Tag: BDD

ME/CFS: What Psychiatrists need to know

Post date 21 March 2022
Categories In Compliance, Education, Learning Resources and CPD, ME/CFS Guidelines, News, Policy Positions, Press Releases

Psychiatry and Psychology Working GroupDr Crowder BSc (hons) MB ChB FRANZCP, Associate, DwMEYochai Re’em, M.D., Associate, DwME | Website | Twitter What is ME/CFS? ME/CFS is a chronic, complex, multi-system biological illness with often devastating consequences. It affects all age groups including children, and all social classes. About 75% of sufferers are female. It has…Continue readingME/CFS: What Psychiatrists need to know

Tags Bateman Horne Center, BDD, BDS, bedbound, beliefs, BHC, biopsychosocial, Bodily distress, BPS, Care, CBT, CDC, Centers for Disease Control and Prevention, CFS, Children, cli, clini, Clinical, clinical care, clinical features, Clinical judgement, clinical management, Conversion Disorder, CPET, Decision-making, Depression, diag, Diagnosis, Doctors with M.E., DwME, edu, education, energy, energy management, Evidence, exercise, exertion, Experience, fatigue, flu, FND, Functional, GET, GPs, GRADE, graded e, Graded Exercise, Guidelines, Harm, Harms, History, housebound, Information, join, ME, ME/CFS, Medical Education, Medically Unexplained Symptoms, MUS, NICE, NICE 2021, Paediatric, Paediatrician, PAG, pain, patients, PEM, PENE, Persistent Physical Symptoms, PESE, physician, Policy, Post Exertional, Post Exertional Malaise, PPS, Primer, Psychiatry, Psychiatry and Psychology Working Group, Psychological, psychological therapies, Psychology, psychosomatic, Quality of Life, Referral, Research, social care, Somatisation, Standards, Story, Support, sym, symptoms, Training, University, webinar, work

Compliance

Obligation to not abuse power and authority

Post date 28 July 2021
Categories In Compliance

It is common that patients with ME/CFS must repeatedly pursue enforcement action of their pre-existing rights under statutes, policy and common law. It also known that successful enforcement of pre-existing rights can be followed by retributory abuse of power and authority. It is known that flagrantly retributory liability generation can include punishing qualified professionals who…Continue readingObligation to not abuse power and authority

Compliance

Expertise procurement risk and reputational risk – medical and legal

Post date 23 July 2021
Categories In Compliance

Care should be taken to reassess existing expertise sources in the field of post-viral disease and to distinguish between 1) the marketability or familiarity of expertise versus 2) disproportionate risk of divergence from legally sustainable standards. It is rare for institutionalised medical norms to exclude scientific consensus to the degree witnessed in this field. This…Continue readingExpertise procurement risk and reputational risk – medical and legal

Tags BDD, BDS, Bodily distress, breaches, CBT, claims management, Clinical judgement, Compliance, compliance risk, Conversion Disorder, Coverage, Covid, Decision-making, Discrimination, education, Expert Risk, expertise risk, financial services, FND, Functional, Functional Disorder, GET, Graded Exercise, Guidelines, Influenza, insurance underwriting, intermediation, Judgement, Law, Liabilities, Liability, Long Covid, Malpractice, ME/CFS, medical failure, medical norm, Medically Unexplained Symptoms, medico-legal, MUS, NICE, obligation, occupational health, operational risk, PASC, PENE, Persistent Physical Symptoms, PESE, Policy, Post Covid, Post Exertional Malaise, practice management, Procurement, Procurement Risk, PSS, PTSD, reinsurance, Reputational risk, Research, Risk, social care, Somatisation, Somatization, Training, unlawfulness, vaccination, vaccine

Compliance

Jurisdictions and markets (UK and international)

Post date 23 July 2021
Categories In Compliance

Although the jurisdictional focus is the United Kingdom, direct equivalence can be found in other jurisdictions and markets. The policy, contractual and legal requirements on medical practice and indemnification provision follow a similar structure in most locales: neither official edict, professional body, private contract, the habitual nature of unlawful care nor eminently misinformed obfuscation can…Continue readingJurisdictions and markets (UK and international)

Compliance

Obligation to not negate ME/CFS legal status

Post date 23 July 2021
Categories In Compliance

The absolute clarity of the legal status of ME/CFS is of immediate risk management importance, due its statutory, policy and third-party contractual implications frequently being ignored. These stem from habitually unlawful clinical judgement and arbitrarily discriminative administrative treatment that fail to account for the clarity of classification and associated lawful obligations. The absolute clarity of…Continue readingObligation to not negate ME/CFS legal status

Compliance

Unlawful clinical judgement (flu and covid vaccination examples)

Post date 23 July 2021
Categories In Compliance

The law does not allow clinical judgement to be discriminatory or to breach duties of care – a normally uncontroversial statement with an unusual degree of unmanaged consequences for this field of disease. The law does not allow clinical judgement to be discriminatory or to breach duties of care – a normally uncontroversial statement with…Continue readingUnlawful clinical judgement (flu and covid vaccination examples)

Tags BDD, BDS, Bodily distress, Book, breaches, Care, Care Quality Commission, CBT, CFS, claims management, Clinical judgement, Compliance, compliance risk, Conversion Disorder, Course, Covid, CQC, Decision-making, Diagnosis, Discrimination, education, expertise risk, flu, FND, Functional, Functional Disorder, General Medical Council, GET, GMC, Graded Exercise, infection, Influenza, insurance underwriting, intermediation, join, Judgement, Law, Legal, Liabilities, Liability, Long Covid, ME, ME/CFS, medical failure, medical norm, Medically Unexplained Symptoms, medico-legal, MUS, NICE, obligation, occupational health, operational risk, PASC, PENE, Persistent Physical Symptoms, PESE, Policy, Post Covid, Post Exertional Malaise, practice management, PSS, PTSD, reinsurance, Research, Risk, social care, Somatisation, Somatization, Support, unlawfulness, vaccination, vaccine

Compliance

Tests of clinical judgement lawfulness

Post date 23 July 2021
Categories In Compliance

Informed by the scientific, statutory and policy contexts outlined above, the following simple tests of clinical judgement lawfulness further outline lawful policy implementation requirements, mitigating the elevated probability of normalised unlawful clinical judgement in this context. Contrary conclusions constitute unlawful discriminatory implementation of policy, an arbitrary evasion of clear wording, thus discriminating on the very…Continue readingTests of clinical judgement lawfulness

Compliance

Tests of model-dictated eligibility lawfulness (QCovid score example)

Post date 23 July 2021
Categories In Compliance

Identically, models cannot excuse discrimination that is substantiated in law. The simple clinical judgement lawfulness tests above apply to the lawfulness of model driven decision-making. Replacing the word “clinician” with “model” in the tests arrives at identical conclusions: a priori assumption of ineligibility/insufficient eligibility of ME/CFS patient cohorts or individuals is unlawful. Identically, models cannot…Continue readingTests of model-dictated eligibility lawfulness (QCovid score example)

Compliance

Illusion of legal authority vs medical law enforcement

Post date 23 July 2021
Categories In Compliance

Risk management practice in the field ME/CFS and related post-viral disease commonly introduces unmanaged risks and liabilities, due to widespread normalisation of unlawful clinical judgement and prejudicially low standards. This inherently manifests as unlawful suspension of compliance and legal norms. This implies practical disregard for medical law’s status as a field of law, not medicine.…Continue readingIllusion of legal authority vs medical law enforcement

Compliance

Third party risk to preceding unlawful clinical judgement (therapeutic and assessment examples)

Post date 23 July 2021
Categories In Compliance

The spectrum of behaviour discussed in this document frequently leads to hazardous distortions that compound risks from unlawful decision-making yet further. These distortions inherently project chains of risk to third parties, who are incentivised to firewall liabilities at the origin in your organisation. Distortions from unlawful decision-making project chains of risks to third parties, who…Continue readingThird party risk to preceding unlawful clinical judgement (therapeutic and assessment examples)