Fears emerge over abuse of patient consent process. Read both parts of my investigation for HSJ here:pic.twitter.com/s87N6DKVl3
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@MicMac650 @ShaunLintern @HSJnews of consent form design would help:
1. Grid of boxes for procedures/risks - 1 procedure per box, no spaces
@MicMac650 @ShaunLintern @HSJnews 2. Prominent warning near pt signature to take their copy
3. 2nd signature to confirm pt doesn't want copy
@MicMac650 @ShaunLintern @HSJnews Far from foolproof & needs more careful thought but wd likely prevent abuse happening at any kind of scale
You think doctors deliberately deceiving patients occurring at scale? We have different world views. @C7RKY @ShaunLintern @HSJnews
@MicMac650 @ShaunLintern @HSJnews I'm in no position to know the scale - I'm not allowed to look. But CQC/NHSE/GMC confirm the risk exists.
There are many risks in life. In the end we"re reliant on the fact that most people want to do a good job. @C7RKY @ShaunLintern @HSJnews
@MicMac650 @ShaunLintern @HSJnews Naturally, but in any regulated environment, you don't rely on good faith alone. You mitigate/control risk
@C7RKY @MicMac650 @ShaunLintern @HSJnews Hear! Hear! The question is WHO IS REGULATING? A review of the check lists used by CQC seem a joke!
@MagnaCarta300 @MicMac650 @ShaunLintern @HSJnews I'm no fan of CQC's inspections. Or medical regulation as a whole. It's farcical, frankly.
A problem I had twice was a pre-typed consent that I wasn't allowed to amend to match what surgeon said. In 2nd instance it turned out his juniors did the surgery according to the consent (with him "listening from office") not according to our agreement.
I'm sorry to hear that. The consent form is supposed to be a record of the conversation that took place in consultation. Now, if I felt it wasn't an accurate reflection I'd refuse to sign it personally, given how important I've come to appreciate it is. And ALWAYS take your copy.
If you don't sign they don't do the surgery. In both the cases I mentioned they were life or death. In the first, which claimed to limit my legal rights, I asked if I could sign "under protest" or call my solicitor, but it was 06.30 & I was due in theatre at 07.00. 
Hmm. That time pressure changes the dynamic, I understand. Off the top of my head, I think I'd be tempted to write my own clarification notes somewhere near the signature location if possible. Document the differences (on the actual form) to your satisfaction. Just a 1st thought.
I should have done that in the 2nd case, where the surgeon made an agreement with me, but he assured me there was no need. It was a precaution to prevent paralysis that he agreed was sensible; I turned out paralysed for 6 months. 
Oh no! I'm so sorry. As you've learned the hard way sadly, there's often a need. There is no correlation between charm and honesty, as it turns out.
Indeed. Still his NHS team saved my life. The thing is, as you were saying, to try to find ways for future patients, & of course hospitals, to be better at informing, consenting, & documenting it.
Indeed. It's about recognising the seriousness of the consenting process and the criminal line that it contains which must not be crossed. Anything which might safeguard that line can only be helpful, imho.
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