Clinical Law for Clinical Practice / Edition 1

by Robert Wheeler

Overview

Clinicians must practice medicine in conformity with regulatory requirements. That is the daily challenge, and those requirements have been founded on medical law.

This book describes clinical law. A series of 62 brief commentaries are described, each setting out an important clinical legal case decided in an English court. The clinical relevance of the judgement is explained, together with how it should influence the care of the patient. Clinical readers are given skeleton guidance by their regulators, but almost no specific tuition as to how to apply it. This book sets out how clinical law has been applied in numerous cases, and thus provides guidance which is directly applicable to every clinician's practice in the United Kingdom.

Although most court cases concentrate on the medical aspects of patients' care, the common currencies within clinical law touch on all clinical professions. Doctors, physiotherapists and others take consent every day; pharmacists must protect confidentiality; speech therapists consider the capacity of their patients; and nurses wrestle with discussions relating to whether their patients wish to be resuscitated

The book is directed at members of the eight regulated clinical professions, the lawyers who deal with disputes, and all potential patients.

About the Author

Robert Wheeler, RCS MS LLB(Hons) LLM is a Consultant Neonatal and Paediatric Surgeon. He is the Associate Medical Director for the Department of Clinical Law, University Hospital of Southampton, Southampton Hampshire, England and Honorary Senior Lecturer, University of Southampton.

https://www.uhs.nhs.uk/HealthProfessionals/Clinical-law-updates/Clinicallawupdates.aspx

Product Details

ISBN-13:	9780367335595
Publisher:	CRC Press
Publication date:	07/27/2020
Pages:	162
Product dimensions:	5.44(w) x 8.50(h) x (d)

About the Author

Robert Wheeler, RCS MS LLB(Hons) LLM is a Consultant Neonatal and Paediatric Surgeon. He is the Associate Medical Director for the Department of Clinical Law, University Hospital of Southampton, Southampton Hampshire, England and Honorary Senior Lecturer, University of Southampton.

https://www.uhs.nhs.uk/HealthProfessionals/Clinical-law-updates/Clinicallawupdates.aspx

Table of Contents

Foreword Sir Jonathan Montgomery xi

Introduction xiii

1 Adults Who Refuse Blood 1

Newcastle Upon Tyne Hospitals FT v LM [2014] EWHC 454 (COP)

2 Discussing the Prospects of Cardiopulmonary Resuscitation 5

RoA David Tracey v Cambridge NHSFT & Ors [2014] EWCA Civ 822

3 What Should be Disclosed When Seeking Consent 9

Montgomery v Lanarkshire [2015] UKSC 11

4 Deprivation in Essex 13

Essex County Council v RF&PN&JN&CP [2015] EWCOP 1

5 The First Glimpse of a Duty to Warn? 15

David Spencer v Hillingdon Hospital NHST [2015] EWHC 1058 (QB)

6 Can a Patient Choose her Surgeon? 17

Kathleen Jones v Royal Devon & Exeter NHSFT County Court 22 September 2015

7 Sentiments 19

Wye Valley NHST v Mr B [2015] EWCOP 60

8 Unwise Decisions 21

Kings College Hospital NHSFT v C&V [2015] EWCOP 80

9 Consulting Relatives 23

Elaine Winspear v City Hospitals Sunderland NHSFT [2015] EWHC 3250 QB

10 Doctrine of Double Effect 25

R v Adams [1957] Crim LR 365

R v Cox [1992] 12 BMLR 38

R v Woollin [1999] 1 AC 82

11 Needle Phobia 27

Re L (Patient: Non-Consensual Treatment) [1997] 2 FLR 837

Re MB (Medical Treatment) [1997] 2 FLR 426

12 Candid over Complications 29

No case

13 Examining Patients with their Consent 31

No case

14 Covert Treatment 33

AG v BMBC & SNH [2016] EWCOP 37

15 Can Blood be Compulsorily Administered Under the Mental Health Act 1983? 35

Nottinghamshire Healthcare NHST v RC [2014] EWCOP 1317

16 Genetic Confidentiality 39

ABC v St George's Healthcare NHSFT [2015] EWHC 1394 QB; see Chapter 62 for most recent review of case

17 Refusing Hospital Discharge 41

Barnet Primary Care Trust v X [2006] EWHC 787 QB

Sussex Community NHSFT v Price [2016] EWHC 3167 QB

18 Consent for a Cannula 43

Anita Border v Lewisham & Greenwich [2015] EWCA Civ 8

19 Changing Direction in Severe Anorexia 45

Betsi Cadwaladr ULH Board v W [2016] EWCOP 13 and Cheshire & Wirral NHST v Z [2016] EWCOP 56

20 Be Informed; Then Disclose 47

Sebastian Webster v Burton Hospitals NHST [2017] EWCA Civ 62

21 Withdrawing Treatment in a Young Man 49

The Acute Trust v R [2016] EWCOP 60

22 The Value of Going to Court 51

NHST v HN [2016] EWCOP 43

23 Articulating Best Interests 53

Salford Royal NHSFT v P & Q [2017] EWCOP 23

24 Loyal Friends 55

Sheffield Teaching Hospitals v TH & TR [2014] EWCOP 4

25 Apply to Court? 57

NHST v Y & Y [2017] EWHC 2866 QB

26 Disclosing the Miniscule Risk When Seeking Consent 61

Mrs A v East Kent Hospitals University NHSFT [2015] EWHC 1038 QB

Rogers v Whittaker [1992] 109 ALR 625 (Aust.HC)

27 Obtaining Consent 65

Lisa Thefaut v Francis Johnston [2017] EWHC 497 QB

28 Deprivation of Liberty: The Story So Far 67

P v Cheshire West & Chester Council & Ors [2014] UKSC 19

R (Ferreira) v HM Senior Coroner for Inner South London & Ors [2017] EWCA Civ 31

29 Falling from Hospital Property 69

Spearman v Royal United Bath Hospitals [2017] EWHC 3027 QB

30 Gross Negligence Manslaughter: Perhaps Better, 'Betrayal of Trust'? 71

Bawa-Garba v GMC & Ors [2018] EWCA Civ 1879

(Betrayal of Trust in Medical Manslaughter, Journal of Criminal Law 2019 83 (6) 489-502)

31 Interpretation 75

Nilujan Rajatheepan v Barking, Havering & Redbridge NHSFT [2018] EWHC 716 (QB)

32 A Narrow Dispute 77

PW v Chelsea & Westminster Hospital NHSFT & RW & Ors [2018] EWCA Civ 1067

33 A Right to be Told? 79

Gallardo v Imperial College NHST [2017] EWHC 3147 (QB)

34 'But All Life is an Experiment' 81

B v D [2017] EWCOP 15

35 Avoid Discouraging Patients from Waiting to be Treated 83

Darnley v Croydon Health Services NHST [2018] UKSC 50

36 Mixed Messages 85

Re SJ [2018] EWCOP 28

37 It Is for Clinicians to Identify Foreseeable Risks 87

Gail Duce v Worcestershire Acute Hospitals NHST [2018] EWCA Civ 1307

38 Separating Twins 89

Re A (Minors) (Conjoined Twins: Surgical Separation) [2001] Fam 147

39 Body Modification 91

R v BM [2018] EWCA Crim 560

40 Seeking the Approval of a Court for Paternity Testing 93

DCC v NLH [2019] EWCOP 9

41 Children Refusing Treatment 95

Re P (A Minor) [1986] 1 FLR 272

Re W (A Minor) (Medical Treatment: Court's Jurisdiction) [1993] Fam 64 CA

Re M (Medical Treatment: Consent) [1999] 2 FLR 1097

42 Can We Rely on Our Advance Decisions? 99

NHS Cumbria CCG v Mrs Jillian Rushton & Ors [2018] EWCOP 41

43 Is There a Role for 'Next of Kin'? 103

No case

44 Preaching to Patients 105

Kuteh v Dartford & Gravesham NHST [2019] EWCA Civ 818

45 Deceiving Patients 107

University Hospitals Derby & Burton NHSFT v J [2019] EWCOP 16

46 Determining Incapacity 109

Heart of England NHSFT v JB [2014] EWHC 324 COP

47 Reasons for Refusing Blood? 111

Manchester University NHSFT v DE [2019] EWHC 1317 Fam

48 Justifying the Termination of a Pregnancy 113

Re AB (Termination of Pregnancy) [2019] EWCA Civ 1215

49 The Feasibility of a Covert Caesarean Section 115

NHST v JP [2019] EWCOP 23

50 Communicating Risk: Words or Numbers? 117

Ollosson v Lee [2019] EWHC 784 QB

51 Stark Compulsion in Grave Circumstances 119

XHA v D [2019] EWHC 2311 (Fam)

52 Going to Court Too Soon 121

Royal Bournemouth & Christchurch Hospital NHST v TG [2019] EWCOP 21

53 Best Interests in the Absence of Suffering 123

Barts NHSFT & Begum & Raqeeb [2019] EWHC 2530 Fam

54 Patients Value Candour 127

No case

55 Informed Consent and Informed Dissent: Two Sides of a Coin? 129

Mordel v Royal Berkshire NHSFT [2019] EWHC 2591 QB

56 Parental Consent for their Child's Deprivation of Liberty 131

In the Matter of D (A Child) [2019] UKSC 42

57 Vulnerable with Capacity 133

DL v LA & Ors [2012] EWCA Civ 253

In the Matter of SA: LA v MA & Ors [2005] EWHC 2942 (Fam)

58 Compulsory Treatment for Diabetes 135

The Hospital v JJ [2019] EWCOP 41

59 Approving Palliation 137

University Hospitals Bristol NHSFT v RR [2019] EWCOP 46

60 Acquiescence; Not Consent 139

An NHS Trust v CX [2019] EWHC 3033 (Fam)

61 Making Clinical Legal Decisions 141

An NHS Trust & Ors v Y [2018] UKSC 46

Applications Relating to Medical Treatment: Guidance [2020] EWCOP 2

62 ABC: A Duty to Balance Conflicting Interests 143

ABC v St George's Healthcare NHST [2020] EWHC 455 QB

Index 145