Tag: occupational health

The doctor who doesn’t believe she is ill

Post date 12 November 2021
Categories In Books, Education, Learning Resources and CPD, Opinion, Patient Perspective

The newly published 2021 NICE guideline on ME/CFS calls for a change in culture, from one of stigma and disbelief to one which listens to the patient. Doctors with M.E. starts by listening to one patient’s story. Dr. Hng collapses at work and still doesn’t know she is ill. She doesn’t call for help. She…Continue readingThe doctor who doesn’t believe she is ill

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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

Obligation to recognise ME/CFS mobility limitations

Post date 23 July 2021
Categories In Compliance

Smear test exampleContinue readingObligation to recognise ME/CFS mobility limitations

Compliance

Irrelevance of official edicts and officialised redistribution of liabilities to frontline balance sheets (vaccination and NICE guideline examples)

Post date 23 July 2021
Categories In Compliance

Neither obfuscation, incorrect pronouncement nor under-informed lack of clarity from governmental, regulatory/self-regulatory or other authorities can change the law, terminal frontline legal requirements nor resultant liability profiles. All decision-making is unavoidably limited by requirements of law, with the elevated likelihood of unlawful decision-making in this field similarly prejudicing top-down communication. The structural difference is only…Continue readingIrrelevance of official edicts and officialised redistribution of liabilities to frontline balance sheets (vaccination and NICE guideline examples)

Compliance

Compliance, medico-legal considerations and enforceable obligations

Post date 23 July 2021
Categories In Compliance

Credit: Weiss Paarz Medical Malpractice Attorneys

Unmanaged post-viral disease liability, risk exposure and rising pandemic exposure (draft) Compliance obligations for professionals, operational and expertise risks in practice management, social care, occupational health intermediation, insurance underwriting, claims management and reinsurance Summary The role of habitualised unlawful clinical judgement and discrimination that leads to elevated probability of evidentiable malpractice is outlined. Obligations and…Continue readingCompliance, medico-legal considerations and enforceable obligations

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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)