UK (RCC) Legislation Flashcards

1
Q

Treat patient’s fairly & without discrimination

A

The Equality Act (2010)

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2
Q

Age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity (inc. breastfeeding), race, religion or belief, sex or sexual orientation.

A

Protected Characteristics

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3
Q

Discrimination means…

A

You should not treat one person less favorably than another on the grounds of one or more protected characteristic

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4
Q

Under the Equality Act you, as a chiropractor, can NOT refuse to ________ OR ________ on the grounds of a protected characteristic

A

Take on a patient OR continue treating them

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5
Q

Protect children from harm, ensure their health and wellbeing and make sure that children’s views and interests are recognized

A

The Children Act (2004)

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6
Q

Child is…

A

Under 18 years old

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7
Q

A young Person is….

A

16/17 years old

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8
Q

Under the Children’s Act you have a duty to ______ in order to make sure children are properly looked after

A

co-operate with other organisations (local authority, police, other healthcare providers)

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9
Q

Report concerns regarding a child to… x2

A

Local Council

NSPCC

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10
Q

What is the NSPCC. What is it for?

A

National Society for the Prevention of Cruelty to Children.

Useful for when you suspect abuse but are unsure OR to report abuse in confidence.

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11
Q

What to do if a child reports abuse?

A

Listen carefully. Reassure that they’ve done the right thing. If old enough, explain that you need to report. Report quickly.

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12
Q

What is the consequence of not reporting abuse?

A

Subject to a GCC disciplinary hearing or held to account if there is an enquiry.

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13
Q

What is Safeguarding?

A

protecting peoples rights to live safely and be protected from abuse or neglect
promoting adults wellbeing and making sure their feelings, wishes, and beliefs are taken into account

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14
Q

Requires local authorities to set up Safeguarding Adults Boards to help and protect adults in their area

A

The Care Act (2014)

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15
Q

A person who is or may be in need of community care services by reason of disability, age or illness; and is or may be unable to take care of or unable to protect him or herself against significant harm or exploitation

A

A Vulnerable Adult

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16
Q

Establishes the Care Quality Commission (CQC).

A

The Health and Social Care Act (2008)

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17
Q

Monitors safeguarding arrangements for people using health and social care services, to ensure that children and vulnerable adults are kept safe.

A

The Health and Social Care Act (2008)

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18
Q

Do chiropractors need to register with the CQC?

A

Not normally

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19
Q

You have a responsibility towards all people who work and visit your clinic, including patients, to ensure that the facilities are safe.

A

The Health and Safety at Work etc Act (1974)

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20
Q

Who enforces the Health and Safety at Work act?

A

The Health and Safety Executive (HSE)

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21
Q

If your clinic has more than ___ employees you must have a /written/ Health and Safety Policy

A

5

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22
Q

You [may/may not] decide that you have the necessary skills and expertise to manage Health and Safety for your clinic?

A

MAY

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23
Q

According to the HSE you must, by law, have ______ arrangements in place in your clinic. This means at minimum you must provide ______ & someone who is responsible for it.

A

first-aid arrangements

provide a properly stocked first-aid box

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24
Q

According to [H&SatW] if you employ anyone you must display ______.

A

The Health and Safety poster somewhere prominent in your premises.

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25
Q

You must protect yourself and others from disease… by controlling infectious micro-organisms in the workplace

A

The Control of Substances Hazardous to Health (COSHH) (2002)

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26
Q

Control of infection relies on…. x2

A
  1. good occupational hygiene (handwashing, covering open wounds)
  2. good environmental hygiene (cleaning surfaces regularly)
27
Q

If there is a cost for vaccination, under Health and Safety law, the employer must…

A

pay for it

28
Q

Regulations governing the use of ionising radiation.

A

The Ionising Radiation (Medical Exposure) Regulations [IR(ME)R]

29
Q

The IR(ME)R requirements apply….

A

regardless of practice size

30
Q

Four classes of duty holder under IR(ME)R

A
  1. Employer
  2. Referrer
  3. Practitioner
  4. Operator
31
Q

Under IR(ME)R the employer has the responsibility to…

A

ensure written procedures are in place for identifying patients, checking for pregnancy/breastfeeding, ensure quality assurance, assess dosage and reference levels

32
Q
Under IR(ME)R the referrer is...
Provide what?
A

a registered healthcare professional entitled to refer individuals for exposure.
Provides sufficient medical data to decide whether there is a net benefit to exposure as well as radiograph type, indication of dose, clinical diagnosis/reason for xray.

33
Q
Under IR(ME)R the practitioner is...
makes sure...
A

a registered healthcare professional who can take responsibility for and justify an individuals exposure.
makes sure the dose is as low as is reasonably possible

34
Q

Under IR(ME)R the operator will…

A

carry out duties such as ID patients, carry out exposures, process films and plates, evaluate exposures, and quality assuring equipment.
Does not have to be a registered health care professional

35
Q

Both the ____ & ____ have the responsibility to justify the exposure

A

referrer and the practitioner

36
Q

the documentation that justification has been carried out and will usually be a signature or computer entry in the patient’s notes or on the referral form

A

Authorisation

37
Q

Optimisation is…

A

making sure the radiation dose for any exposure is kept as low as possible.

38
Q

Both the ___ & _____ have the responsibility to make sure the exposure is optimized

A

practitioner and the operator

39
Q

A _____ exposure is one taken for legal insurance purposes without a direct medical purpose

A

medico-legal exposure

40
Q

If overexposure occurs as a result of ________; the Health and Safety Executive must be informed

A

faulty equipment

41
Q

The ability to make decisions for oneself

A

Capacity

42
Q

To have “Capacity”, someone must be able to: x4

A
  1. Understand the information
  2. Retain the information
  3. Use that information as part of the decision making process
  4. Communicate his/her decision
43
Q

The legal framework for supporting people who are unable to make all or some decisions for themselves

A

The Mental Capacity Act (2005)

44
Q

The Mental Capacity Act

Principle 1

A

A person must be assumed to have capacity unless it is established that he lacks capacity

45
Q

The Mental Capacity Act

Principle 2

A

A person is not to be treated as unable to make a decision unless all practicable steps to help him to do so have been taken without success

46
Q

The Mental Capacity Act

Principle 3

A

A person is not to be treated as unable to make a decision merely because he makes an unwise decision

47
Q

The Mental Capacity Act

Principle 4

A

An act done, or decision made, under this Act… must be in in his best interest

48
Q

The Mental Capacity Act

Principle 5

A

Before the act is done… ensure there is no other way to perform the act with less restriction of the person’s rights or freedom of action.

49
Q

Determining capacity

A
  1. is there a disturbance in brain function (drugs, learning disabilities, dementia, etc)?
  2. Have all practical and appropriate support to help them make the decision failed?
50
Q

Decision makers for those w/o capacity…

A

carers, family members, or those with legal powers of attorney/Lasting Power of Attorney.
LPA has access to patient’s personal correspondance and papers and access personal information.

51
Q

Ways in which data must be protected, who can access the data, and what rights people have regarding the information which is held about them.

A

The Data Protection Act (1998)

52
Q

The Information Commissioner promotes…

A

good practice in relation to data protection, as well as dealing with complaints and taking regulatory action.

53
Q

What data is covered under the Data Protection Act?

A

All data relevant to a chiropractor’s office

54
Q

Personal data shall be processed _____ & ____, and- in particular- shall ___________;

a. at least one of the conditions in 2 is met and
b. in case of sensitive personal data, at least one of the conditions in 3 is met

A

fairly & lawfully;
shall not be processed UNLESS
DPA (1)

55
Q

Personal Data is obtained only for one or more _________ and not ____________.

A

specified lawful purpose
and not in any matter incompatible with that purpose.
DPA (2)

56
Q

Personal data shall be _____, ____, & _____ for the purpose it’s requested

A

adequate, relevant, & non-excessive

DPA (3)

57
Q

Personal data shall be ______ & ______

DPA (4)

A

accurate & up to date

DPA (4)

58
Q

Personal data shall not be ________

A

not be kept longer than is necessary
DPA (5)

[8 years after last appointment or death;
25 bday if child; 26 bday if y.adult]

59
Q

Personal data shall be processed _________ with rights under this Act

A

in accordance

DPA (6)

60
Q

Appropriate measure taken against _________ OR _______ to personal data

A

unauthorized/unlawful processing
OR loss/destruction/damage
DPA (7)

61
Q

Personal data shall not be transferred out of _________ unless adequate levels of personal data protection are in place

A

European Economic Area

DPA (8)

62
Q

How long do you have to reply to an email request for a patient’s personal file?

A

40 days

63
Q

You must be registered with the….

A

ICO as a Data Controller