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I think the biggest medical legal issues at the moment are are probably three things so the first would be poor documentation in medical records or inadequate explanation of what the thinking was behind the decisions to do particular procedure or treatment for a patient thats one area another area is lack of good informed consent thats probably a big major issue as well and the other area probably is without around delays to treatment which arent so much the problem for the vascular surgeon but the vascular surgeon often takes the hit for the delays in referral and treatment in primary care so the vascular surgeons to get gets to be the fall guy for the inadequacies of other other clinicians the medical legal issue I focused on this morning was on informed consent and that is largely has been changed in the UK dramatically by the Montgomery ruling which is it was a Supreme Court ruling in 1995 which overturned the previous tests of acceptable hey but practice which was called Bolam
