Draft 5th June 2013
Values Law and Ethics
PLANNING FOR NEW CURRICULUM
Anne Slowther and Moli Paul
The areas that the theme will cover relate principally to P20 of Tomorrow’s doctors, the doctor as a
professional, but also includes elements of P11, P12, P13, P14, and P15 The broad areas for learning and
teaching are:
 Understanding professional and legal regulatory frameworks for health care practice
 The role of values in health care: Values based practice
 Ethical awareness and ethical reasoning skills
 Patient centred care
 Understanding the ethical and legal responsibilities of doctors to individual patients and to society
Draft 5th June 2013
Linked sessions with Comm Skills
Linked session with Anatomy
Date
Time
Tues 1 Oct 3.302013
5.00
Friday 11th
October
2013
Friday 11
Oct 2013
8am9am
Topics
Time
required
Introduction to the role
of values in healthcare
and their impact on
decision making
1 hr
lecture
Use of human tissue for
research and teaching
1 hr
lecture
Patient centred care
Respecting patient’s
values and
Learning outcomes
Notes
BLOCK 1: HEALTH, METABOLISM AND HOMEOSTATIS
P20b
Possible opportunity for linking
demonstrate awareness of the this to the group work for this
importance of values as well as session on notions of normality
evidence in health care
decision making, recognising
the plurality of values held by
patients and the influence of a
doctor's values on his or her
approach to patient care
P20di
Demonstrate a nonjudgemental attitude to
diversity of values in patients
and colleagues, recognising
their own personal values and
the effect of these on their
clinical decision making
P20f
Describe the legal framework
governing storage and use of
human tissue , the criteria for
brain death and professional
guidance on organ donation
P20b
Demonstrate awareness that
the interests of the patient
At UHCW as part of anatomy
course
This will integrate with SocPoP
and com skills (combined patient
centred care session to run on a
Draft 5th June 2013
include more than medical
interests and recognise the
importance of social,
psychological and spiritual
interests in making healthcare
decisions.
P20d
demonstrate an understanding
of the key religious and other
belief systems that have
specific impact on patient's
decisions about health care
including attitude to blood and
animal products, and
treatment of dead bodies
perspectives
Friday
VLE input into CBL depending on
cases. Will need some
discussion/training for facilitators
Tues pm,
15
October
Introduction to consent
and confidentiality:
preparation for
community based work
1 hour
lecture
20c
Demonstrate knowledge of
GMC guidance on
confidentiality and describe the
underlying ethical principles on
which the guidance is based.
20c
Demonstrate understanding of
the requirements of a valid
informed consent or refusal of
treatment including the
assessment of capacity , the
provision of information and
measures taken to avoid
coercion
Draft 5th June 2013
8th
Friday
November
BLOCK 2: BLOOD, LUNGS AND HEART
P20b
Integrated with Comm skills and
Reach a shared decision with a Soc Pop UHCW
Patient centred
consultation skills
patient about his or her
treatment taking into account
clinical information, best
evidence, and the wishes,
values and preferences of the
patient.
20th
November
2013
Introduction to medical
law and its relationship
with ethics and values
1hr
lecture
Consent /refusal of
treatment including
Advance decisions
45 mins
(runs
twice in
parallel
with CBL)
P20g
Describe the structure of
English law and the key cases
and legislation that are
relevant to health care
P20g
Demonstrate awareness of the
impact of and relative weight
of different laws in relation to
medical practice, for example
case law, statute, law
European law
P20d
Describe the legal framework
protecting individual rights
including the Human Rights Act
and the Equality Act as it
relates to health care
20e
Recognise the rights and the
equal value of all people and
how opportunities for some
people may be restricted by
other's perceptions.
Draft 5th June 2013
P20c
Demonstrate understanding of
the requirements of a valid
informed consent or refusal of
treatment including the
assessment of capacity , the
provision of information and
measures taken to avoid
coercion
P20b
Describe the legal framework
governing end of life care
including withdrawing ANH,
patients refusing life sustaining
treatment, advance refusals of
treatment, and assisted
suicide.
3rd
December
2013
Group work on law,
ethics and values
1 hr 15
mins
(runs
twice
opposite
PP)
VLE input into CBL depending on
cases. Will need some
discussion/training for facilitators
BLOCK 3: BRAIN AND BEHAVIOUR
Thursday
23rd
January
2014
15.15 –
16.15
Disclosure of
information and data
protection: ethical and
legal issues (using
1 hour
lecture
P20c
Describe the legal framework
that governs disclosure of
personal and health related
information including the Data
Draft 5th June 2013
epilepsy as a case
example to link to CBL
case)
Tuesday
28th
January
2014
11.15 –
11.45
Thursday
30th
January
2014
15.1515.45
Date to be
confirmed
1212.30
Protection Act 1998
P20ci
Demonstrate knowledge of
GMC guidance on
confidentiality and describe the
underlying ethical principles on
which the guidance is based.
P20c
Describe the legal framework
governing consent to
treatment in adults and
children and its application in a
range of scenarios.
Consent in emergency
settings (including out
of hospital situations)
Link to CBL case on
acute spinal injury
30 minute
lecture
Autonomy: what it
means in the context of
cognitive impairment,
implications for consent
and best interests (link
to CBL case on
degenerative brain
disorder)
30 minute
lecture
P20c
Research Ethics
and Governance (to half
90min
P20a
the cohort at once)
90min
Explain the principle of respect
for autonomy and its relevance
to healthcare
P20cb
Demonstrate understanding of
the ethical principles that
underpin the legal requirement
and professional duty to act in
a patient’s best interests,
recognising the interplay
between respect for
autonomy and best interests.
Demonstrate knowledge of the
ethical principles underpinning
the Declaration of Helsinki and
national and international
research ethics guidelines.
Dovetailing with CBL session
Owned by SocPop but LO in
VLE
VLE input into CBL depending on
cases. Will need some
discussion/training for facilitators
Draft 5th June 2013
tbc
tbc
Safeguarding
vulnerable adults and
refusal of treatment
(link to CBL case of hip
fracture in elderly
patient)
lecture
Duty of care and limits
of competence. The
role of a doctor and a
medical student (link to
CBL case on RTA and
brachial plexus injury)
lecture
BLOCK 4: LOCOMOTION
20f
Demonstrate awareness of a
doctor's responsibilities in
identifying vulnerable adults
and the processes for
safeguarding them
20ci
Demonstrate understanding of
the requirements of a valid
informed consent or refusal of
treatment including the
assessment of capacity , the
provision of information and
measures taken to avoid
coercion
20b
demonstrate understanding of
the legal and ethical concept
of a duty of care
20b
demonstrate awareness of the
roles and duties of a doctor
including awareness of limits of
his/her own competence
20g
Demonstrate knowledge of the
criteria for bringing a case in
medical negligence and the
legal concept of standard of
care
VLE input into CBL depending
on cases. Will need some
discussion/training for facilitators
Draft 5th June 2013
Tuesday
29th April
9.00 –
11.15
BLOCK 5: REPRODUCTION AND CHILD HEALTH
P20g
Ante natal screening
Lecture +
Demonstrate awareness of the
and PIGD: ethical and group work
range of values and
legal issues
Thursday
8th May
1.302.30
Respecting children’s
lecture
rights/consent/confiden
tiality
24th May
2014
8-9 am
Child protection
lecture
perspectives that influence the
debate about assisted
conception
P20g
Describe the ethical arguments
for and against screening and
selection of embryos
P20ci
Describe the legal framework
governing consent to treatment
in adults and children and its
application in a range of
scenarios.
P20c
Demonstrate awareness of the
complexities of assessing
capacity in both adults and
children,
P20g
Describe the relevant legislation
governing protection of
children's welfare
P20g
Demonstrate awareness of a
doctor's responsibilities in
identifying and referring
suspected cases of child abuse
UHCW
VLE input into CBL depending on
cases. Will need some
discussion/training for facilitators
Draft 5th June 2013
Year one learning outcomes VLE
BLOCK 1: HEALTH, METABOLISM AND HOMEOSTATIS
Overarching curriculum LOs
P20b
Demonstrate awareness of the importance of values as well as evidence in health care decision making, recognising the plurality of values held by
patients and the influence of a doctor's values on his or her approach to patient care
P20d
Demonstrate a non-judgemental attitude to diversity of values in patients and colleagues, recognising their own personal values and the effect of these
on their clinical decision making
P20f
Describe the legal framework governing storage and use of human tissue, the criteria for brain death and professional guidance on organ donation
P20b
Demonstrate awareness that the interests of the patient include more than medical interests and recognise the importance of social, psychological and
spiritual interests in making healthcare decisions.
P20d
Demonstrate an understanding of the key religious and other belief systems that have specific impact on patient’s decisions about health care including
attitude to blood and animal products, and treatment of dead bodies
20c
Demonstrate knowledge of GMC guidance on confidentiality and describe the underlying ethical principles on which the guidance is based.
20c
Demonstrate understanding of the requirements of a valid informed consent or refusal of treatment including the assessment of capacity, the provision of
information and measures taken to avoid coercion
Specific block LOs
 Demonstrate awareness of the importance of values as well as evidence in health care decision making, recognising the plurality of values held
by patients and the influence of a doctor's values on his or her approach to patient care
 Demonstrate a non-judgemental attitude to diversity of values in patients and colleagues, recognising their own personal values.
Draft 5th June 2013





Demonstrate awareness that the interests of the patient include more than medical interests and recognise the importance of social,
psychological and spiritual interests in making healthcare decisions
Demonstrate awareness of the range of belief systems that may impact on patients decisions about health care and the implications for history
taking and informed consent
Describe the relevant sections of the Human Tissue Act governing storage and use of human tissue for education and research
Demonstrate knowledge of GMC guidance on confidentiality and describe the underlying ethical principles on which the guidance is based.
Describe the criteria for a valid consent and demonstrate awareness of the importance of consent for medical education
BLOCK 2: BLOOD, LUNGS AND HEART
Overarching curriculum LOs
P20b
Reach a shared decision with a patient about his or her treatment taking into account clinical information, best evidence, and the wishes, values and
preferences of the patient.
P20g
Describe the structure of English law and the key cases and legislation that are relevant to health care
P20g
Demonstrate awareness of the impact of and relative weight of different laws in relation to medical practice, for example case law, statute, law
European law
P20d
Describe the legal framework protecting individual rights including the Human Rights Act and the Equality Act as it relates to health care
20e
Recognise the rights and the equal value of all people and how opportunities for some people may be restricted by other's perceptions.
P20
Demonstrate understanding of the requirements of a valid informed consent or refusal of treatment including the assessment of capacity, the provision of
information and measures taken to avoid coercion
P20
Describe the legal framework governing end of life care including withdrawing ANH, patients refusing life sustaining treatment, advance refusals of
treatment, and assisted suicide.
Specific block LOs


Take a structured history taking into account the wishes, values and perspectives of the patient
Describe the structure of English law and the key cases and legislation that are relevant to health care
Draft 5th June 2013


Describe the legal framework protecting individual rights including the Human Rights Act and the Equality Act as it relates to health care
Demonstrate understanding of the law relating to refusal of treatment including advance refusal of treatment
BLOCK THREE; BRAIN AN DBEHAVIOUR
Overarching curriculum LOs
P20c
Describe the legal framework that governs disclosure of personal and health related information including the Data Protection Act 1998
P20c
Demonstrate knowledge of GMC guidance on confidentiality and describe the underlying ethical principles on which the guidance is based.
P20c
Describe the legal framework governing consent to treatment in adults and children and its application in a range of scenarios.
P20c
Explain the principle of respect for autonomy and its relevance to healthcare
P20c
Demonstrate understanding of the ethical principles that underpin the legal requirement and professional duty to act in a patient’s best interests,
recognising the interplay between respect for autonomy and best interests.
P20a
Demonstrate knowledge of the ethical principles underpinning the Declaration of Helsinki and national and international research ethics guidelines.
Specific block LOs





Describe the legal framework that governs disclosure of personal and health related information including relevant sections of the Data Protection
Act 1998
Demonstrate application of GMC guidance on confidentiality in relation to patient refusal of disclosure and the public interest
argument for disclosure.
Describe the legal framework governing treatment of patients in an emergency situation.
Describe the concepts of autonomy and best interests and interpret them in the context of treating patients with cognitive impairment.
Describe the ethical principles underlying the Declaration of Helsinki and their application to health care research
BLOCK 4: LOCOMOTION
Draft 5th June 2013
Overarching curriculum LOs
20f
Demonstrate awareness of a doctor's responsibilities in identifying vulnerable adults and the processes for safeguarding them
20c
Demonstrate understanding of the requirements of a valid informed consent or refusal of treatment including the assessment of capacity, the provision of
information and measures taken to avoid coercion
20b
Demonstrate understanding of the legal and ethical concept of a duty of care
20b
Demonstrate awareness of the roles and duties of a doctor including awareness of limits of his/her own competence
20g
Demonstrate knowledge of the criteria for bringing a case in medical negligence and the legal concept of standard of care
Specific Block LOs




Describe the legal framework for safeguarding vulnerable adults.
Explain the criteria for assessment of capacity in adults and the legal framework governing refusal of treatment.
Demonstrate understanding of the legal and ethical concept of a duty of care
Demonstrate understanding of the duties of a medical student including awareness of the limits of his/her own competence
Draft 5th June 2013
BLOCK FIVE: REPRODUCTION AND CHILD HEALTH
Overarching curriculum LOs
P20g
Demonstrate awareness of the range of values and perspectives that influence the debate about assisted conception
P20g
Describe the ethical arguments for and against screening and selection of embryos
P20c
Describe the legal framework governing consent to treatment in adults and children and its application in a range of scenarios.
P20c
Demonstrate awareness of the complexities of assessing capacity in both adults and children
P20g
Describe the relevant legislation governing protection of children's welfare
P20g
Demonstrate awareness of a doctor's responsibilities in identifying and referring suspected cases of child abuse
Specific Block Los





Demonstrate awareness of the range of values and perspectives that influence the debate about assisted conception
Describe the ethical arguments for and against screening and selection of embryos
Describe the legal framework governing consent to treatment in children and young people
Describe the relevant legislation governing protection of children's welfare
Demonstrate awareness of a doctor's responsibilities in identifying and referring suspected cases of child abuse