Articles and features 29/06/2023 The five principles of the Mental Capacity Act Preview Article The five principles of the Mental Capacity Act Time to read article: 5 mins Close Preview 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. Read more Article contains Text Tagged in... Managing clinical risk students Use Guidelines Consent & capacity
Articles and features 29/06/2023 Consent and capacity Preview Article Consent and capacity Time to read article: 8 mins Close Preview Consent is an individualised process based on respect – it is more than a signature on a form, says medicolegal adviser Dr Gordon McDavid Read more Article contains Text Tagged in... Generic Medicine Managing clinical risk students New Doctor Competence Consent
Case report 14/11/2022 Fatal outcome after chest drain error Preview Article Fatal outcome after chest drain error Time to read article: 2 mins Close Preview Mrs A, was admitted for a triple coronary artery bypass graft operation for her NSTEMI. She had a past medical history of thoracic (T9-T10) spinal fusion for fractures secondary to a viral illness more than 20 years ago. Read more Article contains Text Tagged in... Medical Records Managing clinical risk General Surgery
Case report 11/08/2022 Sympathectomy claim centered around consent Preview Article Sympathectomy claim centered around consent Time to read article: 2 mins Close Preview We defend consultant surgeon Dr R after a negligence claim from patient Mr P. Read more Article contains Text Tagged in... Consent General Surgery Managing clinical risk
Factsheet 28/01/2022 Non-therapeutic circumcision - UK Preview Article Non-therapeutic circumcision - UK Time to read article: 2 mins Close Preview 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. Read more Article contains Text Tagged in... Infection control Scotland Generic Medicine Northern Ireland Consent Managing clinical risk
Casebook 18/05/2020 Followership: the forgotten part of leadership Preview Article Followership: the forgotten part of leadership Time to read article: 5 mins Close Preview 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. Read more Article contains Text Tagged in... Casebook Managing clinical risk Communication
Articles and features 12/08/2019 A week in the life of an F2 working in a hospice Preview Article A week in the life of an F2 working in a hospice Time to read article: 4 mins Close Preview Dr Beatrice Baiden shares her experiences of working in palliative care. Read more Article contains Text Tagged in... Palliative Care Career planning Professionalism Competence Training & cpd Treatment Planning
Case report 18/07/2019 An early presentation Preview Article An early presentation Time to read article: 2 mins Close Preview 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. Read more Article contains Text Tagged in... Diagnosis Managing clinical risk GP locum General practice Claims
Case report 18/07/2019 Missed critical limb ischaemia Preview Article Missed critical limb ischaemia Time to read article: 3 mins Close Preview Mr S was a 60-year-old lorry driver. He was overweight and smoked, and couldn’t walk far because he suffered with pain in his calves. Read more Article contains Text Tagged in... Medical Records GP locum Managing clinical risk Diagnosis Casebook Scotland General practice
Case report 18/07/2019 Back again with cauda equina syndrome Preview Article Back again with cauda equina syndrome Time to read article: 2 mins Close Preview 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. Read more Article contains Text Tagged in... Diagnosis General practice Orthopaedics Managing clinical risk GP locum
Articles and features 07/01/2019 When patients miss appointments – should DNA mean Does Need Appointment? Preview Article When patients miss appointments – should DNA mean Does Need Appointment? Time to read article: 1 mins Close Preview 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. Read more Article contains Text Tagged in... General practice Managing clinical risk System Errors
Case report 27/11/2018 Video: Living up to expectations Preview Article Video: Living up to expectations Time to read article: 6 mins Close Preview Dealing with claims accounts for about 1/5 of the cases we handle. This video examines a claim made against a consultant surgeon because he left out critical information from a patient’s notes. Read more Article contains Video Tagged in... Managing clinical risk Casebook Scotland Casebook
Case report 24/10/2018 Issues arise after leaving a patient in someone else’s care Preview Article Issues arise after leaving a patient in someone else’s care Time to read article: 3 mins Close Preview Read more Article contains Text Tagged in... Professionalism Record keeping Managing clinical risk Obstetrics & Gynaecology
Case report 25/10/2017 Living up to expectations Preview Article Living up to expectations Time to read article: 2 mins Close Preview 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. Read more Article contains Text Tagged in... Managing clinical risk Casebook Scotland Casebook
Case report 05/09/2017 Wrong drug, no negligence Preview Article Wrong drug, no negligence Time to read article: 3 mins Close Preview Mrs M was a 64-year-old care assistant in a retirement home. She visited her GP with a two-month history of blood in her stools, altered bowel habit, and intermittent lower abdominal discomfort. Read more Article contains Text Tagged in... Medical Records Casebook Managing clinical risk Record keeping
Articles and features 30/08/2017 Careers - Core skills series: Communication Preview Article Careers - Core skills series: Communication Time to read article: 4 mins Close Preview In this series we explore the key risk areas in general practice Read more Article contains Text Tagged in... Managing clinical risk Communication Generic Medicine Handover
Casebook 30/08/2017 Opinion: Failure to test for HIV infection: A medicolegal question? Preview Article Opinion: Failure to test for HIV infection: A medicolegal question? Time to read article: 5 mins Close Preview 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). Read more Article contains Text Tagged in... Managing clinical risk Investigations Casebook
Articles and features 30/08/2017 Consent and young people Preview Article Consent and young people Time to read article: 5 mins Close Preview Dr Hajra Siraj, GP registrar in London, shares a tricky case around assessing the competence of young people. Read more Article contains Text Tagged in... Consent Issues & conflict management Confidentiality Use Guidelines New Doctor Managing clinical risk
Articles and features 29/08/2017 Rising nurse claims Preview Article Rising nurse claims Time to read article: 4 mins Close Preview 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 Read more Article contains Text Tagged in... General practice Practice Matters Claims Managing clinical risk
Articles and features 29/08/2017 Update - Revalidation round-up Preview Article Update - Revalidation round-up Time to read article: 2 mins Close Preview The GMC has begun revalidating all doctors – here’s what you need to know Read more Article contains Text Tagged in... Competence Issues & conflict management New Doctor Patients Managing clinical risk
Casebook 29/08/2017 Nasogastric tube errors Preview Article Nasogastric tube errors Time to read article: 10 mins Close Preview Nasogastric tubes are widely used in the world’s hospitals, yet in spite of fierce campaigning to expose the dangers, patients are still dying from the complications of wrongful insertion. Read more Article contains Text Tagged in... Competence Casebook Equipment Managing clinical risk Negligence
Casebook 29/08/2017 An inconvenient truth Preview Article An inconvenient truth Time to read article: 5 mins Close Preview Over half of respondents to an MPS survey admitted to regret over their failure to raise concerns in the workplace. Gareth Gillespie looks at how obstacles to whistleblowing can be overcome. Read more Article contains Text Tagged in... Casebook Issues & conflict management Whistleblowing Managing clinical risk
Casebook 29/08/2017 We need to talk about death: Complaints about end of life care Preview Article We need to talk about death: Complaints about end of life care Time to read article: 10 mins Close Preview When treating a patient who has reached the end of life, clear communication and collective decision-making are as important as any clinical intervention, says Sarah Whitehouse Read more Article contains Text Tagged in... Communication Palliative Care Managing clinical risk Decision Making
Casebook 29/08/2017 A dark day for psychiatry? Preview Article A dark day for psychiatry? Time to read article: 7 mins Close Preview Last year a French psychiatrist was charged with manslaughter after failing to recognise the danger posed by her patient. Sara Williams investigates how to balance the interests of risky patients and the public Read more Article contains Text Tagged in... Treatment Planning Managing clinical risk Investigations Casebook Patients