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Factsheet 14/01/2015

Confidentiality - General principles - England

Confidentiality - General principles - England

Time to read article: 6 mins
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Confidentiality is at the centre of maintaining trust between patients and doctors. As a doctor, you have access to sensitive personal information about patients and you have a legal and ethical duty to keep this information confidential, unless the patient consents to the disclosure, disclosure is required by law or is necessary in the public interest. This factsheet sets out the basic principles of confidentiality.

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Factsheet 14/01/2015

Confidentiality – General principles - Northern Ireland

Confidentiality – General principles - Northern Ireland

Time to read article: 6 mins
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Confidentiality is at the centre of maintaining trust between patients and doctors. As a doctor, you have access to sensitive personal information about patients and you have a legal and ethical duty to keep this information confidential, unless the patient consents to the disclosure; disclosure is required by law or is necessary in the public interest. This factsheet sets out the basic principles of confidentiality.

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Articles and features 02/10/2014

From the case files...

From the case files...

Time to read article: 5 mins
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In this issue we bring you two interesting cases; the first encourages GPs to exercise caution when diagnosing haematuria, and the second highlights how various poor communication channels can have a negative impact on patient care.

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Factsheet 01/10/2014

Safeguarding children FAQs - Scotland

Safeguarding children FAQs - Scotland

Time to read article: 3 mins
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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.

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Case report 14/09/2014

High expectations

High expectations

Time to read article: 4 mins
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Mr O was a 24-year-old man who had just enjoyed a holiday overseas. On the return journey he started vomiting. The nausea and vomiting continued after he arrived home and he began to lose weight because of it. When his symptoms did not abate he made an appointment with his GP.

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Case report 14/09/2014

Missing cauda equina

Missing cauda equina

Time to read article: 3 mins
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Ms E, a 29-year-old mother, had suffered with ongoing low back pain since the birth of her second child two years ago, which had failed to improve with physiotherapy. She was assessed in orthopaedic outpatients and diagnosed with an L5 disc prolapse and listed for microdiscectomy.

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Case report 14/09/2014

The elusive diagnosis

The elusive diagnosis

Time to read article: 3 mins
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Mr M, 50 years old, suffered chronic ill-health due to spinal fusion, chronic bronchitis and asthma. He was a regular attendee at the surgery of Drs C and D, with sinusitis. In March 2005, Mr M saw Dr D with a similar complaint and she administered him with a flu jab, particularly as Mr M often failed to attend chronic monitoring clinics. The notes from the consultation said: “Upper respiratory tract infection NOS. Catarrh following URTI 2/52 ago is well. O/E ENT NAD chest flu jab given.”

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Case report 15/05/2014

Headaches and hypertension

Headaches and hypertension

Time to read article: 3 mins
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Mr J was 43 and unemployed. He developed headaches and complained that sunshine hurt his eyes and he was bothered by noise. He made an appointment with his GP, Dr A, explaining that he had tried over-the-counter painkillers but that they did not help when he had one of his pounding headaches. Dr A documented Mr J had presented with headaches with some features of migraine and prescribed some tramadol...

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Articles and features 01/02/2014

Case study - an unfortunate prescription

Case study - an unfortunate prescription

Time to read article: 4 mins
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Mrs H was a 35-year-old teaching assistant who also had two school-aged children. She was obese with a BMI of 40. In 2006, she had seen Dr G with left knee pain. Dr G recorded that on examination her knee was tender over her medial joint line but was otherwise stable. He initially prescribed diclofenac and advised her to lose weight.

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Factsheet 01/10/2013

Report writing - Northern Ireland

Report writing - Northern Ireland

Time to read article: 3 mins
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One incident can be investigated in a number of different ways – as a complaint, a clinical negligence claim, a criminal case, a disciplinary matter by your employer, a Coroner’s inquest or a complaint to the GMC. An important starting point is your written report on the circumstances of the incident. This factsheet gives more information about writing this report.

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Case report 10/09/2013

Sinus surgery: damaged vision

Sinus surgery: damaged vision

Time to read article: 2 mins
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Mr P, a 40-year-old office worker, had a long history of sino-nasal problems, and had even had a previous septoplasty operation. Soon after returning from a holiday, he consulted his GP, Dr A, with worsening blockage in the left side of his nose.

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