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MPS Advises Doctors On Email Consultations

MPS, a leading medical protection organisation, is advising doctors on the issues they should be aware of when consulting with patients via email. Email consultations can provide patients with a useful means of accessing their GP, however, doctors are advised to follow best practice tips. Dr Richard Stacey, MPS medicolegal adviser, said: "Email is an attractive way for patients to communicate with practices and the demand for such a service could increase over time. In some circumstances providing online advice may be essential for patients, particularly those who live in remote locations. "Whilst there is no reason why GPs should not embrace this form of communication, safeguards are required in order to preserve patient confidentiality." Doctors who are providing continuing care to patients" via email should: - ensure that patients are content to communicate in this way. - save all email exchanges in a patient"s medical records. - not be tempted to use email to respond to complicated or difficult problems; if it is felt that a consultation would be more appropriate, make the necessary arrangements to see the patient - make sure there are robust procedures in place to follow up any matters that arise from email exchange. Dr Richard Stacey continues: "Communicating by email does not allow a doctor to pick on the important nuances and non-verbal cues that are apparent in face-to-face consultations - this must be borne in mind when deciding how best to assess or manage a problem." "The corollary to this is that the doctor must be assiduous in establishing the history and remember that the email exchange will form a part of the medical record, upon which they may be judged if there is an adverse outcome." Dr Richard Stacey adds: "Doctors will need to make patients aware of the limitations of email consultations and must be prepared to justify any advice given online." Notes 1. The dos and don"ts of emailing patients can be found in Your Practice magazine, an MPS publication, and is available here. Medical Protection Society


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