QU AR TER THREE / 2017


Editor Dr Barry Parker


Managing editor Jim Killgore


Associate editor Joanne Curran


Editorial departments Medical Dr Richard Brittain Dental Mr Aubrey Craig Legal David Holmes


Design and production Connect Communications 0131 561 0020 www.connectmedia.cc


Printing and distribution L&S Litho


Correspondence Insight Editor MDDUS Mackintosh House 120 Blythswood Street Glasgow G2 4EA


jkillgore@mddus.com


4 MDDUS news 6 News digest


8 Briefing Would mandatory service help the NHS?


9 Risk Gift or abuse of trust?


Cover image Wooden Anenome, Stephen Cohn Screenprint, 1970 Born in Frankfurt-am-Main in 1931, Cohn came to England in 1933 to settle. He served in the army before going on to study sculpture at Hammersmith School of Art. He died in 2012.


Art in Healthcare (formerly Paintings in Hospitals Scotland) works with hospitals and healthcare communities across Scotland to encourage patients, visitors and staff to enjoy and engage with the visual arts. For more information visit www.artinhealthcare.org.uk Scottish Charity No SC 036222.


10 Caring for the displaced Jim Killgore chats with two GPs working in an award-winning specialist clinic in London offering primary care to refugees and asylum seekers


12 Duty to warn? A recent case involving Huntington’s disease poses difficult questions regarding duty of care and a patient’s right to confidentiality


14 Sit up and take notice Dentist and personal trainer James Tang says prevention is better than cure when it comes to neck and back pain


Insight is published quarterly by The Medical and Dental Defence Union of Scotland, registered in Scotland No 5093 at Mackintosh House, 120 Blythswood Street, Glasgow G2 4EA. Tel: 0333 043 4444 Fax: 0141 228 1208 Email: General: info@mddus.com Membership services: membership@mddus.com Marketing: marketing@mddus.com Website: www.mddus.com The MDDUS is not an insurance company. All the benefits of membership of MDDUS are discretionary as set out in the Articles of Association. The opinions, beliefs and viewpoints expressed by the various authors in Insight are those of the authors alone and do not necessarily reflect the opinions or policies of The Medical and Dental Defence Union of Scotland.


MDDUS INSIGHT / 3


16 Case files Molar confusion, Disclosure demanded, Mole to melanoma, Inappropriate tweets, Ending implant work, Ingested bur


20 Dilemma Safeguarding concern


21 Ethics The sound of silence


22 Addenda Book choice: Mend the living, Object Obscura: Medical lancet, Crossword and Vignette: Gertrude Herzfeld, first practising woman surgeon in Scotland


16


10


14


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24