#CumberlegeReport issued today shows deficiencies in care once again. Cleft surgeons have known for years that Valproate is associated with cleft lip and palate but it was too late for the mother and baby by the time they met their cleft surgeon. If we knew, other must have done?
A Redress Agency. Will that do any better than #NHSResolution it, indeed, be part of it?
The babies who were damaged by valproate need support and compensation. Uncontrolled neurological illness is damaging to the mother and they should have been warned of both risks of worsening epilepsy and foetal harm. Since 1999, Montgomery level consent has been mandatory.
Revising MHRA ... we all applaud better surveilance of devices and registering them. Making adverse event reporting mandatory and improving the yellow card system is necessary.
NB The Breast and cosmetic Implant Registry is currently UNFUNDED by the Government!
It is essential that doctors disclose interests upfront in presentations and at the start of publications on the subject, in bold type, not at the end as at present. Maintaining a mandatory, GMC central record with the information being recorded on our Registration makes sense.
We have to make sure the TaskForce is not ignored and #MHRA will need additional funding. With Brexit, they are already stretched and this is adding enormously to their work load.
Any register of interests must list career long interests not just current!. We have seen staunch supporters of manufacturers change their spots so the history of our interests as doctors is essential.
Recording conversations with patients,as happened with F2F consultations with GPs is recommended, together with giving the patient a copy.
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