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Better guidance urgently needed for doctors in child protection cases, say experts |
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From EurekAlert! - Breaking News: Better guidance is urgently needed for doctors in child protection cases to prevent them from being deterred from acting to protect children, says an editorial on bmj.com today. Writing in response to recent high profile cases such as that of Sir Roy Meadow, which have highlighted "the crisis of confidence" developing between the General Medical Council (GMC) and paediatricians, David Foreman and Juliet Williams call for better guidance to prevent doctors from being deterred from raising concerns about child abuse and to restore confidence in child protection processes. They point out that the number of complaints against paediatricians related to child abuse work increased by more than 500% between 1995 and 2003. Medical law still states that doctors have a duty of care to both the parent and the child, but current paediatric professional guidance incorrectly applies the Children Act principle that the welfare of the child must be placed over all other considerations. In fact, this only applies to the courts, when they make a decision governed by that Act. Therefore, in child protection cases, doctors have conflicting duties both to the child and to the parents who may not feel that doctors are acting in their best interests, particularly if they are suspects and if retrospectively no abuse is detected. Recent hostile media campaigns have added to the pressure on doctors by making it less likely that the GMC will dismiss high profile cases because its duty is to protect the public and also the reputation of medicine while maintaining public confidence in the profession, say the authors.
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