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This article presents tips on perform criteria and the values to which practitioners may still aspire. themes lined comprise consent, confidentiality, negligence, and the way claims come up and will be controlled.
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Example text
In Bolam v Friern Hospital Management Committee 1957,7 Mr Justice McNair held that: ‘The doctor is not guilty of negligence if he has acted in accordance with a practice accepted as proper by a responsible body of medical men skilled in that particular art’. 8 In Sidaway v Board of Governors of Bethlem Royal Hospital and Others 1985,9 the standard of care was on the issue of what information should be given to a patient to obtain valid consent to treatment. It was held that the Bolam test applied.
But, of course, needs assessment in healthcare identi¢es di¡erences. What point would there be in providing resources to individuals who have no need of it whilst at the same time denying extra resource to those who have need? Could equality then be considered as equal access to care or, developing it further, equal access for needed care. Each of these could be further discussed in terms of criteria. What, for instance, do we mean by equal access to care? Does this just concern itself with geographical distribution and take no account of the di¡erent known barriers to receipt of care and di¡ering needs of patients, let alone di¡ering capabilities of practitioners?
Autonomy Protection for the patient may be derived from the principle of respect for persons. Central to such a principle is the concept of a patient’s right to self-determination or autonomy. Autonomy is derived from the Greek ‘self’ and ‘law’ and understands the moral imperative as the agent’s own freely and rationally adopted moral policy. The idea of an autonomous person involves more than just the capacity to act on particular desires or choices but rather suggests a more general capacity to be self-determining and therefore in control of one’s own life.