QU AR TER ONE / 2019


Editor Dr Barry Parker


Managing editor Jim Killgore


Associate editor Joanne Curran


Editorial departments Medical Dr Richard Brittain Dental Mr Aubrey Craig Legal Nicola O’Connor


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 Risk Ambulance on the way


9 Briefing GP indemnity… where we are


Cover image Constellation, Marjorie Stark Acrylic and gouache Marjorie Stark (1914-99) studied at Edinburgh College of Art between 1949-55, working in watercolour and also abstract collage. She was a member of the Society of Scottish Artists.


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 Less is not more when it comes to protection GPs in England and Wales may believe that state-backed indemnity will provide all they need in facing professional difficulties. But what about the things it won’t help with?


12 Strange changes Adam Campbell meets celebrated writer and GP Gavin Francis


14 Blurring the boundaries It’s never been more difficult to judge when you may have “crossed the line” with a patient or colleague. Dental adviser Sarah Harford offers some insights


16 Case files Enamel loss, Fit to work, Private vs NHS treatment, Sore foot, Amalgam concerns, Seeking closure


20 Dilemma Rural romance


21 Ethics Negotiating neutrality


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22 Addenda Book choice: Blueprint, Object obscura: “Livingstone” medical chest, Crossword and Vignette: Wilfred Gaisford, paediatrics innovator


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.


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