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Medical Consent

Medical Consent. Module 1. This session will. explain why consent is important outline the basic processes and considerations involved develop your ability to judge how to handle consent issues set out the legal and regulatory framework. 1.

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Medical Consent

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  1. Medical Consent Module 1

  2. This session will • explain why consent is important • outline the basic processes and considerations involved • develop your ability to judge how to handle consent issues • set out the legal and regulatory framework. 1 Introducing Clinical Risk Management • Module 1 – Consent

  3. Why consent is necessary • “Every adult has an inviolable right to determine what is done to his or her body.” Lord Donaldson • Legal obligations. • Good practice. 2 Introducing Clinical Risk Management • Module 1 – Consent

  4. Some examples of procedures that need consent • Surgical procedures. • Medical procedures. • Interventional and radiological procedures. • Radiotherapy and chemotherapy. • Intimate examinations. • Blood tests. 3 Introducing Clinical Risk Management • Module 1 – Consent

  5. The person obtaining consent must • be suitably trained • have sufficient knowledge of the proposed investigation or procedure, and understand the risks involved • practise in line with their professional body’s standards. 4 Introducing Clinical Risk Management • Module 1 – Consent

  6. GMC guidance 1 • Give patients the information they ask for or need about their condition, its treatment and prognosis. • Provide it in a way they can understand. • Be satisfied the patient has understood what is proposed and consents to it. from the GMC’s Good Medical Practice 5 Introducing Clinical Risk Management • Module 1 – Consent

  7. GMC guidance 2 • Respect patients’ rights to be fully involved in decisionsabout their care. • Respect their right to decline treatment or take partin teaching or research. • Respect their right to a second opinion. from the GMC’s Good Medical Practice 6 Introducing Clinical Risk Management • Module 1 – Consent

  8. Patients need information on • the nature of the intervention • its purpose • the risks and side effects • the benefits • alternatives. 7 Introducing Clinical Risk Management • Module 1 – Consent

  9. Deciding how much information Think about the • nature of the condition • complexity of the procedure • frequency of adverse effects, their seriousness and permanence • risk-benefit ratio of the treatment • urgency of the treatment • patient’s lifestyle, wishes or emotional state. 8 Introducing Clinical Risk Management • Module 1 – Consent

  10. Information issues • Emergencies. • Anticipatory consent. • Conditional consent. • Withholding information. • Questions. • Patient information leaflets. • Recording what’s happened. 9 Introducing Clinical Risk Management • Module 1 – Consent

  11. How patients may give consent • Voluntarily. • Expressly. • Express – verbal. • Express – written. • Implied consent. 10 Introducing Clinical Risk Management • Module 1 – Consent

  12. Basic assumption on competence “Every adult has the capacity to decide whether to consent to, or refuse, proposed medical intervention, unless it is shown that they cannot understand information presented in a clear way.” GMC.Seeking patients’ consent: the ethical considerations 11 Introducing Clinical Risk Management • Module 1 – Consent

  13. A competent patient can • comprehend information presented to them clearly • believe it • retain it long enough to consider it and • make a decision. 12 Introducing Clinical Risk Management • Module 1 – Consent

  14. Filling in the consent form • No abbreviations. • Legible. • Unambiguous. • Signed and understood by the patient. • Signed and understood by you. • Dated. • Part of the medical records. 13 Introducing Clinical Risk Management • Module 1 – Consent

  15. When to obtain formal consent • Principles – before pre-med, time to think, when they understand. • Changes – in patient condition, to planned procedure,if new information. • Time lapses. • Withdrawing consent. 14 Introducing Clinical Risk Management • Module 1 – Consent

  16. Good practice adviceand standards • Registration bodies. • Professional bodies. • Department of Health. • Your Trust. • The CNST. 15 Introducing Clinical Risk Management • Module 1 – Consent

  17. CNST standard 7 – assessment • Patient information shows the risks/benefits of common elective treatments. • Consent forms comply with NHSE guidelines. • The Trust’s consent policy for elective procedures states that a person capable of performing that procedure obtains consent. • There is a clear way for patients to get more information. 16 Introducing Clinical Risk Management • Module 1 – Consent

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