< Any advice and suggestions welcome | The Framework for musculoskeletal conditions in the UK >
  1. Snowstorm Active Member


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    :( I have reached a difficult situation in one particular nursing home which is a convent. I am concerned by the lack of adequate treatment provision made for the treatment of patients in their care, many of which are treated in communal rooms with no privacy. Despite requests for better provisions patients are still not able to have a treatment provided in confidence.
    The convent is reluctant to provide written detail on patient names, age, medical history and current medication taken.
    I will be forwarding a letter to the convent try to improve the conditions of treatment and legal compliance in terms of accurate patient records that are a legal requirement. Are there any documents related to treatment standards in nursing homes that can be used to draw the convents attention to this unsatisfactory matter.

    Regards
    Mark C.
     
  2. DAVOhorn Well-Known Member

    re what to do next

    Dear Mark,

    Make them an offer that they cannot refuse.

    Withdraw until such time as your reasonable requests are met.

    Then return with a happy amile.

    Inform them that the info they provide is what you use to assess risk and relevant tt plans.

    No info equals tt in the dark..Inform them that if anything untpoward happens then they will be held culpable in part for refusing relevant info. You have still made the decision to tt when you cannot adequateley assess the risks to the pts.

    Do you need the money or does the NHS send you there.

    If NHS instigate a formal risk assessment and withdraw until the highlighted risk factors are dealt with.

    I personally would withdraw until rerasonable requests are met.

    Contact your professional body and ask them for advice, even ask them to contact the convent as your representative and possible professional indemnifier.

    regards David
     
  3. joseph Paterson Active Member

    Remember that if you don't change their behaviour in a friendly manner then the door is open for Foot Health Practioners to walk in.
     
  4. Johnpod Active Member

    FHPs have exactly the same responsibilities of care as do pods. They, too, need to be informed of medical status. They are well taught in this area of practice.
     
  5. W J Liggins Well-Known Member

    Hello Mark

    Why not have a quiet word with the G.P. who is in attendance? (S)he could give you guidance on what they do under these circumstances.

    All the best

    Bill
     
  6. jack golding Active Member

    Dear Mark

    The answer to your problem with the nursing home is to have a word with Care Standards. All nursing homes are inspected and Care Standards have sweeping powers. A word from them will resolve your problems. and no doubt help the residents in other ways.Incidently care standards require podiatrists working in private hospitals and care homes to be HPC registered.

    Jack Golding
     
    Last edited: Oct 30, 2006
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