Episode 9 - Off-label prescribing in functional medicine: why informed consent and defensibility are key
Confidence To Thrive - a podcast for ambitious healthcare practitioners and entrepreneurs
<p>Off-label prescribing in functional medicine: indemnity, informed consent and defensibility<br><br>In this episode of Confidence to Thrive, Owlicity directors Christopher Cloke-Browne and Roger Houston discuss off-label prescribing and how functional medicine practitioners can protect themselves. </p>
<p>They define off-label use as prescribing outside British National Formulary licensed indications or doses, and explain how standard indemnity policies often exclude such use, leaving practitioners uninsured and unprotected.</p>
<p>They discuss the significance of Owlicity’s functional medicine indemnity with explicit off-label cover, the growing underwriting focus on detailed disclosure and “statement of facts,” and the need for contract certainty. </p>
<p>Their discussion also covers the need to build defensible practice through evidence, enhanced monitoring, and transparent informed consent - particularly important with emerging, unregulated treatments like peptides - as well as the added regulatory risk from GMC scrutiny and third-party complaints from other clinicians.<br><br></p>
<p><b>Episode time stamps</b></p>
<ul>
<li>00:45 What is off-label prescribing?</li>
<li>02:25 The pitfalls of generic insurance </li>
<li>06:19 Evidence and innovation</li>
<li>08:50 The reality of underwriting </li>
<li>10:15 Why peptides offer a unique challenge</li>
<li>12:55 The importance of informed consent and disclosure</li>
<li>15:24 GMC complaint risks</li>
<li>17:04 Thyroid case study</li>
<li>24:04 A practical checklist for practitioners</li>
</ul>
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