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Case report 13/04/2018

Delayed diagnosis of Achilles tendon rupture

Delayed diagnosis of Achilles tendon rupture

Time to read article: 2 mins
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Mr E, a 50-year-old accountant, was playing squash with a colleague after work and hurt his left ankle. He couldn’t keep playing but he was able to walk, so he went home. The next day his ankle became quite swollen, so Mr E kept it on ice and took some ibuprofen...

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Factsheet 18/05/2016

Consent – The basics - Northern Ireland

Consent – The basics - Northern Ireland

Time to read article: 4 mins
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Respect for patients’ autonomy is expressed in consent law; to impose care or treatment on people without respecting their wishes and right to self-determination is not only unethical, but illegal. The approach to consent in Northern Ireland is currently governed by common law.

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Factsheet 17/05/2016

Medical records - Northern Ireland

Medical records - Northern Ireland

Time to read article: 3 mins
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Good medical records – whether electronic or handwritten – are essential for the continuity of care of your patients. Adequate medical records enable you or somebody else to reconstruct the essential parts of each patient contact without reference to memory. They should therefore be comprehensive enough to allow a colleague to carry on where you left off.

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Factsheet 01/10/2015

Confidentiality – Disclosures relating to patients who are unable to...

Confidentiality – Disclosures relating to patients who are unable to consent - Wales

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You owe a duty of confidentiality to all your patients, past or present, even if they are adults who lack capacity. You may be asked to provide information from the medical records of patients who are incapable of giving consent, are aged under 18, or have died. This factsheet gives you further information about dealing with these circumstances.

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Factsheet 30/09/2015

Medical records - Scotland

Medical records - Scotland

Time to read article: 3 mins
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Good medical records – whether electronic or handwritten – are essential for the continuity of care of your patients. Adequate medical records enable you or somebody else to reconstruct the essential parts of each patient contact without reference to memory. They should therefore be comprehensive enough to allow a colleague to carry on where you left off.

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Factsheet 30/09/2015

Consent – The basics - Scotland

Consent – The basics - Scotland

Time to read article: 3 mins
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Respect for patients’ autonomy is expressed in consent law; to impose care or treatment on people without respecting their wishes and right to self-determination is not only unethical, but illegal.

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Factsheet 20/05/2015

Access to medical reports - England

Access to medical reports - England

Time to read article: 3 mins
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Doctors may, on occasion, receive a request from a patient’s employer for a medical report to be delivered directly to the HR department, without the patient seeing it. However, before any medical report can be provided, you must be satisfied that the patient has given valid consent to the release of the information. This factsheet looks at the issues surrounding medical reports for employers and other organisations, and offers advice to doctors who are asked to write reports.

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Factsheet 01/04/2015

Medical records - Wales

Medical records - Wales

Time to read article: 3 mins
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Good medical records – whether electronic or handwritten – are essential for the continuity of care of your patients. Adequate medical records enable you or somebody else to reconstruct the essential parts of each patient contact without reference to memory. They should therefore be comprehensive enough to allow a colleague to carry on where you left off.

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Factsheet 02/02/2015

Access to health records - Scotland

Access to health records - Scotland

Time to read article: 4 mins
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Providing access to medical records is essentially a confidentiality issue; therefore, the starting point is whether or not the patient has consented to disclosure. If not, access should be denied, unless there is some other clear justification for allowing access.

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Factsheet 02/02/2015

Report writing - Scotland

Report writing - Scotland

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 Procurator Fiscal’s FAI 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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Factsheet 01/02/2015

Medical records - England

Medical records - England

Time to read article: 3 mins
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Good medical records – whether electronic or handwritten – are essential for the continuity of care of your patients. Adequate medical records enable you or somebody else to reconstruct the essential parts of each patient contact without reference to memory. They should therefore be comprehensive enough to allow a colleague to carry on where you left off.

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Factsheet 30/01/2015

Access to health records - Northern Ireland

Access to health records - Northern Ireland

Time to read article: 4 mins
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Providing access to medical records is essentially a confidentiality issue; therefore, the starting point is whether or not the patient has consented to disclosure. If not, access should be denied, unless there is some other clear justification for allowing access.

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Factsheet 22/01/2015

Access to health records

Access to health records

Time to read article: 4 mins
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Patients have a right to request access to their own medical records and can also provide consent for disclosure to third parties. You have a duty to protect the confidential data of your patients under the Data Protection Act (1998) and civil monetary penalties can be imposed for serious contraventions of the act.

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