maintaining good relationships with colleagues and communicating effectively with other health professionals
Dr James Thorpe, Medicolegal Adviser at Medical Protection, reflects on a common issue where junior doctors are asked to perform roles outside their competence, in particular taking informed consent for surgical procedures and other invasive investigations
Foundation doctors are increasingly using social media and smartphone apps to communicate with each other and senior colleagues. While this has many advantages, there are pitfalls to consider. Dr James Thorpe, Medicolegal Adviser at Medical Protection, investigates.
We need to talk about death: Complaints about end of life care
Time to read article: 10 mins
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When treating a patient who has reached the end of life, clear communication and collective decision-making are as important as any clinical intervention, says Sarah Whitehouse
General confidentiality principles as advised by medical defence organisations
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All doctors know that maintaining confidentiality is an important part of building up trust with patients. Here, Dr Stephanie Bown examines the medicolegal aspects of confidentiality
Duty of candour for GPs and dental practitioners - England
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The duty, which was introduced by the government through regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, applies to NHS organisations such as trusts and foundation trusts, to secondary care clinicians, and to bodies including GP practices, dental practices and care homes.
Confidentiality – Disclosures relating to patients who are unable to consent - Wales
Time to read article: 4 mins
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You owe a duty of confidentiality to all your patients, past or present, even if they are adults who lack capacity. You may be asked to provide information from the medical records of patients who are incapable of giving consent, are aged under 18, or have died. This factsheet gives you further information about dealing with these circumstances.
Respect for patients’ autonomy is expressed in consent law; to impose care or treatment on people without respecting their wishes and right to self-determination is not only unethical, but illegal.
Mrs G, 34, presented to the delivery suite at 12pm, 38 weeks into her first pregnancy. Her antenatal care had been uneventful apart from measuring slightly “large for dates”. She was found to have a longitudinal lie with a cephalic presentation, and was experiencing three contractions every ten minutes. The midwife examined her and found her to be 2cm dilated with a fully effaced cervix and “intact membranes”.
Communicating with patients by text message - Scotland
Time to read article: 2 mins
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Text messaging allows practices to target and contact hundreds of patients within minutes. Patients can respond by text with replies automatically forwarded to a specified email address. Many practices are signing up to using a text messaging service to inform patients of appointments, flu vaccinations etc.
Miss C, a 30-year-old accountant, developed an asymptomatic left-sided neck lump. A CT scan revealed a 23 x 17 x 27mm mass at the carotid bifurcation consistent with a carotid body tumour.
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At Medical Protection, all your protection is under one roof. Our protection goes beyond state-backed indemnity and supports you with more than just NHS claims.
With Medical Protection you can save up to 50% on your first year of newly qualified GP (NQGP) membership and up to 30% in your second year of practice. Get the protection your career deserves and the support you need as an NQGP.
Being subject to a complaint or investigation can be distressing and stressful. Our video series shows how Medical Protection will continue to provide you with personal support, advice and representation for a whole range of medicolegal concerns, protecting your career and reputation.
Read real-life cases of complaints, claims and clinical negligence taken from our archives.
Chosen to give you clear learning points to help you avoid similar situations and reduce your risk, the cases also feature advice from medicolegal experts.
Initiatives to transform the NHS are changing the way GPs and consultants work. At-scale arrangements are increasingly common and clinical contracts are frequently delivered through private organisations and limited companies.
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