As an expert you should be aiming to produce a report which is free standing – from which the reader can glean the key issues in the case, understand the evidence available and reach a clear understanding of the range of expert opinion, without needing to look at any other document.
Some years ago we teamed up with the UK’s leading provider of workplace advice to provide the Croner helpline to our Practice Xtra members. Louise Barnes, Senior Employment Consultant at Croner, reveals the top five workplace issues.
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.
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.
Medication errors account for approximately 20% of all clinical negligence claims against doctors in both primary and secondary care. The costs associated with adverse events and inappropriate prescribing has been estimated at more than £750 million per year. This factsheet gives advice about avoiding prescribing errors.
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.
NHS complaints procedure – Second Stage Complaints
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The second stage is where the complaint is not resolved in the practice and the complainant asks for an Independent Review by the Scottish Public Services Ombudsman.
The GMC states that “doctors play a crucial role in protecting children from abuse and neglect”. Child maltreatment includes neglect and physical, sexual and emotional abuse. The following frequently asked questions are designed to advise MPS members what to do and who to contact, should they suspect children are at risk of, or are experiencing, harm.
As a doctor, you may be asked to give evidence in many different types of forums including criminal or civil courts, Fatal Accident Inquiries and employment or mental health tribunals. This factsheet gives further information about what to expect and how to prepare.
The role of Independent Mental Capacity Advocates (IMCAs) is to support and represent a person who lacks capacity in making a specific decision, and who has no-one (other than paid carers) to support them. This factsheet sets out further information about IMCAs and the role they play.
Providing access to medical records is essentially a confidentiality issue; therefore, the starting point is whether or not the patient has consented to disclosure. If not, access should be denied, unless there is some other clear justification for allowing access.
Many members of MPS will have very few medicolegal cases in the course of their career. But what happens to those who need assistance rather more frequently? Sarah Whitehouse finds out more.
Mental Capacity Act 2005 - Best interests tests - England and Wales
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The best interests principle in the Mental Capacity Act 2005 (the Act) states that any act done or decision made on behalf of an adult lacking capacity must be in their best interests. This can cover financial, health and social care decisions.
Parental responsibility refers to the rights and responsibilities that most parents have in respect of their children. This factsheet gives advice on who has parental responsibility and where responsibility lies in situations in which there are disagreements over the best interests of the child.
Late diagnosis of HIV in adults continues to be an important issue in the UK but for too long it has been absent from healthcare’s topical agenda. With national audit data showing that 24% of deaths of HIV-positive adults in the UK in 2006 were due to a diagnosis of HIV being made too late for effective treatment,1 and further data showing that around one third of all HIV infections in UK adults remain undiagnosed, and approximately 25% of newly-diagnosed individuals have a CD4 count of less than 200 – an indicator of late diagnosis – there is clearly a lack of timely opportunity to improve early diagnosis.
Removing patients from the practice list is an emotive issue, risking criticism from bodies such as the Ombudsman, the GMC and the media 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.
Parental responsibility refers to the rights and responsibilities that most parents have in respect of their children. This factsheet gives advice on who has parental responsibility and where responsibility lies in situations in which there are disagreements over the best interests of the child.
Our masterclasses are tailored to Obstetricians and Gynaecologists, Orthopaedic Surgeons and General Surgeons. A one-day event consisting of interactive and practical sessions, with the aim to enhance skills in achieving more effective consultations and handling of adverse outcomes.
Workshops are expertly facilitated, using a blend of presentations, small group discussions and activities, case studies, reflective exercises and opportunities to rehearse skills.
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.
Medical Protection can provide uniquely tailored indemnity and support that we can provide for your organisation and employees.
You'll notice a few things have changed on our website. After asking our members what they want in an online platform, we've made it easier to access our membership benefits and created a more personalised user experience.
Why not take our quick 60-second tour? We'll show you how it all works and it should only take a minute.