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02/02/2015

What is Gillick competence?

What is Gillick competence?

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Paediatrician and medicolegal adviser Dr Roger Palmer looks at the issue of consent and capacity in the under 16 age group. In this podcast, Dr Palmer focuses specifically on the issue of Gillick competence, which enshrined the autonomy of competent minors.

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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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22/01/2015

Safe prescribing

Safe prescribing

Time to read article: 3 mins
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Medication errors account for approximately 20% of all clinical negligence claims against doctors in both primary and secondary care. The costs associated with adverse events and inappropriate prescribing have been estimated at more than £750 million per year. This factsheet gives advice about avoiding prescribing errors.

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Factsheet 14/01/2015

Confidentiality – General principles - Wales

Confidentiality – General principles - Wales

Time to read article: 5 mins
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Confidentiality is at the centre of maintaining trust between patients and doctors. As a doctor, you have access to sensitive personal information about patients and you have a legal and ethical duty to keep this information confidential, unless the patient consents to the disclosure, disclosure is required by law or is necessary in the public interest. This factsheet sets out the basic principles of confidentiality.

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Factsheet 14/01/2015

Confidentiality – General principles - Scotland

Confidentiality – General principles - Scotland

Time to read article: 6 mins
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Confidentiality is at the centre of maintaining trust between patients and doctors. As a doctor, you have access to sensitive personal information about patients and you have a legal and ethical duty to keep this information confidential, unless the patient consents to the disclosure; disclosure is required by law or is necessary in the public interest. This factsheet sets out the basic principles of confidentiality.

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Factsheet 14/01/2015

Confidentiality – General principles - Northern Ireland

Confidentiality – General principles - Northern Ireland

Time to read article: 6 mins
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Confidentiality is at the centre of maintaining trust between patients and doctors. As a doctor, you have access to sensitive personal information about patients and you have a legal and ethical duty to keep this information confidential, unless the patient consents to the disclosure; disclosure is required by law or is necessary in the public interest. This factsheet sets out the basic principles of confidentiality.

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01/10/2014

Safeguarding children – FAQs

Safeguarding children – FAQs

Time to read article: 3 mins
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The GMC states that “doctors play a crucial role in protecting children from abuse and neglect”. Child maltreatment includes neglect and physical, sexual and emotional abuse. The following frequently asked questions are designed to advise MPS members what to do and who to contact, should they suspect children are at risk of, or are experiencing, harm.

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Case report 14/09/2014

Eyes of the storm

Eyes of the storm

Time to read article: 2 mins
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Mr Q, 40 years old, consulted Miss A, a consultant ophthalmologist, with lesions affecting his eyelids. Mr Q’s complex medical history included antiphospholipid syndrome and his drug therapy included anticoagulant and antiplatelet agents, oral corticosteroids and ocular surface lubricants.

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01/09/2014

Communicating with patients by text message - Northern Ireland

Communicating with patients by text message - Northern Ireland

Time to read article: 2 mins
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Text messaging allows practices to target and contact hundreds of patients within minutes. Patients can respond by text with replies automatically forwarded to a specified email address. Many practices are signing up to using a text messaging service to inform patients of appointments, flu vaccinations etc.

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Case report 19/08/2014

An Achilles heel

An Achilles heel

Time to read article: 3 mins
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Dr J is a specialist plastic surgeon working in the private sector in the UK. He prides himself on giving patients a full and frank explanation of the likely outcome, potential complications and expected cosmetic appearance of surgery.

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Factsheet 01/08/2014

Consent - Children and young people - England

Consent - Children and young people - England

Time to read article: 3 mins
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Valid consent is just as important when treating children and young people as it is with adults. In some situations children are able to give consent themselves, and sometimes others need to take the decision on their behalf. This factsheet sets out the basic information to enable you to obtain the appropriate consent from children and young people.

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Factsheet 01/07/2014

Use of social media - Wales

Use of social media - Wales

Time to read article: 4 mins
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The General Medical Council (GMC) guidelines Doctors’ use of social media establish the standards expected from every doctor practising in the UK. The guide details the principles of conduct for using social media and explains how doctors can put these principles into practice.

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Factsheet 02/06/2014

Non-therapeutic circumcision - Wales

Non-therapeutic circumcision - Wales

Time to read article: 1 mins
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Non-therapeutic circumcision of male children is carried out for religious reasons and is generally not available on the NHS1. There is also a significant issue related to the appropriateness of the facilities in which the operation is carried out and a lack of formal training and certification in circumcision.

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Factsheet 02/06/2014

Non-therapeutic circumcision - Scotland

Non-therapeutic circumcision - Scotland

Time to read article: 1 mins
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Non-therapeutic circumcision of male children is carried out for religious reasons and is generally not available on the NHS. There is also a significant issue related to the appropriateness of the facilities in which the operation is carried out and a lack of formal training and certification in circumcision.

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Factsheet 01/06/2014

Adults with Incapacity Act - Scotland

Adults with Incapacity Act - Scotland

Time to read article: 3 mins
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The Adults with Incapacity Act was introduced in 2000 to safeguard the welfare of adults (age 16 and over) who lack capacity for making their own healthcare decisions, due to a mental disorder or an inability to communicate. This factsheet provides information on how patients with incapacity should be cared for.

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Factsheet 01/05/2014

Mental Capacity Act 2005 – Assessments under the Deprivation of Liber...

Mental Capacity Act 2005 – Assessments under the Deprivation of Liberty Safeguards - England and Wales

Time to read article: 4 mins
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Under the Mental Capacity Act Deprivation of Liberty Safeguards (MCA DOLS), six assessments have to be successfully conducted before a local authority (supervisory body) can authorise the deprivation of an individual’s liberty in a hospital or a care home.

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Factsheet 01/05/2014

Mental Capacity Act 2005 - Introduction to the Deprivation of Liberty...

Mental Capacity Act 2005 - Introduction to the Deprivation of Liberty Safeguards - England and Wales

Time to read article: 3 mins
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The Mental Capacity Act Deprivation of Liberty Safeguards (MCA DOLS) provide a legal framework around the deprivation of liberty.

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Articles and features 02/04/2014

Top five medicolegal hazards for junior doctors

Top five medicolegal hazards for junior doctors

Time to read article: 4 mins
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Good doctors apply clinical knowledge in a way that is legally and ethically correct – but all doctors can slip up. Here are survival tips for the top five medicolegal risks for junior doctors, writes Charlotte Hudson

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Case report 10/09/2013

Sinus surgery: damaged vision

Sinus surgery: damaged vision

Time to read article: 2 mins
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Mr P, a 40-year-old office worker, had a long history of sino-nasal problems, and had even had a previous septoplasty operation. Soon after returning from a holiday, he consulted his GP, Dr A, with worsening blockage in the left side of his nose.

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