SJT: UK Duty of Candour – When Care Goes Wrong (passthemsra.com) - Free MSRA revision

This episode breaks down the UK duty of candour, separating the professional GMC duty from the statutory CQC Regulation 20 duty. It teaches the exact sequence to follow when care goes wrong: making the patient safe, apologising promptly, explaining what’s known, escalating correctly, and documenting everything. A high-yield MSRA SJT guide to candour, harm thresholds, near-misses, and defensive practice. 0:00 The scenario00:18 High-stakes moment00:40 Why candour matters01:05 GMC professional duty01:40 Statutory candour (Regulation 20)02:15 When candour is triggered02:40 Harm vs potential harm03:10 Near-miss examples03:40 The five-step sequence04:20 Apology vs explanation04:50 What to say (and avoid)05:20 Governance escalation05:50 When to trigger Regulation 2006:30 Key harm thresholds07:00 Psychological harm ≥28 days07:40 Automatic triggers (return to theatre, ICU)08:10 Minimum-necessary information08:40 Common traps09:10 Legal reassurance: apology ≠ liability09:40 Model phrases10:20 OpenUP mnemonic11:00 Final takeaways• Two duties: GMC (professional) and CQC Reg 20 (statutory)• Professional candour applies to any harm, potential harm, or near-miss• Statutory candour applies to moderate harm, severe harm, or death• Psychological harm ≥28 days = Reg 20 trigger• Apology must be immediate, sincere, patient-centred• Apology is not a legal admission (Compensation Act 2006)• Never wait for investigation before apologising• Document everything: who, what, when, facts, planOpenUP mnemonic:• O – Own it, present facts• P – Present empathy + apologise• E – Explain what’s known + unknown• N – Next steps, ongoing updates• U – Use Reg 20 when required• P – Put in the notes (full audit trail)Links:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedicalRevision #UKDoctors #MedEd #DutyOfCandour #GMCStandards #Regulation20 #PatientSafety #passthemsra #freemsra #msraio