Best Practice record keeping is essential for safe and effective practice and to protect individuals and their organisation in the event of complaints, disciplinary matters, employment claims and civil litigation. Health and Social Care Professionals may be required to write reports these reports require findings of fact, recommendations or opinion.
Learning Outcomes
- Identifying the pitfalls in record keeping
- Understanding the different types of information or evidence in record keeping
- Understanding the legal obligations and duties in record creation, maintenance and disclosure
- Analysing the key stages in writing a report; issues, facts, assumptions and opinions
- How to provide a factual basis to justify advice, recommendations or opinions in the report
- Dealing with strengths and weaknesses in the facts
- How to write in a clear, concise and accessible manner
- Analysis of the structure, content and style of a report
- Practical exercises and critiquing of records and reports based on objective competency criteria to demonstrate best practice
- Experiencing cross-examination on records and reports to demonstrate how they are challenged.