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NZRGPN Conference: Family Issues in a Rural Setting Dr Aine McCoyMB BCh BAO DRCOG MRCGP FRNZCGP Mr Adam LewisLLBBarrister - Harbour Chambers
Unwelcome Patients • Confidentiality Matters • Competence • Patient records- how secure are they?
Unwelcome patients: • Mother + 3 children • Known unrealistic expectations. • Nearest practice is 20kms away OR: • Mother unhappy with your care of her children • Has made 3 complaints in the past year
Receptionist longtime employee- no access to clinical information • Her daughter ‘s new partner – patient of the practice • Mother warns her daughter about him • Patient confronts you. Q. How to manage 1. the patient. 2. your receptionist?
Frail elderly woman • Lives with daughter who has her own mental health issues and an alcohol problem • Requests a certificate from you to enable her to appoint this daughter as her EPOA • How to proceed?
Who has access to patient notes: • Next of kin? • Children of elderly parents? • 12 year old girl wanting contraception who insists that her parents not be informed? • CYPS wanting information about a 7 year old child and her mother who has mental health issues