Good Medical Practice

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Good Medical Practice
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• Broad term- ways doctors are expected to conduct
  themselves and treat patients in a professional
  manner.
• Maintaining good relationship with patients and
  following correct procedures when things go
  wrong.
• Good medical practice in action- on GMC website

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• Risk management- identifying risks that may
  adversely affect both patient care or health
  safety and controlling them.
• Following well established procedures
• eg repeat presc , referrals,messages,
  followups, complaints procedures
• Any of these areas could be a topic for audit
• Familiar with significant event analysis(NPSA
  guidance)

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Am I in safe hands

• RCGP suggests assessing the management system
  for
• Can it detect overdue/missing test results.
• Can it high light if sig results are expected
• Can it notify you if test results are copied to
  your practice from other providers
• Can it highlight if a patient doesnt attend f/u
• Is SEA in place
• Is there a policy for supporting patients when
  things go wrong.

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Dealing with difficult patients

• Who are difficult patients
• Frequent, demanding, pessimistic, non compliant,
  manipulative, with symptoms that are hard to
  explain
• Remember not always patient- mis communication
  has a major role play.
• So - dont label patients- to avoid cry-wolf
  situation

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How to deal with

• Communication is key.
• Continuity
• Negotiation
• Sharing- seeking help when you need.

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Violent patients

• Emergency procedures- panic buttons
• Conflict resolution.
• General safety measures- eg not visiting
  potentially violent patients unaccompanied
• Practices right to remove from list.

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APPRAISAL

• Annual appraisals
• Covering the GMC good medical practice guidance
• Good clinical care- audits, OOH
• Maintaining good practice- logs, course cert,
• pdp.
• Teaching /training - presentations etc
• Feedback from patients/colleagues

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Handling complaints

• Difficult , stressful
• Treat objectively not emotionally
• Follow practice procedure
• Should be acknowledged within 3 days
• Used for clinical governance and service
  improvement
• Make it a learning experience (SEA)
• Simple apology may be appropriate

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