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J Med Ethics 2006;32:711-714 doi:10.1136/jme.2005.015081
  • Law, ethics and medicine

Cause for concern: the absence of consideration of public and ethical interest in British public policy

  1. S Pattison1,
  2. H M Evans2
  1. 1School of Religious and Theological Studies, Cardiff University, Cardiff, UK
  2. 2School for Health, Durham University, Durham, UK
  1. Correspondence to:
 S Pattison
 School of Religious and Theological Studies, Humanities Building, Cardiff University, Colum Drive, Cardiff CF10 3EU, UK;pattisons{at}cardiff.ac.uk
  • Received 10 November 2005
  • Accepted 21 December 2005
  • Revised 20 December 2005

Abstract

In the UK, many fundamentally important policy decisions that are likely to affect the relationship between citizens and care services are now made at the sublegislative level and without adequate ethical consideration and scrutiny. This is well exemplified in the proposed guidance on the disclosure of information on children. A recent consultation paper by the UK government on the subject proposes an approach that seeks a simple technical solution to a complex problem, emphasising control and surveillance. This reflects pressure to be seen to act. The document fails with regard to ethical reflection appropriate to the complexity of the issue, an appreciation of complex relationships of trust, and a proper sense of the richness and complexity of the public interest. Such policies would, if implemented, fundamentally change the relationships between citizens and their carers, and among carers and the law and the state. This and similar proposals require far more ethical scrutiny and consideration of the public interest in the widest sense.

Footnotes

  • Competing interests: SP and HME are members of the Royal College of General Practitioners’ Committee on Medical Ethics.

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