Articles and features 21/05/2019 A potted history of medicine Preview Article A potted history of medicine Time to read article: 2 mins Close Preview Throughout history, doctors have treated patients, and doctors have made mistakes. We delve deep into the past to see what doctors used to get away with Read more Article contains Text Tagged in... Diagnosis Complaints
News and updates 10/05/2019 Withdrawing treatment: the legal position Preview Article Withdrawing treatment: the legal position Time to read article: 1 mins Close Preview In 2018, the Supreme Court ruled that healthcare professionals across the UK no longer need to seek legal permission to withdraw treatment from patients in a permanent vegetative state Read more Article contains Text Tagged in... End of Life Care Communication
Articles and features 10/05/2019 Should you mention death when the risk is small? Preview Article Should you mention death when the risk is small? Time to read article: 3 mins Close Preview When consenting for a procedure, wherever there is a risk of death – no matter how small – would you always mention this risk? Read more Article contains Text Tagged in... Communication Decision Making
Articles and features 10/05/2019 End of life care Preview Article End of life care Time to read article: 3 mins Close Preview When treating a patient who is close to death, clear communication and collective decision-making are as important as any clinical intervention Read more Article contains Text Tagged in... End of Life Care Communication Decision Making
News and updates 09/05/2019 Communicating with families post-death Preview Article Communicating with families post-death Close Preview Guidance from NHS England underlines the importance of clear and honest communication when treating a patient who has reached the end of life. Read more Article contains Text Tagged in... End of Life Care Communication
Case report 09/04/2019 Video: Failure to act on lower back pain Preview Article Video: Failure to act on lower back pain Time to read article: 2 mins Close Preview In this video, we look at how red flags for cauda equina syndrome were missed by both GP and hospital, leading to a costly claim. Read more Article contains Video Tagged in... Complaints Claims Communication Diagnosis
Articles and features 08/04/2019 Should I declare that my patient is fit to run a marathon? Preview Article Should I declare that my patient is fit to run a marathon? Time to read article: 3 mins Close Preview GPs may be unsure about declaring patients fit to take part in physical events. Dr Emma Davies, medicolegal consultant at Medical Protection, provides advice on this common query Read more Article contains Text Tagged in... Competence
Case report 08/02/2019 Problems arise from spinal anaesthesia Preview Article Problems arise from spinal anaesthesia Time to read article: 2 mins Close Preview A 48-year-old man underwent abdominoplasty and liposuction. At the pre-operative visit, the consultant anaesthetist proposed general anaesthesia along with a spinal anaesthetic for the purpose of post-operative pain relief. Read more Article contains Text Tagged in... Anaesthetics Complaints Obstetrics & Gynaecology Claims Competence
Articles and features 07/01/2019 When patients miss appointments – should DNA mean Does Need Appointment? Preview Article When patients miss appointments – should DNA mean Does Need Appointment? Time to read article: 1 mins Close Preview 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. Read more Article contains Text Tagged in... General practice System Errors Managing clinical risk
Articles and features 21/12/2018 The cost of claims – control through proportionality Preview Article The cost of claims – control through proportionality Time to read article: 3 mins Close Preview 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 Read more Tagged in... Claims
Factsheet 19/12/2018 Record-keeping Preview Article Record-keeping Time to read article: 2 mins Close Preview 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. Read more Article contains Text Tagged in... Northern Ireland Data Protection Wales Scotland England Record keeping
Factsheet 19/12/2018 NHS Complaints Procedure - Wales Preview Article NHS Complaints Procedure - Wales Time to read article: 3 mins Close Preview The regulations on NHS complaints in Wales are designed to make complaints handling open and accountable, fair and proportionate, and patient-focused. The emphasis is on resolving concerns in a timely fashion, openly and honestly, and a philosophy of “investigate once, investigate well”. Read more Article contains Text Tagged in... Ethics Professionalism Wales Complaints
Factsheet 19/12/2018 Medication Preview Article Medication Time to read article: 2 mins Close Preview Read more Article contains Text Tagged in... Ethics Wales Professionalism Scotland Northern Ireland England
18/12/2018 Giving Evidence - Courts and Inquests Preview Article Giving Evidence - Courts and Inquests Time to read article: 7 mins Close Preview As a doctor, you may be asked to give evidence in many different types of tribunals, including criminal or civil courts, the coroner’s court and employment or mental health tribunals. Read more Tagged in... England Wales Professionalism Ethics
Factsheet 11/12/2018 Duty of candour and reporting concerns Preview Article Duty of candour and reporting concerns Time to read article: 4 mins Close Preview Read more Article contains Text Tagged in... Scotland Professionalism England Wales Ethics Northern Ireland
Factsheet 10/12/2018 Consent Preview Article Consent Time to read article: 7 mins Close Preview Read more Article contains Text Tagged in... Wales Scotland Northern Ireland Consent England Ethics
Factsheet 07/12/2018 Confidentiality Preview Article Confidentiality Time to read article: 10 mins Close Preview Read more Article contains Text Tagged in... Scotland Northern Ireland Wales Patients Confidentiality England
Factsheet 07/12/2018 Communicating with patients Preview Article Communicating with patients Time to read article: 4 mins Close Preview 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. Read more Article contains Text Tagged in... Wales Professionalism Patients Scotland England Communication
Factsheet 07/12/2018 Chaperones Preview Article Chaperones Time to read article: 4 mins Close Preview 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. Read more Article contains Text Tagged in... England Scotland Generic Medicine Ethics Wales Reputation management
Case report 27/11/2018 Video: Two years of Multiple Jeopardy Preview Article Video: Two years of Multiple Jeopardy Time to read article: 6 mins Close Preview A patient dies after amoxicillin reaction – we support GP through criminal investigation, inquest and GMC hearing. Read more Article contains Video Tagged in... GP indemnity
Case report 27/11/2018 Video: Living up to expectations Preview Article Video: Living up to expectations Time to read article: 6 mins Close Preview Dealing with claims accounts for about 1/5 of the cases we handle. This video examines a claim made against a consultant surgeon because he left out critical information from a patient’s notes. Read more Article contains Video Tagged in... Managing clinical risk Casebook Scotland Casebook
Case report 27/11/2018 Video: Chain reaction Preview Article Video: Chain reaction Time to read article: 6 mins Close Preview This video provides some valuable lessons in diagnosis, documentation and the information that needs to be communicated to patients. Read more Article contains Video Tagged in... Record keeping Complaints
Case report 27/11/2018 Video: Anatomy of a claim Preview Article Video: Anatomy of a claim Time to read article: 6 mins Close Preview This video looks at a scenario where a patient brought a claim against three GPs in the same surgery, and how understanding the varied claims enabled us to support the doctors throughout the whole process. Read more Article contains Video Tagged in... GP indemnity GP
Case report 27/11/2018 Video: Caught by consent Preview Article Video: Caught by consent Time to read article: 6 mins Close Preview A private neurosurgeon faces questions on consent, following a lumbar microdiscectomy sciatica and back pain. Read more Article contains Video Tagged in... Orthopaedics Casebook Consent Casebook Scotland Record keeping