• Medico-legal
    Advisory Service

    Expert advice you can always count on

  • Incident notification

    Avant’s Medico-legal Advisory Service (MLAS) provides expert advice to help minimise the chance of a complaint or claim occurring. The service is staffed by 70 claims managers, solicitors and doctors in our Adelaide, Brisbane, Melbourne, Perth and Sydney offices. Our medico-legal experts are available 24 hours a day, 365 days of the year - after hours and on weekends in emergencies. You can be reassured that, we have the experience and resources to cover your medico-legal queries.

    To notify us of an incident, fill in an incident notification form and submit it via fax 1800 228 268 or email nca@avant.org.au

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    Download an incident notification form

    Contact an expert

    If you cant find the answers you need, or the matter is urgent give our medico-legal advisory service a call.

    They are available for contact 24/7, after hours and on weekends in emergencies.

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    Fax 1800 228 268



     
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  • Adverse events and complaints


    • You should notify us as soon as possible if you receive notice of any civil or criminal action against you, or a formal complaint from an official body (e.g. AHPRA, health complaints body, hospital).

      • - Check the time that the response is due.
      • - Please arrange to obtain copies of relevant medical records relating to the matter.
      • - Please do not respond to any lawyer until you have obtained advice from Avant.
      • - If a response is required, start preparing a draft, but do not let this delay you in contacting us.

      If you wish to discuss the matter, please contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team.


    • You should notify Avant as soon as possible if you receive notice of any civil or criminal action against you.

      Please arrange to obtain copies of relevant medical records relating to the matter.

      Please do not respond to any lawyer until you have obtained advice from Avant.

      If you wish to discuss the matter, please contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team.

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    Documentation and confidentiality


    • Legislation varies across the states. Generally patients have a right under Commonwealth or State/Territory legislation to request access to their health records, or can authorise others to receive them on their behalf (for example, lawyers, and insurance companies).

      Requests for access to medical records should be done in writing and signed and dated by the patient.

      There are limited circumstances when health records can be withheld from patients eg: disclosure would cause a serious threat to the health or safety of a patient or third party.

      If you are unsure about whether and what to disclose you should contact the medico-legal advisory team.

      You are usually entitled to receive reasonable expenses to produce documents, to cover the administrative costs of copying the documents.

      If you receive a request in the form of a subpoena to produce documents to a court or tribunal do not ignore it – it is a legal document.

      A patient’s consent is not required to respond to a subpoena. The patient (or their solicitor) will normally receive a copy of the subpoena if they are involved in legal proceedings. If the health records are particularly sensitive consider letting the patient know that you have received a subpoena to produce them.

      The documents must be produced to the court or tribunal by the date specified on the subpoena.

      Only send copies of documents not the original health records. Check with our medico-legal advisory team if you are uncertain about what to send.

      Generally if the police request records – for a criminal investigation or on behalf of a coroner, they should provide an authority from the patient, a court order or a warrant.

      In some cases information can be given to the police without an order/warrant or the consent of the patient or relatives.

      All health information, including correspondence from other health professionals, such as specialists’ letters, form part of the health record.

      If you are unsure about what you should do, please contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team.


    • A death certificate is a legal document. You need to be certain that you are the appropriate person to sign the certificate. The death certificate should only be signed if the cause of death is known.

      A doctor who was responsible for a patient’s care immediately prior to death or one who saw the deceased after death must sign such a certificate unless the death is reportable to the Coroner.

      If the death is reportable to the Coroner do not sign the death certificate. Refer the matter to the Coroner.

      • - The legislation in each state and territory defines a "reportable death" somewhat differently, but generally they include:
      • - Any violent or unnatural death
      • - Sudden death of unknown cause
      • - Death under suspicious or unusual circumstances
      • - When the deceased had not been recently seen by a doctor
      • - During or following an anaesthetic and /or a medical procedure
      • - Following an accident that contributed to the death
      • - If the deceased person was a child or person in care or custody.

      It is not legally necessary to view the body before signing the death certificate, but it is advisable to do so.

      If you wish to discuss the matter, please contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team.


      Useful links – for what is a reportable death in each state and territory:

      Victoria
      State Coroner’s Office

      New South Wales
      State Coroner’s Court

      Australian Capital Territory
      Coroner’s Court

      Queensland
      Office of the State Coroner

      South Australia
      Coroner’s Court

      Tasmania
      Coronial Division of the Magistrates Court

      Western Australia
      Coroner’s Court

      Northern Territory
      Coroner’s Office


    • Medical records should be stored securely. The rules vary across Australia, but generally adult patient records should be kept for seven years from the date of the last provision of health care. For children they should be kept until the child is 25. It is advisable to keep maternity records for 25 years.

      X-rays are part of the health record and should be returned to the patient or retained as above.

      Paper based records can be scanned into a computer based system and then destroyed securely.

      Records should be destroyed securely and a record should be kept of the date of destruction of each record.

      If you wish to discuss the matter, please contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team.


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    Report requests and subpoena


    • Ensure that you have the patient’s consent to provide the information.

      The insurance company or solicitor should provide a written, signed and dated authority from the patient or the patient’s authorised representative (eg. parent or guardian).

      Clarify if you are being asked to provide a “treating doctor’s” report or an “expert” report.

      You are not legally obliged to provide a report unless ordered to do so by a court or tribunal, but medical practitioners have an ethical obligation to assist patients in providing information which in some cases may require production of a “treating doctor’s” report.

      If you agree to provide an expert report you must be aware of the ramifications of doing so, including your duties to the court as an expert. Seek advice from Avant if you are unsure whether to take on this role.

      Gather together all correspondence and a copy of the patient's medical records.

      The report should be accurate and referable to your medical records.

      In some cases you may be asked to give evidence in court based on your report or receive a subpoena to give evidence.

      If you wish to discuss the matter, please contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team.



    • You do not have to be a witness in a court or tribunal proceeding unless you receive a subpoena or other form of court order to attend a hearing.

      If you have received a subpoena to give evidence you cannot ignore it as it is a court order and you could be arrested for failing to attend court. Check the date and time you are required to attend the hearing.

      If you are not going to be available at the nominated time you must inform the person or organisation that has served the subpoena. Try to arrange an alternative time / date. However, it is often difficult for solicitors and prosecutors to provide a specific time for your attendance until shortly before or once the hearing has commenced.

      If you are interstate, overseas or a long distance from the location of the hearing you can ask to give evidence by telephone or video link.

      Courts and tribunals are generally good at accommodating the time constraints of doctors, so ensure you have informed the appropriate people about your availability.

      You should be served “conduct money” with the subpoena. You may also be entitled to fees or payment of expenses for your attendance at a hearing, but these can vary depending on the jurisdiction. Some jurisdictions have set fees.

      Ask the relevant person about what expenses you are entitled to claim. It can be stressful being a witness and it is important to prepare when giving evidence.

      If you wish to discuss the matter, please contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team.


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    Workplace and patient relationships


    • A beneficial doctor-patient relationship is based upon trust and effective communication. If you decide that there has been an irrevocable breakdown in the relationship and it would not be in the best interests of the patient to continue treatment you may need to end the relationship.

      There are various reasons for ending the doctor – patient relationship: loss of trust, conflicts of interest, unacceptable behaviour, non-compliance with treatment, boundary issues, non-payment of bills or the patient has made a formal complaint or issued legal proceedings.

      A decision to end the doctor-patient relationship should not be made in haste and a discussion with a senior colleague may help you to get matters into focus.

      It is not appropriate to end the relationship during an acute illness. In an emergency a doctor has a duty to provide assistance.

      Contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team if advice is required.



    • If you are concerned that a colleague may not be practising safely and may be putting patients at risk, you have an obligation to report another health practitioner unless an exemption applies.

      You are required to notify AHPRA when you have a ‘reasonable belief’ that a practitioner has engaged in ‘notifiable conduct’ – that is, the practitioner has:

      • - practised the profession while intoxicated by alcohol or drugs
      • - engaged in sexual misconduct in connection with the practice of the practitioner’s profession
      • - placed the public at risk of substantial harm because the practitioner has an impairment
      • - placed the public at risk of harm because the practitioner has practised the profession in a way that constitutes a significant departure from accepted professional standards.

      If you have concerns about a colleague, we recommend that you carry out some research and obtain advice from your colleagues (confidentially), your college or professional body, or Avant so that you can be satisfied that the threshold is met and a mandatory report is required.

      Contact Avant on 1800 128 268 to speak to one of our experts in the medico-legal advisory team if advice is required.


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    Find out more

    Covering everything from Privacy, Communication, Adverse Events, Medico-legal issues and more: