Articles and features 29/11/2017 Supporting a return to work after illness Preview Article Supporting a return to work after illness Time to read article: 5 mins Close Preview Diane Baylis, clinical risk and education manager at Medical Protection, discusses how to manage the return-to-work process and the importance of helping staff remain in work Read more Article contains Text Tagged in... Practice management Practice Matters
Articles and features 24/11/2017 Robust regulation – not penny pinching Preview Article Robust regulation – not penny pinching Time to read article: 2 mins Close Preview Proposed merger of nine regulators should focus on fairness and accountability, not cost-cutting, says Medical Protection Senior Medicolegal Adviser Dr Pallavi Bradshaw Read more Article contains Text Tagged in... Practice management Reputation management
Case report 14/11/2017 A limping child Preview Article A limping child Time to read article: 3 mins Close Preview Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk. Read more Article contains Text Tagged in... Paediatrics Orthopaedics
Case report 14/11/2017 Balancing risks Preview Article Balancing risks Time to read article: 2 mins Close Preview Miss G was a 36-year-old medical receptionist who worked in a teaching hospital. She was under the care of a haematologist for chronic idiopathic thrombocytopenic purpura, diagnosed when she was 13. She had a BMI of 42 and no other relevant past medical history. Read more Article contains Text Tagged in... General practice Haematology Prescribing
Case report 14/11/2017 Diagnosing pneumonia Preview Article Diagnosing pneumonia Time to read article: 4 mins Close Preview Mr B was a 31 year old man with three children. His mother was staying with him over the weekend because he was in bed coughing and shivering. Read more Article contains Text Tagged in... Respiratory Medicine Emergency Medicine Patients Cardiology & Vascular Medicine
Case report 14/11/2017 The importance of living wills Preview Article The importance of living wills Time to read article: 1 mins Close Preview Patient B, a 70-year-old female, with a history of dementia, stroke and pneumonia, was admitted to the emergency room of a private hospital in a coma. She had advanced lung cancer and was well-known to the physician, Dr Y, who was called to see her. Read more Article contains Text Tagged in... Record keeping End of Life Care
Case report 14/11/2017 Dialysis or a right to die? Preview Article Dialysis or a right to die? Time to read article: 1 mins Close Preview Patient A, a 57-year-old male, was admitted to the ICU of a private hospital with kidney and liver failure, and in a coma. There was no living will and family members gave a history of long-standing alcohol abuse. Read more Article contains Text Tagged in... End of Life Care Professionalism Listen Emergency Medicine
Case report 14/11/2017 HIV diagnosis Preview Article HIV diagnosis Time to read article: 1 mins Close Preview A female patient at a medical centre consulted GP Dr F and was subsequently sent for further treatment at another department within the building. Read more Article contains Text Tagged in... Record keeping Diagnosis
Case report 14/11/2017 Claim confusion Preview Article Claim confusion Time to read article: 1 mins Close Preview A man made a claim against his GP for a missed diagnosis. An expert witness was instructed to provide advice on the case... Read more Article contains Text Tagged in... Decision Making Diagnosis
Articles and features 08/11/2017 How manage a disruptive patient Preview Article How manage a disruptive patient Time to read article: 4 mins Close Preview Dealing with a disruptive patient can be one of the most challenging aspects of general practice. Senior Medicolegal Adviser Dr Richard Stacey provides advice on the best way to manage such a situation. Read more Article contains Text Tagged in... Practice Matters
Articles and features 08/11/2017 Protecting patient confidentiality Preview Article Protecting patient confidentiality Time to read article: 5 mins Close Preview Confidentiality is one of the most common risk factors in general practice. Kirsty Plowman looks at how a Medical Protection interactive risk management training session on confidentiality can help members lower their risk. Read more Article contains Text Tagged in... Practice Matters
Articles and features 08/11/2017 The changing face of primary care Preview Article The changing face of primary care Time to read article: 7 mins Close Preview Sam McCaffrey takes a look at how primary care is changing and the different clinical roles that can help your practice meet increasing patient demand. Read more Article contains Text Tagged in... Practice Matters
Articles and features 08/11/2017 From the case files: Cauda equina Preview Article From the case files: Cauda equina Time to read article: 3 mins Close Preview Cauda equina is the source of some of the highest value claims against Medical Protection members. This case report highlights how important it is to keep an eye out for the ‘red flags’ associated with the syndrome. Read more Article contains Text Tagged in... Practice Matters
Articles and features 08/11/2017 FAQs Capability issues Preview Article FAQs Capability issues Time to read article: 5 mins Close Preview Problems arising from an employee’s capability are frequently issues which can hinder the smooth running of any operation. Dealing with such issues in a timely and legally compliant manner can stave off many long term problems. However it can be a tricky area to get right legally with many potential hurdles to overcome. The following are some questions and answers on the topic of capability Croner has received to its advice lines from practice managers. Read more Article contains Text Tagged in... Practice Matters
Articles and features 08/11/2017 High value general practice claims Preview Article High value general practice claims Time to read article: 3 mins Close Preview Dr Iain Barclay, Medical Protection Head of Underwriting Policy, examines what conditions are responsible for some of the highest claims against members in general practice Read more Article contains Text Tagged in... Practice Matters
Articles and features 07/11/2017 From the case files: lower back pain Preview Article From the case files: lower back pain Time to read article: 2 mins Close Preview When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement. Read more Article contains Text Tagged in... Practice Matters
Articles and features 07/11/2017 End of life care test Preview Article End of life care test Time to read article: 7 mins Close Preview A recent report from the CQC has highlighted where general practice could improve in the provision of end of life care. Dr Rachel Birch, Practice Matters Editor-in-Chief, offers advice on how to put the CQC recommendations into practice. Read more Article contains Text Tagged in... Practice Matters
Articles and features 07/11/2017 Anticoagulant monitoring and dosing Preview Article Anticoagulant monitoring and dosing Time to read article: 7 mins Close Preview We have teamed up with NHS Improvement for a new series of risk warnings based on data from the National Reporting and Learning System (NRLS), the NHS’s national database of patient safety incidents in England and Wales. Each article will tackle a different risk commonly reported to the NRLS. In this issue we tackle a commonly reported incident type, medication errors associated with anticoagulants. Read more Article contains Text Tagged in... Practice Matters
Articles and features 06/11/2017 Top 5 social media dilemmas Preview Article Top 5 social media dilemmas Time to read article: 3 mins Close Preview Medicolegal Adviser Dr Gordon McDavid answers some of the most common social media queries we receive from practices Read more Article contains Text Tagged in... Practice Matters
Articles and features 06/11/2017 FAQs - Pensions auto enrolment Preview Article FAQs - Pensions auto enrolment Time to read article: 5 mins Close Preview Under the Pensions Act 2008, every employer in the UK must put certain staff into a pension scheme and contribute towards it. Whether you’re a hairdresser, an architect or a partner in general practice, if you employ at least one person you are an employer and you have certain legal duties. Read more Article contains Text Tagged in... Practice Matters
Articles and features 06/11/2017 Regulation 20: Duty Of Candour Preview Article Regulation 20: Duty Of Candour Time to read article: 2 mins Close Preview The key principle of the ‘duty of candour’ is that general practices must act in an open and transparent way in relation to care and treatment provided to patients Read more Article contains Text
Articles and features 06/11/2017 From the case files: Working at scale Preview Article From the case files: Working at scale Time to read article: 3 mins Close Preview This case demonstrates some of the risks practices face when working at scale, and the importance of ensuring effective systems and communication across practices. Read more Article contains Text Tagged in... Practice Matters
Articles and features 06/11/2017 Indemnity when working at scale Preview Article Indemnity when working at scale Time to read article: 4 mins Close Preview Dr Nick Clements, Head of Risk and Underwriting Policy, answers questions about how new care models and other changes in primary care can affect your medical indemnity. Read more Article contains Text Tagged in... Practice Matters
Articles and features 06/11/2017 Scaling down your risk Preview Article Scaling down your risk Time to read article: 2 mins Close Preview Clinical Risk Education Manager Diane Baylis explains how our risk education team can support GP federations and other organisations working at scale. Read more Article contains Text Tagged in... Practice Matters