Good Medical Practice

In Good Medical Practice  the terms ‘you must’ and ‘you should’ are used in the following ways: ‘You must’ is used for an overriding duty or principle. ‘You should’ is used when we are providing an explanation of how you will meet the overriding duty. Patients must be able to trust doctors with their lives and health. To justify that trust you must show respect for human life and you must: Make the care of your patient your first concern, Work with colleagues in the ways that best serve patients’ interests, Treat patients as individuals and respect their dignity, Listen to patients and respond to their concerns and preferences. Give patients the information they want or need in a way they can understand. Be honest and open and act with integrity. Never discriminate unfairly against patients or colleagues

You are personally accountable for your professional practice and must always be prepared to justify your decisions and actions.

Good Clinical Care must include adequately assessing the patient’s conditions, taking account of the history (including the symptoms, and psychological and social factors), the patient’s views, keep clear, accurate and legible records, reporting the relevant clinical findings, the decisions made, the information given to patients, and any drugs prescribed or other investigation or treatment. You should encourage patients and the public to take an interest in their health and to take action to improve and maintain it. This may include advising patients on the effects of their life choices on their health and well-being and the possible outcomes of their treatments.

Wherever possible, you should avoid providing medical care to anyone with whom you have a close personal relationship.

The investigations or treatment you provide or arrange must be based on the assessment you and the patient make of their needs and priorities, and on your clinical judgement about the likely effectiveness of the treatment options. You must not refuse or delay treatment because you believe that a patient’s actions have contributed to their condition. You must treat your patients with respect whatever their life choices and beliefs. You must not unfairly discriminate against them by allowing your personal views to affect adversely your professional relationship with them or the treatment you provide or arrange. You should challenge colleagues if their behaviour does not comply with this guidance

Whatever the context in which medical decisions are made, you must work in partnership with your patients to ensure good care. In so doing, you must listen to patients and respect their views about their health, discuss with patients what their diagnosis, prognosis, treatment and care involve, share with patients the information they want or need in order to make decisions.

For a relationship between doctor and patient to be effective, it should be a partnership based on openness, trust and good communication.  Each person has a role to play in making decisions about treatment or care.

Dr RB John DID NONE of the above and YET NHS Wales say he is exemplary. Yet his ONLY response was “I do not remember” and this was allowed as his “professional response”

Dr G K should also read the above as should Dr R L. Both of C Surgery, Neath. I also link to Referring a doctor to the GMC – a guide for health professionals. So now my sister, Dr K E J, should have known what she SHOULD have done in 1998.


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