Medical Ethics and the NHS

Question 1

What are the 4 main principles of medical ehthics?

Answer 1

Beneficience, justice, non melificience, respect for autonomy

Question 2

Define Autonomy.

Answer 2

People have the right to control what happens to their bodies (right to refuse treatments)

Question 3

Define beneficience (3 things)

Answer 3

Doing good for the patient,
In every situatiuon
the pt should be considered individually.

Question 4

What is non maleficence?

Answer 4

Do no harm, consider doctrine of double effect (where treatments are meant to do good but may unintentiuonally cause harm e.g cannulation).

Question 5

What does justice mean?

Answer 5

What is right and fair in any situation

Question 6

What is doctine of double effect?

Answer 6

Doing something morally good, but may have a morally bad side effect

Question 7

CONFIDENTIALIITY

What are the 7 caldicott principles?

Answer 7

1. Justify the purpose of using the info
2. Don’t use unless absolutely necessary
3. use minimum neccessary data
4. access is on a need to know basis
5. be aware of repsonsibilities
6. understand and comply with the law
7. duty to share and duty to protect information

Question 8

What is the relevant legislation in regards to confidentiality?

Answer 8

NHS Act 2006
Health and social care act 2012
Data protection act 1998
Human rights act 1998

Question 9

When was the NHS formed?

Answer 9

1948 - had an idea that good healthcare should be free regardless of wealth.

Question 10

Who is in charge of health care and the NHS

Answer 10

The secretary of state for health - oversees the department of health

Question 11

What are CCGS?

Answer 11

Clinical comissioning groups
Created following the health and social care act 2012.
They are NHS bodies responsible for planning and commissioning of health care services in their local area.

Question 12

What is the CQC

Answer 12

Care quality comission.
independant regualtor
makes sure services are safe and effective and providing high quality care

Question 13

What is duty of confidence?

Answer 13

When a person discloses information to another, where it is expected that info will be held in confidence

Question 14

Name a communication model

Answer 14

SMCR -
Sender
Message
Channel
Reciever
also can include:
understand
feedback

Question 15

List 3 elements of communication

Answer 15

Body language - 55%
Tone of voice - 38%
words - 7%

Question 16

What is the NHS constitution?

Answer 16

Explains the principles, values rights and responsibilties that underpin the NHS. Designed to make sure that the NHS continues to meet the needs of the patients, the public and the staff.
Edited every 10 years
New handbook every 3

Question 17

Key legislation relating to patient records

Answer 17

Access to health records act
Data protection act - GDPR
Health and social act 2012
NHS constitution
Record management - nhs code of practice
Caldecott principles