Indemnity Scheme Research Articles

The Insurance Principle in English Property Law

The Insurance principle is one of the three main principles of English land registration. It is connected to the indemnity scheme. Polish law lacks such regulations. This article explores main features of the Insurance Principles and the indemnity scheme in context of Polish regulations, also in context of how much it will cost Polish taxpayers.

Intensification of fragility: Poultry production and distribution in Bangladesh and its implications for disease risk

Poultry production is a valuable source of nutritious food and income and is considered a crucial part of global development. This is especially important for countries such as Bangladesh where levels of hunger and childhood stunting remain high. However, in many low- and middle-income countries poultry production remains dominated by small to medium scale enterprises operating with poor farm biosecurity associated with poultry and zoonotic disease risks. We aimed to characterize the structure of poultry production in Bangladesh in order to identify the underlying structural factors and resulting practices which create risk environments for emergence, persistence and transmission of infectious diseases.Using the concept of a production and distribution network (PDN), we conducted a review of the literature, 27 in-depth interviews with key-informants and stakeholders, and 20 structured interviews with poultry distributors to map the ways which poultry are raised, distributed and marketed in Bangladesh. Findings indicate that the PDN can be considered in the context of four major sub-networks, based on the types of chickens; broadly indigenous, cross-bred, exotic broiler, and layer chickens. These sub-networks do not exist in isolation; their transactional nodes - actors and sites - are dynamic and numerous interactions occur within and between the PDN.Our findings suggest that the growth in small and medium scale poultry enterprises is conducted within ‘fragile’ enterprises by inexperienced and poorly supported producers, many of whom lack capacity for the level of system upgrading needed to mitigate disease risk. Efforts could be taken to address the structural underlying factors identified, such as the poor bargaining power of producers and lack of access to independent credit and indemnity schemes, as a way to reduce the fragility of the PDN and increase its resilience to disease threats.This knowledge on the PDN structure and function provide the essential basis to better study the generation, mitigation and consequences of disease risks associated to livestock, including the analysis of potential hotspots for disease emergence and transmission.

Understanding indemnity in practice nursing: part 2

In the second article of a two-part series, John Finch looks at indemnity schemes and their practical implications for practice nurses

Dentists set to benefit from bespoke BDA indemnity scheme

Dentists set to benefit from bespoke BDA indemnity scheme

Clinical negligence claims could rise substantially, warns MPS

The cost of clinical negligence claims could rise to £2.6bn a year by 2022 in England if spending continues to increase at its current rate, the Medical Protection Society has warned. In a report published on Friday 23 June the MPS called for legal reforms to control the cost of clinical negligence claims.1 It said that the amount paid out in claims by NHS Resolution, the organisation that provides indemnity schemes for NHS organisations in England, had risen by 72% in five years. If this trajectory continued for the next five years, the yearly bill to the NHS could increase from £1.5bn to £2.6bn, the MPS said. Recent changes to the personal injury discount rate—the percentage rate that successful claimants in personal …

State-backed indemnity scheme for GPs to cover wider practice staff

State-backed indemnity scheme for GPs to cover wider practice staff

Royal College of Nursing discriminates against aesthetic nurses—again

The Royal College of Nursing (RCN) is in a pickle over its indemnity scheme. Originally designed as an incentive to join, it has turned out to be a financial burden and has had to be modified. But the decision to exclude self-employed aesthetic nurses is a modification too far, argues Helena Collier, a depressing repeat of the RCN's failure to take aesthetic medicine and its practitioners seriously

Royal College of Nursing to exclude aesthetic practice from its indemnity scheme

From 1 July 2014, the Royal College of Nursing (RCN) will be ‘closing the indemnity loophole’ by removing aesthetic practice from its insurance scheme. In this article, the editor Natasha Devan shares chief executive Peter Carter's response to the aesthetic nursing profession's concerns. The thoughts of several practitioners who commented on the Journal of Aesthetic Nursing's LinkedIn group will also be featured

Workers’ Compensation, Fibromyalgia, and Kafka

In this issue of The Journal Mary-Ann Fitzcharles and colleagues present statistics describing the appeals process for patients with “fibromyalgia” (FM) whose indemnity claim for workers’ compensation had been denied by the Workplace Safety and Insurance Board (WSIB) of Ontario, Canada1. No doubt these descriptive statistics will be of interest to and even have use for those involved in this process in Ontario. They may even be relevant to actuaries and policy-makers in other jurisdictions. But are they of interest to anyone else? In particular, are they of interest to rheumatologists who are not involved in the workers’ compensation indemnity scheme of Ontario? I will argue the affirmative; this process is a window on the social construction of illness and on the role of the physician in determination of disability. I have a personal bias in that this fascination has captured a great deal of my scholarly efforts for many decades. A recent monograph bears witness and hopefully can imbue the reader with a similar level of interest2. Workers’ compensation indemnity schemes made landfall in North America almost exactly a century ago. However, unlike the Prussian precedent that swept Europe country by country, this species of social legislation was met with a politic that resulted in distinctive programs in each Canadian province and American state. All these schemes were designed to serve a particular ethic: any worker who is injured in the course of working should not fear for loss of wages while recovering from the injury or after recovery. The initial notion of “injury” was straightforward, the damage that resulted from a violent event. Injury of this nature still accounts for the vast majority of … Address correspondence to Dr. N.M. Hadler, UNC 3330 Thurston Building, CB 7280, Chapel Hill, NC 27599-7280, USA. E-mail: nmh{at}med.unc.edu

A no‐fault compensation system for medical injury is long overdue

The 2011 report of the Productivity Commission (PC) recommended the establishment of a no-fault national injury insurance scheme limited to "catastrophic" injury, including medical injury. The report is welcome, but represents a missed opportunity to establish simultaneously a much-needed no-fault scheme for all medical injuries. The existing indemnity scheme based on negligence remains a slow, costly, inefficient, ill targeted and stress-creating system. A fault-based negligence scheme cannot deter non-intentional errors and does little to identify or prevent systems failures. In addition, it discourages reporting, and thus is antithetical to the modern focus on universal patient safety. A no-fault scheme has the potential to be fairer, quicker and no more costly, and to contribute to patient safety. No-fault schemes have been in place in at least six developed countries for many years. This extensive experience in comparable countries should be examined to assist Australia to design an effective, comprehensive system. Before implementing the recommendations of the PC, the federal government should ask the Commission to study and promptly report on an ancillary no-fault scheme that covers all medical injury.

The South African Support System for Start-Up Companies: Assessing the Khula Indemnity Scheme

This article examines the South African financial system for start-up companies, and focuses particularly on the support provided by the Khula indemnification scheme. Most research rests on the assumption that a lack of finance is the sole impediment to success of start-ups; however, it is unclear whether such government intervention can indeed foster successful entrepreneurial activity. We show that the current system provides profit-making opportunities for both banks and consultants, but lacks a focus on sustainable business development. There are incentives to create companies not in an attempt to be profitable, but rather as a means to gain access to government or government-backed money. We question whether a lack of finance is the primary obstacle to the formation of businesses. Instead, we argue that it is a lack of accountability and an insufficient application of business tools such as basic cost accounting that make entrepreneurs less creditworthy.

Confusion over changes to personal indemnity cover

It would appear that the changes to the RCN’s personal indemnity scheme for practice nurses have led to a great deal of confusion (news and careers January 4 and letters January 18). Many nurses and GPs are under the impression that this puts them at risk.

Knowledge and Attitude of Basic Psychiatric Trainees in Ireland to the Clinical Indemnity Scheme.

To assess the knowledge of basic psychiatric trainees in Ireland of the Clinical Indemnity Scheme (CIS) and to ascertain how many basic specialist trainees in psychiatry had obtained additional medical indemnity cover and reasons for obtaining additional cover. A structured questionnaire was distributed by post to 300 basic specialist trainees in psychiatric training schemes in Ireland. The questionnaire enquired about demographic details and examined the level of trainees' knowledge of the clinical indemnity scheme. Results were compiled and analysed using descriptive statistics and SPSS version 14. The response rate was 49%. The bulk of respondents were male (65.5%), aged between 30-35 years of age (44.6%). The majority of the respondents were aware of the CIS, with approximately half of the respondents having acquired additional medical indemnity cover. The level of awareness of the CIS was proportionately more amongst male respondents (69.1%), compared with females (58.5%). However, more females (61.5%) had additional medical indemnity cover compared with males (45.5%). Irish national trainees were more aware (72.9%) and had additional medical indemnity (80%), compared with non-Irish national trainees of whom approximately 61% were aware of the CIS and only 40% had an additional cover. The level of knowledge regarding details of what the CIS provided coverage for was quite poor. Respondents who had obtained additional indemnity were unsure what cover their additional indemnity provided. Only 10 respondents had been involved in medico-legal cases and of these, five had medical indemnity at the time of the case, stating that the legal advice and support was helpful. Our survey has highlighted that a considerable number of basic specialist trainees in psychiatry in Ireland had no detailed knowledge of what the CIS indemnifies them for and what situations were not covered by the scheme. Additionally, it revealed a clear split in favour of Irish national trainees in comparison to non-Irish national trainees in terms of awareness of the CIS and the procurement of additional medical indemnity. There needs to be an educational drive to provide more information to psychiatric trainees regarding the CIS and other medical insurance schemes. Furthermore, it would be important to examine factors that influence trainees in obtaining/not obtaining additional cover.

Reflection and circumspection

Nurse PrescribingVol. 9, No. 12 EditorialReflection and circumspectionDeborah RobertsonDeborah RobertsonSearch for more papers by this authorDeborah RobertsonPublished Online:16 Aug 2013https://doi.org/10.12968/npre.2011.9.12.577AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Royal College of Nursing (2011) Changes to the RCN indemnity scheme: your questions answered. Available at: http://www.rcn.org.uk/support/legal/changes_to_indemnity_scheme_january_2012 Google ScholarCraig DN, Bates CM, Davidson JS et al. (2011) Staggered overdose pattern and delay to hospital presentation are associated with adverse outcomes following paracetamol-induced hepatotoxicity. British Journal of Clinical Pharmacology; doi: 10.1111/j.1365- Google Scholar FiguresReferencesRelatedDetails 1 December 2011Volume 9Issue 12ISSN (print): 1479-9189ISSN (online): 2052-2924 Metrics History Published online 16 August 2013 Published in print 1 December 2011 Information© MA Healthcare LimitedPDF download

RCN insists practice nurses are safe after changes to indemnity scheme

RCN insists practice nurses are safe after changes to indemnity scheme

RCN insists practice nurses are safe after changes to indemnity scheme

RCN insists practice nurses are safe after changes to indemnity scheme

Indemnity scheme change concerns practice nurses

Practice NursingVol. 22, No. 11 News Focus professionalIndemnity scheme change concerns practice nursesChris CoxChris CoxSearch for more papers by this authorChris CoxPublished Online:29 Sep 2013https://doi.org/10.12968/pnur.2011.22.11.568AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article FiguresReferencesRelatedDetails 1 November 2011Volume 22Issue 11ISSN (print): 0964-9271ISSN (online): 2052-2940 Metrics History Published online 29 September 2013 Published in print 1 November 2011 Information© MA Healthcare LimitedPDF download

Indemnity scheme change concerns practice nurses

The Royal College of Nursing reassures nurses in general practice that a change to the indemnity scheme will not affect their ability to practise nor require them to take out any additional cover

A Study for Implementation of Government Arts Indemnity Scheme

A Study for Implementation of Government Arts Indemnity Scheme

A review of adverse event reporting in Irish surgical specialties

Introduction Reporting of adverse events in medicine is an important concept. It is widely accepted that a key element of any healthcare service is the approach that is adopted towards reporting adverse events. Government legislation and the increased number of patient safety initiatives with widespread discussion within the medical literature marks adverse event reporting as an important topic for analysis. Methods The Clinical Indemnity Scheme (CIS) provides risk advisory services to state authorities in Ireland. This study will focus on 42,094 adverse events reported across all surgical specialties to the CIS via a confidential weblink (STARSWeb) since 2004. The most common features of each adverse event and closed medicolegal claims processed by the CIS were reviewed as part of this study. Results The majority of reported adverse events occur in orthopaedic and general surgery (73% of all cases). Slips/trips/falls are the most common adverse event reported. Doctors report only 4% of the total number of adverse events. The month of October records the highest number of adverse events with the highest frequency of adverse events taking place before 13:00 each day. The most common incident type which resulted in a claim being closed by the CIS was the perioperative/periprocedure incident (50% of all cases). Conclusions The CIS report a significant number of adverse events across a range of surgical specialties. A pattern of adverse events being reported during ‘daylight’ hours gives a clear indication that routine surgical operations and procedures carry with them a risk for injury to the patient. Particular months of the year and time of the day are more likely to be associated with reported adverse events. This pattern of events should be highlighted in an attempt to promote safer surgical practice within hospitals during particular times of the day, month or year.