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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. John Clarke‏ @C7RKY Jan 15

      So David Behan is leaving the CQC in the summer? Think I might write to him before he leaves to find out exactly what got changed after he wrote this letter. (Final page).pic.twitter.com/lNoQOEDMrz

      6 replies 8 retweets 4 likes
    2. theveindoc‏ @theveindoc Jan 15
      Replying to @C7RKY

      Surely if a copy of consent form is given to every patient before their procedure retrospective changes would be impossible?

      1 reply 1 retweet 1 like
    3. John Clarke‏ @C7RKY Jan 15
      Replying to @theveindoc

      I would agree. Although it won't protect all, it should protect most. Problem is, the only time CQC have ever checked & recorded data, they found the trust had retained the pt's copy in 85% of forms inspected. (Pause for effect) They've not recorded any further such data since.

      1 reply 1 retweet 1 like
    4. theveindoc‏ @theveindoc Jan 15
      Replying to @C7RKY

      We regularly audit whether a copy has been given to the patient. It is over 95% but not perfect.

      1 reply 1 retweet 1 like
    5. John Clarke‏ @C7RKY Jan 15
      Replying to @theveindoc

      That's very interesting to hear. Not just the result, but also the fact that you conduct an audit on the subject at all. What made you undertake an audit process in the first place?

      1 reply 0 retweets 0 likes
    6. theveindoc‏ @theveindoc Jan 15
      Replying to @C7RKY

      We audit virtually everything we consider important and for CQC it is useful to demonstrate that we are at least trying to do things right even if not perfect and can show whether improving or not year on year

      1 reply 1 retweet 1 like
      John Clarke‏ @C7RKY Jan 15
      Replying to @theveindoc

      I find that very encouraging. Thanks doc. May I ask, when did you first include checking pt consent forms had been given out? And why?

      9:45 AM - 15 Jan 2018
      • 1 Retweet
      • 1 Like
      • †ðr†µrêРߥ †hê ñH§ 12 ¥êår§ Ken Lownds
      1 reply 1 retweet 1 like
        1. New conversation
        2. theveindoc‏ @theveindoc Jan 15
          Replying to @C7RKY

          About 5 years or more ago. I suspect because it is a requirement of good consent practice to give a copy.

          1 reply 1 retweet 1 like
        3. John Clarke‏ @C7RKY Jan 15
          Replying to @theveindoc

          Where do you take your lead from these days for what represents good consent practice? I'm just looking to find anything that specifies the need to hand a copy to patient, or auditing the same.

          2 replies 0 retweets 0 likes
        4. mark cheetham‏ @MarkCheetham Jan 15
          Replying to @C7RKY @theveindoc

          Hi John take a look here https://www.rcseng.ac.uk/-/media/files/rcs/library-and-publications/non-journal-publications/consent_2016_combined-p2.pdf … see page 22

          1 reply 1 retweet 1 like
        5. theveindoc‏ @theveindoc Jan 15
          Replying to @MarkCheetham @C7RKY

          Ah thanks saved me looking it up Page 24 on my copy!

          1 reply 0 retweets 0 likes
        6. mark cheetham‏ @MarkCheetham Jan 15
          Replying to @theveindoc @C7RKY

          It's page no 22 but the 24th page. No pages ins at the intro

          1 reply 0 retweets 0 likes
        7. John Clarke‏ @C7RKY Jan 15
          Replying to @MarkCheetham @theveindoc

          Thank you Mark. A Royal College document? I didn't expect that. How would this sit alongside guidance issued by the likes of GMC, DoH, etc? Is one considered the definitive source? Can't help note it says 'should' be given in that one too. Not even 'must'.

          1 reply 1 retweet 1 like
        8. mark cheetham‏ @MarkCheetham Jan 15
          Replying to @C7RKY @theveindoc

          The royal college guidance is the most up to date (Current GMC and DOH guidance dates back to 2008 and 2009). I guess all guidance is should

          4 replies 1 retweet 1 like
        9. John Clarke‏ @C7RKY Jan 15
          Replying to @MarkCheetham @theveindoc

          Is whichever is most up to date the only determining factor? GMC are reviewing their guidelines now (a bit late - that letter above is dated Oct 2014!) but will the torch then just be passed to GMC as the most definitive, when it becomes the latest?https://www.gmc-uk.org/guidance/news_consultation/30001.asp …

          1 reply 1 retweet 0 likes
        10. 5 more replies

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