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Dignity, wellbeing and the general practitioner.
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Dr Elisabeth Alton Clinical Lead Safeguarding Adults
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General practitioners should be key as often they are the only professional in contact with the individual
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Including treatment of the individual with respect
Personal Dignity Including treatment of the individual with respect
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Doctor patient relationship
No standard texts cover elderly or those with cognitive impairment Small amount of primary research Training
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Adelman, Greene and Charon
'There is reason to believe that the doctor-elderly patient relationship differs substantively from the doctor-young patient relationship and must be studied as a unique sub-set of medical encounter' Adelman, Greene and Charon
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Why are these consultations different?
Triadic in nature Cognitive impairment Depersonalisation
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Capacity assessment Best Interest process
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'Physical and mental health and emotional well-being'
Increase in protocol driven guidelines Risk of loosing patient centred care Loss of empathy (Derksen 2016)
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'Control by the individual over day-to-day life’
Care Act 2014 S1
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He must, so far as reasonably practicable, permit and encourage the person to participate, as fully as possible in any act done for him and any decision affecting him. MCA S4 ss4
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'Protection from abuse and neglect'
Care Act 2014 section 1 s/s 2
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Named GP for Adult Safeguarding Appointed May 2014
Virtually no education tailored for primary care Neither RCGP/GMC any relevant information No professional network for safeguarding adult doctors BMA did have information re MCA/Adult Safeguarding
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No inter-collegiate guidelines for Safeguarding Adults
February 2015 'Themes and Lessons Learnt from NHS investigations into matters relating to Jimmy Savile' Kate Lampard Ed Marsden
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Post commenced July 2016 Initially funded one year by NHSE One day a week
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Objectives To produce an online toolkit accessible to anyone in the UK
To produce an online e-learning package To organise a days safeguarding event at the RCGP in London
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Online Toolkit Available freely to anyone by June 2017
Mixture of specifically written resources and links to other websites Sample policies and audit tool
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E learning modules Available to anyone working within primary care
4 agreed modules Introduction to safeguarding A case using the MCA as the learning process A case were a colleague is the abuser A case situated within a care home
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Study Day in April Includes both children's and adult safeguarding
Morning issues affecting both adults and children Afternoon splitting into adult and children specific topics
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Knowledge leads to empowerment and confidence which is better for the GP and therefore better for the patient.
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