PERSONAL LEARNING RECORD

Learning and Appraisal
Evidence Summary

Not an accredited CPD certificate

This is a user-maintained personal learning and development record. It does not confer CPD points, accreditation, endorsement or proof of competence.

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ACTIVITY

Modules developed and completed

Module	Developed	Completed on this device	Approx. learning time
Explaining results and clinical uncertainty	Yes · pilot v1	Not recorded	18 minutes
Shared decision-making and valid consent	Yes · pilot v1	Not recorded	22 minutes
Safety-netting, red flags and urgent help	Yes · pilot v1	Not recorded	18 minutes
Explaining medicine benefits, harms and adherence	Yes · pilot v1	Not recorded	31 minutes
Listening and responding to deterioration concerns	Yes · pilot v1	Not recorded	30 minutes
Working safely with an interpreter	Yes · pilot v1	Not recorded	28 minutes
Capacity and supported decision-making	Yes · pilot v1	Not recorded	32 minutes
Treatment escalation and DNACPR conversations	Yes · pilot v1	Not recorded	32 minutes
Safe discharge, follow-up and medicines	Yes · pilot v1	Not recorded	30 minutes
Candour after a delayed result	Yes · pilot v1	Not recorded	30 minutes
Sharing serious news and responding to emotion	Yes · pilot v1	Not recorded	38 minutes
De-escalating anger while keeping everyone safe	Yes · pilot v1	Not recorded	35 minutes
Speaking up about a patient-safety concern	Yes · pilot v1	Not recorded	34 minutes
Confidentiality when relatives ask for information	Yes · pilot v1	Not recorded	38 minutes
Recognising when remote care is not enough	Yes · pilot v1	Not recorded	35 minutes
Responding to a safeguarding disclosure	Yes · pilot v1	Not recorded	40 minutes
Consent and chaperones for intimate examination	Yes · pilot v1	Not recorded	32 minutes
Making reasonable communication adjustments	Yes · pilot v1	Not recorded	33 minutes
Responding to a request for antibiotics	Yes · pilot v1	Not recorded	33 minutes
Talking about weight without stigma	Yes · pilot v1	Not recorded	34 minutes
When a patient declines care and wants to leave	Yes · pilot v1	Not recorded	18 minutes
Explaining why the working diagnosis has changed	Yes · pilot v1	Not recorded	17 minutes
Discussing driving and work after an unexplained blackout	Yes · pilot v1	Not recorded	18 minutes
Responding compassionately after self-harm	Yes · pilot v1	Not recorded	18 minutes
Explaining absolute risk without overselling benefit	Yes · pilot v1	Not recorded	16 minutes
Managing disagreement with families about treatment	Yes · pilot v1	Not recorded	42 minutes
Total guided learning time			752 minutes

Approximate development/review timehours

Approximate development/review time: 4 hours.

SOURCES AND REVIEW

Evidence reviewed

Results and uncertainty

Clinora evidence review: 20 August 2026 · Clinical review recorded: 20 August 2026

Decision making and consent — The dialogue leading to a decisionUnited Kingdom · General Medical Council · Effective 9 November 2020; updated 13 December 2024
Shared decision making — RecommendationsEngland and Wales · NICE · NG197, published 17 June 2021; current page reviewed by Clinora 20 August 2026

Shared decisions and consent

Clinora evidence review: 20 August 2026 · Clinical review recorded: 20 August 2026

Decision making and consentUnited Kingdom · General Medical Council · Effective 9 November 2020; updated 13 December 2024
Shared decision making — RecommendationsEngland and Wales · NICE · NG197, published 17 June 2021
Decision-making and mental capacity — RecommendationsEngland and Wales · NICE · NG108, published 3 October 2018

Safety-netting and red flags

Clinora evidence review: 20 August 2026 · Clinical review recorded: 20 August 2026

Suspected cancer: patient support, safety netting and the diagnostic processEngland and Wales · NICE · NG12, published 23 June 2015; updated 15 April 2026
Safety netting advice — NICE Quality Standard QS19England and Wales · NICE · QS19, published 27 June 2012; updated 4 December 2024
Antimicrobial stewardship — safety-netting definitionEngland and Wales · NICE · NG63, published 25 January 2017

Medicines and adherence

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Medicines adherence — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE CG76, published 28 January 2009; official recommendation page checked 14 September 2026
Medicines optimisation — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE NG5, published 4 March 2015; official recommendation page checked 14 September 2026
Cardiovascular disease: risk assessment and reduction, including lipid modification — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE NG238, published 14 December 2023; official recommendation page checked 14 September 2026
Decision making and consentUnited Kingdom · General Medical Council · Effective 9 November 2020; updated 3 August 2026; official page checked 14 September 2026
Deciding if it is safe to propose, prescribe or provide medicines, treatment and devicesUnited Kingdom · General Medical Council · Official prescribing guidance checked 14 September 2026

Deterioration concerns

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Acutely ill adults in hospital — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE CG50, published 25 July 2007; official recommendation page checked 14 September 2026
National Early Warning Score (NEWS) 2United Kingdom · Royal College of Physicians · NEWS2 report published 19 December 2017; active official resource checked 14 September 2026
Acute care toolkit 6: The medical patient at riskUnited Kingdom · Royal College of Physicians · Official RCP toolkit; page checked 14 September 2026
Martha's RuleEngland · NHS England · Official programme and implementation page checked 14 September 2026
Raising and acting on concerns about patient safetyUnited Kingdom · General Medical Council · Guidance effective 12 March 2012, updated 13 December 2024; official page checked 14 September 2026

Interpreter-supported care

Clinora evidence review: 13 September 2026 · Clinical review recorded: 13 September 2026

Interpreting and translation in primary careEngland · NHS England · Current service guidance checked 13 September 2026
Improvement framework: community language translation and interpreting servicesEngland · NHS England · Published 2025; current page checked 13 September 2026
Decision making and consent — supporting patients’ decision makingUnited Kingdom · General Medical Council · Effective 9 November 2020; updated 3 August 2026; checked 13 September 2026
Accessible Information Standard requirements (DAPB1605)England · NHS England; spoken-language interpreting itself is outside AIS scope · Published 30 June 2025; checked 13 September 2026

Capacity and support

Clinora evidence review: 13 September 2026 · Clinical review recorded: 13 September 2026

Decision-making and mental capacity — RecommendationsEngland and Wales · NICE · NG108, published 3 October 2018; official recommendations checked 13 September 2026
Mental Capacity Act 2005England and Wales · UK legislation · Current online legislation checked 13 September 2026
Mental Capacity Act Code of PracticeEngland and Wales · Office of the Public Guardian · Published 22 July 2013; updated 14 October 2020; official page checked 13 September 2026
Decision making and consentUnited Kingdom · General Medical Council · Effective 9 November 2020; official page checked 13 September 2026

Escalation and DNACPR

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Cardiopulmonary resuscitation (CPR)United Kingdom · General Medical Council · Guidance effective 1 July 2010, updated 13 December 2024; official page checked 14 September 2026
Treatment and care towards the end of life — PrinciplesUnited Kingdom · General Medical Council · Guidance updated 13 December 2024; official page checked 14 September 2026
FAQs: Emergency treatment plans and recommendations about CPRUnited Kingdom · Resuscitation Council UK · Official professional FAQ checked 14 September 2026
2025 resuscitation guidelines — Ethics guidelinesUnited Kingdom · Resuscitation Council UK · 2025 guideline; official page checked 14 September 2026
Decision-making and mental capacity — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE NG108, published 3 October 2018; official recommendation page checked 14 September 2026

Safe discharge

Clinora evidence review: 13 September 2026 · Clinical review recorded: 13 September 2026

Medicines optimisation — medicines-related communication systems and reconciliationEngland and Wales · NICE · NG5, published 4 March 2015; official recommendations checked 13 September 2026
Transition between inpatient hospital settings and community — discharge recommendationsEngland and Wales · NICE · NG27, published 1 December 2015; official recommendations checked 13 September 2026
Medicines adherence — involving patients and supporting adherenceEngland and Wales · NICE · CG76, published 28 January 2009; official recommendations checked 13 September 2026
Decision-making and mental capacity — RecommendationsEngland and Wales · NICE · NG108, published 3 October 2018; official recommendations checked 13 September 2026
NHS Discharge Medicines ServiceEngland · NHS England · Essential service from 15 February 2021; official page checked 13 September 2026

Candour and delayed results

Clinora evidence review: 13 September 2026 · Clinical review recorded: 13 September 2026

Openness and honesty when things go wrong: the professional duty of candourUnited Kingdom · General Medical Council · Published 29 June 2015; updated 13 December 2024; official page checked 13 September 2026
Good medical practice — Being open if things go wrongUnited Kingdom · General Medical Council · Good medical practice 2024; official page checked 13 September 2026
Regulation 20: Duty of candourEngland · Care Quality Commission · Official regulation guidance checked 13 September 2026
Patient Safety Incident Response FrameworkEngland · NHS England · Published 16 August 2022; updated 23 September 2025; official page checked 13 September 2026
Patient safety incident response standardsEngland · NHS England · Version 1.3, updated January 2026; official page checked 13 September 2026

Serious news

Clinora evidence review: 14 September 2026 · Clinical review recorded: pending

Good medical practice — Domain 2: Patients, partnership and communicationUnited Kingdom · General Medical Council · Good medical practice 2024; current official page checked 14 September 2026
Decision making and consent — The dialogue leading to a decisionUnited Kingdom · General Medical Council · Includes diagnosis, prognosis, patient priorities and material risks; official page checked 14 September 2026
Patient experience in adult NHS services — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · CG138; communication needs, clear tailored information and understanding checks reviewed 14 September 2026
Shared decision making — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NG197; chunk-and-check, teach-back, uncertainty, risk communication and closing plans reviewed 14 September 2026
Remote consultationsUnited Kingdom · General Medical Council · Ethical hub page last reviewed 13 December 2024; suitability and continuity principles checked 14 September 2026

De-escalation

Clinora evidence review: 14 September 2026 · Clinical review recorded: pending

Violence and aggression: short-term management — Key priorities for implementationEngland and Wales · National Institute for Health and Care Excellence · NICE NG10, published 28 May 2015; official content checked 14 September 2026
Control measures to prevent violence and aggressionGreat Britain · Health and Safety Executive · Official guidance on environmental controls, training and de-escalation checked 14 September 2026
Managing the risk of violence and aggression in health and social careGreat Britain · Health and Safety Executive · Official health-services guidance checked 14 September 2026
Violence prevention and reduction standardEngland · NHS England · Version 2, published and updated 3 December 2024; official page checked 14 September 2026
Decision making and consent — Treatment in emergenciesUnited Kingdom · General Medical Council · Official professional guidance checked 14 September 2026

Speaking up

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Raising and acting on concerns about patient safetyUnited Kingdom · General Medical Council · Effective 12 March 2012; updated 13 December 2024; official page checked 14 September 2026
Good medical practice — Domain 3: Colleagues, culture and safetyUnited Kingdom · General Medical Council · Good medical practice 2024; official page checked 14 September 2026
Patient Safety Incident Response FrameworkEngland · NHS England · Published 16 August 2022; updated 23 September 2025; official page checked 14 September 2026
Patient safety incident response framework and supporting guidanceEngland · NHS England · Supporting guidance page updated 29 January 2026; checked 14 September 2026
Freedom to Speak Up development and supportEngland · NHS England · Current national speaking-up support arrangements from 1 July 2026; official page checked 14 September 2026

Confidentiality and relatives

Clinora evidence review: 14 September 2026 · Clinical review recorded: pending

Confidentiality: good practice in handling patient informationUnited Kingdom · General Medical Council · Guidance effective 25 April 2017; updated 13 December 2024; official page checked 14 September 2026
Using and disclosing patient information for direct careUnited Kingdom · General Medical Council · Includes listening to those close to the patient; official indexed guidance checked 14 September 2026
Disclosing patients' personal information: a frameworkUnited Kingdom · General Medical Council · Includes consent, capacity, overall benefit, legal duties and minimum necessary disclosure; official page checked 14 September 2026
Disclosures for the protection of patients and othersUnited Kingdom · General Medical Council · Includes adults at risk, capacitous refusal and serious-harm/public-interest decisions; official page checked 14 September 2026
Managing and protecting personal informationUnited Kingdom · General Medical Council · Includes confidentiality after death and secure information handling; official page checked 14 September 2026

Remote consultation safety

Clinora evidence review: 14 September 2026 · Clinical review recorded: pending

Remote consultationsUnited Kingdom · General Medical Council · Ethical hub page last reviewed 13 December 2024; official page checked 14 September 2026
Deciding if it is safe to prescribe — suitability of consultation modeUnited Kingdom · General Medical Council · Guidance effective 5 April 2021; official page checked 14 September 2026
Remote prescribing high-level principlesUnited Kingdom · General Medical Council and UK professional regulators · Ten cross-regulator principles; official page checked 14 September 2026
Remote consultingEngland · NHS England · Official guidance on remote-consultation systems and clinical practice checked 14 September 2026
GP mythbuster 100: Online and video consultations and clinical imagesEngland · Care Quality Commission · Official provider guidance checked through the current indexed CQC page 14 September 2026

Safeguarding disclosure

Clinora evidence review: 14 September 2026 · Clinical review recorded: pending

Disclosures for the protection of patients and othersUnited Kingdom · General Medical Council · Includes adults at risk, capacity, refusal and child-protection signposting; official page checked 14 September 2026
Disclosing patients' personal information: a frameworkUnited Kingdom · General Medical Council · Includes public-interest balancing, minimum intrusion, advice and documentation; official page checked 14 September 2026
Domestic violence and abuse: multi-agency working — RecommendationsUnited Kingdom · National Institute for Health and Care Excellence · PH50; private enquiry, trained response, information-sharing protocols and child pathways checked 14 September 2026
Care and support statutory guidance — Chapter 14: SafeguardingEngland · Department of Health and Social Care · Current statutory guidance page checked 14 September 2026; apply jurisdiction-specific adult-safeguarding law elsewhere in the UK
Working together to safeguard childrenEngland · Department for Education · Statutory guidance page updated 18 March 2026; information-sharing principles checked 14 September 2026; use the applicable child-protection framework in other UK nations

Intimate examination

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Intimate examinations and chaperonesUnited Kingdom · General Medical Council · Effective 30 January 2024; updated 13 December 2024; official page checked 14 September 2026
Decision making and consentUnited Kingdom · General Medical Council · Official professional guidance checked 14 September 2026
Decision-making and mental capacity — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE NG108, published 3 October 2018; official recommendations checked 14 September 2026
Mental Capacity Act Code of PracticeEngland and Wales · Office of the Public Guardian · Official Code of Practice page updated 14 October 2020; checked 14 September 2026
Good medical practice — Domain 3: Colleagues, culture and safetyUnited Kingdom · General Medical Council · Record-keeping standards; official page checked 14 September 2026

Communication adjustments

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Accessible Information Standard — requirements (DAPB1605)England · NHS England · Published and updated 30 June 2025; official page checked 14 September 2026
Accessible Information Standard — implementation guidanceEngland · NHS England · Published 30 June 2025; updated 21 July 2025; official page checked 14 September 2026
Autism spectrum disorder in adults: diagnosis and management — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE CG142, updated 14 June 2021; official recommendations checked 14 September 2026
Learning disabilities — professional standards ethical hubUnited Kingdom · General Medical Council · Official guidance on two-way communication and reasonable adjustments checked 14 September 2026
Reasonable adjustments: a legal dutyUnited Kingdom · UK Health Security Agency · Official guidance under the Equality Act 2010; page checked 14 September 2026

Antibiotic requests

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Cough (acute): antimicrobial prescribing — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE NG120, published 7 February 2019; official recommendations checked 14 September 2026
Antimicrobial stewardship — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE NG15, published 18 August 2015; official recommendations checked 14 September 2026
Antimicrobial prescribing and stewardship competency frameworkUnited Kingdom · UK Health Security Agency · Updated 6 August 2025; official page checked 14 September 2026
What is antimicrobial resistance and how can you help combat it?United Kingdom · UK Health Security Agency · Published 7 April 2025; official page checked 14 September 2026

Weight and health

Clinora evidence review: 14 September 2026 · Clinical review recorded: 14 September 2026

Overweight and obesity management — General principles of careEngland and Wales · National Institute for Health and Care Excellence · NICE NG246, published 14 January 2025; updated 8 January 2026; official page checked 14 September 2026
Overweight and obesity management — Identifying and assessing overweight, obesity and central adiposityEngland and Wales · National Institute for Health and Care Excellence · NICE NG246, updated 8 January 2026; official page checked 14 September 2026
Overweight and obesity management — Medicines and surgeryEngland and Wales · National Institute for Health and Care Excellence · NICE NG246, current treatment and referral recommendations checked 14 September 2026
Eating disorders: recognition and treatment — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NICE NG69; official recommendations checked 14 September 2026
Decision making and consentUnited Kingdom · General Medical Council · Official professional guidance checked 14 September 2026

Informed refusal

Clinora evidence review: 3 September 2026 · Clinical review recorded: 3 September 2026

Decision making and consentUnited Kingdom · General Medical Council · Effective 9 November 2020; updated 3 August 2026

A revised diagnosis

Clinora evidence review: 3 September 2026 · Clinical review recorded: 3 September 2026

Decision making and consentUnited Kingdom · General Medical Council · Effective 9 November 2020; updated 3 August 2026
Openness and honesty when things go wrong: the professional duty of candourUnited Kingdom · GMC and NMC · Published 29 June 2015; updated 13 December 2024

Blackouts and driving

Clinora evidence review: 3 September 2026 · Clinical review recorded: 3 September 2026

Transient loss of consciousness: information and adviceEngland · NICE; check local adoption elsewhere · CG109 · published 25 August 2010; guideline updated 21 November 2023
Assessing fitness to drive: Appendix D, transient loss of consciousnessGreat Britain · DVLA; Northern Ireland uses DVA · Published 11 March 2016; page updated 7 November 2025
Confidentiality: patients' fitness to drive and reporting concerns to DVLA or DVAUnited Kingdom · GMC · Effective 25 April 2017; updated 13 December 2024

Self-harm conversations

Clinora evidence review: 3 September 2026 · Clinical review recorded: 3 September 2026

Self-harm: assessment, management and preventing recurrenceEngland · NICE; local crisis and safeguarding arrangements apply · NG225 · published 7 September 2022; recommendations 1.5, 1.6 and 1.11 checked 3 September 2026

Making risk understandable

Clinora evidence review: 3 September 2026 · Clinical review recorded: 3 September 2026

Shared decision making: communicating risks, benefits and consequencesEngland · NICE; check local adoption elsewhere · NG197 · published 17 June 2021 · recommendations 1.4.6–1.4.11
Decision making and consentUnited Kingdom · General Medical Council · Effective 9 November 2020; updated 3 August 2026

Family treatment disagreement

Clinora evidence review: 14 September 2026 · Clinical review recorded: pending

Treatment and care towards the end of life — Decision-making modelsUnited Kingdom · General Medical Council · Includes overall benefit, proxy roles, inappropriate treatment, second opinions and dispute resolution; official page checked 14 September 2026
Treatment and care towards the end of lifeUnited Kingdom · General Medical Council · Guidance effective 1 July 2010; updated 13 December 2024; official page checked 14 September 2026
Cardiopulmonary resuscitation (CPR)United Kingdom · General Medical Council · Includes consultation, disagreements, emergencies and the scope of DNACPR; official page checked 14 September 2026
Decision-making and mental capacity — RecommendationsEngland and Wales · National Institute for Health and Care Excellence · NG108; best-interests records, family evidence, advocacy, mediation and Court of Protection pathway reviewed 14 September 2026
Decision making and consent — The seven principlesUnited Kingdom · General Medical Council · Patient involvement, presumption of capacity and clinically appropriate options; official page checked 14 September 2026

COLLEAGUE FEEDBACK

Anonymised summary

No colleague feedback is stored on this device yet. Aim to collect at least five anonymised colleague reviews to strengthen reflection and appraisal evidence.

QUALITY IMPROVEMENT

Improvements made following feedback

No post-feedback improvements recorded yet.

USER-AUTHORED REFLECTION

What I learned and what I will change

No reflective statement entered.