Consent and Confidentiality

Question 1

What are the 3 main values within consent?

Answer 1

1) Respect for persons
2) Be truthful and honest
3) Facilitate patient autonomy

Question 2

When can confidentiality be broken?

Answer 2

1. When it is required by law.
2. If the patient has given consent.
3. Public interest - research, education, serious crime or disease.

Question 3

What is capacity?

Answer 3

Patient’s ability to make a decision

Question 4

4 questions that should be asked when assessing capacity?

Answer 4

1. Does the patient understand?
2. Can the patient retain the information?
3. Can they use the information to weigh up options and make a decision?
4. Can they communicate their decision?

Question 5

Age of consent for treatment?

Answer 5

16

Question 6

What is confidentiality?

Answer 6

Set of rules/promise that limits access on certain types of information

Question 7

What is Gillick/Fraser competence?

Answer 7

If a child under 16 is assessed as Gillick/Fraser competent they can make their own decisions about their care without parental permission.

Question 8

What does the GMC say are the 5 main ‘duties of a doctor’?

Answer 8

1. Protect and promote health.
2. Provide a good standard of care.
3. Recognise and work within the limits of your competence.
4. Work with colleagues in a way to best serve your patients.
5. Treat patients as individuals and respect their dignity.