Non-therapeutic circumcision of male children is carried out for religious or ritual reasons and is generally not available on the NHS.1 There is also a significant issue related to the appropriateness of the facilities in which the operation is carried out and a lack of formal training and certification in circumcision.
Statutory forms under the Mental Health Act – what is changing?
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Dr Gabrielle Pendlebury, Medicolegal Consultant at Medical Protection and practising psychiatrist, looks at new guidance concerning the electronic communication of statutory forms under the Mental Health Act
Removing patients from the practice list is an emotive issue and should only be used as a last resort. The reasons for removing a patient from the list can be varied, but it should not be in response to patients lodging a complaint or failing to comply with treatment.
Good medical records – whether electronic or handwritten – are essential for the continuity of care of your patients. Adequate medical records enable you or somebody else to reconstruct the essential parts of each patient contact without reference to memory. They should therefore be comprehensive enough to allow a colleague to carry on where you left off.
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.
The medical consultation is a challenge to both doctor and patient, whether in the community or in hospital. The need for more detailed discussions with patients, along with their increasing autonomy and right to make choices in relation to their clinical care and treatment, has affected the traditional role of the doctor-patient relationship. This has made maintaining appropriate professional boundaries in the doctor-patient consultation more challenging, however, the guidance from national and regulatory bodies is clear that it is always the health professional's responsibility to do so.
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.
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.
The General Medical Council (GMC) guidelines Doctors’ use of social media establish the standards expected from every doctor practising in the UK. The guide details the principles of conduct for using social media and explains how doctors can put these principles into practice.
The Mental Capacity Act states that a person lacks capacity if they are unable to make a specific decision, at a specific time, because of an impairment of, or disturbance, in the functioning of mind or brain. This factsheet sets out the things to look for when assessing the capacity of a patient.
Mental Capacity Act 2005 – General principles - England and Wales
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The Mental Capacity Act 2005 (the Act) aims to protect people who lack capacity, and maximise their ability to make decisions or participate in decision-making. The Act is underpinned by five statutory principles. This factsheet sets out these principles and how they should be applied.
There is a certain ambiguity surrounding chaperones and what exactly their purpose is. Below are common questions that Medical Protection receives about chaperones.
Clinical negligence claims – what to expect - England
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A clinical negligence claim is a demand for financial compensation for alleged harm caused by substandard clinical care. Common reasons for claims include failure or delay in diagnosis, or incorrect treatment. In fact, many claims arise out of poor communication.
Female Genital Mutilation (FGM) has been a criminal offence in the UK since 1985 and the legislation was re-enacted in the Female Genital Mutilation Act 2003. Five official reports on the subject have been published since November 2013 and MPS has produced this guidance for members.
Health charges for visitors and migrants - England
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The Immigration Act 2014 and recently updated regulations on charging overseas visitors for NHS care have led to changes in the way overseas visitors and migrants are charged for NHS care. Although mainly an administrative issue, there are key points that need to be understood by clinicians to ensure that patients are treated appropriately and their information is safeguarded.
Under the Misuse of Drugs Act (1971) and the Misuse of Drugs Regulations (2001), GPs have a responsibility for controlled drugs (CDs) within their practice. This factsheet highlights what you should be aware of when carrying, storing and recording controlled drugs.
Doctors may, on occasion, receive a request from a patient’s employer for a medical report to be delivered directly to the HR department, without the patient seeing it. However, before any medical report can be provided, you must be satisfied that the patient has given valid consent to the release of the information. This factsheet looks at the issues surrounding medical reports for employers and other organisations, and offers advice to doctors who are asked to write reports.
The GMC states that “Whether or not you have vulnerable children or young people as patients, you should consider their needs and welfare and offer them help if you think their rights have been abused or denied.” Surgery consultations, home visits, accident and emergency admissions and contact with other professionals who work with children help to build up a picture of a child’s situation.
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