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Module 8 > Healthcare Law & Professionalism > Flashcards

Healthcare Law & Professionalism Flashcards

1
Q

How would you first know you have had a complaint from the GDC and what action would you take?

A

You will get a letter from a GDC caseworker advising there is a fitness to practice. Do not respond to this and contact your indemnity.

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2
Q

How many case examiners are assigned to a complaint and what kind of examiners are these?

A

2 examiners per complaint - 1 non registrant and 1 registrant e.g dentist

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3
Q

What are the possible actions that case examiners can do in response to a complaint?

A
  1. Take no action
  2. Send a letter of advice
  3. Agree undertakings
  4. Issue a published warning, posted on GDC register on website
  5. Send forward to practice committee
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4
Q

What is the interim orders commitee? (IOC)

A

A commitee running separate to the GDC where a registrant can be referred to if they’ve had a GDC complaint. They cannot erase you however they can give suspensions of up to 18 months if public interest is of concern.

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5
Q

Name 3 practice committees.

A
  1. Professional conduct committee
  2. Professional performance committee
  3. Health committee
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6
Q

What test do the “Professional performance commitee” use to conclude there is impaired fitness to practice.

A

Two stage test:
1. Do the proven facts amount to misconduct?
2. Is the registrant’s fitness to practice currently impaired?

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7
Q

Name findings and sanctions that can apply after a GDC complaint.

A
  • No misconduct found
  • No case to answer
  • No impairment
  • Reprimand
  • Conditions for up to 3 years
  • Suspension from register of up to 12 months
  • Erasure (cannot apply for restoration for 5 years)
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8
Q

How many days must you appeal within after GDC decision.

A

28 days

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9
Q

In what type of cases is misconduct often found in

A

Periodontal cases

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10
Q

If you can show that the current fitness to practice is; easily remediable, has been remedied and highly unlikely to be repeated then the registrants outcome could be less severe. True or false?

A

True

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11
Q

Give a definition of insight

A

Insight: the capacity to gain an accurate and deep understanding of something.​

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12
Q

Give a definition of remediation

A

Remediation: The act or process of remedying something that is undesirable or deficient.​

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13
Q

Give examples of how a registrant can show insight to the GDC

A
  • Admission of deficiencies
  • Reflective learning
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14
Q

Give examples of how a registrant can show remediation to the GDC

A
  • Proof of CPD
  • Audit
  • Awareness of guidelines
  • Peer review & mentor
  • PDP/ reflective log improvements in records
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15
Q

Give examples of non-clinical and other issues considered by the GDC.

A
  1. Criminal charges
  2. Illegal practice
  3. Dishonesty
  4. Operating out with scope
  5. Professional disputes
  6. Behaviour on social media
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15
Q

Give examples of non-clinical and other issues considered by the GDC.

A
  1. Criminal charges
  2. Illegal practice
  3. Dishonesty
  4. Operating without of scope
  5. Professional disputes
  6. Behaviour on social media
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16
Q

Give examples of different ways you can refer a patient

A
  • Electronically by standard form
  • Letter
  • Phone
  • Secured emails
  • Combination (phoning you don’t have evidence therefore follow up with email/letter)
  • Dialling 999
17
Q

Give examples for when you would provide an urgent referral

A
  1. Cancer is suspected
  2. Potentially airway threatening swelling
  3. Life-threatening sepsis
  4. Medical emergency in surgery
  5. Major child/ adult protection issue
  6. Suicide risk
18
Q

You should find out about local referral pathways & criteria at your practice. Give examples of who you can refer to when referring a patient.

A
  • Dental Hospital
  • District general hospital
  • Another GDP
  • Private dental specialist
  • General Medical Practitioner
  • Other health professional
  • Medical specialist (cardiology or haematology)
19
Q

Name key features of a referral letter, what kind of information is essential to include?

A
  1. Contact details of patient
  2. State whether you are looking for advice or treatment?
  3. State priority - routine or urgent?
  4. Compact summary of major issues & history
  5. RELEVANT social/medical history
  6. Any other concerns you may have
  7. Relevant enclosures (Radiographs etc)
  8. Copying others in e.g GP
20
Q

Describe when it would be useful to write to a patient using plain language rather than just verbally at their appointments.

A
  • Useful for complex options
  • When they wont take your advice
  • Good for giving oral health advice
  • Good part of the consent process (costs, risks etc)
21
Q

Name different types of indemnity providers

A
  1. Discretionary (MDDUS, DPL, DDU)
  2. Insurance based (BDA, TDS)
  3. Crown indemnity (NHS hospitals)
  4. Corporate schemes (Oasis)
22
Q

When changing indemnity, you must get indemnity which not only covers you for the treatment you are going to carry out but also the treatment you have carried out in the past. True or false?

A

True

23
Q

In what situations would you contact indemnity for support?

A
  • Complaints
  • Claims for compensation
  • Ethical issues
  • Raising concerns
  • Child protection issues
  • CQC, NHS, Ombudsman
  • Some professional disputes
  • Reputational damage
  • Employment Law advice (if owning a practice)
  • GDC fitness to practice
24
Q

What kind of information do you need to disclose to the indemnity provider to ensure you are fully covered for your treatment.

A

Where you work
The hours you work
Your scope of practice
Your grade: e.g implants have an additional cost

25
Q

What must a CPD certificate have to ensure this is valid to count towards your CPD hours?

A

Must have a development outcome e.g Outcome A,B,C or D.

26
Q

What kind of information should you be writing down when filling out a personal development plan (PDP)?

A
  1. What skills or knowledge have you identified that need developing?
  2. Why have you identified this?
  3. What GDC outcome does this come under: A,B,C,D?
  4. What activities you can do to develop this?
  5. What are your target dates for review and completion?
27
Q

What is the purpose of appraisals?

A

Used for motivation, it highlights positive feedback as well as areas to improve. It gives the opportunity to create a PDP.

28
Q

Why is appraisals important in healthcare

A

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

29
Q

Appraisals are a contractual obligation for all dental staff employed in PDS and hospital dental services however they are also expected to be used in dental practices. True or false?

A

True

30
Q

Who should get appraisals in a dental practice and how often should these be carried out?

A

Who: All staff e.g dentists, therapists, nurses, receptionists, practice manager etc
When: Annually

31
Q

Who should carry out appraisals in the dental practice?

A

Varies but usually practice owners/managers.

32
Q

What sort of evidence should you bring or discuss at an appraisal?

A
  • Complaints/compliments
  • PDP
  • Job role
  • Additional roles
  • Probity
  • Health
  • Significant event analysis (SEA)
  • Quality improvement activities e.g audit.
33
Q

What do the abbreviations HIS and CQC stand for and what are their roles?

A

HIS : Health Improvement Scotland (Scotland)
CQC: Care Quality Commission (England)
Role: Healthcare body that does practice inspections, sets standards

34
Q

What do the abbreviations NES and COPDEND stand for and what are their roles?

A

NES: National Education Scotland
COPDEND: Confederation of post graduate deanery.
Role: Responsible for training e.g VT training

35
Q

What do the abbreviations NHSBSA and NHSNSS stand for and what are their roles?

A

NHSBSA: National Health Service Business Service Authority
NHSNSS: National Health Service National Services Scotland
Role: Pay NHS primary dental care dentists (associates).

36
Q

What do the abbreviations SPPA and BDA stand for and what are their roles?

A

SPPA: Scottish Public Pensions Agency
BDA: British Dental Association
Role: Trades union

37
Q

What do the abbreviations SDR and UDA stand for and what are their roles?

A

SDR: Statement dental remuneration
UDA: Units of dental activity
Role: Item of service, paid for what you do in Scotland however banded in England.

38
Q

What do the abbreviations NICE and SDCEP stand for and what are their roles?

A

NICE: National Institute Care Excellence
SDCEP: Scottish dental clinical effectiveness programmes
Role: Develop guidelines

39
Q

What do the abbreviations TPD and ES stand for and what are their roles?

A

TPD: Training Programme Director
ES: Educational Supervisor
Role: ES- VT trainer
TPD- overlooks VT trainers

40
Q

Give examples of local authorities that would be useful to know that are near the practice you work in.

A
  • Practice specialists in your area
  • Safeguarding- child/adult
  • Cardiologist
  • Local interpretors
  • Doctors
  • INR clinic/Haematology
  • Pharmacy
  • Mental Health organisation
    etc

Module 8 (8 decks)

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