scholarly journals Protecting altruism: A call for a code of ethics in British psychiatry

2003 ◽  
Vol 183 (2) ◽  
pp. 95-97 ◽  
Author(s):  
Sameer P. Sarkar ◽  
Gwen Adshead
Keyword(s):  
Mental Health ◽  
Professional Identity ◽  
Public Safety ◽  
Code Of Ethics ◽  
General Medical Council ◽  
Codes Of Ethics ◽  
Medical Professionals ◽  
Medical Council ◽  
Essential Aspect ◽  
User Movement

Codes of ethics have existed for medicine since the time of Hippocrates. However, a written code of ethics (like a written constitution) has so far eluded British psychiatry. In this editorial we discuss the arguments for and against a code of ethics as an essential aspect of our identity as medical professionals. Our professional identity as psychiatrists is coming under scrutiny from the General Medical Council, the emergence of the user movement and the proposals in the draft Mental Health Bill. At a time when psychiatry is seen increasingly as a guardian of public safety, there has never been a more pressing need for a code of ethics.

An Exploration of Clinical Mental Health Counselors’ Attitudes Toward Professional Identity and Interprofessionalism

2022 ◽  
Vol 44 (1) ◽  
pp. 68-81
Author(s):  
Jennifer L. Klein ◽  
Eric T. Beeson
Keyword(s):  
Mental Health ◽  
Identity Development ◽  
Professional Identity ◽  
Interprofessional Education ◽  
Short Form ◽  
Codes Of Ethics ◽  
The United States ◽  
Mental Health Counselors ◽  
The University ◽  
High Degree

Opportunities for clinical mental health counselors to practice in interprofessional settings are likely to increase as the larger health care system in the United States evolves. While aspects of interprofessionalism are embedded in the codes of ethics of the counseling profession, discussion of identity has primarily been focused on intraprofessional identity. To concurrently assess intraprofessional identity, interprofessionalism, and interprofessional identity, a study was conducted with clinical mental health counselors (CMHCs) using the Professional Identity Scale in Counseling–Short Form (PISC-S) and the University of West of England Interprofessional Questionnaire (UWE IPQ). Results indicated that CMHCs place importance on both intra- and interprofessional identity, although they have more confidence in their intraprofessional identity. A high degree of correlation was found between the PISC-S and UWE IPQ, indicating the interrelatedness of these aspects of identity. Results can be used to inform interprofessional education and identity development models for the CMHC profession.

Medical Law

2019 ◽  
Author(s):  
Emily Jackson
Keyword(s):  
Mental Health ◽  
General Medical Council ◽  
Medical Council ◽  
Medical Law ◽  
Street Hospital ◽  
General Data Protection Regulation ◽  
Great Ormond Street Hospital ◽  
Legal Context ◽  
Independent Review ◽  
Alder Hey

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing students with a stand-alone resource. Medical Law: Text, Cases, and Materials offers exactly what the title says—all of the explanation, commentary, and extracts from cases and key materials that students need to gain a thorough understanding of this complex topic. Key case extracts provide the legal context, facts, and background; extracts from materials, including from the most groundbreaking writers of today, provide differing ethical perspectives and outline current debates; and the author’s insightful commentary ensures that readers understand the facts of the cases and can navigate the ethical landscape to form their own understanding of medical law. Chapters cover all of the topics commonly found on medical law courses, including a separate chapter on mental health law. This new edition, thoroughly updated, includes: coverage of important new cases in all chapters, including Bawa-Garba v General Medical Council; Great Ormond Street Hospital for Children NHS Foundation Trust v Yates; Alder Hey Children's NHS Foundation Trust v Evans; Re (Northern Ireland Human Rights Commission's Application for Judicial Review); An NHS Trust v Y, and R (on the application of Conway) v Secretary of State for Justice; coverage of the new General Data Protection Regulation and the Independent Review of the Mental Health Act 1983.

Does the General Medical Council’s 2020 guidance on consent advance on its 2008 guidance?

2021 ◽  
pp. medethics-2021-107347
Author(s):  
Abeezar I Sarela
Keyword(s):  
Public Reason ◽  
General Medical Council ◽  
Case Law ◽  
The Other ◽  
Medical Professionals ◽  
Medical Council ◽  
Proper Treatment ◽  
Other Hand ◽  
Analyse Case

The General Medical Council renewed its guidance on consent in 2020. In this essay, I argue that the 2020 guidance does not advance on the earlier, 2008 guidance in regard to treatments that doctors are obliged to offer to patients. In both, doctors are instructed to not provide treatments that are not in the overall benefit, or clinical interests, of the patient; although, patients are absolutely entitled to decline treatment. As such, consent has two aspects, and different standards apply to each aspect. To explore this paradigm, I propose the reconceptualisation of consent as a person’s freedom to achieve treatment, using Amartya Sen’s approach. Sen explains that freedom has two aspects: process and opportunity. Accordingly, a patient’s freedom to achieve treatment would comprise a process for the identification of proper treatment, followed by an opportunity for the patient to accept or decline this treatment. As per Sen, the opportunity aspect is to be assessed by the standard of public reason, whereas the standard for the process aspect is variable and contingent on the task at hand. I then use this reconceptualised view of consent to analyse case law. I show that senior judges have conceived the patient’s opportunity to be encompassed in information, which is to be decided by public reason. On the other hand, the process aspect relies on the private reason of medical professionals. Given the nature of professionalism, this reliance is inescapable, and it is maintained in the case law that is cited in both guidances.

scholarly journals Mental health law training should be mandatory for all doctors

2011 ◽  
Vol 35 (12) ◽  
pp. 466-468 ◽  
Author(s):  
Christopher Schofield
Keyword(s):  
Mental Health ◽  
Quality Care ◽  
General Medical Council ◽  
Medical Schools ◽  
Training Programme ◽  
Medical Council ◽  
Health Law ◽  
Mental Health Law ◽  
Law Training ◽  
Good Quality Care

SummaryOver many years and with various pieces of new legislation there are significant gaps in doctors' knowledge about mental health law. It is time to ensure that doctors know the law and can apply it to the patients they see. Practising legally and not detaining or allowing people to leave hospital inappropriately should be a mandatory part of training for every doctor no matter what the specialty. Medical schools, deaneries, training programme directors and the General Medical Council should take up the challenge and ensure good-quality training for all doctors to ensure good-quality care in this area is given to all patients.

scholarly journals Perception of junior doctors about local induction in Birmingham and Solihull Mental Health Foundation Trust - A quality improvement project

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S198-S198
Author(s):  
Saima Jehanzeb ◽  
Kozara Nader ◽  
Ruth Scally
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
General Medical Council ◽  
Quality Improvement Project ◽  
Electronic Prescribing ◽  
Junior Doctors ◽  
Medical Council ◽  
Record System ◽  
Improvement Project ◽  
Mental Health Foundation

AimsA quality improvement project was undertaken to understand the perception of trainees about the quality of the local induction delivered by Birmingham and Solihull Mental Health Foundation Trust (BSMHFT). The primary aim was to evaluate the current local induction programme, following concerns raised by previous trainees in National Training Survey (General Medical Council) and local inspection. Our secondary aim was to devise a revised induction programme based on the trainees’ identified needs.MethodTwo anonymised questionnaire surveys were emailed to all Foundation Year Trainees, Core Psychiatry Trainees and General Practice Speciality Trainees working in BSMHFT, in December 2019 and March 2020, using trust survey monkey.ResultThe overall response to survey was 60 percent. 44.44 percent of the responses came from Core Psychiatry Trainees, with 27.78 percent responses each from Foundation Year Trainees and GP Speciality Trainees. Local induction was defined as induction specific to place of work (47.06%), trust based induction (41.18%) or all of the above options (11.76%) by trainees. 83.33% of all trainees had received local induction, whereas 16.67% did not have any local induction at the start of their post. 11.12% trainees were very satisfied and 44.44% were satisfied with local induction. 72.22 percent of the trainees were informed about of the local induction, prior to starting the post.33.3% trainees had a paper version, 22.22% had an electronic version of local induction pack, whereas 44.44% had no induction pack. 55.55% of those trainees who had an induction pack, 43.75% found it very helpful and 56.25% did not find it helpful.88.89% thought having a local induction would be helpful, whereas 11.11 percent did not feel it would help. 94.44% of the trainees completed a local orientation checklist with their consultants. Some of the trainees experienced difficulty in gaining access to electronic prescribing, electronic patient record system (RIO), and identity badges (ID) at the beginning of their post.Conclusion11.12% trainees were very satisfied, 44.44% were satisfied, 22.22 % were neither satisfied nor dissatisfied and 22 % were dissatisfied, with local induction. 88.89% of the trainees thought having a local induction pack would be helpful. Based on the trainees identified needs we developed a template for local induction pack for each post. Clinical supervisors have agreed to take the lead in preparing the local induction pack specific to their post with trainees.We aim to repeat the survey after implementing the changes identified by trainees based on their training needs.

scholarly journals Developing "Code of Ethics for Medical Professionals, Medical Council of Islamic Republic of Iran"

2020 ◽  
Vol 23 (10) ◽  
pp. 658-664
Author(s):  
Ehsan Shamsi-Gooshki ◽  
Alireza Parsapoor ◽  
Fariba Asghari ◽  
Mojtaba Parsa ◽  
Yasaman Saeedinejad ◽  
...  
Keyword(s):  
Professional Ethics ◽  
Code Of Ethics ◽  
Professional Organization ◽  
Medical Professionals ◽  
Supplementary File ◽  
Extensive Literature ◽  
Medical Council ◽  
Islamic Republic ◽  
Supreme Council ◽  
Islamic Republic Of Iran

Background: The medical profession has always been an inspiration for human societies throughout its diverse history. This position and historical authority in the field of ethics has had a different and higher status, in such a way that many of the norms of general ethics and professional ethics, especially principles, such as trust, confidentiality and respect for human dignity, have been developed by medical professionals. Developing guidelines of general and professional ethics is one of the inherent duties of the Medical Council of the Islamic Republic of Iran (IRIMC) as a professional organization. In this regard, the Supreme Council of IRIMC has approved the "Code of Ethics for Medical Professionals" and, in accordance with its legal authority, has annexed it to the disciplinary regulations of IRIMC. Methods: A draft document, the result of extensive literature review, was discussed in 27 expert panel meetings and after receiving and endorsing the stakeholders’ point of view, was approved by the IRIMC Supreme Council. Results: The first edition of "Code of Ethics for Medical Professionals, Medical Council of Islamic Republic of Iran" was developed on July 6, 2017 by the Supreme Council of IRIMC. The guideline was set to take effect one year after its enactment. The first edition was revised and completed and final edition was adopted on August 9, 2018 by IRIMC in 13 chapters and 140 articles (original full text is available in the Supplementary file 1). Conclusion: According to the approved decision by the Supreme Council of IRIMC on May 10, 2018, the final edition takes effect as of October 7, 2018.

Conditions of Practice Orders

2019 ◽  
Author(s):  
Kenneth Hamer
Keyword(s):  
Mental Health ◽  
Performance Assessment ◽  
Royal College ◽  
Medical Profession ◽  
General Medical Council ◽  
Medical Council ◽  
Minimum Standard ◽  
Professional Performance

The panel found that U’s fitness to practise was impaired by reason of both deficient professional performance and his physical or mental health, and directed that his registration be subject to conditions for a period of nine months, with immediate effect. At a General Medical Council (GMC) performance assessment, U was found to be well below the majority of his peers and fell below the minimum standard of the Royal College of Anaesthetists in eight out of ten examinations. On U’s appeal on sanction, Hickinbottom J said, at [16]–[18], that the hallmark of suspension is identified in section 35D(2)(b) of the Medical Act 1983: for a determined period, the registration of the relevant doctor is divested of all effect. Suspension prevents the doctor from practising during the period of suspension. Conditions on registration under section 35D(2)(c) presuppose that the doctor will continue to be effectively registered and will continue to practise, but subject to conditions that enable them to deal with their health or deficiency issues, whilst protecting patients—as well as the integrity of the medical profession—from harm.

scholarly journals Post traumatic growth during COVID-19: unity in diversity

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S2-S2
Author(s):  
Meena Afzal Lakha ◽  
Anindya Bhowmik ◽  
Sneha Bisht ◽  
Suzani Shrestha ◽  
Kantappa Gajanan ◽  
...  
Keyword(s):  
Mental Health ◽  
Personal Narratives ◽  
General Medical Council ◽  
Cultural Background ◽  
Qualitative Assessment ◽  
World Population ◽  
Medical Council ◽  
Health Crisis ◽  
Unity In Diversity ◽  
The Uk

AimsThis poster reflects how the experience of staying with people of diverse nations and cultural background helped the stranded IMGs cope with this agony in a foreign land during an unprecedented tumultuous situation. The aim is to show that despite diversity among people, the hard times made them unite and overcome countless difficulties.BackgroundThe COVID 19 pandemic has been a period of global health crisis and has exponentially affected mental health issues in the world population. In these difficult times, several International Medical Graduates (IMGs), who had come to the UK to attend their PLAB exams, were left stranded as the exams were postponed, flights cancelled and borders sealed. Faced with huge uncertainty their mental health was of great concern.At this time the British Association of Physicians of Indian Origin (BAPIO) came forward to help this cohort of stranded doctors in terms of accommodation, finances, mental health support, preparation for exams to the extent of liaising with General Medical Council (GMC) and Home Office. The virtual support group provided a platform for IMGs from different nations and cultures to get in touch with each other helping overcome mental burden and stress.The stories presented in the poster show how unity in diversity helped these young doctors deal with mental trauma amidst the Pandemic.Method276 doctors from 27 countries were looked after by BAPIO. From those excerpts taken from 26 IMGs, personal narratives was used as a method for qualitative assessment.The percentage of IMGs clearing their exams and getting jobs in the NHS has been used for quantitative assessment.ResultQualitative: The personal narratives of the IMGs show how they were positively impacted by staying together albeit different nationalities and cultural background.Quantitative: A total of 21 IMGs out of the 26 cleared their PLAB 2 exams and got registration under General Medical Council giving a percentage of 81.7%. 20 IMGs have successfully joined the NHS in various posts giving a job success rate of 95.2%.ConclusionThe experience of living and sharing housings with people from different nationalities, has increased appreciation and also prepared them to work in the NHS which has a diverse work force. This learning experience has been integral for all of us in shaping our life in the UK making everyone more compassionate.

scholarly journals 'Shhh! Please don't tell…’ Confidentiality in child and adolescent mental health

2016 ◽  
Vol 22 (1) ◽  
pp. 25-35
Author(s):  
Aaron K. Vallance
Keyword(s):  
Mental Health ◽  
General Medical Council ◽  
Adolescent Mental Health ◽  
Case Law ◽  
Child And Adolescent ◽  
Young Person ◽  
Medical Council ◽  
Access To Treatment ◽  
Regulatory Frameworks ◽  
Share Information

SummaryConfidentiality in child and adolescent mental health is a complex and often challenging matter. Not only do young people frequently present to services in situations of risk, they often prefer to keep information confidential from parents and/or other professionals. This article explores confidentiality in the context of child and adolescent mental health services (CAMHS), particularly when the clinician is having to make decisions on whether to maintain or to breach it. Ethical principles (both deontological and consequentialist) and legal and regulatory frameworks (relating to human rights, case law and General Medical Council guidance) are outlined. Four hypothetical case scenarios are used to illustrate how to apply such principles: when a young person seeks confidential access to treatment, and when he or she discloses information that could signify a risk to self, to others or from others. Finally, practical suggestions on how to share information are explored.

Public or Private Hearing

2019 ◽  
Author(s):  
Kenneth Hamer
Keyword(s):  
Mental Health ◽  
Public Interest ◽  
General Medical Council ◽  
Mental Condition ◽  
Public Hearing ◽  
Medical Council ◽  
Review Panel ◽  
The Individual

The rules invariably provide that the committee or tribunal shall sit in private where it is considering the physical or mental health of the practitioner unless there is a public interest in holding the hearing in public that outweighs the needs to protect the privacy or confidentiality of the registrant or others concerned. Examples include General Medical Council (Fitness to Practise) Rules 2004, rule 41(3)–(6), Nursing and Midwifery Council (Fitness to Practise) Rules 2004, rule 19(2)–(2A), and General Pharmaceutical Council (Fitness to Practise and Disqualification etc) Rules 2010, rule 39(2)). The Bar Standards Board Fitness to Practise Regulations (which are concerned with whether a barrister is unfit to practise by reason of an adverse physical or mental condition), rE335, provides that the hearing before a panel or review panel shall be in private, unless the individual requests a public hearing.

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