Guest post by Divine Banyubala A couple of days ago, Iain raised an interesting question about the draft Conscientious Objection (Medical Activities) Bill, and its compatibility with existing law (both civil and criminal) in respect of withdrawal of life-sustaining treatment. In an insightful reply, Mary Neal made the points that “in key areas of practice […]
Category: The NHS
Conscientious Objection: A Quick(ish) Answer
Guest post by Mary Neal, Law School, University of Strathclyde The Conscientious Objection (Medical Activities) [HL] Bill, introduced by the crossbench peer Baroness O’Loan, received its second reading in the House of Lords on Friday 26th January and successfully proceeded to the committee stage. In a post on this blog the following day, Iain posed […]
Charlie Gard: An Ethical Analysis of a Legal Non-Problem
(Cross-posted from EJIL: Talk!) For those with an internet connection and an interest in current affairs, the story of Charlie Gard been hard to avoid recently. A decent précis is available here; but it’s worth rehearsing. Shortly after his birth, Charlie’s health began to deteriorate, and he was diagnosed with a terminal and incurable mitochondrial […]
Can We Trust Research in Science and Medicine?
By Brian D. Earp (@briandavidearp) Readers of the JME Blog might be interested in this series of short videos in which I discuss some of the major ongoing problems with research ethics and publication integrity in science and medicine. How much of the published literature is trustworthy? Why is peer review such a poor quality control mechanism? How can we judge […]
No Pain, All Gain: The Case for Farming Organs in Brainless Humans
Guest post by Ruth Stirton, University of Sussex (@RuthStirton) and David Lawrence, Newcastle University (@Biojammer) It is widely acknowledged that there is a nationwide shortage of organs for transplantation purposes. In 2016, 400 people died whilst on the organ waiting list. Asking for donors is not working fast enough. We should explore all avenues to […]
Politicians, Delusional Managers and the Future of the NHS: Have NHS Leaders Failed to “Speak Truth unto Power”?
Guest Post by David Lock QC [NB: This is a slightly longer version of a post that appeared on the BMJ blog earlier today.] Politicians, delusional managers and the future of the NHS: have NHS leaders failed to “speak truth unto power”? This blog is not a rant – well not too much of a […]
Natal Nativism
Scene: the boardroom of a large NHS Trust, somewhere in England. “And so that brings us neatly to the last item on the agenda: passport checks for pregnant women who want a checkup. The thing is, you see, that it turns out that we’ve been providing obstetric care to some women who aren’t actually UK citizens. […]
Should Junior Doctors Still Strike?
Guest Post by Adam James Roberts In early July, the British Medical Association’s junior members voted by a 16-point margin to reject a new employment contract negotiated between the BMA’s leadership and the Government. The chair of the BMA’s junior doctors committee, Johann Malawana, stood down following the result, noting the “considerable anger and mistrust” […]
Individualised and Personalised QALYs in Exceptional Treatment Decisions
Guest Post by Warwick Heale When NICE decides whether to make a treatment available on the NHS it considers both clinical effectiveness and cost effectiveness. Cost effectiveness is based on population-level QALY data, as is appropriate for a population-level policy. However, this can cause problems for exceptional individual patients. When a doctor wants to offer an […]
Event: Courting Controversy?
This might be of interest to some readers: Courting Controversy? Recent Developments in Health Care Law 21 July 2016 Chancellors Hotel, Chancellors Way, Moseley Road, Fallowfield, Manchester M14 6NN This afternoon seminar examines some controversial recent developments in health care law and introduces two new books on law and medicine: Margaret Brazier and Emma Cave Medicine, […]