Case studies

shadow
Parental responsibility and disclosure to a solicitor

2 July 2021

A practice manager called the advice line following a request from a solicitor acting for the mother of three children, seeking disclosure of the children’s records.

drugs
Refusal to prescribe off-label

2 July 2021

A GP contacted the MDU after a patient with chronic fatigue syndrome (CFS) had requested a prescription for thyroxine, following the advice of another specialist.

pen
An altered fit note

2 July 2021

A practice manager called the MDU after being contacted by a local employer, asking whether a fit note issued by the practice was genuine.

couple
Speaking to a spouse

2 July 2021

A patient’s wife contacted one of our GP members as she had concerns about her husband’s mental health. The GP wondered if this would be a breach of confidentiality.

bells
Notifiable or not? Reporting safety incidents

2 July 2021

A delay in acting upon blood test results resulted in a patient being rushed to A&E. The GP called the MDU for advice on what steps to take following the incident.

laptop
Upsetting comments on social media

2 July 2021

A GP wondered whether the practice should remove a patient from their list after disparaging remarks were left on social media.

game
Criticism at a coroner’s inquest

2 July 2021

A GP, who had forgot to attach a patient’s medical history as part of an urgent referral, contacted the MDU for help following criticism during a coroner’s inquest.

woman
Remote consultations and delayed diagnosis

2 July 2021

A GP called the MDU for advice after receiving a patient complaint. They alleged that a lack of available face-to-face appointments led to a delay in diagnosis.

face mask
Patient’s refusal to wear a face mask

2 July 2021

A GP sought advice on how to deal with an adult patient who refused to wear a face mask during the pandemic but needed treatment for an ingrown toenail.

elderly woman
Assessing capacity for COVID vaccine

2 July 2021

A GP was contacted by a local care home as the daughter of one of their residents objected to their mother receiving the COVID-19 vaccine.