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Case report 21/09/2018

When is healthcare criminal?

When is healthcare criminal?

Time to read article: 4 mins
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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.

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Factsheet 08/08/2018

Inquests - Northern Ireland

Inquests - Northern Ireland

Time to read article: 4 mins
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An inquest is a fact-finding exercise that is conducted by the Coroner and, in some cases, in front of a jury. The purpose of an inquest is to find out who the person was and, how, when and where they died. This factsheet gives further information about what happens at an inquest.

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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?

Time to read article: 5 mins
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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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Factsheet 31/08/2016

Inquests - England

Inquests - England

Time to read article: 4 mins
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An inquest is a fact-finding exercise that is conducted by the coroner and, in some cases, in front of a jury. The purpose of an inquest is to find out who died – when, where, how and in what circumstances. This factsheet gives further information about what happens at an inquest.

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Factsheet 14/07/2015

Reporting deaths to the Coroner - Northern Ireland

Reporting deaths to the Coroner - Northern Ireland

Time to read article: 6 mins
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If a death occurs in a violent or unnatural manner, in custody, or suddenly but without certain cause, a coroner has a duty to enquire into the death. This factsheet sets out the role of a coroner, the reporting process and what will happen once you have reported a death to the coroner.

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Factsheet 01/12/2014

Giving evidence - Northern Ireland

Giving evidence - Northern Ireland

Time to read article: 4 mins
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As a doctor, you may be asked to give evidence in many different types of tribunals, including criminal or civil courts, the coroner’s court and employment or mental health tribunals. This factsheet gives further information about what to expect and how to prepare.

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Factsheet 01/05/2014

Giving evidence - Wales

Giving evidence - Wales

Time to read article: 4 mins
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As a doctor, you may be asked to give evidence in many different types of tribunals, including criminal or civil courts, the coroner’s court and employment or mental health tribunals. This factsheet gives further information about what to expect and how to prepare.

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Factsheet 01/04/2014

Removal of medical equipment after death

Removal of medical equipment after death

Time to read article: 2 mins
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If a patient dies and the death is reportable to the coroner, you should leave all equipment in place until you have discussed the case with the coroner’s officer. This factsheet gives you further information about what to do.

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Factsheet 01/04/2014

Guide to writing expert reports - Wales

Guide to writing expert reports - Wales

Time to read article: 1 mins
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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.

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Articles and features 04/01/2014

Collateral damage

Collateral damage

Time to read article: 6 mins
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The sooner you call MPS about an ethical or legal dilemma, the sooner the matter can be resolved. Professor Carol Seymour, Dr Tom Mosedale, Dr Richard Brittain and Sara Williams explore how and why Collateral-damage foundation doctors get into troubleCollateral-damage foundation doctors get into trouble

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Factsheet 01/04/2013

Guide to writing expert reports - Scotland

Guide to writing expert reports - Scotland

Time to read article: 1 mins
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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.

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Factsheet 04/01/2013

Giving evidence - Scotland

Giving evidence - Scotland

Time to read article: 4 mins
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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.

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Case report 14/05/2012

Where is the consultant?

Where is the consultant?

Time to read article: 2 mins
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A 48-year-old driver, Mr W, was sent to hospital by his GP with a one-week history of unremitting back pain and associated mild shortness of breath. On direct questioning, he also reported non-specific malaise for at least three months with half a stone weight loss but no symptoms of fever. There was no previous history of cardiac problems and no recent dental or other invasive procedures.

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Case report 14/05/2012

Too much bleeding

Too much bleeding

Time to read article: 3 mins
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Mrs C, a 25-year-old mother of two, had an elective caesarean with her first pregnancy as that baby was breech, and she experienced a failed attempt at a VBAC (Vaginal Birth After Caesarean) with her second pregnancy. Her third pregnancy was uneventful and she was booked in for an elective caesarean section at 39 weeks.

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Casebook 01/05/2012

MPS Opinion: Spreading the use of HIV testing

MPS Opinion: Spreading the use of HIV testing

Time to read article: 4 mins
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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.

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Case report 10/01/2012

Too quick to clear the spine

Too quick to clear the spine

Time to read article: 3 mins
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Twenty-eight-year-old Miss T was a pillion passenger on her boyfriend’s motorbike going at high speed on a motorway. He lost control of the vehicle and tried to regain it by braking, which threw them both over the handles, landing some distance away. Unfortunately, Miss T’s boyfriend was certified dead at the scene of the accident.

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Case report 01/05/2010

The patient with too many ills

The patient with too many ills

Time to read article: 3 mins
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Mr S was a 45-year-old man who was well-known to his GP. He was an anxious, frequent attendee, who needed to discuss different symptoms and worried about his general health. He had suffered from psychiatric disorders in the past and was a heavy smoker who found it difficult to give up.

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Case report 01/05/2009

Too late for contraception

Too late for contraception

Time to read article: 2 mins
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Miss C, a 25-year-old bank clerk, attended an appointment with the practice nurse, Nurse B, at her local surgery. Miss C was in a stable relationship and wished to discuss the options available to her for contraception. Miss C’s medical notes revealed that she had tried the combined oral contraceptive in the past, but had experienced side effects and was not good at remembering to take it daily. Recently she had been using barrier contraception alone.

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