Consultation Skills Development
Making a video recording of your consultations
For each consultation, consent MUST be given by the patient, and yourself, for educational use. The consultations should be present in their entirety, with any revealing examination of the patient taking place off camera.
Patients should be informed at the time of booking an appointment that video recording is planned for that surgery.
On arrival, the patient will be given the information leaflet and consent form and the receptionists will explain the procedure to the patient, including the fact that should the patient be unwilling to be videoed this will not affect their consultation with the doctor. The receptionist should ensure that the patient understands why the recording is being made, the purposes for which it will be used, who will see it, and how long it will remain in existence.
If a friend or relative accompanies the patient during the consultation, it should be made clear that they are there at the invitation of the patient and they should also be informed of their right to confidentiality and consent.
The patient should sign the consent form BEFORE being taken to the doctor. The consultation can only be video recorded if the patient and/or others accompanying the patient sign the consent form.
If unsigned, the video camera should be switched off.
Consent forms should be available in languages other than English (if appropriate) so that patients whose first language is not English clearly understand what they are being asked to do.
Where patients are unable to give consent because they suffer from a mental disability, or for any other reason, consent must be sought from a close relative or carer. In the case of children and young people who lack the understanding to consent on their own behalf, the consent of an adult with parental responsibility must be obtained. The person giving consent must understand the rights set out above and following.
Following the consultation, the patient should take the form back to the receptionist and should be reminded by the receptionist to sign/initial the post-consultation part of the consent form if the patient is still agreeable for the recording of the consultation to remain.
If a patient, following the consultation, wishes the recording to be erased, then he/she should tell the receptionist and should not sign the consent form. The doctor should then erase the consultation at the first available opportunity and confirm to the patient that this has been done.
The receptionist should make clear to the patient that if after leaving the surgery they would prefer the recording to be erased, they should notify the practice as soon as possible.
The patient must be offered the opportunity to view the recording, in the form in which it is intended to be shown, before the recording is used. The patient also has the right to withdraw consent to the use of the recording at that stage.
The recording is only to be used for the purposes to which consent has been given.
The videotape should be stored with the same security and confidentiality as patient medical records. They should be stored with the consent forms attached and a list of people who are allowed to view the recordings.
Consent forms should be kept with the medical records of the patient.
The responsibility for security, confidentiality, storage and erasure falls to the general practitioner in the practice. The tape will be erased as soon as possible but definitely no later than one year after the date of recording.
Videotapes should be transported by the general practitioner or their representative (e.g. personal messenger). Postal services should only be used if sent using registered mail delivery.
To obtain maximum value from the process it is essential for you to complete a log; this helps you to reflect upon the consultations prior to receiving feedback. An example of a suitable log is available below, and a sample example included also.
Confidentiality and patient consent to recordings being made are both essential. Template consent forms and Practice Information leaflet are provided below.
Once you have completed your video recording and received your feedback, it is essential that you consider what you have learned, and decide how you wish to consolidate learning, or develop new skills. (Document these in your Appraisal Form 3 Domain 1)
Lastly, remember to destroy any recordings and other records which would identify your patients, after use.
Sample consultation reflection logbook, used to review and reflect on videoed consultations.
Dummy example of how to use the Summary and Logbook
Information Leaflet for Patients
To be signed by Patients (and anyone accompanying them) before and after consultation
This page was last updated on: 15/05/2015
© 2013 - NHS Education for Scotland