Going hungry on shift

Tired young doctor with coffee cup
Row of burnt matchsticks Risk

Burnout risks patient safety

The rising incidence and severity of reported burnout among NHS staff is not just a wellbeing issue.

Elderly woman being clinically monitored at home Innovation

Virtual wards in action

One initiative to ease pressure on overstretched hospital services.

Nurse drawing blood Best practice

Are you delegating safely?

Clinicians can delegate responsibility for a task but not accountability.

Email security graphic Case file: Complaint

Wrong email attachment

...Ms J sends a formal letter of complaint expressing her distress at having personal and private information mistakenly disclosed...

Woman with abdominal pain Case file: Claim

Gut pain is claimed that Dr C neglected to adequately examine Ms R and failed to diagnose her appendicitis...

Surgeons performing caesarean section Case file: Advice

Post-incident meeting

...Dr N should be allowed to review the patient records before providing responses to questions relating to her involvement in the care provided...


The surprising history of medical defence

Allan Gaw recounts how increasing litigation in the late Victorian era lead to the establishment of mutual medical defence.

Inclusive people graphic Viewpoint

A place of acceptance

Medico-legal adviser Dr Gordon McDavid offers a personal perspective on the workplace challenges facing LGBTQ+ healthcare professionals.

Dr Jane Elizabeth Waterston Vignette

Frank and fearless

Jane Elizabeth Waterston - Scottish teacher and the first woman physician in southern Africa.

Clinician looking at online patient records Best practice

Altering clinical records – do’s and don'ts

Clinical records should be made contemporaneously - but there are occasions when it's reasonable to alter an existing record.

Distressed woman Mental health

Support in a time of crisis

A free service that recognises an essential duty to care for the mental health and wellbeing of healthcare professionals.

Making decisions Ethics

Hard choices – on difficult decisions

Professor Deborah Bowman reflects on the complexities of making difficult decisions.


NHS England publishes blueprint to ease pressure on urgent services

30 January 2023

Black women in England more likely to be diagnosed with late-stage cancer

30 January 2023

CQC cuts back on inspections in response to “winter pressures”

27 January 2023

NICE advises staged withdrawal of antidepressants

19 January 2023

NHS England sees small drop in hospital waiting lists

13 January 2023

Declining patient satisfaction in maternity care

12 January 2023

Life-threatening emergencies prioritised on strike days

10 January 2023

MDDUS Updates

Scottish GDPs: ensure you check your email inbox

31 January 2023

Supporting members with temporary GMC registration – make sure you update MDDUS

31 January 2023

Protect your personal finances – with 20 per cent off*

30 January 2023

A quarter of junior doctors are victims of race hate at work

19 January 2023

MDDUS call to members - send us your photos

18 January 2023

Caring for your patients during industrial action

23 December 2022

One in three UK junior doctors are going hungry on shift

16 November 2022

Editor: Dr Greg Dollman

Managing editor: Jim Killgore

Associate editor: Joanne Curran

Editorial departments

Medical: Dr Susan Gibson-Smith

Legal: Joanna Jervis

Insight Secondary is published quarterly by The Medical and Dental Defence Union of Scotland, registered in Scotland No 5093 at 206 St Vincent Street, Glasgow G2 5SG.

The opinions, beliefs and viewpoints expressed by the various authors in Insight Secondary are those of the authors alone and do not necessarily reflect the opinions or policies of MDDUS.

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Insight Secondary is published quarterly and distributed to MDDUS members through the UK who work in secondary care

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Insight Secondary Care Q3 cover

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