Revision 22/04 Flashcards
How long must continuous service be to qualify for statutory maternity pay?
26 weeks (6 months)
It is payable for up to 39 weeks
Access to Health Records Act 1990 (Northern Ireland 1993)
provides qualified right of access to a deceased individuals health records where the person seeking access has an interest in the estate of the deceased. The ethical obligation to respect a patient’s confidentiality extends beyond death. Unless the individual requested confidentiality while alive, a patient’s personal representative and any other person who may have a claim arising out of the patient’s death has a right of access to information in the deceased person’s records directly relevant to a claim.
It is the BMA’s opinion that under section 5(4) of the Access to Health Records Act, no information which is not directly relevant to a claim should be disclosed to either the personal representative or any other person who may have a claim arising out of the patient’s death.
Access to Medical Reports Act 1988
allows patients to see medical reports about them, for employment or insurance purposes, written by the doctor with whom they normally have a patient/doctor relationship. They may see the report before it is supplied or for up to six months afterwards. Access to the report may be denied in certain circumstances - if the reporting doctor feels that it contains information which may cause serious mental or physical harm to the patient, or if it contains information from a third party who has not given consent to disclosure. If they disagree with any part of the report, they may withdraw consent for it to be supplied, ask for agreed inaccuracies to be altered, or require that a note be added outlining the differences between their view and that of the reporting doctor.
Data Protection Act 1998
act applies to all of the UK and governs access to the health records of living people. Individuals have a right to apply for access to health records irrespective of when they were compiled (subject to conditions outlined in BMA guidance).
It applies to health records held by NHS bodies and to the private health sector. It also applies to employers who hold information relating to the physical or mental health of their employees if the record has been made by, or on behalf of, a health professional in connection with the care of the employee.
Freedom of Information Act 2000
general right of public access to all types of recorded information held by public authorities (including GP practices), sets out exemptions from that general right and places a number of obligations on public authorities. A response to a request for information must be made within 20 working days. From a GP’s perspective, this Act is intended to cover general information held by the practice, not personal health information which is covered by other legislation (e.g. the Data Protection Act). It is important to get this correct. If in doubt one is advised to discuss the matter with a medical defence organisation.
Health and Social Care Act 2001
conveys powers to the Secretary of State for Health (in England and Wales) to make regulations to enable, or require the release of, patient information where disclosures would otherwise be restricted by the common law. This is a wide-ranging act but, concerning information, it mainly relates to processing patient information for the diagnosis and treatment of cancer, the recognition, control and prevention of communicable diseases or other risks to public health.
How should gabapentin be weaned?
300mg every one to two weeks
How should opiates be weaned?
Dose reduction of 10% every one to two weeks
What is the time limit for patients to complain about NHS care?
Within one year/12 months
How long is there fore a formal complaint to be acknowledged?
3 working days
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013
puts duties on employers, the self-employed and people in control of work premises to report certain serious workplace accidents, occupational diseases and specified dangerous occurrences (near misses).
For an occupational disease to be reportable it must be one of the eight types of condition, and it must be likely that it was caused or made worse by the person’s current work:
Carpal tunnel syndrome
Cramp of the hand or forearm
Occupational dermatitis
Hand arm vibration syndrome
Occupational asthma
Tendonitis or tenosynovitis
Occupational cancer
Exposure to a biological agent
How long can mirena remain in for?
Contraception- 8 years
4 years if for HRTU
Up to what gestation can an abortion be undertaken?
The pregnancy has not exceeded its 24th week and the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman
Can be done after 24 weeks if severe anomaly or risk of harm to mumow
