Abstract
The RCGP conference, like other annual healthcare conferences offers a protected space for reflection on ethical aspects of practice. This paper presents a summary and discussion of a fringe session led by the RCGP Committee On Medical Ethics at the 2017 RCGP annual conference in Liverpool. Well thought-out rules offer a potential solution to the burden of responsibility for making every single decision from first principles. But guidelines can be difficult to follow, too numerous to know, may conflict with each-other and may not be appropriate in all circumstances. Delegates at this meeting discussed barriers to good guideline development and implementation, perceptions of medicolegal risk in non-adherence, aspects of benefit, harm and justice in guideline use and ethical guidelines. Delegates found it easier in the meeting to critique clinical rather than ethical guidelines. There was broad agreement that understanding how to practice in relation to guidelines represented a learning need in general practice education.
Highlights
The following article presents a summary and discussion of a fringe session led by the RCGP Committee On Medical Ethics (COME) at the 2017 RCGP annual conference in Liverpool (RCGPAC)
In the group of approximately 50 delegates, there was a mixture of GP Trainers, GPs with roles in adult and child safeguarding, GPs with roles in clinical guideline development, GP commissioners, Academic GPs and GP trainees
The meeting was conducted under Chatham House rule, which meant that whilst all present agreed to a document summarising and discussing the ideas should be publically available, comments and ideas below are not attributable to any one individual present at the meeting
Summary
The following article presents a summary and discussion of a fringe session led by the RCGP Committee On Medical Ethics (COME) at the 2017 RCGP annual conference in Liverpool (RCGPAC). There is a spectrum to the binding nature of the rules that healthcare professionals follow from statute and case law, to ethical and clinical guidelines, to general and individual/institutional policy, to guidelines representing consensus on good practice, to incentivised practices, to “rules of thumb”.
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