Dr Ito Clinic

Duty of Candour
PolicyContents
Definitions ................................................................................................................................................ 2
1. Duty of Candour ........................................................................................................................... 2
2. Moderate harm ............................................................................................................................ 2
3. Severe harm ................................................................................................................................. 2
4. Notifiable safety incident ............................................................................................................. 2
When the patient does not have capacity ............................................................................................... 3
To meet the requirements of the Duty of Candour we must: ................................................................. 3
What we will do ....................................................................................................................................... 3
Information sources: ................................................................................................................................ 4
Annex: Duty of Caunder Leaflets (English & Japanese)

Dr Ito Clinic Duty of Candour Policy
Published
01/06/2015

Reviewed
11/10/2018Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 1 of 6

Dr Ito Clinic
Introduction
From April 1st 2015 providers of health and adult social care such hospitals and clinics arelegally required to meet new regulations about the Duty of Candour. This means being
open, transparent and honest with patients if things go wrong with the care of a patient.
The new regulations set out more clearly how we should do this:
http://www.cqc.org.uk/content/regulation-20-duty-candour

Definitions
1. Duty of Candour
Legal duty requiring healthcare providers to ensure that patients/legal representatives
are informed of medical errors causing moderate (including psychological harm), severe
harm or death and provided with support . This includes receiving an apology, as
appropriate, and the investigation findings and actions to prevent recurrence are shared.
2. Moderate harm
Moderate harm” means harm that requires a moderate increase in treatment, andsignificant, but not permanent, harm.
Moderate increase in treatment” means for example an unplanned re-admission, a
prolonged episode of care, extra time in hospital or as an outpatient, cancelling oftreatment, or transfer to another treatment (such as intensive care area) area.
3. Severe harm
Severe harm means a permanent lessening of bodily, sensory, motor, physiologic or
intellectual functions, including removal of the wrong limb or organ or brain damage thatis related directly to the incident and not related to the natural course of the service
user’s illness or underlying condition.
4. Notifiable safety incident
A notifiable safety incident means any unintended or unexpected incident that occurredin respect of a service user during the provision of care and treatment in the reasonable
opinion of a health care professional appears to have resulted in:(a) appears to have resulted in—i. the death of the service user, where the death relates directly to the incident rather than to
the natural course of the service user’s illness or underlying condition,ii. an impairment of the sensory, motor or intellectual functions of the service user which haslasted, or is likely to last, for a continuous period of at least 28 days,iii. changes to the structure of the service user’s body,iv. the service user experiencing prolonged pain or prolonged psychological harm, orDr Ito Clinic Duty of Candour Policy
Published
01/06/2015

Reviewed
11/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 2 of 6

Dr Ito Clinicv. the shortening of the life expectancy of the service user; or(b) Requires treatment by a health care professional in order to prevent—i. the death of the service user, orii. any injury to the service user which, if left untreated, would lead to one or more of theoutcomes mentioned in sub-paragraph (a).

When the patient does not have capacity
Dr Ito’s patients are regarded to have capacity generally and are able to consent to theirtreatment. If this is not the case the communication should be with the legal representativeof the patient. Where patients have an authorised person (authorised by the Court ofProtection) to act on their behalf by lasting Power of attorney, this must extend to decision
making and the medical care and treatment of the patient. Hold discussions with the holderof power of attorney (legal representative).
Examples of Duty of Candour are on the CQC website:
http://www.cqc.org.uk/sites/default/files/20150327_duty_of_candour_guidance_final.pdf(Link accessed: 11/10/2018)

To meet the requirements of the Duty of Candour we must:All act in an open and transparent way with our patients and their relatives

Tell the patient/patient representative as soon as possible if a safety incident has occurred,
including what the incident was and provide any support necessaryOffer an apology and let the patient know what we are going to doFollow this up in writing and provide an update to the patient

Generally all of our patients have capacity to consent to treatment. If a patient did not havecapacity then we will contact a legal representative if there is one. If not we will carry out a“best interest” decision with people involved in the patient’s care

What we will do
If something goes wrong with your care or treatment, which may be by doing something or by notdoing something and it causes you causes you harm, we will inform you and or your representative
within 10 working days.
We will start our investigation and let people know about it such as the Care Quality Commission.
We will support you during this time and ensure you have a named contact about what we are doing.

Dr Ito Clinic Duty of Candour Policy
Published
01/06/2015

Reviewed
11/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi Ito
Page | 3 of 6

Dr Ito Clinic
We will offer face to face meetings and also confirm everything in writing to you.
We will share the report and our findings with you explaining what has happened.
We will let the people involved know what we have learnt to stop the same thing happening tosomeone else and help to improve what we do.
A Duty of Candour disclosure will usually mean the incident is notifiable to CQC and Dr Ito will ensure
all notifications are made without delay.

Information sources:
http://www.cqc.org.uk/sites/default/files/20150327_duty_of_candour_guidance_final.pdf
https://www.themdu.com/guidance-and-advice/guides/duty-of-candour(Link checked: 11/10/2018)

Dr Ito Clinic Duty of Candour Policy
Published
01/06/2015

Reviewed
11/10/2018

Reviewed byKayo Koitabashi

Authorised by
Dr Takashi ItoPage | 4 of 6

Duty ofCandour

Duty of Candour and what this meansout a “best interest” decision with people
involved in the patient’s care.

From April 1st 2015 providers of health and adultsocial care such as hospitals and clinics arelegally required to meet new regulations about
the Duty of Candour. This means being open,transparent and honest with patients if things gowrong with the care of a patient.

What we will doandThe new regulations set out more clearly how weshould do this.

what this means

To meet the requirements of the Duty ofCandour we must:

96 Harley Street London W1G 7HY
T. +44 (0)20 7637 5560
E. info@dritoclinic.co.uk

We will start our investigation and let people
know about it such as the Care Quality
Commission

All act in an open and transparent way with ourpatients and their relatives

We will support you during this time and ensure
you have a named contact about what we are
doing

Tell the patient/patient representative as soon as
possible if a safety incident has occurred,
including what the incident was and provide any
support necessary

We will offer face to face meetings and also
confirm everything in writing to you.

Offer an apology and let the patient know what
we are going to do

Dr Ito Clinic

If something goes wrong with your care ortreatment, which may be by doing something orby not doing something and it causes harm, we
will inform you and or your representative within
10 working days.

Follow this up in writing and provide an updateto the patient
Generally all of our patients have capacity toconsent to treatment. If a patient did not havecapacity then we will contact a legal
representative if there is one. If not we will carry

We will share the report and our findings withyou explaining what has happened.
We will let the people involved know what wehave learnt to stop the same thing happening tosomeone else and help to improve what we do.
The Care Quality Commission monitors us tomake sure we comply with the Duty of Candour.
If you want to know more about this you can ask
Dr Takashi Ito or Kayo Koitabashi.
Published
01/06/2015

Reviewed
11/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoDuty ofCandour
andwhat this means
誠実義務について（日本語要約）Duty of Candour （誠実義務）とは患者様にお約束いたします2015年4月1日、「Duty of Candour」について定め治療の実施有無にかかわらず、患者様のケアや治療にた新しい法律が施行されました。英国の医療機関は、おいて予期せぬことがおき患者様に悪影響が出た場合、患者様のケアにおいて何らかの間違いが起きてしまった

そのことを10営業日以内に患者様あるいは代理の方に場合、患者様に対しオープンであること、正直であること、ご連絡いたします。

そして透明性を保つことをお約束する義務があります。
この新しい法律により、私たちのすべきことがより明確と調査を開始し、Care Quality Commission などのなりました。

関係各所へ報告します。

Duty of Candour を遂行するためにこの調査期間中、患者様へのサポートをするとともに、患者様と関係者様に対し、全スタッフはオープンで透明お問い合わせ頂く際の担当責任者をお知らせします。

性のある行動をとります。

これは対面にて直接ご説明申し上げるほか、文書でも安全にかかわる問題が発生した場合、患者様やご関係ご報告いたします。

者様にすみやかに問題内容を報告し、必要なサポートを申し出ます。

調査が終わりましたら、調査報告レポートを患者様に患者様に謝罪し、今後の対応についてお知らせします。

提出するほか、関係各所に対し、今後同じことを繰り返

その後、進捗状況を患者様に書面にて報告します。

さないための対応策と、改善方法を報告します。

当院では患者様ご自身が治療の意思決定・承諾をす

Care Quality Commission は、当院が誠実義務をることができることを前提としてケアをおこなっております。

きちんと果たしているかどうかを監視する機関です。

ですが、もし患者様に意思決定能力がなく、法的Dr Ito Clinic
96 Harley Street London W1G 7HY
T. +44 (0)20 7637 5560
E. info@dritoclinic.co.uk

代理人がいらっしゃる場合にはその方にご連絡いたします。

このことで更に詳しくお知りになりたい方は、伊藤医師それも不可能な場合には、治療関係者全員で相談し、あるいは小板橋香代までお問い合わせください。

患者様にとって最善の方法をとることとなります。

Published
01/06/2015

Reviewed
11/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi Ito