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MEDICINE

Supreme court acquits Danish doctor in landmark case

Denmark’s Højesteret supreme court on Wednesday acquitted a junior doctor in a negligence case that last year sparked a nationwide support campaign by medical colleagues.

Supreme court acquits Danish doctor in landmark case
Photo: Sonny Munk Carlsen/Ritzau Scanpix

The junior doctor, formerly of Svendborg Hospital, had been convicted of negligence by the Østre Landsret high court following the death of a diabetic patient in 2013 – having initially been found not guilty at a district court.

But the supreme court overturned the guilty verdict on Wednesday.

A campaign by doctors, nurses and several other medical professional groups last year called for the the case to be brought to Denmark’s highest legal authority.

In the campaign online and in Danish media, medics expressed their support for the doctor, citing the potential impact of the conviction on daily practice at hospital wards across the country. 

One of the key issues for doctors involved in the support campaign was the legal sentencing of a colleague for what is generally considered daily practice – namely, giving instructions verbally.

READ ALSO: Danish junior doctors start viral campaign to overturn key ruling against colleague

The campaign carried the hashtag #detkuhaværetmig (‘it could have been me’) and also involved a petition, which gathered thousands of signatures.

Activists also demonstrated at the Ministry of Health in Copenhagen in December.

Doctors involved in the campaign told The Local in October 2017 that normalising legal pursuit over verbal communication would mean that medics could be sued every day – hence the ‘it could have been me’ sentiment of the protest.

The Danish Patient Safety Authority has also been criticised by medical profession representatives for its strict line over the issue.

Danish Medical Association (Lægeforeningen, DMA) chairperson Andreas Rudkjøbing called Wednesday’s verdict “a victory for common sense”.

“The acquittal of the junior doctor in the so-called Svendborg case is a victory for common sense and the only correct outcome of this case, which has been deeply sad,” Rudkjøbing said via a press statement.

“First and foremost for the patient and loved ones of course, but also in its principal significance for the medical professional community,” he added.

The DMA chairperson said that the consequences for medics of a guilty verdict in the case would have been significant.

“We work in a reality in which we must take decisions – sometimes quickly and on an incomplete foundation. We have to act and depend upon each other and colleagues from other disciplines,” he said.

In the verdict, four of the seven judges at the Højesteret court voted to acquit the doctor, finding that her actions could not be defined as grossly negligent or careless, Ritzau reports.

A minority of three judges found that she had acted “against basic medical knowledge,” due in part to a failure to implement a plan for treatment of the patient's diabetes.

The supreme court’s verdict provided final “legal clarity” in the case, Rudkjøbing said.

READ ALSO: 'Blame for tragic case should not be individualised': nurses join Denmark doctors' campaign

DOCTORS

Germany’s GPs begin vaccinating patients against Covid-19

For the first time in Germany's vaccination programme, family doctors are allowed to administer jabs.

Germany's GPs begin vaccinating patients against Covid-19
A doctor in Pforzheim, Baden-Württemberg, talking to a patient about the Covid-19 vaccine on March 30th. Photo: DPA

After the painfully slow start to the inoculation campaign in Germany, a new stage is beginning this week: 35,000 GPs nationwide are planning to give residents vaccinations against coronavirus.

Some practices were due to start on Tuesday April 6th, while others are still waiting for vaccine doses and want to follow in the next few days.

Since the start of the rollout at the end of December, injections have so far been administered mainly in the 430 vaccination centres nationwide.

READ ALSO: Germany to make vaccines available at GP practices: What you need to know

Initially, only a small supply of doses is available to family doctors. In the first week, all practices together will receive 940,000 vaccine doses a week.

In purely mathematical terms, that is about 26 doses per practice per week. In the week of April 26th, however, there will be a significant boost to resources – and at that point GPs can expect a total of more than three million doses each week.

READ ALSO: GPs in Germany call for vaccines to be given according to health not age

How will vaccinating work at GPs?

GP practices have to follow the fixed priority order of who can be vaccinated first in Germany.

READ ALSO: When will I be in line for a Covid-19 vaccination?

There is no central invitation programme for vaccinating patients, according to the federal Health Ministry. The practices can regulate how they allocate vaccination appointments themselves – for example by phone or with online bookings.

Some family doctors have been vaccinating for some time as part of pilot projects – and in Bavaria jabs by GPs started last week in 1,635 practices.

Calls to speed up vaccine campaign

This weeks marks the second quarter the vaccination campaign when more Covid vaccines are expected after scarce supplies in the first quarter of the year.

The Association of Private Health Insurers (Verband der Privaten Krankenversicherung, PKV) is calling on the federal government to quickly push ahead with vaccines.

“The start of the vaccination campaign, also through GP practices, is the right step, but it is not enough to get the coronavirus vaccine to as many people as possible as quickly as at all possible,” association director Florian Reuther told DPA.

“Already at this stage politicians must prepare the next step and make vaccination possible in companies and with all other groups of doctors and dentists as soon as vaccine supplies increase as expected in the next few weeks.”

Health Minister Jens Spahn (CDU) had said at the end of March that company doctors should only join the vaccination campaign after GPs.

READ ALSO: Germany’s Health Minister promises more freedom to those fully vaccinated

“There is still too little,” Spahn said of the available doses. He said he found it difficult to vaccinate younger employees of companies as long as the older ones were not yet protected.

But Reuther said the infrastructure of company doctors was particularly suitable. “We already have numerous requests from health insurance companies whose company doctors are immediately available to vaccinate their work forces – but unfortunately are not allowed to order vaccine at the moment,” he said.

Many companies had also offered to vaccinate employees’ family members as well. In Reuther’s view, this would also make sense. He called on the federal government to solve the necessary organisational issues now – “and not only when the vaccines are piling up in the yard”.

READ ALSO: Vaccination centres in some German states ‘to close over Easter

Vocabulary

GPs/general practitioners – (die) Hausärzte (or der Hausarzt as singular)

Surgeries/practices- (die) Praxen (or die Praxis as singular)

Vaccination centres – (die) Impfzentren

Vaccination appointment (der) Impftermin

Company doctor/in-house doctor – (der) Betriebsarzt

We’re aiming to help our readers improve their German by translating vocabulary from some of our news stories. Did you find this article useful? Let us know.

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