There is a professional and legal duty of candour to be open and honest with patients. This includes offering a suitable apology when things go wrong and, in some circumstances, when there has been a near miss. An apology should address two issues:
- A clear expression of regret
- A clear explanation of what happened.
It is important to use language the patient understands.
Remember that the patient may need ongoing advice and support and they should be advised how to access this. Make a note of the apology in the clinical record to include the information given to the patient.
- A genuine apology using “I am sorry...” is better than using third-party terms such as “the practice is sorry” or more complicated or ambiguous language.
- The patient may be upset by the prevailing circumstances, therefore consider privacy when making an apology face to face.
- If offering an apology face-to-face, check if the patient wants to have someone with them, especially if the apology is regarding a potentially serious outcome for them.
- An apology is not an admission of liability.
- Fear of litigation should not prevent a clear and honest apology when a patient has been harmed or upset when something has gone wrong in their care.
- Saying sorry is not an admission of guilt or liability.
- Doctors should avoid acting defensively when a mistake has been made.
- Explain to patients what went wrong and listen to their concerns.
- Apologies (Scotland) Act 2018
- General Medical Council. Openness and honesty when things go wrong: The professional duty of candour
- General Dental Council. Being open and honest with patients when something goes wrong [The professional duty of candour]