Veterans Support Mechanisms
Challenging preconceptions
The examiner felt you did not understand and/or demonstrate principles of adult and child safeguarding. Perhaps you did not recognise or practice in a manner that sufficiently sought to reduce the risk of potential abuse, harm and neglect. Perhaps you did not take appropriate action including ensuring information is shared/referrals made appropriately.
For example, if a parent is experiencing substance dependency did you consider the risk to his children? If a woman is disclosing partner abuse, did you have sensitive patient-centred suggestions for keeping safe and signposting specialist services? If a young female patient is being taken out of the country by her relatives, might the risk of FGM be important to consider in her case? If an older adult appears frail and unkempt, might a home visit, team discussion or even safeguarding referral to explore possible self-neglect be sensible?
Suggestions
Meet with your practice Safeguarding Lead and/or attend their safeguarding meetings. Ensure your Level 3 Safeguarding training is up-to-date and implemented. Have a tutorial on local safeguarding procedures and pathways.
Safeguarding concerns were inadequately recognised or responded to
SCA Feedback Statements
If you haven't already discussed health of Military Veterans in the UK, this is an opportunity to appreciate the differences in this group of patients and the health challenges they face. In this case it is clear there are no features of PTSD, but she has accumulated issues of physical pain, mental health concerns and at the very least harmful use of alcohol that is quite possibly dependence.
The GP discusses Armed Forces Covenant and OpCourage services to help correct the healthcare disadvantage military veterans put themselves in through serving in the Armed Forces
https://www.nhs.uk/nhs-services/armed-forces-community/mental-health/veterans-reservists/
Is your surgery Veteran-Friendly Accredited?
Did the GP do enough here regarding the plates smashing? Should there be an onward safeguarding discussion?
What's the OpCourage phone number in your area?
