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COVID-19 Super-spreaders: Definitional Quandaries and Implications

The use of the term ‘super-spreaders’ is explored and circumstances in which the wide definition can be problematic are considered, and a clearer epidemiological definition is called for.
Springer Nature (opens in a new tab)

Goodbye Gillick? Identifying and resolving problems with the concept of child competence

The landmark decision of Gillick v West Norfolk Area Health Authority was a victory for advocates of adolescent autonomy. It established a test by which the court could measure children's competence…
Cambridge Press (opens in a new tab)

Adolescent consent and confidentiality in the U.K.

In R (Axon) v Secretary of State for Health the Gillick competence test was confirmed. Commitment to childhood autonomy and privacy rights caused renewed academic criticism of the 'refusal' cases.…
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New governance arrangements for research ethics committees: is facilitating research achieved at the cost of participants’ interest

This paper examines the UK’s response to a recent European Clinical Trials Directive and argues that though the new arrangements go a long way toward addressing the uncertainty surrounding ethics committee function, the system favours the facilitation of research over the protection of the dignity and welfare of research participants.
BMJ (opens in a new tab)

Medical practitioners, adolescents and informed consent

It is demonstrated that legal ambiguity surrounding child consent adversely affects clinicians, young people and their families and law reform proposals designed to align the law in England and Wales with the UNCRC are made.

Severe and Enduring Anorexia Nervosa in the Court of Protection in England and Wales

The clinical uncertainties associated with prognosis and treatment and legal assertions surrounding capacity and best interests are outlined and drawing upon international comparisons, it is suggested that to ensure palliative management is based on need rather than diagnosis, a closer alignment is required between the focus of any capacity andbest interests assessments.
PDF (opens in a new tab)

Voluntary vaccination: the pandemic effect

It is argued that necessity and proportionality must be reassessed, and national public health law and policy setting out a graduated and proportionate approach to compulsory vaccination developed as a matter of priority.
Cambridge Press (opens in a new tab)

Data protection legislation: interpretation and barriers to research

A case study that will be described in this article shows the need to find a balance between facilitating important research and protecting the confidentiality of patients in the context of epidemiological research that uses patients' records.
BMJ (opens in a new tab)

Ethical advice in paediatric care

This review focuses on paediatric CECs that raise both generic questions and specific issues and sets out the next steps for the development of ethics support both in paediatric practice and more generally.
BMJ (opens in a new tab)

Determining Capacity to Make Medical Treatment Decisions: Problems Implementing the Mental Capacity Act 2005

    E. Cave
    Law, Medicine
  • 1 February 2015
The Mental Capacity Act 2005 sets out a ground-breaking statutory framework to empower and protect vulnerable people who are incapable of making their own decisions, but the balance between the two is precarious.
Publisher (opens in a new tab)
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