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Law and Ethics > Organisations > Flashcards

Organisations Flashcards

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1
Q

List the organisations and bodies relevant to dentistry

A 
GDC 
CQC 
FGDP 
BDA 
CCG 
Local authority teams 
Clinical governance 
DDU 
Dental protection 
NICE
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2
Q

What is the GDC

A

UK-wide statutory regulator of dental professionals

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3
Q

What are the aims of the GDC

A

Protect patient safety
Maintain confidence in dental services
Promote welfare

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4
Q

What do the GDC do to meet their aims?

A

Register and regulate dental professionals
Set standards for the dental team
Investigate claims against fitness to practice
Ensure quality of dental education

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5
Q

What is the ‘dental team’ made up of?

A 
Dentists 
Dental nurses 
Hygienist 
Dental therapists 
Orthodontic therapists 
Dental technician 
Clinical dental technician
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6
Q

GDC definition of principles

A

Core ethical fundamentals for clinical practice

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7
Q

What is the purpose of standards

A

Standards are set to ensure patient expectations are met

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8
Q

What is the purpose of guidance

A

Helps dentists meet the standards for care

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9
Q

What are the 9 GDC principles

A
  1. Put patient interests first
  2. Communicate effectively with patients
  3. Obtain valid consent
  4. Maintain and protect patient’s information
  5. have a clear and effective complaints procedure
  6. Work with colleagues in a way that puts pt interests first
  7. Maintain, develop and work within your professional knowledge and skills
  8. Raise concerns if pts are at risk
  9. ensure professional behaviour maintains public confidence in you and the profession
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10
Q

What is the CQC (care quality commission)

A

Independent regulator of health and adult social care in England

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11
Q

What are the aims of the CQC

A

Ensure health and social care services provide people with safe, effective, compassionate and high quality care, and encourages improvement of services

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12
Q

What are the 5 key questions the CQC look for in a health and social service

A
  • Are they safe
  • Are they effective (in regards to care, tx and support)
  • Are they caring
  • Are they responsive to people’s need (e.g. access to care, raising concerns)
  • Are they well led and managed
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13
Q

What is the Faculty of General Dental Practitioners (FGDP)

A

Professional membership body for general dental practitioners in the UK

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14
Q

What are the aims of the FGDP

A

Improve standard of care through setting standards, publications, postgraduate training and assessment, education and research

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15
Q

What is the British Dental Association (BDA)

A

Trade union and professional body, representing all fields of dentistry (practice, community, hospitals, research, armed forces)

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16
Q

What are the aims of the BDA?

A

Promote interest
Advance the art, science and ethics of dentistry
Improve the nation’s oral health
Support members through professional lives
Share collective knowledge and expertise
Indemnity cover

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17
Q

What are Clinical Commissioning groups (CCG)

A

Clinically-led statutory NHS bodies, responsible for the planning and commissioning of health and care services for their local area, for example hospital and community NHS services

18
Q

What are the aims of the CCG

A

Decide which services are needed depending on the local population
Ensures services are provided to meet the needs of the local population

19
Q

What are examples of services commissioned by CCGs

A

Mental health services
Urgent and emergency care
Elective hospital services
Community care

20
Q

Primary care practices and CCGs?

A

CCGs are assured by NHS England, which retains responsibility for commissioning primary care services e.g. GPs and dental practices

21
Q

Define local authority

A

Organisation that is responsible for the provision of public services to a particular area

22
Q

What is the role of local authority teams?

A

They partner with CCGs to commission the majority of NHS services

23
Q

Define: Clinical Governance (NHS definition)

A

Framework through which NHS organisations must continuously improve the quality of services and maintain high standards of care by creating an environment in which excellence in which clinical are will flourish

24
Q

What is clinical governance a requirement of?

A

CQC and NHS

25
Q

List the principles of clinical governance

A 
CAREPUST 
Clinical effectiveness 
Audit 
Risk management and research 
Education and training 
Policies and Patient focus/public involvement 
Use information and IT 
Staff and services 
Transparency
26
Q

What are the seven key skills of clinical governance?

A 
RRRMILT 
Record keeping 
Radiograph safety 
Risk management 
Medical emergencies 
Infection control 
Legislations and guidelines 
Team training
27
Q

What are the key points for record keeping

A

Confidentiality
Contemporaneous
Thorough

28
Q

What does contemporaneous notes mean?

A

Notes are current (written at the time of discussion or before next pt comes in)

29
Q

What is important when making retrospective notes?

A

Justify why there was a delay in note taking

30
Q

Who do we write clinical notes for?

A
  • GDC in fitness to practice claims (most important)
  • Ourselves for medico-legal claims
  • Other members of the team caring for the patient
  • The patient if they wish to seem them
31
Q

What is a risk assessment?

A

Looking at what could go wrong or case harm, whether there are adequate measures to prevent it, or what can be done to prevent it

32
Q

How can a risk be reduced?

A
  • Identification
  • Risk assessment - high-low
  • Risk reduction, elimination or transfer
  • Reporting or recording an adverse event
33
Q

Who is responsible for risk assessments?

A
  • Employers or self-employed

- Whole team should be aware - more eyes to identify any risks

34
Q

What risk assessments are relevant in dentistry?

A
  • Chemical, electrical
  • Fire risk
  • Infection control
  • Water safety (legionella)
  • Patient safety - e.g. splashing something in eye
  • Needle stick injury
  • Medical emergencies
35
Q

Example of risk assessment

A

Risk of etchant splashing into patient’s eye when washing it with 3 in 1
Eliminate risk via use of PPE and suction

36
Q

What are the commonest medical emergencies in dentistry

A 
SAMEIAH 
Syncope 
Anaphylaxis 
MI/angina attack 
Epilepsy 
Inhalation of foreign body 
Asthma attack 
Hypoglyceamia
37
Q

What are the roles of indemnity providers and defence organisations

A
  • Provide advice to dental professionals in medico-legal situations
  • Provide compensation to patients if they are entitled to it
38
Q

What indemnity covers are recognised by the GDC

A
  • Dental defence organisations
  • Professional indemnity insurance
  • NHS indemnity
  • Employer-provided indemnity e.g. crown indemnity by the Ministry of Defence in a hospital
39
Q

What is the Dental Defence Union (DDU)

A

Specialist division of the Medical Defence Union (MDU)

40
Q

Aims of the DDU

A

Indemnify members for incidents arising from clinical care

Provide advice, information and support in professional matters

41
Q

What is Dental Protection?

A

Part of the Medical Protection Society who deal with legal and ethical problems arising from practice e.g. assistance with negligence claims, complaints, council enquires, disciplinary procedures

42
Q

What are the aims of Dental Protection?

A

Support safe practice
Avert issues arising in the first place by promotion of risk management using workshops, risk assessments, publications and conferences

Law and Ethics (3 decks)

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