Informed consent

Author:

McCormack D. J.1,Gulati A.2,Mangwani J.1

Affiliation:

1. Department of Trauma and Orthopaedics, Leicester Royal Infirmary, Leicester, UK.

2. Sandwell and West Birmingham Hospitals NHS Trust, City Hospital Birmingham, UK.

Abstract

Our aim in this paper was to investigate the guidelines and laws governing informed consent in the English-speaking world. We noted a recent divergence from medical paternalism within the United Kingdom, highlighted by the Montgomery v Lanarkshire Health Board ruling of 2015. We investigated the situation in the United Kingdom, Australia, New Zealand, Canada, and the United States of America. We read the national guidance regarding obtaining consent for surgical intervention for each country. We used the references from this guidance to identify the laws that helped inform the guidance, and reviewed the court documents for each case. There has been a trend towards a more patient-focused approach in consent in each country. Surgeons should be aware of the guidance and legal cases so that they can inform patients fully, and prevent legal problems if outdated practices are followed. Cite this article: Bone Joint J 2018;100-B:687–92.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Reference27 articles.

1. No authors listed. Montgomery (Appellant) v Lanarkshire Health Board (Respondent) (Scotland). https://www.supremecourt.uk/cases/docs/uksc-2013-0136-judgment.pdf (date last accessed 26 February 2018).

2. No authors listed. Bolam v Friern Hospital Management Committee (1957) http://www.e-lawresources.co.uk/Bolam-v-Friern-Hospital-Management-Committee.php (date last accessed 16 April 2018).

3. No authors listed. Consent: patients and doctors making decisions together. (2008). General Medical Council (GMC). https://www.gmc-uk.org/guidance/ethical_guidance/consent_guidance_index.asp (date last accessed 26 February 2018).

4. No authors listed. Consent tool kit. The British Medical Association (BMA). https://www.bma.org.uk/advice/employment/ethics/consent/consent-tool-kit (date last accessed 26 February 2018).

5. No authors listed. Reference guide to consent for examination or treatment (second edition) Department of Health and Social Care, 2009. https://www.gov.uk/government/publications/reference-guide-to-consent-for-examination-or-treatment-second-edition (date last accessed 26 February 2018).

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