by HR professional in healthcare, London
A while ago, a healthcare organisation in the UK made a decision that it would no longer treat patients who are obese or who smoke – unless they have been/are on a programme to do something about it. This caused quite a disturbance at the time, in that many felt this was unfair and discriminatory. This tactic has been tried before, and each time it causes a bristle of comments, discussion and reactions.
The NHS in England has always been ‘free to patients at the point of delivery’ so whilst there is no charge for treatment, there has always been struggles to resource the NHS to be able to treat all the patients that need treating. In recent years the numbers of those needing care have escalated, and the NHS is now bursting at the seams and in financial deficit.
If we look at this further – ‘according to the Hippocratic tradition, the guiding principle for physicians is “first do no harm,” or non-maleficence, which is closely followed by the obligation to “do good,” or beneficence’.(1) It has been stated that ‘irrespective of the “rightness” of smoking behavior, physicians have a duty to offer all patients appropriate care and supportive care and to help their patients become tobacco free.’(1) This means that ‘physicians are discouraged from refusing treatment simply because they disagree with their patients’ decisions or lifestyles’.(1)
Continue reading “Lifestyle choices and responsibility for our healthcare – whose hands is it in?”