Unemployment reduces wellbeing. Recession raises the demands on healthcare systems and makes it harder to pay for them. Doctors worldwide are having to adapt and change to cope with these additional pressures, says Sarah Whitehouse

Complaints to the regulator against doctors have hit a record high, rising more sharply than for any other health professional. Is this down to poor practice or a changing complaints culture? Sara Williams investigates

Confidentiality is the cornerstone of a successful doctor–patient relationship. Indeed the word “confidence” derives from the Latin con “with” and fidere “to trust”. The GMC is clear that doctors who break a patient’s confidence undermine trust in the medical profession and they will be dealt with very seriously.

Consent is a fundamental principle of medical law. The basic rule is simple: no-one has the right to touch anyone else without lawful excuse and if doctors do so it may well undermine patients’ trust.

I wake up bolt upright at 5.30am. I look in the mirror and realise I’ve inadvertently left my false eyelashes on from the previous day’s telly. They hang rather precariously from my upper lids – my mascara is half way down my cheeks and my hair is doing a good impersonation of Jedward. My husband rolls over and states that I look like a drag queen and promptly falls back to sleep.

All doctors know that maintaining confidentiality is an important part of building up trust with patients. Here, Dr Stephanie Bown examines the medicolegal aspects of confidentiality

If you are a doctor and want to practise medicine in the UK, you need to hold GMC registration with a licence to practise. Given this requirement, we have carefully considered the appropriate criteria we require of members who produce medicolegal reports and/or act as a medicolegal expert.

As a collective whole, doctors are regarded as “professionals” both by the public and by their peers. They remain the most trusted profession among the public, which has been the case for many years. Individually, some doctors may fall short of the mark. But what do we mean by professionalism? And how much bearing does this definition have on the behaviours expected of a doctor? Firstly, we need to be clear about exactly what a profession is.

Today’s doctors are working in a constantly evolving environment, where many of the old expectations regarding the role of doctors, nurses and patients are being replaced by new ones. The roles themselves are changing – doctors are clinicians, leaders, teachers, managers, commissioners and purchasers of services.

Any doctor who specialises in a particular field would be expected to keep up-todate in that area. This would apply to all fields of medicine. Surgeons with a special interest would be expected to keep up-to-date with developments both in the field of general surgery and their area of special interest.

Good Medical Practice advises doctors that they must be honest and trustworthy when signing forms, reports and other documents. It also requires doctors to make sure that any documents they write or sign are not false or misleading

Patient A: I’ve got a very good GP now, I have got a GP who actually knows what fibromyalgia is, he’s prepared just to sit and listen, he listens a lot, he’ll let me try new medications, obviously because of my science background I probably know more about fibromyalgia than he does because I read so much in research papers, but he’s very willing to let me be a guinea pig and to work with me, which I think is important with a doctor/patient relationship, you’ve got to work on this path of chronic pain together.