This policy is designed to protect both patients and staff from abuse or allegations of abuse and to assist patients to make an informed choice about their examinations and consultations.
Clinicians (male and female) should consider whether an intimate or personal examination of the patient (either male or female) is justified, or whether the nature of the consultation poses a risk of misunderstanding.
- The clinician should always give the patient a clear explanation of what the examination will involve.
- Always adopt a professional and considerate manner – be careful with humour as a way of relaxing a nervous situation as it can easily be misinterpreted.
- Always ensure that the patient is provided with adequate privacy to undress and dress.
- There is a suitable sign is clearly on display in each consulting or treatment room offering the chaperone service if required.
This we hope will remove the potential for misunderstanding. However, there will still be times when either the clinician, or the patient, feels uncomfortable, and it would be appropriate to consider using a chaperone. Patients who request a chaperone should never be examined without a chaperone being present. If necessary, where a chaperone is not available, the consultation / examination should be rearranged for a mutually convenient time when a chaperone can be present.
Complaints may not always be limited to male doctors with female patients – there are may be complaints of alleged homosexual assault by female and male doctors. Always be aware of the possibility of a malicious accusation by a patient.
There may be rare occasions when a chaperone is needed for a home visit. The following procedure should still be followed.
Who can act as a chaperone?
Where possible, we will use clinical staff as chaperones as they are familiar with procedural aspects of personal examinations. Where a suitable clinical staff member is not available the examination may be deferred.
Where the practice determines that a non-clinical staff member will act in this capacity the patient must give their consent and be at ease with this. The staff member will be trained in the procedural aspects of personal examinations, be comfortable in acting in the role of chaperone, and be confident in the scope and extent of their role. They have received instruction on where to stand and what to watch and instructions to that effect will be laid down in writing by the practice.
- The chaperone will only be present for the examination itself, and most discussion with the patient will take place while the chaperone is not present.
- Patients will be reassured that all practice staff understand their responsibility not to divulge confidential information.
Click here to link to the latest GMC guidelines for intimate examinations: http://www.gmc-uk.org/guidance/current/library/maintaining_boundaries.asp#10
- The clinician will contact Reception to request a chaperone.
- The clinician will record in the notes that the chaperone is present, and identify the chaperone.
- Where no chaperone is available the examination will not take place – the patient should not normally be permitted to dispense with the chaperone once a desire to have one present has been expressed.
- The chaperone will enter the room discreetly and remain in room until the clinician has finished the examination.
- The chaperone will normally attend inside the curtain at the head of the examination couch and watch the procedure.
- To prevent embarrassment, the chaperone should not enter into conversation with the patient or GP unless requested to do so, or make any mention of the consultation afterwards.
- The chaperone will make a record in the patient’s notes after examination. The record will state that there were no problems, or give details of any concerns or incidents that occurred.
- The patient can refuse a chaperone, and if so this must be recorded in the patient’s medical record.