Ethical and Legal Issues

1. Ethical and Legal Issues Mike Francis

2. Plan • Quick Quiz • Cases and discussion groups • Summing up • Tea & Biscuit

3. A

4. B

5. C

6. D

7. 1. Which of the following is a Schedule 2 (ie most tightly controlled) drug? A) Temazepam B) Oramorph C) Pethidine D) Nandrolone

8. 1. Which of the following is a Schedule 2 (ie most tightly controlled) drug? A) Temazepam – Sch 3 B) Oramorph – Sch 5 C) Pethidine – Sch 2 D) Nandrolone – Sch 4

10. 2. A police officer comes to the surgery and asks to see the records of a 2 year old child they suspect is being abused. He does not have parental consent. Can you break confidentiality? A No, they must get a court order B Yes, if the request is from an officer of inspector rank or higher C Yes. You are not required to gain consent if it would jeopardise an investigation. Otherwise you should ask consent. D Yes, in all cases of a police request.

11. 2. A police officer comes to the surgery and asks to see the records of a 2 year old child they suspect is being abused. He does not have parental consent. Can you break confidentiality? A No, they must get a court order B Yes, if the request is from an officer of inspector rank or higher C Yes. You are not required to gain consent if it would jeopardise an investigation. Otherwise you should ask consent. D Yes, in all cases of a police request.

13. 3. It is appropriate to complete a fit note in which situation A) For a patient you have only assessed over the phone B) For a patient who has been off work for the past 6 calendar days C) For a patient who is now well and needs a note to say they are fit for work D) For a colleague who is not registered at your practice

14. 3. It is appropriate to complete a fit note in which situation A) For a patient you have only assessed over the phone B) For a patient who has been off work for the past 6 calendar days C) For a patient who is now well and needs a note to say they are fit for work D) For a colleague who is not registered at your practice

16. 4. It is acceptable to prescribe a controlled drug for a family member A)To save a life only B) To save a life, alleviate severe pain and prevent significant damage to health C) All of the above and in routine problems out of hours D) In all situations

17. 4. It is acceptable to prescribe a controlled drug for a family member A)To save a life only B) To save a life, alleviate severe pain and prevent significant damage to health C) All of the above and in routine problems out of hours D) In all situations

19. 5. A “Lasting Power of Attorney”: A) Allows another person to make decisions about welfare and financial issues B) Is automatically given to the relatives of incompetent patients C) Has now been replaced by “Enduring Power of Attorney” D) Was introduced by the Mental Health Act 2007

20. 5. A “Lasting Power of Attorney”: A) Allows another person to make decisions about welfare and financial issues B) Is automatically given to the relatives of incompetent patients C) Has now been replaced by “Enduring Power of Attorney” D) Was introduced by the Mental Health Act 2007

22. 6. Which of the following patients can legally drive a car: A) An epileptic who has not had a seizure for 9 months B) A T1 diabetic who has had 2 hypos requiring an ambulance in the last year C) A persistent cocaine user D) A patient 5 weeks after an NSTEMI who is now symptom free

23. 6. Which of the following patients can legally drive a car: A) An epileptic who has not had a seizure for 9 months B) A T1 diabetic who has had 2 hypos requiring an ambulance in the last year C) A persistent cocaine user D) A patient 5 weeks after an NSTEMI who is now symptom free

25. 7. An empty used flu jab should be put in which coloured top sharps bin? A) Purple B) Yellow C) Orange D) Blue

26. 7. An empty used flu jab should be put in which coloured top sharps bin? A) Purple B) Yellow C) Orange D) Blue

28. 8. A patient can NOT usually be removed from the practice list for A) Moving outside the practice area B) Using aggressive or threatening language on a home visit C) Stealing from the practice D) Persistently questioning and complaining about practice policies or actions

29. 8. A patient can NOT usually be removed from the practice list for A) Moving outside the practice area B) Using aggressive or threatening language on a home visit C) Stealing from the practice D) Persistently questioning and complaining about practice policies or actions

31. 9. Which of the following deaths should be reported to the coroner A) Asbestosis B) Not seen by a doctor for three weeks C) Death in prison D) All of the above

32. 9. Which of the following deaths should be reported to the coroner A) Asbestosis B) Not seen by a doctor for three weeks C) Death in prison D) All of the above

34. 10. As a practising GP you are most likely to be involved in which type of section under the Mental Health Act 1983 A) Section 2 B) Section 3 C) Section 4 D) Section 5(2)

35. 10. As a practising GP you are most likely to be involved in which type of section under the Mental Health Act 1983 A) Section 2 B) Section 3 C) Section 4 D) Section 5(2)

37. 11. You must notify the HPA if you diagnose which of the following: A) HIV B) Mumps C) Toxoplasmosis D) None of the above, notification is optional

38. 11. You must notify the HPA if you diagnose which of the following: A) HIV B) Mumps C) Toxoplasmosis D) None of the above, notification is optional

40. 12. Significant events which could affect practise elsewhere should be reported to: A) The National Reporting and Learning Service B) The RCGP C) The GMC D) The National Prescribing Centre

41. 12. Significant events which could affect practise elsewhere should be reported to: A) The National Reporting and Learning Service B) The RCGP C) The GMC D) The National Prescribing Centre

43. 13. A patient wishing to take 2 weeks supply of MST on holiday to France should also take A) No extra documentation B) A copy of his repeat prescriptions C) A GP letter outlining his medication and use D) A Home Office import/export licence form

44. 13. A patient wishing to take 2 weeks supply of MST on holiday to France should also take A) No extra documentation B) A copy of his repeat prescriptions C) A GP letter outlining his medication and use D) A Home Office import/export licence form

46. 14. Who can complete a cremation form 5 (“part 2”)? A) A doctor who qualified 5 and ½ years ago B) A locum in the practice where the deceased was registered C) A second cousin of the deceased who is also a doctor D) None of the above

47. 14. Who can complete a cremation form 5 (“part 2”)? A) A doctor from a different practice who qualified 5½ years ago B) A locum in the practice where the deceased was registered C) A second cousin of the deceased who is also a doctor D) None of the above

49. 15. Consider a 15 year old who has been found competent with regards to abortion. Which statement is false? A) She can consent to an abortion without her parent's knowledge B) She can consent to an abortion even if her parents refuse to give consent C) She can refuse consent to a medically necessary abortion even if her parents are willing to give consent D) She is less likely to be competent to consent to a hysterectomy.

50. 15. Consider a 15 year old who has been found competent with regards to abortion. Which statement is false? A) She can consent to an abortion without her parent's knowledge B) She can consent to an abortion even if her parents refuse to give consent C) She can refuse consent to a medically necessary abortion even if her parents are willing to give consent D) She is less likely to be competent to consent to a hysterectomy.