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Articles and features 29/06/2023

The five principles of the Mental Capacity Act

The five principles of the Mental Capacity Act

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Both legislation and the GMC’s guidance emphasise that doctors should presume that adults have the capacity to consent to or refuse a proposed treatment unless it can be established that they lack that capacity.

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Factsheet 28/01/2022

Non-therapeutic circumcision - UK

Non-therapeutic circumcision - UK

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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.

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Casebook 18/05/2020

Followership: the forgotten part of leadership

Followership: the forgotten part of leadership

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It goes without saying that strong leadership is vital to ensuring the stability and success of healthcare systems. But the value of followers in challenging this leadership is just as great, say Mr Andrew Gibbons and Ms Danielle Bryant.

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Case report 18/07/2019

An early presentation

An early presentation

Time to read article: 2 mins
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Baby T was eight weeks old when his mother brought him to his GP’s morning surgery. His mother had become increasingly concerned about his general irritability and frequent crying episodes, which lasted up to two hours. These had become apparent over the past three days, not settling with breast feeding.

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Case report 18/07/2019

Back again with cauda equina syndrome

Back again with cauda equina syndrome

Time to read article: 2 mins
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When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement.

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Articles and features 07/01/2019

When patients miss appointments – should DNA mean Does Need Appointment?

When patients miss appointments – should DNA mean Does Need Appointment?

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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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Case report 25/10/2017

Living up to expectations

Living up to expectations

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Mr G was a 62-year-old office worker; he was overweight (BMI 29) and suffered from exercise-related angina. Mr G had several risk factors for ischaemic heart disease including smoking, diabetes mellitus and hypercholesterolaemia. Following a positive exercise test, a coronary angiography confirmed triple vessel coronary artery disease with a left ventricular ejection fraction of 45%. He was referred to Mr F, a consultant cardiothoracic surgeon, for consideration of coronary artery bypass graft (CABG) surgery.

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Casebook 30/08/2017

Opinion: Failure to test for HIV infection: A medicolegal question?

Opinion: Failure to test for HIV infection: A medicolegal question?

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Dr Michael Rayment and Dr Ann Sullivan, Department of Sexual Health and HIV Medicine, Chelsea and Westminster NHS Foundation Trust (on behalf of the British Association for Sexual Health and HIV, and the British HIV Association).

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Articles and features 29/08/2017

Rising nurse claims

Rising nurse claims

Time to read article: 4 mins
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MPS has seen a steady rise in the number of claims involving practice nurses, with ‘delay in diagnosis’ being the most common type of claim. Kate Taylor, Clinical Risk Manager, MPS Educational Services, reveals more

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