@C7RKY I think it was you who was reading my criticisms of ReSPECT? If it was you, and if you've looked - who do you think is right, ReSPECT or me?
Right on both counts, imho. DoH delegated discretion to trusts for consent for design, so they vary. And: "People should strike through any blank spaces on the consent form to prevent anything else being written on it - as you would when writing a cheque"http://www.dailymail.co.uk/health/article-3135084/Beware-doctor-asks-sign-terrifying-stories-patients-misled-forms-altered-consent-surgery.html …
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1/2 There is also a question of properly 'taking in' a long consent form, at the time you are signing it. The 'delegation to local regions' issue - letting local clinicians figure out what works best - is a good idea if they get it right. It has the benefit of making people
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2/2 think. The disadvantage is some people get the thinking wrong. The other approach - 'imposition of the well-thought-out-from-above' - has the problem that it doesn't encourage local people to question the correctness what is being imposed. Tricky!
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Taking in the consent conversation is a separate, but very valid point. My focus has been on ensuring the record of that conversation remains accurate. Local discretion has its pitfalls. This may help explain a little more. From an email exchange with DoH >pic.twitter.com/rQdhZ3iLr8
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The best way to try and ensure that the record of a conversation is 'accurate' is to get whichever party to the conversation did not write the record, to sign the record to confirm that it appears to be right. BMA/RCN/RC(UK) are resistant to that, however.
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Not in this case, it's not. The signature doesn't make a jot of difference in mitigating the risk I'm talking about here I'm afraid - as acknowledged by CQC/NHSE/GMC. If you read the articles I linked to before, it will hopefully explain more.
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Ah - you are interested in 'remains' accurate?
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Exactly! As opposed to the form being vulnerable to later amended, in order to try and justify any clinical action - or inaction - that was not in keeping with the consent obtained.
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Well - if you design a better form, you would have the problem of the entire form being substituted for a faked one. I suppose you would need to store copies of completed consent forms in a 'trusted third-party repository' as soon as the form was completed? Unlikely to happen.
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