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Legal and Ethical Issues — 2: Confidentiality, records and candour

1. Confidentiality in a busy practice

2. Records, images and UK data protection

3. Candour and raising concerns

Legal and Ethical Issues 2 – Assessment

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Legal and Ethical Issues 2 – Assessment

Legal and Ethical Issues — 2: Confidentiality, records and candour
Legal and Ethical Issues 2 – Assessment

Answer all questions. Pass mark: 80%.

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Question 1 of 8

1. Question

Discussing an identifiable patient by name in a café is:

Acceptable if you lower your voice
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A confidentiality breach
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Required CPD reflection
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Allowed if the patient was rude
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Question 2 of 8

2. Question

Clinical photographs should normally be stored:

On a personal phone camera roll and social apps
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In the practice clinical system under a secure workflow
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On a USB stick left in reception
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In a staff WhatsApp group for teaching
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Question 3 of 8

3. Question

If you realise a clinical note is wrong, you should:

Silently overwrite it so the original disappears
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Add a dated amendment that shows the correction
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Delete the whole record
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Wait until a complaint arrives
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Question 4 of 8

4. Question

A patient requests a copy of their dental records. You should:

Refuse because records are the dentist’s property only
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Follow the statutory subject-access process and timescale
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Charge whatever fee you like
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Hand the original paper file to them permanently
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Question 5 of 8

5. Question

An apology after something goes wrong:

Is always an admission of legal liability in the UK
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Is not the same as admitting liability, and is often what the patient needs
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Is forbidden by the GDC
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Should only be given by a solicitor
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Question 6 of 8

6. Question

Statutory duty of candour (England, CQC-registered providers) applies when:

A notifiable safety incident occurs, following the legal definition and local procedure
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A patient leaves a 3-star review
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The autoclave is serviced on time
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You complete any CPD course
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Question 7 of 8

7. Question

If you believe patients are at risk from a colleague’s practice, you should:

Stay silent to keep the team happy
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Raise the concern through an appropriate route; local first if it is safe, then regulators if needed
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Post about it on social media
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Only tell the patient in the waiting room
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Question 8 of 8

8. Question

Sharing a login so “anyone can open the software” is:

Good teamwork
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Poor information security and breaks attributable records
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Required by UK GDPR
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Only a problem for panoramic machines
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