Legal representation and indemnity (LRI) package, Clinical negligence scheme for general practice - what you need to know. We know from our case files that inappropriate reassurance from a doctor that symptoms are not serious can lead to catastrophic delays in diagnosis and treatment. Watch it here. Once a history has been obtained, examination performed and an explanation provided, it is vital that the patient understands what to expect, and the implications of any red flag symptoms. In times of uncertainty safety netting is an important part of the primary care consultation and referral process. In times of uncertainty safety netting is an important part of the primary care consultation and referral process. Safety netting in primary care is a set of steps and actions that can be taken during a GP-patient consultation and within primary practice systems. Many doctors give generic safety-net advice at the end of consultations (for example: "come back and see me if you're not feeling better") but do we really understand what this means to patients? Safety-netting most often goes wrong when either it has not been given, particularly in high-risk situations, or it has not been properly heard or understood by the patient, or is insufficiently specific about what to look out for and what to do. The term "safety netting" was first introduced by Roger Neighbour in The Inner Consultation (1987). When followed correctly, safety netting can help ensure patients are monitored appropriately and follow-ups take place where required. British Journal of General Practice 2009. Safety netting is relevant to each step of the diagnostic pathway. The Medical and Dental Defence Union of Scotland Registered in Scotland No 5093 at Mackintosh House, 120 Blythswood Street, Glasgow, G2 4EA. While it is important for general wellbeing that GPs continue to appropriately reassure the vast majority of patients who are well, safety-netting does not remove the responsibility for diagnostic decision making by passing uncertainty onto patients. A REVIEW of MDDUS cases reveals a certain inevitability surrounding some missed diagnoses in medicine. * Almond S, Mant D and Thompson T. Diagnostic safety-netting. He considered it a core component of GP consultations and defined the term from a clinician’s perspective as encompassing three questions: From a risk management perspective, it is essential to have safety-netting procedures in place – for example to advise patients of particular symptoms that they should alert their doctor to, if these develop. Patients present at different stages of their illness and red flag signs and symptoms may be absent, or do not present until later on. Content on this gateway has been produced and collated by a number of partners to support those working in primary care. GatewayC’s ‘Improving the Quality of Your Referral’ course includes an interview with GP trainer, Dr Pawan Randev, discussing best practice in clinical and administrative safety netting. In addition to advice within the consultation, safety netting includes follow-up … This can be particularly important when monitoring vague and undifferentiated cancer symptoms. Most individuals and their families work through the transition into end of life care differently. The patient should be left in no doubt of the importance to seek urgent help should there be any serious deterioration in their condition or if they become concerned. These ensure patients are monitored until their symptoms and signs are explained and results acted upon. We use cookies on our website to allow us to continuously improve our site and enhance your experience. Watch it here. At its core is a requirement to provide sufficient advice in the event of any deterioration, by devising a management plan which can be understood by the patient and putting a safety net in place should things not go as expected. This means healthcare professionals are often faced with families who... Friday 2nd October 2020 Did you miss our free webinar on Safety Netting in Primary Care? The MDDUS is not an insurance company. * Indeed, safety netting should always be viewed as a positive component of the patient consultation process to reduce the likelihood of preventable harm occurring. Consultation models usually indicate that safety netting should be delivered towards the end of the consultation, which was consistent with the present results and one other study in Danish primary care. Friday 9th October 2020 Did you miss our free webinar on Lung Cancer vs COVID-19? The term "safety netting" was first introduced by Roger Neighbour in The Inner Consultation (1987). SAFETY netting is now considered a core component of GP consultations but should not just be a means of passing diagnostic uncertainty onto the patient. All the benefits of MDDUS are discretionary as set out in the Articles of Association. Safety netting is a diagnostic strategy or consultation technique to effect timely re-appraisal of a patient's condition. Safety-netting advice may include information on the natural history of the illness, advice on worrying symptoms to look out for, and specific information on how and when to seek help. Resource: discussing suspected cancer symptoms over the phone, © The Christie NHS Foundation Trust 2020. However, a downside of safety-netting can be to cause unnecessary additional anxiety. When followed correctly, safety netting can help ensure patients are monitored appropriately and follow-ups take place where required. Supporting a family through transition into end of life care, Tips on how to record a consultation effectively, ‘Improving the Quality of Your Referral’ course, The importance of communicating with patients about what to do if symptoms don’t improve or change, What systems can be adopted at practice level to ensure that administrative safety netting is fully implemented, Setting timescales to distinguish between a self-limiting illness and symptoms which are indicative of a more serious underlying condition, Read Cancer Research UK’s safety netting guide for GPs and Practices, Read Cancer Research UK’s safety netting guide for patients presenting with symptoms during COVID-19.
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