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How to avoid a medical manslaughter investigation


More anodyne and totally useless advice from the MDOs who are totally detached from the reality at the coalface. 1 Work within your capabilities: GPs are constantly being pressured to take on extra risk beyond everyday practice but when for example we refused to prescribe hormones for gender dysphoria even the GMC threatened us. 2 Understand and follow any local procedures: All very well and good but patients don’t come neatly wrapped up ready to respond to reams and reams of NICE guidance, much of which is so controversial of late it has had to be amended. Even Pulse ran a issue questioning if NICE was a laughing stock! 3 Conduct and document a full and complete clinical assessment: Seems reasonable until you realise we only have 10 minutes per patient so we have little choice but to keep notes concise. Patients often have agendas that conflict with this defensive practice. Lawyers on the other had can take months to draft a basic contract. 4 Think about patient safety in your CPD planning: reasonable but a lot of the events reported are complex multi-level systems failures. 5 Be flexible in your thought processes: You seem to be suggesting we refer more when all the top-down pressure is on referral management and reducing tests. DOH is in total denial about us being woefully under-resourced compared to most of Europe. 6 Embed patient safety initiatives in your practice: This is a gimmick - the junior doctors have been screaming this for the last year and just been walked all over. The government have not interest in safety because it is expensive and are actively pushing practices to fail. 7 Flag up systems or practices you believe are unsafe and address them: Most of the high-risk systems are beyond are control and imposed from the top, for example shoddy software that regularly crashes, the disastrous sale of patient services to Serco and the constant pressure to take on ‘shared care’ drugs with no extra resource. We’ve recently seen that Junior Doctors have no statutory whistleblowing protection because it was ‘a conscious choice of parliament.’ 8 Make sure serious incident investigations are properly conducted: We already participate in Significant Event Analysis but most of these relate to unusual events or the tide of vexatious complaints. GPs need to concentrate on normal care for common problems. More often than not things go wrong because medical staff are overwhelmed. What has become clear is that the medico-legal system in the UK has grown unchecked into an abusive and exploitative industry that acts with impunity and not in the best interests of patients. Persecution of medical staff is a gross breach of human rights but the MDOs are staying silent because they have a conflict of interest and make huge profits from this rapidly growing area of law. The MDOs should have spoken out against all this but they’ve chosen not to. Perhaps it’s time for them to bear some responsibility for the monster they have helped create?

Posted date

04 Oct 2016

Posted time