Understanding mental capacity: advance decisions
Mental capacity is the ability to make a decision. If a person lacks capacity, they have an impairment or disturbance that leaves them unable to make a decision. A patient’s capacity to make decisions about their own care is a fundamental part of matters relating to end of life care
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Should you mention death when the risk is small?
When consenting for a procedure, wherever there is a risk of death – no matter how small – would you always mention this risk?
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The procurator fiscal and fatal accident inquiries
A procurator fiscal investigates all sudden and suspicious deaths in Scotland, conducts fatal accident inquiries and handles criminal complaints against the police. There are 11 procurator fiscals, each covering a specific geographical location within Scotland, who between them investigate around 14,000 sudden deaths each year
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End of life care
When treating a patient who is close to death, clear communication and collective decision-making are as important as any clinical intervention
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Confidentiality after death
Confidentiality is at the centre of maintaining trust between patients and doctors. But what are your obligations to a patient after they have died?
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MPS response to DHSC consultation on clinical negligence cover
Medical Protection comments on state-backed indemnity after SI laid before Parliament
Medical examiners: a new role for England and Wales
From April 2019, the new role of medical examiner will be introduced into the process for investigating the deaths of patients. Dr Ben Lobo, consultant physician, geriatrician and medical examiner, and Dr Ewen Ross, medicolegal consultant at Medical Protection, look at what this means for you
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When patients miss appointments – should DNA mean Does Need Appointment?
When patients miss appointments – should DNA mean Does Need Appointment?
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.
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The cost of claims – control through proportionality
If you have ever been unfortunate enough to receive a letter of claim, you will be aware of how stressful the process can be. Another aspect is the often high sums of money involved. Stephen Preater, costs adviser at Medical Protection, is part of an expert in-house team that is dedicated to controlling the amounts sought by claimants
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12 record keeping tips
We have made a list of the things to remember when it comes to making and retaining good patient records.
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Removing patients from the practice list
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.
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Record-keeping
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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Medication
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Duty of candour and reporting concerns
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Consent
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Confidentiality
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Communicating with patients
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.
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Chaperones
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.
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