Mason and McCall Smith's Law and Medical Ethics
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Trusted for over 40 years for its authoritative account of medical law, this text provides the right balance between in-depth legal coverage and analysis of ethical issues. This classic textbook focuses on medical law and its relationship with medical practice and modern ethics. It provides thorough coverage of all topics found on medical law courses, and in-depth analysis of recent court decisions and legislation, encouraging students to think critically about this area of study.
- Covers the whole field of modern ethical medical practice, making the book suitable for use on all undergraduate and postgraduate medical law courses - Clearly sets a diversity of views in ethical debates, and offers the authors' own perspectives, encouraging students to explore and form their own opinions - Takes account of the influence of international policy and legal developments in shaping medical law in the UK New to this edition: · Two brand new chapters introduce students to concepts, theories, and tools that frame interpretation and analysis of health and medical law · A new chapter provides an overview of UK health systems and examines these in the context of devolution, the Covid-19 pandemic, and Brexit · The table of contents has been reorganised and streamlined to enhance clarity and focus on current issues in the discipline · Includes coverage of developments such as the Health and Social Care Act 2022, Mental Health Bill 2022, Medicines and Medical Devices Act 2021, Coronavirus Act 2020, new regimes for organ donation, Bell v Tavistock, ABC v St George's Healthcare NHS Trust, Khan v Meadows, and more Digital formats This twelfth edition is available for students and institutions to purchase in a variety of formats.
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- Oxford University Press Academic UK
- 9780192691224
- 9780192691217
- ePub
- 12
- Anne-Maree Farrell; Edward S. Dove
- English
- 2023-07-24
- 100
- 2
- 2
Kaflar
- Cover
- Epigraph
- Title Page
- Copyright page
- Preface
- List of Contributors
- Foreword
- Table of Contents
- Table of Cases
- Table of UK Statutes
- Table of Statutory Instruments
- Table of Legislation from other Jurisdictions
- Australia
- Belgium
- Canada
- France
- Germany
- Ireland
- Italy
- Netherlands
- Switzerland
- United States
- California
- Colorado
- District of Columbia
- Florida
- Hawaii
- Oregon
- Vermont
- Washington State
- Federal Law
- Table of European Union Legislation
- Directives
- Regulations
- Table of International Treaties and Conventions
- 1 Introduction to Bioethics
- 1.1 Introduction
- 1.2 The Relationship Between Ethics and the Law in Health and Medicine
- 1.3 What is Ethics?
- 1.3.1 Defining Ethics
- 1.3.2 Recognising Ethical Questions
- 1.3.3 Normativity
- 1.3.4 Distinguishing Ethics from Personal Preferences
- 1.3.5 Relativism
- 1.4 What is Bioethics?
- 1.4.1 Medical Ethics
- 1.4.2 Health Care and Health Ethics
- 1.4.3 Public Health Ethics
- 1.4.4 Research Ethics
- 1.4.5 Additional and Emerging Areas in Bioethics
- 1.4.6 Procedural Ethics
- 1.5 How to do Bioethics
- 1.5.1 The Language of Bioethics: Talking about Right and Wrong
- 1.5.2 Conceptual Clarity
- 1.5.3 Providing Reasons to Justify One’s Position
- 1.5.4 Intuitions and Reflective Equilibrium
- 1.5.5 Facts about the World
- 1.5.6 Popular Beliefs
- 1.5.7 Empirical Bioethics
- 1.5.8 Principles and Principlism
- 1.5.9 Interests and Rights
- 1.5.10 Limits of Rationality and Impartiality
- 1.6 Conclusion
- Further Reading
- 2 Critical Frameworks in Bioethics
- 2.1 Introduction
- 2.2 What Matters?
- 2.2.1 Well-being
- 2.2.2 Health
- 2.2.3 Autonomy
- 2.2.4 Dignity
- 2.2.5 Embodied Experience
- 2.2.6 Vulnerability
- 2.2.7 Relationships
- 2.3 Who Matters?
- 2.3.1 Personhood and Moral Status
- 2.3.2 Qualities Defining Personhood
- 2.3.3 Beyond the Individual
- 2.4 Using Moral Theories in Bioethics
- 2.4.1 Consequences
- 2.4.2 Rules
- 2.4.3 Virtue
- 2.4.4 Using Moral Theories as Critical Lenses
- 2.5 Justice and Inequality
- 2.5.1 Standard Approaches to Justice in Bioethics
- 2.5.2 Feminist Approaches
- 2.5.3 Bioethics and Disability
- 2.5.4 Bioethics and Race
- 2.5.5 Intersectionality
- 2.5.6 Structural and Epistemic Injustice
- 2.6 Conclusion
- Further Reading
- 3 The Governance of the Health System
- 3.1 Introduction
- 3.2 The UK Health System
- 3.2.1 General Overview
- 3.2.2 Health Policymaking
- 3.2.3 Public Bodies
- 3.3 Devolution and Health
- 3.3.1 Historical Overview
- 3.3.2 Political Devolution and Health Competence
- 3.3.3 Funding
- 3.3.4 The Internal Market
- 3.4 England
- 3.4.1 Structure and Organisation
- 3.4.2 The NHS Constitution
- 3.4.3 Patient Safety and Quality Improvement
- 3.5 Northern Ireland
- 3.5.1 Structure and Organisation
- 3.5.2 Patient Safety and Quality Improvement
- 3.6 Scotland
- 3.6.1 Structure and Organisation
- 3.6.2 Patient Safety and Quality Improvement
- 3.7 Wales
- 3.7.1 Structure and Organisation
- 3.7.2 Patient Safety and Quality Improvement
- 3.8 Conclusion
- Further Reading
- 4 The Regulation of Health and Social Care Professionals
- 4.1 Introduction
- 4.2 An Overview of the Regulation of Health and Social Care Professionals in the UK
- 4.2.1 Setting the Scene
- 4.2.2 Occupations and Jurisdictions
- 4.2.3 A Piecemeal Approach, but with Commonalities
- 4.3 Fitness to Practise Proceedings
- 4.3.1 Purpose and Common Features
- Raising a Concern and Investigation
- Interim Orders
- Case Disposal: Final Panel Hearings and Other Approaches
- Appeals
- Case Law and a Note on Precedent Effect
- 4.3.2 Impairment of Fitness to Practise: an ‘Elusive Concept’
- Statutory Framework
- Case Law on Impairment
- 4.4 The Case of Dr Bawa-Garba
- 4.5 Sexual Misconduct and Dishonesty
- 4.5.1 Dishonesty
- 4.5.2 Sexual Misconduct
- 4.6 The Professional Duty of Candour
- 4.6.1 A Brief History
- 4.6.2 Two Duties of Candour
- 4.6.3 Identifying and Tackling Barriers to Embedding Candour
- 4.7 The Future of Professional Regulation
- 4.8 Conclusion
- Further Reading
- 5 Health Resource Allocation
- 5.1 Introduction
- 5.2 Global Distribution of Resources
- 5.3 The Allocation of National Resources
- 5.4 Healthcare Economics
- 5.5 The Legal Situation
- 5.6 Allocation of Resources for the Individual
- 5.6.1 QALY and the Individual
- 5.6.2 The Responsibility of the Individual
- 5.7 Conclusion
- Further Reading
- 6 Health Research and Innovation
- 6.1 Introduction
- 6.2 The Evolution of Rule-making
- 6.3 Conducting Health Research
- 6.3.1 Core Definitions and Distinctions
- 6.3.2 The Risks Involved
- 6.3.3 Governance of the Research Undertaking
- 6.3.4 Research Ethics Committees (RECs)
- 6.4 Randomised Controlled Trials
- 6.4.1 Randomisation
- 6.4.2 Research Participants and Inducements
- 6.4.3 Use of Placebos
- 6.5 Experimental Treatment
- 6.6 Research and Informed Consent
- 6.6.1 Practical Challenges with Consent
- 6.6.2 Research Involving People who Lack Capacity
- 6.7 The Unethical Researcher
- 6.8 Compensation for Personal Injury in Research
- 6.9 Research and Innovation
- 6.9.1 Human Tissue and Personal Data
- 6.9.2 Genetic/Genomic Research and Gene Editing
- 6.9.3 Artificial Intelligence
- 6.9.4 Brain Organoids
- 6.10 New Approaches to Research Governance
- 6.11 Conclusion
- Further Reading
- 7 Public Health
- 7.1 Introduction
- 7.2 Covid-19: UK Public Health under Threat
- 7.2.1 Legal and Regulatory Preparedness and Responses
- 7.2.2 Social and Political Effects
- 7.3 Vaccination
- 7.3.1 Covid-19 Vaccines
- 7.3.2 Vaccination: Mandatory Versus Voluntary
- 7.3.3 Vaccine Damage Payment Scheme
- 7.4 Health Promotion: Improving the Health of the Community
- 7.4.1 General and International Context
- 7.4.2 UK Context
- 7.5 Health Protection: Handling Threats to the Community
- 7.5.1 General and International Context
- 7.5.2 UK Context
- 7.5.3 Disease Notification (HIV/AIDS)
- 7.6 Health Protection: the Criminal Law
- 7.7 Doctors, Health, and Public Security
- 7.8 Conclusion
- Further Reading
- 8 Consent to Medical Treatment
- 8.1 Introduction
- 8.2 The Function of Consent
- 8.3 Standards of Care and Informed Consent
- 8.3.1 What Information Needs to be Disclosed?
- 8.3.2 The Standard of Care Cases
- 8.3.3 Post-Montgomery Case Law
- 8.3.4 Causation and Informed Consent
- 8.4 Lawful Treatment in Absence of Consent
- 8.4.1 The Unconscious Patient
- 8.4.2 Consent and Patients Assessed as Lacking Capacity
- 8.5 Refusal of Treatment by Capacitous Adults
- 8.5.1 Refusal of Treatment in Late Pregnancy
- 8.6 Conclusion
- Further Reading
- 9 Children and Consent to Medical Treatment
- 9.1 Introduction
- 9.2 Key Legislation and the Role of the Courts
- 9.3 Gillick Competence
- 9.4 Refusal of Life-saving Medical Treatment
- 9.5 Religious Beliefs
- 9.6 Other Welfare Considerations
- 9.7 Gender Identity
- 9.8 Critically Ill Young Children
- 9.9 Children, Young People, and Human Rights
- 9.10 Conclusion
- Further Reading
- 10 Mental Health Law
- 10.1 Introduction
- 10.2 The UK Legislative Framework: A Landscape Sketch
- 10.2.1 Treating Mental Health Problems
- 10.2.2 Decision Making for Adults who Lack Capacity
- 10.2.3 A Fusion Approach
- 10.2.4 Regulatory Oversight
- 10.3 Key Concepts and Principles
- 10.3.1 Protection, Risk, and Dangerousness
- 10.3.2 Autonomy, Empowerment, and Liberty
- 10.3.3 Vulnerability
- 10.4 Compulsory Treatment
- 10.4.1 What is a Mental Disorder?
- 10.4.2 Admission for Assessment and Treatment
- 10.4.3 What Treatment can be Given?
- General Treatment in Detention
- Safeguarded Treatments
- 10.4.4 Compulsory Community Treatment
- 10.4.5 Support During Detention
- Family and Friends
- Advocacy
- 10.4.6 Ending Compulsory Care
- 10.5 Mental Health and Capacity
- 10.5.1 What is Capacity?
- 10.5.2 How are Decisions Made?
- Medical Treatment
- 10.5.3 Court Proceedings under the MCA 2005
- Life-threatening Situations
- Reproductive Decisions
- Sexual Relations
- 10.6 Mental Health Law and Human Rights
- 10.6.1 Deprivation of Liberty and Article 5
- What Does it Mean to be Deprived of Liberty?
- Informal Treatment
- The Deprivation of Liberty Safeguards (DoLS) Scheme under the MCA 2005
- Cheshire West and the ‘Acid Test’
- The Implications of Cheshire West
- 10.6.2 UN Convention on the Rights of Persons with Disabilities
- 10.7 Reform
- 10.8 Conclusion
- Further Reading
- 11 Medical Confidentiality and Data Protection
- 11.1 Introduction
- 11.2 The Contours of the Landscape
- 11.3 Operation of Data Protection Law
- 11.4 The Duty of Confidence and its Exceptions
- 11.4.1 Disclosure Required or Restricted by Law
- 11.4.2 Consent
- 11.4.3 Public Interest
- 11.5 Tort of Misuse of Private Information
- 11.6 Privacy and Confidentiality in Medical Research
- 11.7 Patient Access to Medical Records
- 11.8 The Remedies
- 11.9 Confidentiality and Death
- 11.10 Conclusion
- Further Reading
- 12 Clinical Negligence
- 12.1 Introduction
- 12.2 The Basis of Liability for Clinical Negligence
- 12.3 Bringing a Claim in Clinical Negligence
- 12.3.1 Duty of Care
- 12.3.2 Breach of the Duty of Care
- 12.3.3 Causation
- 12.4 Types of Negligence Claims
- 12.4.1 Diagnosis
- 12.4.2 Treatment
- 12.4.3 Protecting Patients from Themselves
- 12.5 Wrongful Conception, Birth, and Life
- 12.5.1 Wrongful Conception
- 12.5.2 Wrongful Birth
- 12.5.3 Wrongful Life
- 12.6 Specific Cases
- 12.6.1 The Problem of the Novice
- 12.6.2 Innovative Techniques
- 12.6.3 Complementary Medicine
- 12.6.4 Res Ipsa Loquitur
- 12.7 Criminal Negligence
- 12.8 Alternatives to Clinical Negligence Litigation
- 12.9 Conclusion
- Further Reading
- 13 Organ Donation for Transplantation
- 13.1 Introduction
- 13.2 Key Legislation and Organisations
- 13.3 Diagnosis of Death and Organ Donation
- 13.3.1 Donation After Brain Stem Death
- 13.3.2 Donation After Circulatory Death
- 13.4 Deceased Organ Donation
- 13.4.1 Deemed Consent/Authorisation
- 13.4.2 Directed Deceased Organ Donation
- 13.5 Living Organ Donation
- 13.5.1 Living Organ Donors who Lack Capacity
- 13.5.2 Types of Living Organ Donation
- 13.5.3 Trade and Commerce
- 13.5.4 Ethical Issues
- 13.6 Xenotransplantation
- 13.7 Conclusion
- Further Reading
- 14 The Body as Property
- 14.1 Introduction
- 14.2 Key Terms
- 14.3 Key Concepts
- 14.4 Models of Property in Human Tissue
- 14.5 Trade and Property in Human Tissue
- 14.6 Property in Human Material: UK Case Law
- 14.6.1 Reproductive Material
- 14.6.2 The Dead Body
- 14.7 Intellectual Property in Human Tissue
- 14.8 Conclusion
- Further Reading
- 15 Contraception and Abortion
- 15.1 Introduction
- 15.2 The Concept of Personhood
- 15.3 Contraception
- 15.3.1 Contraception and Risk
- 15.3.2 Contraception and Minors
- 15.3.3 Contragestation
- 15.4 Sterilisation
- 15.4.1 Non-Consensual Sterilisation and the Right to Reproduce
- Non-consensual Sterilisation of Women
- Non-consensual Sterilisation of Men
- 15.5 Termination of Pregnancy
- 15.5.1 The Evolution and State of British Abortion Law
- Offences Against the Person Act 1861
- The Abortion Act 1967
- 15.5.2 Abortion and Persons Held to Lack Capacity
- 15.5.3 Reduction of Multiple Pregnancies
- 15.5.4 Northern Ireland
- 15.5.5 Republic of Ireland
- 15.5.6 Termination of Pregnancy and the Non-Gestational Parent
- 15.5.7 The Carer’s Role and Conscientious Objection
- 15.6 Foetal Research and Experimentation
- 15.6.1 Sources of Foetal Material and the Problems of Consent
- 15.6.2 The Dead Foetus and Foetal Materials
- 15.7 Conclusion
- Further Reading
- 16 Assisted Reproduction
- 16.1 Introduction
- 16.2 Regulating Assisted Reproduction in the UK
- 16.2.1 The Human Fertilisation and Embryology Authority
- 16.2.2 Access to Assisted Reproductive Technologies
- Funding
- Screening
- Conscientious Objection
- The Welfare of the Child
- 16.3 Artificial Insemination
- 16.4 The Regulation of Gametes and Embryos for Reproduction
- 16.4.1 Gamete Donation
- Egg Donation
- Donor Information
- 16.4.2 Consent to Use of Gametes and Embryos
- Posthumous use of Gametes and Embryos
- 16.4.3 Selecting Embryos
- Preimplantation Genetic Diagnosis
- ‘Non-medical’ Selection of Embryos
- 16.4.4 Storing Gametes and Embryos
- 16.4.5 Disposal of Gametes and Embryos
- The Surplus Embryo
- Disputes over Frozen Embryos
- 16.5 Surrogacy
- 16.5.1 Surrogacy Regulated under the 1985 Act
- Permissible but not Enforceable
- No Commercialisation
- 16.5.2 Law Reform and Surrogacy
- 16.6 Assisted Reproduction and Parentage
- 16.6.1 ‘The Mother’
- 16.6.2 ‘The Father’
- 16.6.3 Posthumous Parenthood
- 16.6.4 Parentage and Surrogacy
- Parental Orders and Conditions
- The Adoption Regime
- 16.7 Embryo Research
- 16.7.1 The Moral Status of the Human Embryo
- 16.7.2 Sources of Embryos for Research
- 16.7.3 The Legal Response
- 16.7.4 Embryonic Stem Cell Research
- 16.8 The Future of Assisted Reproduction
- 16.8.1 Mitochondrial Replacement Therapy (MRT)
- 16.8.2 Uterus Transplantation
- 16.9 Conclusion
- Further Reading
- 17 Withholding and Withdrawing Medical Treatment from Adults
- 17.1 Introduction
- 17.2 The Ending of Mr Burke’s Life
- 17.3 Futility: Different for Adults
- 17.4 The Patient in the Permanent Vegetative State
- 17.5 The English Cases
- 17.5.1 The Principle of ‘Double Effect’
- 17.5.2 Terminal Sedation
- 17.5.3 English PVS Cases after Bland
- 17.5.4 The Direction of Travel for Prolonged Disorders of Consciousness
- 17.6 Advance Decisions to Refuse Treatment
- 17.7 The Position in Scotland
- 17.7.1 A Different Jurisdiction
- 17.7.2 Parens Patriae May be Here not There
- 17.7.3 Similarities with Re Y?
- 17.8 Treatment Withdrawal in PVS: Euthanasia by Another Name?
- 17.9 Conclusion
- Further Reading
- 18 Euthanasia and Assisted Suicide
- 18.1 Introduction
- 18.2 A Classification of Assisted Dying
- 18.3 Health Carers as a Distinct Group
- 18.4 Non-Voluntary Termination of Life
- 18.4.1 Non-treatment at the End of Life
- 18.5 Patients with Capacity
- 18.5.1 Activity and Passivity in Assisted Dying
- 18.6 Dying as an Expression of Patient Autonomy
- 18.6.1 Refusal of Treatment
- The Advance Directive
- 18.6.2 Suicide and Assisted Suicide
- 18.6.3 Seeking Advice on a Section 2(1) Application
- Direct Intervention: Taking the Fatal Action
- Indirect Intervention: Suicide and Medical Tourism85
- 18.6.4 Physician-assisted Suicide
- Progressive (or Incurable) Neurological Disease
- 18.6.5 The Doctor as the Agent of Death
- Homicide or Humanity?
- Assistance or Accomplishment?
- 18.7 Assisted Dying in Practice
- 18.7.1 The Dutch and Continental European Experience
- 18.7.2 The Changing Landscape in North America
- 18.7.3 The Position in the UK218
- 18.8 Conclusion
- Further Reading
- Index
- List of Illustrations
- List of Tables
- Images
- 3 The Governance of the Health System
- 4 The Regulation of Health and Social Care Professionals
- 18 Euthanasia and Assisted Suicide