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HCLP/GDC STANDARDS > HCLP > Flashcards

HCLP Flashcards

1
Q

What is the function of the GDC?

A
  • to protect patient safety
  • maintain public confidence in dental services
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2
Q

How do GDC undertake their role? (4)

A
  • MAINTAIN a register - dentists, dcps, specialists
  • SET standards - standards for the dental team
  • investigate complaints about registrants - fitness to practice
  • ensure quality of dental education - undergraduate, postgraduate
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3
Q

how can a dental professional approach their practice? (6)

A
  • application of basic clinical sciences
  • clinical reasoning and judgement
  • communication
  • health promotion
  • attitudes, ethical stances and legal responsibilities
  • information handling
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4
Q

What is REGULATION within dentistry?

A

Regulation is simply a way to make sure that healthcare professionals are safe to practise and remain safe to practise throughout their career - PROFESSIONAL STANDARDS AUTHORITY

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5
Q

How can we describe EFFECTIVE communication in healthcare?

A

it is a process of exchanging ideas, thoughts, knowledge and information such that the purpose or intention is fulfilled in the best possible manner. In simple words, it is a two way process where views are exchanged in a way best understood by both patient and health care worker.

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6
Q

What is a complaint?

A

any expression of dissatisfaction by a patient (or their representitive) about a dental service or treatment, whether justified or not.

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7
Q

When are patients most likely to complain? (5)

A
  • you APPEAR to be too busy to listen
  • you appear to be unwilling to listen
  • you interrupt them giving them no chance to speak
  • you appear to be dismissive of their views
  • you appear to be disinterested in them as a person
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8
Q

How can we address unrealistic expectations?(4)

A
  • effective listening helps you discover unrealistic expectation
  • respectfully correct an unrealistic expectation
  • be particularly concerned about patients who resist correction
  • NOTE DOWN DISCUSSIONS!
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9
Q

what is the commonest communication issue leading to complaints and claims?

A

critical comments by other team members - COMPLAINTS AND YOU COLLEAGUES

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10
Q

What are the 2 key principles regarding the communication aspect to “risk and your colleagues”

A
  • always give an honest account of your clinical findings
  • try not to criticise another dental professional
  • IT IS ALL ABOUT EFFECTIVE COMMUNICATION (when having difficult conversations)
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11
Q

What can we do to EFFECTIVELY communicate with patients?

A
  • CLEAR
    C - CONNECT (vocab, tone, offer help)
    L- LISTEN (open ended questions)
    E - EMPATHISE (summarise and acknowledge)
    A - ASK (expectations, concerns, permission for closed questions)
    R - REVIEW AND CHECK (confirm, correct, well-being, closure)
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12
Q

What can we do to effectively communicate in writing to patients?(5)

A
  • PLAIN LANGUAGE
  • good part of the consent process
  • useful for complex options
  • when they wont take your advice
  • good for giving oral health advice
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13
Q

What action do we take regarding communication via social media?

A
  • if a patient contacts you through your private profile, you should explain that it is not appropriate to mix social and professional relationships - direct them to your professional profile.
  • you MUST NOT USE SOCIAL MEDIA TO DISCUSS INDIVIDUAL PATIENTS or their care, with those patients or anyone else.
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14
Q

What are the 4 different effective communicators for the dental team?

A
  • leadership by example
  • team training
  • phone training
  • individual training
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15
Q

How can we avoid complaints?(4)

A
  • professionalism
  • effective communication
  • compassionate care
  • managing expectations
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16
Q

What is the complaint management under the GDC standards ?

A

patients expect - their concerns or complaints to be acknowledged, listened to and dealt with promptly

WE MUST: - effective complaints procedure must be readily available and followed at all times
- respect the right to complain
- prompt and constructive response

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17
Q

What is the ACTUAL complaints management under the GDC STANDARDS DOCUMENT

A
  • 5.2.1 You should not react defensively to complaints. You should listen carefully to patients who complain and involve them fully in the complaints process. You should find out what outcome patients want from their complaint.
  • 5.3.8 You should offer an apology and a practical solution where appropriate.
  • 5.3.9 If a complaint is justified, you should offer a fair solution. This may include offering to put things right at your own expense if you have made a mistake
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18
Q

What is the NHS Scotland complaints handling proceudre? (CHP)

A

stage 1 - earlyr resolution “on the spot” within 5 working days
stage 2 - investigation - completed in 20 days
stage 3 - independant external review
- NHS boards should have a “complaints and feedback officer”

19
Q

What will a RESPONSE within complaint management include? (8)

A
  • an explanation of how the complaint has been considered
  • an apology if appropriate
  • an explanation based on facts
  • whether the complaint in full part or is upheld
  • the conclusions reached including any action that the organisation considers to be appropriate
  • confirmation that the trust/board is satisfied any action has been or will be actioned
  • where possible, response about any lessons learnt
  • further info about complaints process
20
Q

what is the dental professionals role in responding to a complaint?(4)

A
  • cooperate with investigation
  • input into response and seek advice regarding this
  • reflect on your acts and omissions
  • discuss learning points at review interviews and appraisals
21
Q

What is negligence?

A

DUTY OF CARE !
3 aspects:
- duty of care
- breach of duty
- causation of harm

22
Q

Under the GDC standards, what is in place for claims for compensation?

A

1.8 - have appropriate arrangements in place for patients to seek compensation if they suffer harm
1.8.1 - you must have appropriate insurance or indemnity in place to make sure your patients can claim any compensation to which they may be entitled
1.8.2 - you should ensure that you keep to the terms and conditions of your insurance or indemnity and contact the provider as soon as possible when a claim is made

23
Q

What can patients claim for compensation dental treatment wise?

A
  • endodontics
  • complex crown/bridge cases (occlusion)
  • cosmetic dentistry of all kinds
  • facial aesthetics
  • failure to diagnose
24
Q

What are the problems of claims for compensation? (4)

A

stressful
time and delay
unwanted negative publicity
unwanted additional paperwork

25
Q

what are the positives in regard to claims for compensation

A

reflection
opportunity to change practice methods

26
Q

What is compensated when a patient claims

A

reimbursement of treatment
pain suffering and loss of amenity solicitors fees

27
Q

what are the 4 potential outcomes of claims for compensation

A

settled, without admission of liability (without admission of anyone’s fault)

patient/patients solicitors no longer pursue case (its dropped)

defend- out of court settlement (agree to settle without a judge awarding compensation)

defend - court (win or lose)

INDEMNITY COVER MOST COSTS (insurance)

28
Q

What are the 9 GDC STANDARDS for the dental team?

A
  1. put patients interests first
  2. communicate effectively with patients
  3. obtain valid consent
  4. maintain and protect patients information
  5. have a clear and effective complaints procedure
  6. work with colleagues in a way that is in patients best interests
  7. maintain, develop and work within your professional knowledge and skills
  8. raise concerns if patients are at risk
  9. make sure your personal behaviour maintains patients confidence in you and the dental profession
29
Q

What are the 3 different practice committees

A
  • professional conduct committee
  • professional performance committee
  • health committee
30
Q

under standard 4 of the GDC - maintain and protect patients information, what is relevant to PERIO treatment?

A

4.1.1 - you MUST make and keep complete and accurate pt records, including up to date medical history, each time that you treat pts
4.1.2 - you should record as much detail as possible about the discussions you have with your patients, INCLUDING EVIDENCE THAT VALID CONSENT HAS BEEN OBTAINED

31
Q

under standard 7 of the GDC - maintain, develop and work within your professional knowledge and skills , how does this relate to perio disease?

A

you must:

7.1 - provide good quality care based on current evidence and authorative guidance
7.3 - update and develop your professional knowledge and skills throughout your working life.

32
Q

under standard 2 of the GDC - communicate effectively with patients, what must we follow regarding perio disease?

A

we must:
2.1 - communicate effectively with patients, listen to them ,giving them time to consider information and take their individual views and communication needs into account
2.3 - give patients the information they need, in a way they can understand, so they can make informed decisions.

33
Q

What does INSIGHT AND REMEDIATION MEAN

A

INSIGHT - the capacity to gain an accurate and deep understanding of something

REMEDIATION - the act or process of remedying something that is undesirable or deficient (you fix it/agree/talk about stuff and itll be fixed)

WE NEED TO DEMONSTRATE TO THE GDC THAT WE NOW UNDERSTAND WHERE WE WENT WRONG AND THAT WE HAVE REMEDIED OR ARE ACTIVELY REMEDYING THE SITUATION!

34
Q

What are some examples of NON-CLINICAL issues considered by GDC

A
  • criminal charges
  • professional disputes
  • behaviour on social media
35
Q

describe the standard 9 regarding social media and the GDC

A

standard 9.1.3 - you should not publish anything that could affect patients and the publics confidence in you, or the dental profession, in any public media, unless this is done as part of a raising concern

36
Q

What is the dental professionals duty of candour? (have to be genuine and honest)

A

” you must be open and honest with patients if things go wrong. if a patient under your care has suffered harm or distress, you should:
- put matters right
- offer an apology
- explain fully and promptly what has happened and the likely short-term and long-term effects

37
Q

What is an organisations statutory duty of candour? (working within all legal boundaries and professional standards)

A

the law terms “organisations” as “ responsible person” - eg practice i work in they need to check my background/qualifications etc. means there statutory of candour has failed

38
Q

Where does STATUTORY duty come from?

A

Health (Tobacco, Nicotene etc and care) (scotland) Act 2016
Duty of Candour Procedure Regulations 2018

THIS IS LEGISLATION AND POLICY - LAW

39
Q

What triggers a statutory duty of candour?3

A
  1. if the patient safety incident one that was ‘unintended or unexpected’ in the context of the care provided?
  2. Did the incident appear to have resulted in, or could result in:
    death or permanent lessening of function
  3. was the harm related directly to the patient safety incident rather than the natural course of the patient’s illness or underlying condition
40
Q

Why do we appraise?

A

the appraisal process allows for positive feedback as well as highlighting areas for improvement eg health issues. it gives an opportunity to discuss a personal developmental plan to enhance skills. it motivates people

41
Q

why is the appraisal system important in healthcare?

A

essential to maintain the public, employer, self and other healthcare workers confidence in the safety and effectiveness of the dental profession

42
Q

how often are appraisals carried out in practice?

A

ANNUALLY

43
Q

What different indemnity providers do we have

A

discretionary
insurance based
crown indemnity
corporate schemes

44
Q

how can we create a good PDP/CPD that will satisfy the GDC?

A

5 year cycle
mandatory annual reporting by a deadline
specific criteria
recommended topics
mandatory REFLECTION!
SMART - specific, measurable, achievable, realistic, time bound

HCLP/GDC STANDARDS (3 decks)

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