HCLP candour

Question 1

what is the duty of candour?

Answer 1

openness, transparency and candour throughout the health care system - being open and honest when something goes wrong

• put matters right
• offer an apology
• explain fully and promptly what has happened and the short and long term effects

Question 2

what must you do under duty of candour if something has gone wrong?

Answer 2

notify the pt
face-to-face meeting for explanation, understanding, questions, further investigations
review, written report and learning points

a written apology must be offered

put matters right - refer

Question 3

what triggers a statutory duty of candour in dentistry?

Answer 3

an increase in pt treatment e.g., #endo file
changes to the structure of the pts body e.g., wrong tooth xla
impairment of function which lasted for at least 28 days e.g., paraesthesia after hypochlorite incident
pain/ psychological harm that lasted at least 28 days e.g., accessed wrong tooth leaving pt with irreversible pulpitis

Question 4

what did the francis report (2013) examine?

Answer 4

the causes of the failings in care at Mid Straffordshire NHS foundation trust between 2005 and 2009

Question 5

what do the recommendation of the Francis report include?

Answer 5

openness, transparency and candour throughout the health care system (including a statutory duty of candour), fundamental standards for health care providers

Question 6

how many recommendations did the Francis report include?

Answer 6

290

Question 7

what is recommendation 181 in the Francis report?

Answer 7

there should be a duty of candour on healthcare providers, registered medical practitioners, nurses and other registered health care professionals where there is belief or suspicion that any tx or care provided to a pt has caused death or serious injury

Question 8

what laws does statutory duty fall under?

Answer 8

Health (tobacco, nicotine etc and care) scotland act 2016
duty of candour procedure scotland regulations 2018

Question 9

what is ‘severe harm’?

Answer 9

permanent lessening of function

Question 10

what triggers a statutory duty of candour?

Answer 10

1. if the pt safety incident one that was ‘unintended or unexpected’ in the context of care provided?
2. in the opinion of a registered health professional, did the incident appear to have resulted in, or could result in: death, permanent lessening of function
3. is the harm related directly to pt safety incident rather than a natural course of the pts illness or underlying condition

Question 11

what are the short term side effects of GP extrusion into the sinus?

Answer 11

discomfort, additional surgery required

Question 12

what are the long terms of GP extrusion into the sinus?

Answer 12

possible chronic sinusitis