Case studies

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Delayed diagnosis of bowel cancer

2 July 2021

A GP called the MDU after receiving an angry letter of complaint from a patient, blaming her for delayed referral and ‘allowing’ her cancer to develop.

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Talking risks

2 July 2021

When a patient with Dupuytren’s contracture attended hospital for a fasciectomy, a nurse asked a foundation doctor to obtain their signature on the consent form because the patient had missed their appointment at the consent clinic, and the surgeon had been called to an emergency.

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Inadequate records

2 July 2021

A hospital consultant contacted the MDU as a transition to a paperless medical record system meant she had to treat patients without sufficient information.

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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.

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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.

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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.

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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.

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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.

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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.

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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.