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.

Safer management of test results

This workshop has been developed to assist general practices to understand the potential for error in their own test result management process.

If you are a GP member of Medical Protection and would like to take part in the NHS England Winter Indemnity Scheme, find all the information you need here.

Here we look at some of the characteristics commonly associated with a professional person; as a doctor, these are perhaps the minimum expectations patients have of you.

Patients overtly coerced into undergoing treatment they do not want can rightly claim that their “consent” was not given freely and is therefore not valid. Cases of overt coercion are rare, but there are circumstances in which patients may feel that they have been covertly pushed into accepting treatment they would prefer not to have had. For example, in some circumstances patients may find it very difficult to say “No” to the proposed treatment, or to challenge the doctor’s assumption that they would have no objections to going ahead.

Each assessment of an individual’s capacity should relate to a specific decision – a patient may, for example, be incapable of understanding the complex implications of a major procedure but still be able to comprehend the risks and benefits of a simple intervention. While the general principles are the same across the UK, the actual test for capacity is slightly different, depending on the jurisdiction.

Whether it’s a revised piece of GMC guidance, or a Bill going through the Scottish Parliament, we use our expertise to inform debates about changes that could affect your practice.

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).

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. Sara Williams and MPS medicolegal adviser Dr Gordon McDavid explore how to avoid these risks.

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.

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