Case report 23/10/2018 Who else is in the room? Preview Article Who else is in the room? Time to read article: 2 mins Close Preview A patient undergoing a colonoscopy claims her modesty is disregarded during the procedure. What did Medical Protection do to tackle this allegation? Read more Article contains Text Tagged in... Complaints Gastroenterology Consent
Case report 23/10/2018 Wrongly reassured over benign cyst Preview Article Wrongly reassured over benign cyst Time to read article: 2 mins Close Preview Mrs D presents to her GP Dr N with a long-standing lesion on her scalp. Dr N removes it but what has he missed? Read more Article contains Text Tagged in... Oncology Diagnosis Claims
Case report 23/10/2018 A sight for sore eyes Preview Article A sight for sore eyes Time to read article: 4 mins Close Preview Ophthalmologist Dr P receives a claim alleging poor consent and technique – but is that the real cause? Read more Article contains Text Tagged in... Communication Consent Ophthalmology Record keeping
Case report 23/10/2018 Negligent assessment and systemic failures Preview Article Negligent assessment and systemic failures Time to read article: 3 mins Close Preview Two hospital doctors receive claims after a delayed cancer diagnosis, which Medical Protection eventually takes to trial. Read more Article contains Text Tagged in... System Errors Radiology Emergency Medicine
Case report 23/10/2018 Initial management of an itchy skin rash Preview Article Initial management of an itchy skin rash Time to read article: 2 mins Close Preview Treatment of an itchy rash leads to a claim against GP Dr U, but was he negligent? Read more Article contains Text Tagged in... Investigations Claims Record keeping Diagnosis
Case report 23/10/2018 A wrong diagnosis but no criticism Preview Article A wrong diagnosis but no criticism Time to read article: 2 mins Close Preview After a serious car crash, Dr C is called before an inquest – Medical Protection is called in to support. Read more Article contains Text Tagged in... Inquests Record keeping Emergency Medicine
Case report 28/09/2018 Learning from allegations of sexual assault Preview Article Learning from allegations of sexual assault Time to read article: 10 mins Close Preview Gross negligence manslaughter is a topical issue in healthcare, but cases against doctors are still comparatively rare. Dr John Jolly, head of member risk education and Dr Richard Stacey, head of policy and technical, look at a more common cause of criminal cases brought against members of Medical Protection: sexual assault. Read more Article contains Text Tagged in... Claims Negligence Consent
Case report 21/09/2018 When is healthcare criminal? Preview Article When is healthcare criminal? Time to read article: 4 mins Close Preview The case of Dr Bawa-Garba and the resulting collision between the medical community and the criminal justice system, sent shockwaves around the world. Dr Richard Stacey, head of policy and technical at Medical Protection, analyses criminal cases handled by MPS in 2017 to gauge the likelihood of further charges of gross negligence manslaughter. Read more Article contains Text Tagged in... Investigations Claims Negligence
Case report 12/09/2018 Injection errors Preview Article Injection errors Time to read article: 4 mins Close Preview 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. Read more Article contains Text Tagged in... Prescribing Communication
Case report 16/08/2018 Chain reaction Preview Article Chain reaction Time to read article: 3 mins Close Preview A patient presents with a sore wrist after a fall. Read more Article contains Text Tagged in... Complaints Record keeping
Case report 14/08/2018 The challenges of making a challenge Preview Article The challenges of making a challenge Time to read article: 3 mins Close Preview 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 Read more Article contains Text Tagged in... Expert Reports Complaints Generic Medicine Data Protection
Case report 16/04/2018 Delayed diagnosis Preview Article Delayed diagnosis Time to read article: 2 mins Close Preview 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. Read more Article contains Text Tagged in... Gastroenterology Casebook Casebook Scotland
Case report 13/04/2018 Failure to review nitrofurantoin: hepatitis and rash Preview Article Failure to review nitrofurantoin: hepatitis and rash Time to read article: 2 mins Close Preview Read more Article contains Text Tagged in... Prescribing Casebook Scotland Casebook Medical Records Claims
Case report 13/04/2018 Delayed diagnosis of Achilles tendon rupture Preview Article Delayed diagnosis of Achilles tendon rupture Time to read article: 2 mins Close Preview 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... Read more Article contains Text Tagged in... Sports Medicine Diagnosis Casebook Scotland Casebook Medical Records
Case report 13/04/2018 Failure to act on cauda equina Preview Article Failure to act on cauda equina Time to read article: 3 mins Close Preview 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. Read more Article contains Text Tagged in... Record keeping Casebook Claims Negligence Neurology & Neurosurgery
Case report 13/04/2018 A missed diagnosis but no negligence Preview Article A missed diagnosis but no negligence Time to read article: 3 mins Close Preview Read more Article contains Text Tagged in... Dermatology Negligence Casebook Scotland Complaints Casebook
Case report 13/04/2018 Failure to monitor renal impairment Preview Article Failure to monitor renal impairment Time to read article: 3 mins Close Preview Read more Article contains Text Tagged in... Record keeping Casebook Scotland Diagnosis Casebook Renal Medicine
Case report 12/04/2018 Missed spinal arteriovenous malformation Preview Article Missed spinal arteriovenous malformation Time to read article: 3 mins Close Preview Read more Article contains Text Tagged in... Casebook Scotland Casebook Investigations Claims
Case report 12/04/2018 Sciatic nerve injury but no negligence Preview Article Sciatic nerve injury but no negligence Time to read article: 3 mins Close Preview Read more Article contains Text Tagged in... Casebook Scotland Record keeping Casebook Negligence Medical Records
Case report 12/04/2018 Strong record-keeping – strong defence Preview Article Strong record-keeping – strong defence Time to read article: 4 mins Close Preview 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... Read more Article contains Text Tagged in... Casebook Scotland Negligence Gastroenterology Casebook Record keeping
Case report 27/03/2018 Deskilled disciplinary proceedings Preview Article Deskilled disciplinary proceedings Time to read article: 3 mins Close Preview 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... Read more Article contains Text Tagged in... Casebook Scotland Cosmetic Surgery Casebook
Case report 27/03/2018 A pain in the knee Preview Article A pain in the knee Time to read article: 3 mins Close Preview 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... Read more Article contains Text Tagged in... Casebook Paediatrics Competence Diagnosis
Case report 15/03/2018 A case of mistaken haemorrhoids Preview Article A case of mistaken haemorrhoids Time to read article: 2 mins Close Preview A patient presents with symptoms of haemorrhoids but is it something more sinister? Read more Article contains Text Tagged in... Casebook Scotland Gastroenterology Casebook
Case report 15/03/2018 Antibiotic allegations Preview Article Antibiotic allegations Time to read article: 2 mins Close Preview A patient alleges her GP was negligent for failing to prescribe antibiotics Read more Article contains Text Tagged in... Casebook General practice Prescribing Casebook Scotland