A-Z of ethical guidance

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C listings

Caldicott Guardians (Gunshot wounds, question 6)

 

capacity

see also competence

advance statements (Consent, paragraph 22)

advance statements (Research, paragraph 50)

assessment of (Research, paragraph 45)

assessment of (Withholding and Withdrawing, paragraphs 49-52)

case law (Withholding and Withdrawing, Appendix A)

decisions on cardiopulmonary resuscitation (Withholding and Withdrawing, paragraph 90)

disclosure of information in those who lack capacity (Confidentiality, paragraph 28)

during emergency treatment (Research, paragraph 51)

establishing capacity to make decision for consent (Consent, paragraph 19)

fluctuating (Research, paragraph 46)

in children (Consent, paragraphs 23-24)

in children (Withholding and Withdrawing, paragraph 69)

in children (Withholding and Withdrawing, paragraph 71)

in mentally incapacitated patients (Consent, paragraph 21)

lack of (Research, paragraphs 47-49)

laws on children (Withholding and Withdrawing, paragraph 70)

presumption of (Consent, paragraph 19)

role of third parties in consultations with those who lack capacity (Confidentiality, paragraph 28)

treatment whilst assessing (Withholding and Withdrawing, paragraph 52)

 

cardiopulmonary resuscitation

DNAR order (Withholding and Withdrawing, paragraph 85)

cardiopulmonary resuscitation (Withholding and Withdrawing, paragraph 2)

cardiopulmonary resuscitation (Withholding and Withdrawing, paragraph 48)

cardiopulmonary resuscitation (Withholding and Withdrawing, paragraphs 84-94)

 

care

access to medical care (Good Medical Practice, paragraphs 7-10)

access to medical care (Good Medical Practice, paragraph 11)

access to medical care (Good Medical Practice, paragraph 39)

arrangement of cover when off-duty (Good Medical Practice, paragraph 48)

of those you are close to (Good Medical Practice, paragraph 5)

provision of good quality (Good Medical Practice, paragraphs 2-3)

refusal to treat (Good Medical Practice, paragraph 8)

refusal to treat (Good Medical Practice, paragraph 10)

supporting self-care (Good Medical Practice, paragraph 4)

supporting self-care (Good Medical Practice, paragraph 21e)

 

care homes as conflicts of interest (Conflicts of Interest, paragraph 4)

 

carers

confidentiality when dealing with (Good Medical Practice, paragraph 29)

consideration towards (Good Medical Practice, paragraph 29)

disclosure of information to (Confidentiality, paragraph 28)

 

case studies

consent for publication (Confidentiality FAQs, question 11)

after patient's death (Confidentiality FAQs, question 19)

consent for use in teaching (Confidentiality FAQs, question 12)

 

cautions (criminal)

informing the GMC of (Good Medical Practice, paragraph 58)

informing the GMC of (Reporting Convictions, paragraph 2)

 

chaperones at intimate examinations (Maintaining Boundaries, paragraphs 10-13)

 

charges/fees

advice on (Conflicts of Interest, paragraph 1)

for recommendations (Conflicts of Interest, paragraph 9)

for referral (Conflicts of Interest, paragraph 8)

 

children

age of competence for consent (Consent, paragraphs 23-24)

assistance to children whose rights have been abused or denied (Good Medical Practice, paragraph 26)

case law on life-prolonging treatments in (Withholding and Withdrawing, Appendix A)

communication with (Good Medical Practice, paragraphs 27a-c)

disclosure of information (Confidentiality, paragraph 28)

doctor-patient relationship (Good Medical Practice, paragraphs 24-28)

induced illness in (Recordings, paragraph 11)

life-prolonging treatments in (Withholding and Withdrawing, paragraphs 67-77)

making recordings of (Recordings, paragraph 2)

needs and welfare of (Good Medical Practice, paragraph 24)

prescribing for (Prescribing, paragraph 24)

outside terms of license for (Prescribing, paragraph 19)

protection of health and well-being (Good Medical Practice, paragraph 25)

removal and retention of material at post-mortem (Research, paragraph 28)

research in (Research, paragraphs 55-58)

children, consent

consent (Good Medical Practice, paragraph 36)

establishing capacity for obtaining (Consent, paragraphs 23-24)

to provide drugs off-label (Prescribing, paragraph 22)

to research in (Consent, paragraph 37)

to screening in (Consent, paragraph 34)

 

claims (unjustifiable) (Good Medical Practice, paragraph 61)

 

clinical audit

clinical audit (Management, paragraph 44)

disclosure of information in (Confidentiality, paragraphs 13-15)

in life-prolonging treatments (Withholding and Withdrawing, paragraph 66)

 

clinical care, characteristics of good care (Good Medical Practice, paragraphs 2a-c)

clinical performance, management of failure (Management, paragraph 13)

clinical trials (Research, paragraph 3)

codes of practice, keeping up to date with (Good Medical Practice, paragraph 13)

 

coercion

before consent (Research, paragraph 21)

coercion (Good Medical Practice, paragraph 62)

coercion (Conflicts of Interest, paragraph 1)

doctors interests in pharmacies (Prescribing, paragraph 12)

for donations (Good Medical Practice, paragraph 72d)

in research (Research, paragraph 8)

payments for research and (Research, paragraph 14)

 

colleagues

appraisal of (Good Medical Practice, paragraph 18)

appraisal and assessment of (Management, paragraph 39)

challenging colleagues whose behaviour does not comply with guidance (Good Medical Practice, paragraph 46)

coercion into research (Research, paragraph 8)

conduct (Management, paragraphs 44-45)

conduct and performance of (Good Medical Practice, paragraph 43)

discussion with (Confidentiality, paragraph 29)

fair treatment of (Management, paragraph 47)

information sharing with (Good Medical Practice, paragraph 22d)

performance (Management, paragraph 44, 45)

problems (Management, paragraph 48)

protection of patients from (Raising Concerns, paragraph 1)

relationship with (Good Medical Practice, paragraph 1)

reluctance to raise concerns over (Raising Concerns, paragraph 4)

reporting concerns on sexualised behaviour by (Maintaining Boundaries, paragraphs 21-25)

sharing information with (Good Medical Practice, paragraphs 50-53)

support of colleagues with problems (Good Medical Practice, paragraph 41e)

working in teams (Good Medical Practice, paragraph 41)

working in teams (Good Medical Practice, paragraph 42)

working with (Management, paragraphs 46-53)

 

commercial dealings (Management, paragraphs 54-57)

 

commercial interests

commercial interests (Good Medical Practice, paragraph 73a)

prescription choice and (Prescribing, paragraph 17)

 

Committee of Safety of Medicines (Prescribing, paragraph 6)

Committee on Standards in Public Life (Management, paragraph 8)

 

committees, ethics committees

declaration of financial interests to (Research, paragraph 14)

ethics committees (Confidentiality FAQs, question 10)

ethics committees (Research, paragraph 5)

research design (Research, paragraph 11)

research without approval of (Research, paragraphs 35, 36)

responsibility of communication with (Research, paragraph 64)

when consent cannot be obtained (Research, paragraph 34)

 

communicable diseases

disclosure of information (Confidentiality, paragraph 18)

disclosure of information (Research, paragraph 38)

in public interest (Confidentiality, paragraph 23)

immunisation against (Good Medical Practice, paragraph 78)

 

communication

effective (Good Medical Practice, paragraphs 22a-d)

for decisions on cardiopulmonary resuscitation (Withholding and Withdrawing, paragraph 93)

importance in doctor-patient relationship (Good Medical Practice, paragraph 20)

informed decisions (Consent, paragraph 3)

meeting needs of patient (Good Medical Practice, paragraph 23)

of decisions on life-prolonging treatments (Withholding and Withdrawing, paragraphs 60-62)

response to patient questions (Consent, paragraph 9)

when prescribing for outpatients (Prescribing, paragraphs 25-27)

when things go wrong (Good Medical Practice, paragraphs 30-31)

with children and young people (Good Medical Practice, paragraphs 27a-c)

with colleagues (Management, paragraph 51)

with patients (Management, paragraph 43)

within multi-disciplinary teams (Management, paragraph 49)

within teams (Good Medical Practice, paragraph 41b)

 

compensation in research (Research, paragraph 20)

 

competence

see also capacity

assessment of (Research, paragraph 45)

assessment of capacity to decide on life-prolonging treatments (Withholding and Withdrawing, paragraphs 49-52)

as teacher (Good Medical Practice, paragraph 16)

continuing education (Good Medical Practice, paragraph 12)

disclosure of information in public interest (Confidentiality, paragraph 23)

for consent to research (Research, paragraph 16)

in vulnerable adults (Research, paragraphs 43-44)

intermittent (Research, paragraph 46)

intermittent (Withholding and Withdrawing, paragraph 50)

lack of capacity (Research, paragraphs 47-49)

life-prolonging treatment in competent patients (Withholding and Withdrawing, paragraph 13)

life-prolonging treatment in patients who lack capacity (Withholding and Withdrawing, paragraphs 14-15)

limits of (Good Medical Practice, paragraph 67)

of good doctors (Good Medical Practice, paragraph 1)

of good manager (Management, paragraphs 17-18)

reaching consensus on treatment of adults with incapacity (Withholding and Withdrawing, paragraph 17)

recognition of limits (Good Medical Practice, paragraph 3a)

Scottish law on adults with incapacity (Withholding and Withdrawing, paragraph 15)

within multi-disciplinary teams (Accountability in multi-disciplinary teams, paragraph 1)

working within limits of (Management, paragraph 30)

 

complaints

disclosure of information without consent (Confidentiality, paragraph 26)

from patients (Good Medical Practice, paragraph 31)

investigation of (Management, paragraph 45)

responding to (Management, paragraphs 44-45)

prompt response to (Raising Concerns, paragraph 2)

systems for investigating (Management, paragraph 15)

 

complaints procedures (Management, paragraph 15)

computers, protecting information on (Confidentiality FAQs, question 1)

 

concerns

disclosure of information when raising (Confidentiality, paragraph 21)

notification of within multi-disciplinary teams (Accountability in multi-disciplinary teams, paragraph 6)

raising (Management, paragraphs 24-25)

raising (Management, paragraph 45)

reporting of (Confidentiality FAQs, questions 16)

 

conduct (Good Medical Practice, paragraph 57)

conferences, sponsorship (Conflicts of Interest, paragraphs 11-12)

confidential inquiries, contributing to (Good Medical Practice, paragraph 14g)

 

confidentiality

access to records by administrative staff (Confidentiality FAQs, question 3)

after death (Confidentiality FAQs, questions 18-20)

confidentiality (Good Medical Practice, paragraph 37)

context (Management, paragraph 40)

confidentiality, disclosure of information

after death (Confidentiality, paragraph 30)

in children and those who lack capacity (Confidentiality, paragraph 28)

in public interest (Confidentiality, paragraphs 22-26)

required by law (Confidentiality, paragraph 18)

to courts or in connection with litigation (Confidentiality, paragraphs 19, 20)

to protect patient (Confidentiality, paragraph 27)

in clinical audit (Confidentiality, paragraphs 13-15)

in research (Research, paragraphs 30-42)

in the case of gunshot wounds (Gunshot wounds, paragraph 6)

legal and ethical guidelines (Management, paragraph 41)

management and (Management, paragraphs 40-42)

of participants in research (Research, paragraph 5)

patient privacy and right to (Good Medical Practice, paragraph 21d)

patient's right to (Confidentiality, paragraphs 1-3)

protection of information (Confidentiality, paragraphs 4-5)

public interest and (Confidentiality FAQs, questions 14-17)

 

confidentiality, sharing information

with patients (Confidentiality, paragraphs 6-8)

within healthcare teams (Confidentiality, paragraphs 10-12)

understanding of by other staff (Confidentiality, paragraph 11)

vs public interest (Research, paragraph 37)

when consent cannot be obtained (Research, paragraph 34)

when dealing with relatives, carers and partners (Good Medical Practice, paragraph 29)

when making concerns public (Management, paragraph 25)

when providing information to formal inquiry (Good Medical Practice, paragraph 68)

when reporting sexualised behaviour (Maintaining Boundaries, paragraph 24)

 

conflicts

in management (Management, paragraphs 19-25)

on provision of artificial nutrition (Withholding and Withdrawing, paragraph 82)

 

conflicts of interest

advice on (Conflicts of Interest, paragraph 1)

conflicts of interest (Good Medical Practice, paragraphs 74-76)

declaration of sponsorship by pharmaceutical companies (Conflicts of Interest, paragraph 12)

declaration of when seeking consent (Consent, paragraph 15)

financial incentives (Good Medical Practice, paragraph 74)

financial interests (Good Medical Practice, paragraph 73a)

financial interests (Management, paragraph 55)

in companies (Good Medical Practice, paragraphs 75-76)

in provision of care (Conflicts of Interest, paragraphs 4-7)

provision of information on (Conflicts of Interest, paragraph 7)

provision of information on (Prescribing, paragraph 10)

financial or commercial interests (Good Medical Practice, paragraph 75)

in research (Research, paragraph 13)

recommending services outside healthcare (Conflicts of Interest, paragraphs 8-10)

referral fees (Conflicts of Interest, paragraph 8)

sponsorship of conferences and meetings (Conflicts of Interest, paragraphs 11-12)

trust in doctor-patient relationship (Conflicts of Interest, paragraph 2)

 

conscientious objections to withdrawal of care (Withholding and Withdrawing, paragraphs 28-29)

 

consent

consent (Good Medical Practice, paragraph 36)

disclosure of information in public interest (Confidentiality, paragraphs 22, 23)

disclosure of information to courts (Confidentiality, paragraphs 19, 20)

disclosure of information to life insurance companies (Confidentiality FAQs, question 13)

disclosure of information without consent (Confidentiality, paragraph 16)

disclosure of information without consent (Confidentiality, paragraph 27)

disclosures required by law that do not need consent (Confidentiality, paragraph 18)

express consent (Confidentiality, paragraphs 16-17)

express consent (Consent, paragraphs 28-29)

for publication of case studies (Confidentiality FAQs, question 11)

for recordings for public media (Visual and Audio Recordings, paragraph 26)

for recordings of emergency treatment (Visual and Audio Recordings, paragraph 17)

for use of case studies in teaching (Confidentiality FAQs, question 12)

for use of existing records in research (Research, paragraphs 31-33)

in anaesthetised patients (Maintaining Boundaries, paragraphs 18-19)

in children and young people (Research, paragraph 57)

in research (Research, paragraphs 15-29)

in vulnerable adults (Research, paragraph 44)

inclusion in databases (Confidentiality FAQs, question 6)

information sharing with social services (Confidentiality FAQs, question 4)

management and (Management, paragraph 41)

mental health act 1983 (Consent, paragraph 21)

obtaining organs tissues or body fluids (Research, paragraphs 23-26)

of participants in research (Research, paragraph 5)

parental at post-mortem (Research, paragraph 28)

patient characteristics (Consent, paragraph 6)

provision of information on fees and charges before (Good Medical Practice, paragraph 72a)

response to changing conditions during treatment (Consent, paragraph 8)

review of forms (Management, paragraph 42)

special considerations (Research, paragraph 22)

to disclosure of information (Confidentiality, paragraph 1)

to inform GPs of treatment (Prescribing, paragraphs 8-9)

to intimate examinations (Maintaining Boundaries, paragraphs 14-16)

to repeat dispensing (Prescribing, paragraph 34)

to research (Consent, paragraphs 35-37)

to screening (Consent, paragraphs 33-34)

to talk to police in cases of gunshot wounds (Gunshot wounds, paragraph 5)

validity and competence (Research, paragraph 16)

vs public interest (Research, paragraph 37)

when it cannot be obtained (Research, paragraph 34)

when permission is not required for recordings (Audio and Visual Recordings, paragraphs 5-6)

when permission is required for recordings (Audio and Visual Recordings, paragraphs 7-11)

when reporting sexualised behaviour (Maintaining Boundaries, paragraph 24)

withholding consent to recordings (Audio and Visual Recordings, paragraphs 13-14)

consent, consent to investigation and treatment

applying to courts (Consent, paragraph 26)

'best interests' principle (Consent, paragraph 25)

capacity for decision-making (Consent, paragraphs 19-24)

how to obtain (Consent, paragraph 14)

in children (Consent, paragraphs 23-24)

in emergencies (Consent, paragraph 18)

in the mentally incapacitated (Consent, paragraph 22)

information provision (Consent, paragraphs 4-8)

information provision (Consent, paragraph 13)

pressure on patients (Consent, paragraph 16)

response to patient questioning (Consent, paragraph 9)

reviewing consent (Consent, paragraph 32)

role of third-parties (Consent, paragraph 11)

scope of consent (Consent, paragraph 7)

voluntary decision-making by patient (Consent, paragraphs 15-17)

withholding information (Consent, paragraphs 10-12)

consent , forms of consent

express consent (Consent, paragraphs 28-29)

forms of consent (Consent, paragraph 27)

implied consent (Consent, paragraph 31)

implied consent (Confidentiality, paragraphs 10-15)

statutory requirements (Consent, paragraph 30)

 

continuing education

identification of need for further training (Good Medical Practice, paragraph 14e)

keeping up to date (Good Medical Practice, paragraphs 12-13)

maintaining and improving performance (Good Medical Practice, paragraph 14)

 

contractual notice period (Good Medical Practice, paragraph 49)

contractual obligations and consent (Confidentiality, paragraph 17)

controlled drugs, prescribing to self or those close to you (Prescribing, paragraphs 13-16)

convictions, informing the GMC of (Reporting Convictions, paragraphs 1-4)

 

coroner

provision of information to (Good Medical Practice, paragraph 69)

Recordings (Audio and visual recordings, paragraph 8)

 

costs

information on (Consent, paragraph 5)

when prescribing (Prescribing, paragraph 25)

 

counselling, information provision (Consent, paragraph 13)

 

court rulings

assessment of capacity (Withholding and Withdrawing, paragraph 51)

for life-prolonging treatments in children (Withholding and Withdrawing, paragraphs 75-76)

on best interests (Withholding and Withdrawing, paragraph 18)

on child's best interests (Consent, paragraph 24)

on permanent vegetative state (Withholding and Withdrawing, paragraph 82)

 

courts, disclosure of information to (Confidentiality, paragraphs 19-20)

cover, arrangement of (Good Medical Practice, paragraph 48)

 

crime

disclosure of information in public interest (Confidentiality, paragraph 23)

disclosure of information to avoid (Confidentiality, paragraph 27)

 

Criminal Appeal Act 1995 (Confidentiality FAQs, question 21)

 

criminal offence

criminal offence (Reporting Convictions, paragraph 4)

informing the GMC of (Good Medical Practice, paragraph 58)

 

criminal proceedings

informing the GMC of (Reporting Convictions, paragraphs 1-9)

when to inform the GMC (Reporting Convictions, paragraphs 3, 4, 7, 8)

 

critical incident reports (Management, paragraph 44)