Medical Protection has drawn on the experiences of other doctors and expert advice from our risk management professionals to bring you this guide to use during your foundation year.

Removing patients from the practice list is an emotive issue and should only be used as a last resort. The reasons for removing a patient from the list can be varied, but it should not be in response to patients lodging a complaint or failing to comply with treatment.

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.

Patients who are kept informed about their condition and are involved in deciding on the appropriate treatment are more likely to comply with the treatment you suggest, and less likely to complain if things go wrong.

The medical consultation is a challenge to both doctor and patient, whether in the community or in hospital. The need for more detailed discussions with patients, along with their increasing autonomy and right to make choices in relation to their clinical care and treatment, has affected the traditional role of the doctor-patient relationship. This has made maintaining appropriate professional boundaries in the doctor-patient consultation more challenging, however, the guidance from national and regulatory bodies is clear that it is always the health professional's responsibility to do so.

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.

From 25 May 2018, the EU General Data Protection Regulation (GDPR) (1) will come into force and will have a direct effect in every EU country.

To support your development as a doctor and provide you with the evidence you need for your e-portfolio, we have developed a range of education and risk management resources using our wealth of specialist knowledge and experience.

The General Medical Council (GMC) guidelines Doctors’ use of social media, establish the standards expected from every doctor practising in the UK.

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.

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.

Removing patients from the practice list is an emotive issue, risking criticism from bodies such as the Northern Ireland Ombudsman, the General Medical Council (GMC) and the media and should only be used after careful consideration and as a last resort.