Pagination of medical records is not a commodity

The pagination of medical records is not a commodity, like steel or rice, where the product is always the same.   Pagination is a service, where the quality may vary greatly from one pagination company to another – just as one law firm may be better than another.  Excellent and consistent quality is especially important in pagination, as the case is likely to be complex and errors initially hidden from view, or never discovered.  It is common sense that in any field, cheap service will tend towards cutting corners.  Shoddy work in pagination is at best unhelpful; and at worst could be misleading, potentially resulting in the unnecessary end of a viable case.

Clinco is always looking for ways to bring cost down without compromising quality.  We are passionate about standards and provide accurate robust work, through and through.  We keep charges as low as we can consistent with quality.

We’ve got a suggestion, for firms who are under pressure to go with the lowest possible cost.  If you are new to Clinco, we will complete a case for £345 + VAT.  We’ll show you what can be done with the sample case and then, if you like the work and want more, we will discuss with you and your ATE insurers what you are happy to pay going forward.  In the end, good work saves time and money.

If you would like to take us up on this offer, please send your case to us before the end of November 2017 for the personal attention of Sarah Wallace, clearly marked ‘£345 + VAT fixed fee.’   Please email with any preliminary queries. One of us will get straight back to you.

Also – did we mention that Clinco is the only pagination service certified to ISO27001?  That means your data is secure, another important benefit of using us, and a great example of how all pagination services are definitely not the same.

Pagination of medical records is not a commodity

Going the distance – a challenge completed

I took a couple of days out of the office last week – and a day of the weekend – to walk a circular 66 mile loop of the beautiful East Kent countryside from Broadstairs to Canterbury, then the first section of the Via Francigena to Dover (it goes all the way to Rome!) and finally back to Broadstairs along the awesome White Cliffs.  I was not walking for charity and I didn’t ask for sponsorship. I enjoy being outside in all weathers.  However, it was always going to be a slight challenge to walk this distance (at least I thought so, until I saw the website of the Long Distance Walkers Association).

Clinco’s Headway collection

So before setting off I dedicated the walk to the friends I made at Headway when I volunteered there earlier this year; to the great members of the Headway Thursday morning literacy group and all those who taught me how to play Uno and beat me at Scrabble in the afternoons. They make the best of life with good humour and persistence, often in the face of a lack of understanding from society.   Our management team have kindly agreed I can tap Clinco funds for a donation of £1 per mile to add to our Headway change collection jar – so £66 in total.  I am planning drop in at the Ramsgate day centre soon to catch up with their news and thank them for motivating me to go further and keep going, as they themselves do every day.

Clinco Headway collection jars

Learning from Deaths in the NHS

In December 2016 the CQC prepared a report called Learning, Candour and Responsibility which was critical of the way that Trusts respond to the death of patients under their care.  In particular, the report highlighted failings in family liaison and the lack of method in identification of deaths to be investigated, as well as inconsistent reporting and missed opportunities to learn either locally or more widely from the circumstances of the death.

It’s discouraging to read the statement of the CQC that “we were unable to identify any trust that could demonstrate good practice across all aspects of identifying, reviewing and investigating deaths and ensuring that learning is implemented.”

In March 2017 the National Quality Board issued guidance to Trusts – National Guidance on Learning from Deaths – to assist with implementing policies and processes to ensure that deaths in care (potentially including patients discharged from hospital within the previous 30 days) trigger a standardised response involving case record review, investigation where appropriate, and systems to enable learning from the incident. Compassionate and candid involvement with the family should operate throughout.

It remains to be seen how the situation will change in practice but by now – October 2017 –  all Trusts are expected to have in place their policies and systems addressing the new requirements.  Whilst one might have hoped that such an obvious area for consistent, effective proactivity would have received attention before now, It is clear that an enormous amount of work has gone into this initiative by the CQC, NHS England, NHS Improvement, the Department of Health, the Royal Colleges and individual Trusts; and the benefits should be considerable for the bereaved family and future patients.

If the family have been more fully and considerately involved, there may be fewer death cases brought to a solicitor, which most would say is a better outcome.  Medical lawyers who are instructed in the case of a ‘death in care’ should make themselves aware of the policy of the Trust concerned; which by now will be in the public domain.  Any case record review or investigative reports should be disclosable documents and will contribute to clarity in the interests of all concerned.

learning-candour-accountability-full-report