can we add in ' the patients achieves their desired outcome'
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Replying to @bill_russell3 @DrUmeshPrabhu and
What if the patient’s desire is unachievable or unrealistic or both?
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Replying to @doctorcaldwell @DrUmeshPrabhu and
that is why a consultation should include that debate.... education education education But do you, as a consultant,know what the desired outcome is for your patients? I assume you do ask that question.
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Replying to @bill_russell3 @doctorcaldwell and
there is evidence (I can't source it) that the managers, the clinician & the patient will all have different ideas about the desired outcome of treatment.
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Replying to @bill_russell3 @doctorcaldwell and
As long as all desired outcomes are of overall clinical benefit, then there's only 1 opinion that counts in that case - the patient's. I think the Montgomery ruling has helped clarify that somewhat, no?
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Replying to @C7RKY @bill_russell3 and
I've been wondering how Montgomery sits with the Access to Health Records Act 1990 (& GDPR, which I'm told is the same). It seems to me that the law is now contradicting itself. GDPR: Doctor decides what info the patient is given. Montgomery: Patient decides.
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Replying to @stendec6 @bill_russell3 and
I'm no expert, but I think the two things operate at different ends of the process? Montgomery determines what risks must be disclosed (and recorded in medical records as such) at consultation, whereas GDPR governs what info is shared when requesting medical records. Any help?
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Replying to @C7RKY @bill_russell3 and
Yes, I was thinking about that, but it seems that's playing with the letter of the law rather than the spirit. What's good for one should be good for the other, and besides records from the past my inform the risks for the future.
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Replying to @stendec6 @bill_russell3 and
That's an interesting take. I think the other aspect here is that Montgomery is limited to info that is relevant for securing consent only, whereas GDPR relates to all patient data. Truth is, we know they weed/seed medical records. Not sure GDPR will likely change that much, tbh.
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GDPR is meant to address it, but systemic countermeasures will ultimately determine its success. I am happy to work with everyone on this feed to validate their privacy impact assessment and set them on a course to compliance.
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I'm not sure how GDPR will help at this stage tbh. As long as we continue to maintain an extensive paper element to NHS medical records and nobody is policing the process, the same old games will continue, imho. I hope electronic records will change that in future.
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