good medical practise

How to use gmp

Professional standards

Act in good faith, in interest of patients

Must vs should

Must is law, ethical duty

Should is depending on situation, and other factors not in ur control

When concern is raised, abt doctor , physician or an aesthetician. Access if they pose a threat or risk to 3 parts of public protection

1. Protect maintain promote health and wellbeing and safety of public

2. Promote maintain public confidence in medical professionals

3. Promote maintain proper professional standards and conduct

How to access if individual poses threat to 3 public protection

1. How serious the concern is: the extent of the loss of the professional standards. Also impact of the medical professionals personal health on their ability to practice safely. Also impact of their loss on the seriousness ( repeated behavior), abuse of power, whether this behavior is repeated

2. Context that may impact on risk. System and interpersonal factors in their environment and their level of experience

3. How medical professionals respond to concern. Evidence of insight and remediation

Patients must be able to trust medical professionals with their lives and health. Take patients care as first concern. So need to follow these 4 domains

Knowledge skills and development

→ work within competence, keep knowledge and skills up to date

Patients partnership and communications

→ respect patient dignity and treat as individual (human), work in partnership with them to make decisions of care, protect personal info from improper disclosure

Colleagues culture and safety

→work with colleagues in way that best serve patients. Share knowledge with colleagues. Treat people with respect, create environment that’s supportive and everyone can ask questions and concerns. Take care of own health and know when not fit to work

Trust and professionalism

→ honesty and integrity, open if things go wrong, protect and promote health of patients, never unfairly discriminate, never abuse p trust in your profession

Knowledge skills and development intro

Keep pace with changing social legal and technological developments. Learning new skills and maintaining others. Share knowledge.

Reflect regularly on standards of practice and use feedback for personal growth

KSD

Being competent

Be competent in all aspects of work

Recognize and work within limits of own competence

Practice under level of supervision appropriate to role, knowledge skills and training

Follow law

K S D

Providing good medical care

If assess diagnose or treat patients, work in partnership with them to assess their needs and priorities.

The investigation or treatment proposed must be based on the assessment and clinical judgement of the likely effectiveness of treatment options

In clinical care: access a patients condition (symptoms, psychological spiritual social economic cultural factors, patients views needs and values

Physical examination where necessary

Arrange suitable advice, investigation or treatment where necessary

Drugs or treatment when have adequate knowledge about p health

Consult colleagues or seek advice from supervising clinicians where appropriate

Refer patient to another suitably qualified practitioner when needed

Offering remote consultations

Provide safe and effective care, face to face, online or through telephone. If can’t provide, the give alternative or signpost to other service

Research opportunities

Research important to understand health conditions and inc options for effective prevention, treatment and care.

Consider opportunities to conduct or participate in research benefiting current or future p

Tell p if you’re aware of opportunities for them to participate in appropriate research

Maintain develop and improve your performance

Keep skills up to date

When join new place, or new role, take part in structured support offered

The steps to monitor maintain and develop and improve performance and quality of work, improvements to promote patient safety across practice

1. Contribute discussions and decisions about improve quality

2. Take part in review of work, team work and further training if necessary

3. Take part in training and continuing development

4. Reflect on care provided (any constructive feedback, considering how own life experience influence interactions and care

Manage resources effectively and sustainably

Make good use of resources available

Choose sustainable solutions when able. Provided it doesn’t compromise care standards. Support initiatives to reduce environmental impact of healthcare

patients partnerships and communications introduction

treat patients with kindness compassion and respect

patients are individuals with diverse needs. don’t make assumptions about options or outcomes a patient will prefer.

listen to patients and work in partnership with them

make sure all patients receive good care and treatment that will support them to live as well as possible, whatever their illness or disability

treat patients fairly and respecting their rights

recognize and respect every patients dignity and rights to privacy

recognize patients right to choose whether to accept your advice, and respect right to seek second opinion

treat patients fairly. no discriminate. must not refuse treatment cuz believe patients actions or choices contribute to condition

give priority to patients based on their clinical need if these decisions are within your power.

treat info about patients as confidential, even after they die

treat patients with kindness courtesy and respect

NOT agreeing every request, or withholding info to that would make patient upset

YES communicating sensitively and considerate especially when info is distressing about prognosis and care

listen and acknowledge concerns

don’t make assumptions about what a patient would consider significant or important in what they 重视 in treatment

able to explain reasons for options on offer, recommendations

recognized that patents may be vulnerable even if they don’t seem it

be alert to signs of pain or distress, take steps alleviat the pain and distress no matter if cure is available

support patients to make decisions about treatment and care

all patients be involved in decisions about their treatment and care, be supported in informed decisions if they are able to

start from presumption that all adult patients can make decisions about their own care

be satisfied that i have consent or other authority before examining or treating patients

be a2are of legal and ethical duties relating to consent and capacity:

1. relevant law in capacity and mental health

2. relevant codes of practice

sharing info with patients

exchange of info is important in good decision making

make sure the info delivered in a way they understand

e.g.

1. their condition, likely progression, and any uncertainty about diagnosis and prognosis

2. options for treatment or managing, and option to take NO action

3. potential benefits, harm , uncertainty, likelihood of success for each option

listen to patients, ask questions to know what matters to THEM, respond honestly to their questions

make sure info given to p is clear, accurate, and up to date, based on BEST evidence

check patients understanding of the info they’ve been given. do your best to make time and support to help them make informed decisions

take steps to meet patients language and communication needs.