Legal Issues Flashcards
What are the 3 main legal duties?
- Duty of Care
- Duty to act in good faith
- Duty to obtain informed consent
What is the duty of care?
(at common law):
To take reasonable care to practice physio in accordance with the professions accepted standers in order to avoid foreseeable risk of injury to patients
How to meet duty of care?
- how obvious is the thing that gives rise to risk
- what are the potential consequences
- what can be done to overcome the risk
- is the patient relying on you to be safe
Duty of Care (statutory obligation)
Person does not breach unless:
- risk was foreseeable
- risk was not insignificant
- a reasonable person would take precautions
To decide whether a reasonable person would take precautions, court considers…?
- probability that harm would occur if care not taken
- likely seriousness of the harm
- burden of taking precautions
- social utility of the activity
Consent and informed consent?
- Duty to warn a patient of material risk
2. Duty to obtain consent to examine and treat
Duty of good faith?
- Common law duty that practitioner must act in the patients best interests
- In conflict of interest, the patients best interests must be preferred
–> Must be ACTUAL and APPARENT
Examples of acting in good faith?
- Don’t over treat
- No personal relationships
- Don’t share personal matters
- Don’t refuse to treat bc of detriment to you
Existing legislation for Professional Standards?
- Health Practitioner Regulation National Law Act (2009)
- Health Ombudsman
- Privacy Act
- Work Health and Safety Act
- Anti-Discrimination Act
Health service complaints?
Made to the Health Ombudsman - decides whether to accept/reject the complaint
What should HO do if they accept the complaint?
- Assess
- Facilitate local resolution
- Take immediate action (for notifiable matters)
- Investigate
- Refer complaint to national agency (AHPRA)
- Refer to QCAT (disciplinary action)
When is immediate action required for complaints?
- Practicing intoxicated
- Financially exploiting a pt
- Sexual misconduct
- Discouraging pt from seeking clinically accepted treatment
- False claims about benefits of treatment
- False claims about qualifications
Categories of breaches of professional conduct?
- Professional misconduct
- Unprofessional conduct
- Unsatisfactory professional performance
Professional misconduct?
- Conduct substantially below the standard reasonably expected of a registered health practitioner of an equal level of training/experience
- Multiple instances of unprofessional conduct
- Conduct of that health practitioner that is inconsistent with the practitioner being a fit and proper person to hold registration in the profession
Unprofessional conduct?
- contravention by the practitioner of the national law
- conviction for an offence under another Act which may affect the practitioners suitability to continue to practice the profession
- health services that are excessive, unnecessary or otherwise not reasonably required
- influencing the conduct of another reg. HP in a way that may compromise patient care
- accepting benefit as inducement, consideration or reward for referring another person to health service provider
- referring a person to another health service provider if the practitioner has a pecuniary interest in giving that referral (unless its disclosed to pt)