NHS is publicly funded service in UKExplaining a mistake1.Introduce yourself with full name and role 2.I can see you are in a lot of distress is there anything I can help you with3.Actively listen to their concerns – could you please tell me how much you know about… when it happened?4.That’s correct… and adding to that5.Aware of condition and mistake and apologise and take full responsibility for it 6.Condition currently- team is doing best to look after her7.Risks from mistake8.In future I plan on being more careful, reported mistake to senior staf9.Serious incident report form has been submitted and hospital managing staf made aware of this10.I understand you would like to make a formal complaint speak to senior manager or ward manager for complaints procedure Confidentiality 1.Someone is asking about information regarding another patient circumstance2.It is a bit of a difficult situation as it is understandable that being in that position you would want to be aware of your own condition.3.Gillick competence test should be performed on the patient to assess the child’s capacity andawareness of his treatment and ability to make decisions and if passing the test he has the right to know despite parent’s thoughts. 4.On the other hand he may not understand his own illness and that could ultimately have a negative impact on his psychological status and therefore his overall improvement.5.Evaluate competency of child and if competent he is allowed to make decisions. Ask parents why they don’t want child to know and how he would react?Look into 7 day NHS Consent, capacity and Jehovah’s witnesses 1.3 components of valid consent. Informed, voluntary and competent. Voluntary so not given under undue pressure. Informed – side efects, risks, complications and benefits like infectionafter operation and benefits disease cured and better quality of life. What would a reasonable patient want to know following from the case of Montgomery in terms of an informed decision as it would be impractical to list all problems so adapt what you tell the patient according to their needs and circumstances. Competent- patient is able to make the decision to give consent through mental capacity act and so must understand, retain, weigh up from risks and benefits and then communicate decision to doctors and if fulfilled they have capacity. All adults competent unless proved otherwise- in adults.2.Children – 16/17 year olds and below 16. Consent valid if they are 18 for valid consent for 16/17. Cannot refuse treatment if parents give consent on their behalf. Below 16 may be competent called Gillick competence and Fraser guidelines – can give consent but not refuse if they can follow 3 components of valid consent. Varies for more complex decisions and capacity may change so function specific have to continually reassess.