1. SE ALARM One Day Seminar Medical Malpractice 24 th January 2007 Mike Thane AIG

2. Agenda  Overview  Normal Activities  Acceptable Procedures/Treatments  Examples  Conclusion  Questions

3. Overview  Focus on AIG perspective  Specialist Area Outside the knowledge of the majority of Liability Underwriters  Coverage restrictions – reinsurance  “Normal” activities of a Local Authority are acceptable  “Medical” matters need to be covered in the specialist market

4. Normal Activities  What are “Normal” activities?  Treatment Tree

5. Is the treatment one which would normally be carried out by a Health Care Facility and/or Health Care Professional. Health Care Facility /Health care Professional is defined as: the Provision of services by: A hospital, clinic or emergency room facility, a physician, medical doctor, Osteopath, Chiropractor, resident, extern or intern; a psychiatrist ; pharmacist; dentist, orthodontist, or peridontist and included the prescribing of any drugs or medicines and the use of Equipment for diagnostic purposes. If Yes - cover excluded If No ….

6. Are the duties/tasks of the Insured’s employee beyond the following: emergency and/or first aid medical services: the administering of drugs or medicines or procedures pre- prescribed by a medical practitioner. If Yes - cover excluded If No ….

7. Cover is provided in respect of the administering of drugs or medicines pre-prescribed by a medical practitioner and in respect of the procedures indicated in the attached table subject to written guidelines and suitable training having been provided to the person carrying out the procedure. If required, written guidelines can be provided to RMP/AIG for their agreement or comment. Where cover is required beyond the limitations set out in the table or there are any unusual medical circumstances, full written details must be provided to RMP/AIG for their agreement.

8. Acceptable Procedures/Treatments  Outside requirement for specialist medical knowledge or facilities  Non Invasive  Pre prescribed  Subject to written guidelines and proper staff training  Emergency or first aid treatment by trained staff

9. Examples  Methadone Clinics  Physiotherapy  Epipen  Transfer of NHS staff

10. Conclusion  Discuss Medical Issues with your service specialists  Discuss any areas of concern with Insurers  Consider specialist insurance.

11. Questions?