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The safeguarding adult team recently reviewed the case of an elderly lady with dementia living in a residential care home. This lady had presented with recurrent vaginal discharge and on examination by the GP was found to have a vaginal pessary in situ. It transpired that this pessary had been in place for four years.
Further enquiry identified that insertion of the pessary was not coded appropriately in the medical records and as such the need for a recall and change of pessary was overlooked.
The patient had registered at a new surgery on moving into residential care. A further learning point was that under System One it appears that when a practice deregisters a patient, recall codes are automatically inactivated. As such the new practice was not aware that the patient had a pessary in situ.
This case highlighted the positive role of the GP surgery in ensuring both the appropriate care and follow up of patients requiring vaginal pessaries for urinary incontinence and pelvic organ prolapse.
The charity Groundswell works with people who experience homelessness, offering opportunities to contribute to society and create solutions to homelessness. People who experience homelessness are entitled to register at a GP surgery. They do not need a fixed address or identification. Groundswell have produced “My right to healthcare cards” to empower individuals to register at a GP surgery.
Further information including a helpful video demonstrating use of the card can be found by clicking here. Please consider raising awareness of this campaign in particular amongst your reception staff who are often the first point of contact for patients.
Domestic violence is an abuse of human rights and a major public health problem because of the long term consequences for people who have experienced it. The RCGP advises that many people experiencing abuse believe that their GP can be trusted with disclosure and GPs can offer practical support to protect people who disclose abuse.
Domestic abuse champions are trained to develop knowledge on asking, responding, and supporting people affected by domestic abuse, and to use their knowledge to help their colleagues to respond effectively and appropriately. The champion may be a GP but equally would suit a practice nurse or receptionist who has direct contact with patients.
Training is delivered over two full days. The next two dates are 22/29 April 2021. Training is free although a charge is made if delegates fail to attend without notice.
If you or one of your staff are interested in registering on the free training please complete the form and return it to email@example.com
Your voice Your decision campaign
A new campaign from the Office of the Public Guardian has been launched which signposts people to information about Lasting Power of Attorney.
The website also provides information on misconceptions about LPAs, real life case studies and guidance on the process.
Click here for Power of Attorney campaign.
Vaccination and Assessing Capacity to Consent
The current Covid-19 climate reminds us of the importance of robust and clear guidance on assessing patient capacity to consent for vaccination. The Safeguarding Adults National Network (SANN) have produced a useful vaccination assessing capacity to consent form. Download the Vaccination Assessing Capacity to Consent Form here.
The Norfolk and Waveney Health and Care Partnership have produced an excellent flowchart to help determine a patient’s ability to consent to a vaccination. Download the flow chart here.
This policy has been designed for use by general practice and can be adapt as needed. NSAB would like to thank OneNorwich for their support in developing this document.
Safeguarding Adults at Risk - General Practice Policy | (Word)
Health Education England Level 3 Adult Safeguarding Training module on Mental Capacity for the e-learningforhealth platform. Click here for the Mental Capacity e-learningforhealth platform.
Carrying Out and Recording Capacity Assessments | 39 Essex Chambers (June 2020)
This purpose of this document is to provide for social workers and those working in front-line clinical settings an overview of the law and principles relating to the assessment of capacity. Its focus is on:
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Dilemma: Patient always attends with suspected abusive partner | A medicolegal adviser and GPs give their advice on how to help a patient with a suspected abusive partner who always accompanies them to appointments. Pulse, 3 September 2018.