Consultation on Proposals to Introduce a Statutory Duty of Candour for Health and Social Care Services

This consultation document invites views on the Scottish Government's proposals to introduce legislation that will require organisations providing health and social care to tell people if there has been an event involving them where physical or psychological harm has occurred as a result of care or treatment.


Footnotes

1. Kachalia, A (2013) "Improving Patient Safety through Transparency", New England Journal of Medicine, 369, 18, 1677.

2. Pinto, A., Faiz, O., & Vincent, C. (2012). Managing the after effects of serious patient safety incidents in the NHS: an online survey study. BMJ quality & safety, qhc-2012.

3. Department of Health (2013). A promise to learn - a commitment to act: improving the safety of patients in England. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf (Accessed 03rd October 2014)

4. The Health Foundation (2011). Evidence scan: Levels of Harm. Available at: http://www.health.org.uk/publications/levels-of-harm/ (Accessed 21st September 2014),

5. Halligan, A. W. F. (2014). Implications for medical leaders of the proposed Duty of Candour. Clinical Risk, 20(1-2), 29-31.

6. Etchegaray, JM., Gallagher, TH., Bell, SK et al. (2012). Error disclosure: a new domain for safety culture assessment. BMJ Quality and Safety, 21, 594-599.

7. Boothman, R. C., Imhoff, S. J., & Campbell Jr, D. A. (2012). Nurturing a culture of patient safety and achieving lower malpractice risk through disclosure: lessons learned and future directions. Frontiers of health services management, 28(3), 13.

8. Fletcher, M, Barraclough, B., Bate, J. et al. (2003). New wine in old bottles: a national standard for open disclosure - the Australian experience. Clinical Risk, 9, 225-228.

9. Peto, RR, Tenerowicz, LM, Benjamin, EM et al (2009). One System's Journey in Creating a Disclosure and Apology Program, The Joint Commission Journal on Quality and Patient Safety, 35, 10, 487-496.

10. Eaves-Leanos, A., & Dunn, E. J. (2012). Open disclosure of adverse events: transparency and safety in health care. Surgical Clinics of North America, 92(1), 163-177.

11. The duty of candour applies only to adult social care services in England as the Care Quality Commission does not regulate child social care services.

12. 'Duty of Candour - An Adult Social Care Perspective. Think Local. Act Personal. http://www.thinklocalactpersonal.org.uk/_library/The_Duty_of_Candour_-_an_Adult_Social_Care_Perspective_March_2014.pdf (Accessed 26th September 2014)

13. Bonnema, R. A., Gonzaga, A. M. R., Bost, J. E., & Spagnoletti, C. L. (2012). Teaching error disclosure: advanced communication skills training for residents. Journal of Communication in Healthcare, 5(1), 51-55.

14. Iedema, R., Allen, S., Sorensen, R., & Gallagher, T. H. (2011). What prevents incident disclosure, and what can be done to promote it? Joint Commission journal on quality and patient safety, 37(9), 409-417.

15. Kaldjian, L. C., Jones, E. W., & Rosenthal, G. (2006). Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Joint Commission Journal on Quality and Patient Safety, 32(4), 188-198.

16. Kaldjian, L. C., Jones, E. W., & Rosenthal, G. (2006). Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Joint Commission Journal on Quality and Patient Safety, 32(4), 188-198.

17. http://www.healthcareimprovementscotland.org/his/idoc.ashx?docid=3b248733-5f86-4379-9a28-35beae432004&version=-1 (Accessed 25th September 2014)

18. http://www.healthcareimprovementscotland.org/his/idoc.ashx?docid=784df33e-be1a-4b63-9516-3d2edf31ada8&version=-1 (Accessed 26th September 2014)

19. http://www.scotland.gov.uk/Publications/2012/10/5974/2 (Accessed 25th September 2014)

20. https://www.rcseng.ac.uk/policy/documents/CandourreviewFinal.pdf (Accessed 25th September 2014)

21. O'connor, E., Coates, H. M., Yardley, I. E., & Wu, A. W. (2010). Disclosure of patient safety incidents: a comprehensive review. International Journal for Quality in Health Care, , 22(5), 371-379..

22. http://www.scotland.gov.uk/Resource/0045/00451272.pdf

23. Etchegaray, JM., Gallagher, TH., Bell, SK et al. (2012). Error disclosure: a new domain for safety culture assessment. BMJ Quality and Safety, 21, 594-599.

24. 'A promise to learn- a commitment to act. Improving the Safety of Patients in England

National Advisory Group on the Safety of Patients in England', August 2013, Department of Health. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf (Accessed 25th September 2014).

25. The Health Foundation (2011). Evidence scan: Levels of Harm. Available at: http://www.health.org.uk/publications/levels-of-harm/ (Accessed 21st September 2014),

26. Halligan, A. W. F. (2014). Implications for medical leaders of the proposed Duty of Candour. Clinical Risk, 20(1-2), 29-31.

27. O'connor, E., Coates, H. M., Yardley, I. E., & Wu, A. W. (2010). Disclosure of patient safety incidents: a comprehensive review. International Journal for Quality in Health Care, , 22(5), 371-379..

28. http://www.scotland.gov.uk/Resource/0045/00451272.pdf

29. https://www.rcseng.ac.uk/policy/documents/CandourreviewFinal.pdf (Accessed 25th September 2014)

30. The Health Foundation (2011). Evidence scan: Levels of Harm. Available at: http://www.health.org.uk/publications/levels-of-harm/ (Accessed 21st September 2014),

31. Bonnema, R. A., Gonzaga, A. M. R., Bost, J. E., & Spagnoletti, C. L. (2012). Teaching error disclosure: advanced communication skills training for residents. Journal of Communication in Healthcare, 5(1), 51-55.

32. http://www.sssc.uk.com/

33. Kachalia, A (2013) "Improving Patient Safety through Transparency", New England Journal of Medicine, 369, 18, 1677. & Boothman RC, Blackwell AC, Campbell DA Jr, Commiskey E, Anderson S. 'A better approach to medical malpractice claims? The University of Michigan experience' Journal of Health and Life Sciences Law 2009; 2: 125-159 & Kraman SS, Hamm G, 'Risk Management: Extreme Honesty May be the Best Policy' Annals of Internal Medicine 1999; 131(12): 963-967

Contact

Email: Professor Craig A White

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