Adult safeguarding and confidentiality – disclosing information to th...
Adult safeguarding and confidentiality – disclosing information to the Office of the Public Guardian
Knowing when you can disclose sensitive patient information is a notoriously complex area. Sarah Pickering, advisory case manager at Medical Protection, considers some recent queries from members regarding disclosures to the Office of the Public Guardian
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A tale of two doctors: the junior and the consultant
Dr Marika Davies, medicolegal consultant, looks at the recent case of GA v Greater Glasgow Health Board [2019] CSOH 31, where the death of a 77-year-old patient raised questions over where the liability for the negligence lay: the junior doctor or the consultant?
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A potted history of medicine
Throughout history, doctors have treated patients, and doctors have made mistakes. We delve deep into the past to see what doctors used to get away with
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Why it’s so important you tell the GMC when you finish your F2
Dr Jonathan Bernstein, one of our medicolegal consultants, highlights the consequences of not notifying the GMC when you finish your F2
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Diary of a new doctor's first night shift
You should specialise in obstetrics and gynaecology: here’s why
Obstetrics and gynaecology has developed enormously over the last 30 years. Yet despite the numerous advances in this field and the huge potential for growth, recruitment numbers have in the past been small.
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16 things you should know to help you survive night shifts
By taking these steps to properly preparing for a night shift you can minimise the risks for you and your patients, and reduce the likelihood of slipping up.
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Dying matters: medicolegal aspects of end-of-life care, DNACPR and or...
Dying matters: medicolegal aspects of end-of-life care, DNACPR and organ donation
To mark the Dying Matters national awareness week, between 13 and 19 May, Medical Protection asked nearly 400 members in the UK about their experiences on a number of issues such as DNACPR, organ donation and withdrawal of treatment.
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Understanding mental capacity: advance decisions
Mental capacity is the ability to make a decision. If a person lacks capacity, they have an impairment or disturbance that leaves them unable to make a decision. A patient’s capacity to make decisions about their own care is a fundamental part of matters relating to end of life care
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Should you mention death when the risk is small?
When consenting for a procedure, wherever there is a risk of death – no matter how small – would you always mention this risk?
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The procurator fiscal and fatal accident inquiries
A procurator fiscal investigates all sudden and suspicious deaths in Scotland, conducts fatal accident inquiries and handles criminal complaints against the police. There are 11 procurator fiscals, each covering a specific geographical location within Scotland, who between them investigate around 14,000 sudden deaths each year
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Giving evidence at an inquest
End of life care
When treating a patient who is close to death, clear communication and collective decision-making are as important as any clinical intervention
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Confidentiality after death
Confidentiality is at the centre of maintaining trust between patients and doctors. But what are your obligations to a patient after they have died?
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Video: Failure to act on lower back pain
In this video, we look at how red flags for cauda equina syndrome were missed by both GP and hospital, leading to a costly claim.
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Electives packing list
We have put together the following basic packing checklist for you to refer to. This is by no means exhaustive, but there are some useful ideas.
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Medical examiners: a new role for England and Wales
From April 2019, the new role of medical examiner will be introduced into the process for investigating the deaths of patients. Dr Ben Lobo, consultant physician, geriatrician and medical examiner, and Dr Ewen Ross, medicolegal consultant at Medical Protection, look at what this means for you
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Problems arise from spinal anaesthesia
A 48-year-old man underwent abdominoplasty and liposuction. At the pre-operative visit, the consultant anaesthetist proposed general anaesthesia along with a spinal anaesthetic for the purpose of post-operative pain relief.
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When patients miss appointments – should DNA mean Does Need Appointment?
When patients miss appointments – should DNA mean Does Need Appointment?
When patients fail to attend an appointment, it can be hugely frustrating for a number of reasons. It is also very costly, according to recent NHS England data that suggests up to 15 million general practice appointments are being wasted each year – at an estimated cost to the NHS of £216 million.
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The cost of claims – control through proportionality
If you have ever been unfortunate enough to receive a letter of claim, you will be aware of how stressful the process can be. Another aspect is the often high sums of money involved. Stephen Preater, costs adviser at Medical Protection, is part of an expert in-house team that is dedicated to controlling the amounts sought by claimants
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12 record keeping tips
We have made a list of the things to remember when it comes to making and retaining good patient records.
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Removing patients from the practice list
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.
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