Patient Record Keeping: How to Demonstrate CQC Compliance

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Contents

The Care Quality Commission (CQC) have now inspected more than a quarter of the dental practices that applied for registration. Following consultation it has been decided that dental practice inspection visits should focus more specifically on dental issues and therefore the Outcomes which are being considered will often include Outcome 21: Records.

Patient record keeping historically has caused problems when information is illegible or incomplete. This may only come to light if the GDC call upon certain records. Now the CQC will be looking at patient records and there is a memorandum of understanding between these two regulators which may result in an increased incidence of the GDC requesting to see records if the CQC identify a shortcoming.

This video revisits our understanding of the importance of accurate record keeping, suggests guidelines about content and how you can demonstrate compliance to the CQC. You will receive a CPD certificate upon answering the 4 short questions at the end of the video.

Learning Objectives

• Why do I need to keep accurate and detailed records securely?
• What is a patient record and what do we mean by detailed?
• Some guidelines about keeping records
• Demonstrating compliance to the CQC, the GDC and YOU

Speaker

Dr Keith Hayes

Keith has been in practice as a dentist for over 30 years. During this time in partnership within a large well established practice he has also founded a successful private practice from his home. Always involved in education, he taught Oral Medicine at the Royal London Hospital and also toured internationally presenting on a wide variety of subjects. He has held a number of Clinical Directorships and now as an independent advisor on compliance and regulation, he still finds time to take a hands on approach to individual practices needing help or advice. He has written on various subjects, most recently practice management. He is an appointed member of the Dental Advisory Bank for the Care Quality Commission.