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.
Mr G was a 62-year-old office worker; he was overweight (BMI 29) and suffered from exercise-related angina. Mr G had several risk factors for ischaemic heart disease including smoking, diabetes mellitus and hypercholesterolaemia. Following a positive exercise test, a coronary angiography confirmed triple vessel coronary artery disease with a left ventricular ejection fraction of 45%. He was referred to Mr F, a consultant cardiothoracic surgeon, for consideration of coronary artery bypass graft (CABG) surgery.
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.
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.
Mrs M was a 64-year-old care assistant in a retirement home. She visited her GP with a two-month history of blood in her stools, altered bowel habit, and intermittent lower abdominal discomfort.
Opinion: Failure to test for HIV infection: A medicolegal question?
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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).
Nasogastric tubes are widely used in the world’s hospitals, yet in spite of fierce campaigning to expose the dangers, patients are still dying from the complications of wrongful insertion.
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.
We need to talk about death: Complaints about end of life care
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When treating a patient who has reached the end of life, clear communication and collective decision-making are as important as any clinical intervention, says Sarah Whitehouse
Last year a French psychiatrist was charged with manslaughter after failing to recognise the danger posed by her patient. Sara Williams investigates how to balance the interests of risky patients and the public
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
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.
General confidentiality principles as advised by medical defence organisations
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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
Duty of candour for GPs and dental practitioners - England
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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.
This Essential Guide to Clinical Management was produced as a resource for Medical Protection members in the UK. It is intended as general guidance only.
Media scrutiny of you and your practice of medicine could put your personal and professional reputation at risk. The MPS Press Office is staffed by communications professionals experienced in dealing with the media.
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.
General Practice remains one of the most popular of all the specialties, with about a quarter of all candidates ranking it as their top choice, and more than half likely to apply for it as one of their choices for specialty training.
Our masterclasses are tailored to Obstetricians and Gynaecologists, Orthopaedic Surgeons and General Surgeons. A one-day event consisting of interactive and practical sessions, with the aim to enhance skills in achieving more effective consultations and handling of adverse outcomes.
Workshops are expertly facilitated, using a blend of presentations, small group discussions and activities, case studies, reflective exercises and opportunities to rehearse skills.
Read real-life cases of complaints, claims and clinical negligence taken from our archives.
Chosen to give you clear learning points to help you avoid similar situations and reduce your risk, the cases also feature advice from medicolegal experts.
Initiatives to transform the NHS are changing the way GPs and consultants work. At-scale arrangements are increasingly common and clinical contracts are frequently delivered through private organisations and limited companies.
Medical Protection can provide uniquely tailored indemnity and support that we can provide for your organisation and employees.
You'll notice a few things have changed on our website. After asking our members what they want in an online platform, we've made it easier to access our membership benefits and created a more personalised user experience.
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