Articles and features 17/06/2019 GP dilemma: prescribing valproate Preview Article GP dilemma: prescribing valproate Time to read article: 3 mins Close Preview As a GP, what should you do when a patient already taking a valproate medicine attends for another prescription without meeting specific safety criteria? Read more Article contains Text Tagged in... Decision Making Communication
Case report 29/05/2019 Video: A Nitrofurantoin Problem Preview Article Video: A Nitrofurantoin Problem Time to read article: 2 mins Close Preview A doctor's failure to link raised ALT levels with a patient's use of nitrofurantoin led to a complaint being brought against them. Watch this short video to find out how the situation arose and advice Medical Protection gave. Read more Article contains Video Tagged in... Prescribing Competence Casebook Communication Claims Complaints
Case report 22/05/2019 A tale of two doctors: the junior and the consultant Preview Article A tale of two doctors: the junior and the consultant Time to read article: 3 mins Close Preview Dr Marika Davies, medicolegal consultant, looks at the recent case of GA v Greater Glasgow Health Board [2019] CSOH 31, where the death of a 77-year-old patient raised questions over where the liability for the negligence lay: the junior doctor or the consultant? Read more Article contains Text Tagged in... Claims Communication Diagnosis
Articles and features 10/05/2019 Dying matters: medicolegal aspects of end-of-life care, DNACPR and or... Preview Article Dying matters: medicolegal aspects of end-of-life care, DNACPR and organ donation Time to read article: 2 mins Close Preview To mark the Dying Matters national awareness week, between 13 and 19 May, Medical Protection asked nearly 400 members in the UK about their experiences on a number of issues such as DNACPR, organ donation and withdrawal of treatment. Read more Article contains Text Tagged in... Capacity Decision Making Confidentiality Communication
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... Communication End of Life Care
Articles and features 10/05/2019 Understanding mental capacity: advance decisions Preview Article Understanding mental capacity: advance decisions Time to read article: 2 mins Close Preview 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 Read more Article contains Text Tagged in... Decision Making Capacity
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... Communication Decision Making End of Life Care
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... Communication End of Life Care
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... Diagnosis Complaints Claims Communication
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... Northern Ireland Communication Patients England Wales Professionalism
Case report 23/10/2018 Nausea and weight loss – what’s the cause? Preview Article Nausea and weight loss – what’s the cause? Time to read article: 2 mins Close Preview Dr W faces a regulatory hearing after a delayed diagnosis – find out how record-keeping helped the defence. Read more Article contains Text Tagged in... Decision Making Record keeping
Case report 23/10/2018 Questioning your consultant Preview Article Questioning your consultant Time to read article: 3 mins Close Preview A disagreement between a specialty trainee and her consultant lies at the heart of a regulatory hearing following a patient’s death. Read more Article contains Text Tagged in... Oncology Communication Whistleblowing
Case report 23/10/2018 A sight for sore eyes Preview Article A sight for sore eyes Time to read article: 4 mins Close Preview Ophthalmologist Dr P receives a claim alleging poor consent and technique – but is that the real cause? Read more Article contains Text Tagged in... Communication Record keeping Ophthalmology Consent
Articles and features 19/10/2018 A touchy subject Preview Article A touchy subject Time to read article: 2 mins Close Preview Intimate examinations are something that every GP will have to carry out at some point in their career, but it’s important that they are conducted in an appropriate manner, especially if one is required during a home visit. Dr Gabrielle Pendlebury, medicolegal consultant at Medical Protection, gives her advice on how best to manage these situations Read more Article contains Text Tagged in... Communication Consent
Articles and features 19/10/2018 Should you mention the C word when it is probably nothing? Preview Article Should you mention the C word when it is probably nothing? Time to read article: 3 mins Close Preview You are concerned there’s a small chance a patient might have cancer. You want to refer them for tests. Do you tell them the possible, albeit unlikely, diagnosis and risk upsetting or scaring them? Or do you try and keep them calm and not mention the C word at all? Read more Article contains Text Tagged in... Communication
Articles and features 09/10/2018 Managing conflict in general practice Preview Article Managing conflict in general practice Time to read article: 5 mins Close Preview Suzanne Creed, Clinical Risk Education Manager explains how to increase your understanding of conflict and provides some key strategies to deal with it more effectively. Read more Article contains Text Tagged in... Communication Practice Matters General practice Negotiating & influencing Conflict management
Case report 12/09/2018 Injection errors Preview Article Injection errors Time to read article: 4 mins Close Preview A common cause of claims at Medical Protection is injection errors. While generally low in value, they frequently cause anxiety to patients and clinicians, and are easily avoided. Dr Dawn McGuire, Medical Claims Adviser at Medical Protection, looks at some typical cases. Read more Article contains Text Tagged in... Communication Prescribing
Articles and features 12/09/2018 Online prescription services: what if you disagree? Preview Article Online prescription services: what if you disagree? Time to read article: 2 mins Close Preview Online prescription services offer great convenience to patients, but they also come with risks. What do you do if one of your patients has been taking medication prescribed online that you do not think they require? Dr Marika Davies, senior medicolegal adviser at Medical Protection, explores this issue. Read more Article contains Text Tagged in... Prescribing Communication
Articles and features 29/08/2018 Artificial intelligence: who’s liable? Preview Article Artificial intelligence: who’s liable? Time to read article: 3 mins Close Preview Advancements in medical technology can bring huge benefits for patients and clinicians alike – but new approaches can also mean new risks. Dr Helen Hartley, Head of Underwriting Policy at Medical Protection, looks at where the liability lies for artificial intelligence. Read more Article contains Text Tagged in... System Errors Generic medical audience General Surgery Decision Making Generic Medicine
News and updates 21/08/2018 Learning from deaths: new guidance from NHS England Preview Article Learning from deaths: new guidance from NHS England Time to read article: 3 mins Close Preview Following new guidance from NHS England, Louisa Waite considers 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... Communication End of Life Care
News and updates 20/08/2018 Legal permission is no longer required to withdraw treatment in end o... Preview Article Legal permission is no longer required to withdraw treatment in end of life decisions Time to read article: 3 mins Close Preview Healthcare professionals do not need to seek Court approval when withdrawing treatment from patients in a permanent vegetative state, following a ruling by the Supreme Court. Read more Article contains Text Tagged in... End of Life Care Consent & capacity Communication
Articles and features 06/08/2018 Is my patient fit to fly? Preview Article Is my patient fit to fly? Time to read article: 4 mins Close Preview Now that the peak holiday season is upon us, GPs may find themselves asked to declare patients “fit to fly”. Dr Rachel Birch, medicolegal adviser at Medical Protection, presents two case scenarios, illustrating what GPs can do to support patients while minimising potential risks. Read more Article contains Text Tagged in... England Communication
Articles and features 08/06/2018 Redaction and anonymisation - doing your bit for data protection Preview Article Redaction and anonymisation - doing your bit for data protection Time to read article: 1 mins Close Preview New data protection regulations came into force on 25 May and MPS is committed to fulfilling its legal obligations – correct redaction and anonymisation is one way that you can play your part in safeguarding data. Read more Article contains Text Tagged in... Communication Record keeping