LO: Describe how the NHS complaints process works, with particular reference to how it relates to a doctor's duty of candour

NHS constitution - "NHS commits, when mistakes happens, to acknowledge them, apologise, explain what went wrong and put things right quickly and effectively"

Apologising $\ne$ liability

NHS complaints

• Must be brought within 12 months of date of incident or date of knowledge
• Keep clear, accurate and legible records
• Reports the relevant clinical findings, decisions made, information given to patients and any drugs prescribed/investigations/treatment
• Make record at the same time as the events, or ASAP after

LO: Explain the impact NHS scandals have had on reputation and improving patient safety in the NHS

• Scandals reflect poorly on individuals and the NHS
• Organisations - BRI, Alder Hey
• Individuals - Harold Shipman, Lucy Letby
• Independent public enquiries - Morecambe Bay, Infected Blood Inquiry
• Change in legislation/culture
• Leads to criminal investigations and charges

LO: Explain the meaning of revalidation for doctors

• Revalidation every 5 years
• Protect patients
• Maintain medical register

LO: Discuss the term 'duty of candour' and what this means for doctors in practice

• Open and honest when things go wrong

LO: Discuss 'whistleblowing' in the NHS and the protection available for doctors

• Every doctor practising in the UK has a duty to raise patient safety concerns and must be able to without fear of unfair criticism, detriment or dismissal