In the UK, a patient who lacks capacity suffers a notifiable safety incident. Their daughter is the recognised representative for communication about care. What should the provider do?
Correct answer: B. Inform the recognised representative unless there is a good reason not to
- A. Tell no one because the patient cannot understand the explanation
- B. Inform the recognised representative unless there is a good reason not to
- C. Wait until the patient regains capacity before recording the incident
- D. Ask the staff member involved to decide whether disclosure is necessary
Explanation
The duty of candour includes communicating with a person acting lawfully on behalf of a patient who lacks capacity, unless communication would not be appropriate. The provider should give an explanation, apology and written information while continuing to respect the patient’s rights and privacy.
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About Safeguarding and Duty of Candour
Safeguarding covers recognising signs of abuse, neglect, exploitation and domestic violence in children and adults, responding to disclosure, recording facts, sharing information lawfully and escalating to the safeguarding lead or relevant authority. Duty of candour requires openness, apology, explanation and reporting after qualifying harm, and is distinct from investigating blame or proving negligence.
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