WE3.11 Inguinal hernia repair operation; review of the consent and the supported decision-making in the out-patient department

Abstract

Abstract Introduction In 2015, the ruling of the UK Supreme Court in Scotland in the case of Montgomery v Lanarkshire fundamentally changed the practice of consent. According to the Judges, doctors are no longer the sole arbiter of determining what risks are material to their patients. In this study, the RCS CONSENT: SUPPORTED DECISION-MAKING guide was used to evaluate our practice in regards to consent taking for inguinal hernia repair. Methods OPD letters to GPs were reviewed between 01/01/2019 to 30/12/2019. For risks with its percentages, alternative management exploration with the patient and whether information leaflets supplied to the patients. Results There were 63 patients. 19/63 letters had different options of treatment documented. 37/63 letters showed risks and complications documented and only 4/63 letters had percentages of the risks written. 25/63 patients signed consents in OPD. 0/63 letters indicated a signed consent copy was given to patients. Only 10 patients had been given an information leaflet. Conclusion Overall quality of letters was: 36/63 were poor, 21/63 were average and 5/63 were good. Therefore, to improve our practice leaflets shall be made easily accessible in all clinics. A prompt notification, if consent has been signed when booking a patient. workshops with feedback for middle grades.