An essential guide to consent - Voluntariness
Patients overtly coerced into undergoing treatment they do not want can rightly claim that their “consent” was not given freely and is therefore not valid. Cases of overt coercion are rare, but there are circumstances in which patients may feel that they have been covertly pushed into accepting treatment they would prefer not to have had. For example, in some circumstances patients may find it very difficult to say “No” to the proposed treatment, or to challenge the doctor’s assumption that they would have no objections to going ahead.
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Learning From Events
With more than 300 million patients consulting with primary care teams annually it’s unfortunately inevitable that a proportion will suffer some form of unintentional harm, mostly of low to moderate severity. Research has suggested that around 1-2% of consultations in primary care are associated with an adverse event. The cost of harm – to patients, to those working in healthcare, and to productivity – is significant.
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MEMBERSHIP LEVELS
It costs your practice nothing to set up a Practice Xtra group – it’s just a way of bringing all our GPs together into a single group while continuing to provide world-class defence, advice and support to them. You can choose from two levels of benefits to reward this cooperative approach. This level depends on how many GPs there are in your practice and how many are Medical Protection members.
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Championing change
Whether it’s a revised piece of GMC guidance, or a Bill going through the Scottish Parliament, we use our expertise to inform debates about changes that could affect your practice.
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Getting the most from your membership
Your eligibility for assistance You must be a member of MPS at the time of the event in order to be entitled to request assistance. The event must not predate the point you joined or rejoined MPS. You must have paid the correct subscription rate and abide by the terms of membership, as laid out in the Memorandum and Articles of Association and associated guidance documents, and it is important to be aware of them. You must inform us if the scope of your practice changes. Withholding information or providing false or misleading answers is likely to adversely affect entitlement to the benefits of membership and, in certain circumstances, membership may be terminated.
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Careers - Core skills series: Communication
In this series we explore the key risk areas in general practice
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Opinion: Failure to test for HIV infection: A medicolegal question?
Dr Michael Rayment and Dr Ann Sullivan, Department of Sexual Health and HIV Medicine, Chelsea and Westminster NHS Foundation Trust (on behalf of the British Association for Sexual Health and HIV, and the British HIV Association).
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Rising nurse claims
MPS has seen a steady rise in the number of claims involving practice nurses, with ‘delay in diagnosis’ being the most common type of claim. Kate Taylor, Clinical Risk Manager, MPS Educational Services, reveals more
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Support with CQC: Fundamental standards
The CQC’s new regulations introduce the new fundamental standards, detailed below.
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Professional Practice Manager
If you are a Practice Xtra member with gold level benefits, you can subscribe to Croner-i Professional Practice Manager online information service, an essential time-saving resource for busy practice managers.
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Unwelcome patient attention
Sessional GP and MPS medicolegal consultant Dr Rachel Birch shares a case scenario about a patient who stalked her GP
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Getting to grips with fit notes
A common question in general practice: “Ms P’s fit note runs out on Monday – can you do her another one?” Your answer should be considered carefully as the following case illustrates, explains Dr Rachel Birch, GP and medicolegal adviser at MPS
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Opinion: Getting the best out of online reviews
Dr Neil Bacon, founder of www.iwantgreatcare.org, discusses how to maximise the potential of patient feedback.
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An inconvenient truth
Over half of respondents to an MPS survey admitted to regret over their failure to raise concerns in the workplace. Gareth Gillespie looks at how obstacles to whistleblowing can be overcome.
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The worst of times
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
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Complaints culture
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
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Introduction
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.
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Day in the life of… Dr Pixie McKenna
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.
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General confidentiality principles as advised by medical defence orga...
General confidentiality principles as advised by medical defence organisations
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
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Provision of medicolegal reports/acting as a medicolegal expert
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.
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Duty of candour for GPs and dental practitioners - England
The duty, which was introduced by the government through regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, applies to NHS organisations such as trusts and foundation trusts, to secondary care clinicians, and to bodies including GP practices, dental practices and care homes.
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