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Legal

Health and care lasting power of attorney: key features

An LPA allows capable adults to nominate one or more people to act on their behalf if they are unable to make decisions themselves at some point in the future..

Statutory reform of the death certification process in England and Wales

There has been little change to the death registration process for over 50...

Practical implications of overlapping mental capacity assessments

Section 2(1) of the Mental Capacity Act 2005 provides that:.

Best interests must be centred on the person's needs not those of the family

Nurses and others are given general authority under section 5 of the Mental Capacity Act to act in relation to a person's care and treatment where:.

The challenges facing the NHS in implementing Martha's Rule

The call for Martha's Rule arose out of the tragic death of 13-year-old Martha Mills, who died from sepsis in 2021 at King's College Hospital, London. There was a failure to recognise that she...

Residual liberty and the detained mental health patient

In AM v South London & Maudsley NHS Foundation Trust and The Secretary of State for Health [2013], Justice Charles held that the Mental Capacity Act 2005 could be used to treat a physical condition...

Your free revalidation toolkit

A free revalidation portfolio and CPD resource for nurses and midwives.

Legal

Clinical negligence: should the NHS consider a no-fault system?

‘… costs … have continued to grow at an eye-watering rate. Ten years ago, the NHS paid £900 million in damages; last year it was £2.17 billion – equivalent to the annual running costs of the biggest...

No duty to shield relatives from the shocking aftermath of treatment or death

Nervous shock used to be the term used to describe psychiatric harm that arose as result of another's negligent action. It is now more accurate to refer to such harm as a psychiatric injury, but the...

Applying the appropriate treatment test in the Mental Health Act 1983

‘Nursing, psychological intervention and specialist mental health habilitation, rehabilitation and care.’ .

Statins: the risks and statistics

‘If clinicians are going to recommend statins to their patients, then their duty of care must extend to ensuring that the nature of absolute risk and relative risk is explained’ .

Legal

Capacity, belief and impairment of the mind or brain

‘Although Mr C's general capacity was impaired by schizophrenia, it had not been established that he does not sufficiently understand the nature, purpose and effects of the treatment he refuses....

The provision of aftercare under the Mental Health Act 1983

Section 117 of the Mental Health Act 1983 gives people who have been detained for treatment under the Act the right to aftercare on discharge from hospital (R v Ealing District Health Authority Ex p...

Determining what good looks like in patient safety

In a clinical negligence case, for example, the court must carefully unpack and analyse the level of care given to determine whether there was any negligence. Lawyers discuss with clinical experts the...

The relationship between the professional practice standard and a nurse's advisory role

‘A single comprehensive duty covering all the ways you are called on to exercise skill and judgement in improving the mental and physical condition of the patient.’ .

Patient redress in clinical negligence cases: an uneven playing field

‘We contend that part of the ongoing muddle about safety cultures stems from this lack of focused attention on the nature and implications of justice in the field of patient safety.’ .

Managing the interface between two Acts relevant to the deprivation of liberty

Both the Mental Health Act 1983 and the Mental Capacity Act 2005 have provisions for the authorisation of a deprivation of liberty that are compliant with Article 5 of the European Convention on Human...

Patient safety and the law: driving the development of a patient safety culture

This discussion raises the issue of what is primarily driving the development of an NHS patient safety culture and how these aims could be seen negatively by nurses, doctors and other stakeholders....

Just culture development and patient safety in the NHS

‘Clinical competence was substandard, with deficient skills and knowledge; working relationships were extremely poor, particularly between different staff groups, such as obstetricians,...

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Deprivation of liberty and children with complex needs: a new specialist court

Children are often subject to restrictions imposed by their parents or a person acting in loco parentis with such restrictions amounting to a deprivation of liberty.

Use of conditions in deprivation of liberty safeguard authorisations

To protect the dignity of patients by ensuring that restrictions imposed to protect that person and not overly intrusive, best interests assessors are commissioned to review the restrictions and...

The importance of keeping up to date with clinical guidelines and protocols

‘All these symptoms, according to NICE guidelines, should have immediately raised a red flag for sepsis (blood poisoning) in children under five. In the hospital's own Serious Incident Report, a...

Clinical negligence litigation and the NHS: focusing on the injured patient

I see this happening in some debates about reforming clinical negligence litigation. We often hear clarion calls for clinical negligence reform and the need to safeguard scarce NHS resources, which is...

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