Good Medical Practice in Paediatrics and Child Health

• Consultants should emphasise to trainees that some of their training will be received frommembers of other disciplines and that they should take advice from experienced nurses.• Paediatricians should clearly introduce themselves to parents and children, giving theirname and position within the team.• Paediatricians should be aware there may be a need to involve specialists beyond thehospital including social workers or the police 11 .Leading teams37. If you lead a team, you must ensure that:a. Medical team members and the team meet the standards of conduct and care setin this guidance,b. Any problems that might prevent colleagues from other professions from followingguidance from their own regulatory bodies are brought to your attention andaddressed.c. All team members understand their personal and collective responsibility for thesafety of patients, and for openly and honestly recording and discussing problems.d. Each patient’s care is properly co-ordinated and managed and that patients knowwhom to contact if they have questions or concerns.e. Arrangements are in place to provide cover at all times.Good Medical Practice - May 2002f. Regular reviews and audit of the standards and performance of the team areundertaken and any deficiencies are addressed.g. Systems are in place for dealing supportively with problems in the performance,conduct or health of team members.• Consultant paediatricians will lead the medical team but must recognise that there will beother leaders within the multi-disciplinary and management structure. There must begood communication and relationships within this structure.• The relationship between junior trainees and experienced nurses must be sensitively handled.• Lines of accountability must be clear within the multi-disciplinary team.38. Further advice on working in teams is provided in the GMC booklets MaintainingGood Medical Practice and Management in Health Care - The Role of Doctors.Arranging cover39. You must be satisfied that, when you are off duty, suitable arrangements are madefor your patients’ medical care. These arrangements should include effective hand-overprocedures and clear communication between doctors.40. If you arrange cover for your own practice you must satisfy yourself that doctorswho stand in for you have the qualifications, experience, knowledge and skills to performthe duties for which they will be responsible. Deputising doctors and locums are directly21