57 found
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  1.  13
    Ethics briefing.Rebecca Mussell, Sophie Brannan, Caroline Ann Harrison, Veronica English & Julian C. Sheather - 2022 - Journal of Medical Ethics 48 (8):575-576.
    Legal battles continue in the UK over the Government’s plans to transport asylum seekers arriving on British shores to Rwanda in East Africa. Originally announced as a system for ‘processing’ asylum seekers, the Government has subsequently made it clear that there would not be an option for asylum seekers to return to the UK. The arrangement forms part of a deal between the UK and Rwanda, with the UK promising to invest £120 m in economic growth and development in Rwanda, (...)
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  2.  69
    Withdrawing and withholding artificial nutrition and hydration from patients in a minimally conscious state: Re: M and its repercussions.Julian C. Sheather - 2013 - Journal of Medical Ethics 39 (9):543-546.
    In 2011 the English Court of Protection ruled that it would be unlawful to withdraw artificial nutrition and hydration from a woman, M, who had been in a minimally conscious state for 8 years. It was reported as the first English legal case concerning withdrawal of artificial nutrition and hydration from a patient in a minimally conscious state who was otherwise stable. In the absence of a valid and applicable advance decision refusing treatment, of other life-limiting pathology or excessively burdensome (...)
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  3.  12
    Ethics briefing.Rebecca Mussell, Sophie Brannan, Veronica English, Caroline Ann Harrison & Julian C. Sheather - 2023 - Journal of Medical Ethics 49 (2):153-154.
    Health, ethics and COP27 On the 20 November 2022, the United Nations Climate Change COP27 announced a breakthrough agreement to provide ‘loss and damage’ funding for resource-poor countries seriously affected by climate change. 1 The establishment of the funding stream acknowledges, and attempts to address, one of many thorny ethical issues driven by climate change – to what extent countries that have benefited economically from past emissions of greenhouse gases owe reparative obligations to countries who have contributed minimally to climate (...)
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  4.  25
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2018 - Journal of Medical Ethics 44 (2):145-146.
    The British Medical Association has published a new report on health and human rights in immigration detention in the UK. Locked up, locked out outlines how aspects of current detention policies and practices are detrimental to the health of those detained and the challenges doctors face in providing healthcare in the immigration detention setting. It makes a number of recommendations aimed at addressing policy and practice which impact on health and well-being, including calling for an end to the routine use (...)
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  5.  22
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2018 - Journal of Medical Ethics Recent Issues 44 (4):285-286.
    Erdoğan intensifies assault on Turkish civil society Deeply worrying reports from the Turkish Medical Association suggest that the Turkish President Recep Erdoğan is hardening his attack on civil society in Turkey, using the legitimate activities of the TTB as the flimsiest of pretexts. In January 2018, the TTB issued a short statement raising concerns about the impact on public health of Turkey’s military operation in the Kurdish-controlled region of northern Syria. It denounced the operation saying ‘No to war, peace immediately’. (...)
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  6.  34
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2014 - Journal of Medical Ethics 40 (1):69-70.
    In February 2014, the Belgian Parliament passed legislation allowing euthanasia for terminally ill children of all ages by 86 votes to 44, with 12 abstentions. The Bill became law in early March after being signed by the King, making Belgium the first country in the world to abolish age restrictions for euthanasia. Previously, the youngest age at which euthanasia was permitted was 12 years old in The Netherlands.1Euthanasia was legalised in Belgium in 2002, and the new legislation introduces amendments to (...)
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  7.  24
    ‘He who helps the guilty, shares the crime’? INGOs, moral narcissism and complicity in wrongdoing.Pete Buth, Benoit de Gryse, Sean Healy, Vincent Hoedt, Tara Newell, Giovanni Pintaldi, Hernan del Valle, Julian C. Sheather & Sidney Wong - 2018 - Journal of Medical Ethics 44 (5):299-304.
    Humanitarian organisations often work alongside those responsible for serious wrongdoing. In these circumstances, accusations of moral complicity are sometimes levelled at decision makers. These accusations can carry a strong if unfocused moral charge and are frequently the source of significant moral unease. In this paper, we explore the meaning and usefulness of complicity and its relation to moral accountability. We also examine the impact of concerns about complicity on the motivation of humanitarian staff and the risk that complicity may lead (...)
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  8.  17
    Ethics briefing.Ruth Campbell, Sophie Brannan, Veronica English, Rebecca Mussell, Julian C. Sheather & Olivia Lines - 2020 - Journal of Medical Ethics 46 (2):159-160.
    In February 2020, the British Medical Association will be surveying members for their views on what the BMA’s position on physician-assisted dying should be. The BMA is currently opposed to physician-assisted dying in all its forms, a position that was agreed in 2006 at the annual representative meeting, the Association’s policy-making conference.1 As previously reported in Ethics briefing,2 the decision to survey members follows a motion passed at last year’s ARM which called on the BMA to “carry out a poll (...)
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  9.  9
    Ethics briefing.Ruth Campbell, Sophie Brannan, Veronica English, Olivia Lines, Rebecca Mussell & Julian C. Sheather - 2020 - Journal of Medical Ethics 46 (6):397-398.
    Healthcare professionals are currently working under extreme pressure as they respond to the pandemic outbreak of COVID-19. At the time of writing, there is currently no effective vaccine or anti-viral treatment. The pandemic is fast-moving, relatively unpredictable and of uncertain duration. In many countries, it is placing an enormous stress on healthcare resources and providing care to existing standards is proving difficult. Unfortunately, in some countries, health services have been overwhelmed. The impact of the pandemic on resource-poor countries is of (...)
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  10.  23
    Ethics briefings.Martin Davies, Sophie Brannan, Eleanor Chrispin, Veronica English, Rebecca Mussell & Julian C. Sheather - 2012 - Journal of Medical Ethics 38 (7):446-448.
  11.  48
    Should we respect precedent autonomy in life-sustaining treatment decisions?Julian C. Sheather - 2013 - Journal of Medical Ethics 39 (9):547-550.
    The recent judgement in the case of Re:M in which the Court held that it would be unlawful to withdraw artificial nutrition and hydration from a woman in a minimally conscious state raises a number of ethical issues of wide application. Central to these is the extent to which precedent autonomous decisions should be respected in the absence of a legally binding advance decision. Well-being interests can survive the loss of many of the psychological faculties that support personhood. A decision (...)
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  12.  41
    Ethics briefing.Sophie Brannan, Ruth Campbell, Veronica English, Rebecca Mussell, Julian C. Sheather & Martin Davies - 2017 - Journal of Medical Ethics 43 (10):723-724.
    Doctors and medical students in the UK have voted in support of the decriminalisation of abortion for women who self-administer abortions and healthcare professionals who provide abortions within the context of their clinical practice. Abortion should be treated as a medical issue rather than a criminal one. ### Background to the vote The vote took place at the end of June during the British Medical Association’s Annual Representative Meeting, where representatives of doctors and medical students from across the British Isles (...)
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  13.  80
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2018 - Journal of Medical Ethics 44 (9):653-654.
    Essex University, in association with Johns Hopkins Center for Public Health and Human Rights, has brought out a timely report highlighting the increasing global criminalisation of the provision of healthcare.1 The report, with a foreword by Professor Dainius Puras, United Nations Special Rapporteur on the right to health, explores the pressures on medical impartiality arising in large part from both global and national responses to the threat of terrorism. Both international humanitarian law, human rights law and long-established principles of medical (...)
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  14.  8
    Ethics briefing.Sophie Brannan, Martin Davies, Veronica English, Caroline Ann Harrison, Dominic Norcliffe-Brown & Julian C. Sheather - 2021 - Journal of Medical Ethics 47 (8):587-588.
    In June 2021, the BMA published its report on moral distress and moral injury in UK doctors.1 The report includes definitions of the terms ‘moral distress’ and ‘moral injury’ as well as a summary of how the concepts have developed over time. There is also an analysis of the BMA’s pan-profession survey of moral distress and moral injury of doctors in the UK, the first of its kind. The impact of COVID-19 and recommendations for tackling moral distress also feature. Many (...)
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  15.  25
    Ethics briefings.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2015 - Journal of Medical Ethics 41 (3):285-286.
  16.  24
    Ethics briefings.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2015 - Journal of Medical Ethics 41 (5):429-430.
  17.  22
    Ethics briefing.Martin Davies, Ruth Campbell, Sophie Brannan, Veronica English, Rebecca Mussell & Julian C. Sheather - 2018 - Journal of Medical Ethics 44 (6):429-430.
    In April, the UK House of Commons Science and Technology committee published a report evaluating the readiness of the National Health Service to incorporate genomic testing into mainstream service provision.1 The committee also examined some of the research and regulatory considerations in relation to the ongoing development of genome editing. ### Genomics in the NHS The main focus of the report is the 100,000 Genomes Project and the various practical and ethical challenges associated with the planned roll-out of the Genomics (...)
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  18.  8
    Ethics briefing.Dominic Norcliffe-Brown, Sophie Brannan, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2021 - Journal of Medical Ethics 47 (2):129-130.
    On 8 October 2020, the British Medical Association published the results of its survey of BMA members on physician-assisted dying. With 28 986 respondents, this was one of the largest surveys of medical opinion on this topic ever carried out. This represents 19.35% of those who received an invitation to participate and the respondents were broadly representative of the BMA’s overall membership. The BMA was clear throughout this process that the results of the survey would not determine its policy. Its (...)
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  19.  6
    Ethics briefing.Dominic Norcliffe-Brown, Sophie Brannan, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2021 - Journal of Medical Ethics 47 (6):441-442.
    During the first UK wave of the pandemic, there were two areas of immediate ethical concern for the medical profession. The first was the possibility that life-saving resources could be overwhelmed. Early reports from hospitals in the Italian city of Bergamo suggested that ventilatory support might need rationing and emergency ‘battlefield’ triage was a real possibility.1 In the UK, several professional bodies, including the British Medical Association and the Royal College of Physicians rapidly developed guidance for doctors should triage become (...)
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  20.  85
    Abortion—Northern Ireland.Martin Davies, Veronica English, Julian C. Sheather, Sophie Brannan, Ruth Campbell & Rebecca Mussell - 2016 - Journal of Medical Ethics 42 (2):141-143.
  21.  30
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2016 - Journal of Medical Ethics 42 (12):815-816.
  22.  21
    The Mediterranean refugee crisis: ethics, international law and migrant health.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2016 - Journal of Medical Ethics 42 (4):269-270.
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  23.  7
    Ethics briefings.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2015 - Journal of Medical Ethics 41 (7):573-574.
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  24.  14
    Ethics briefing.Charlotte Wilson, Sophie Brannan, Julian C. Sheather, Ruth Campbell, Veronica English & Rebecca Mussell - 2019 - Journal of Medical Ethics 45 (10):684-686.
    In July 2019, Stella Creasy MP and her team succeeded in attaching an amendment to a largely administrative bill which would require the UK government to liberalise abortion laws in Northern Ireland by 21 October 2019, provided the Northern Ireland government does not resume before that date.1 The amendment succeeded in the Commons, 332 votes to 99 and later, with some adjustments, in the Lords, 182 votes to 37. The Bill received Royal Assent on 24 July 2019. In Northern Ireland, (...)
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  25.  12
    Ethics briefing.Charlotte Wilson, Veronica English, Julian C. Sheather, Ruth Campbell, Olivia Lines & Sophie Brannan - 2019 - Journal of Medical Ethics 45 (2):147-148.
    The British Medical Association and Royal College of Physicians have published new guidance, endorsed by the General Medical Council, on decision-making about clinically assisted nutrition and hydration and adults who lack capacity to consent. The development of the guidance follows a series of legal cases which has created confusion about the precise circumstances in which an application to the court is required before CANH is withdrawn which has culminated with the decision of the Supreme Court in National Health Service Trust (...)
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  26.  14
    Ethics briefing.Charlotte Wilson, Ruth Campbell, Veronica English, Rebecca Mussell, Julian C. Sheather & Sophie Brannan - 2019 - Journal of Medical Ethics 45 (8):566-568.
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  27.  33
    Ethics briefings.Sophie Brannan, Eleanor Chrispin, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2013 - Journal of Medical Ethics 39 (11):719-720.
    Court of appeal ruling on assisted dyingIn July 2013, the Court of Appeal ruled on an assisted dying case brought by Paul Lamb, a 58-year-old man who has been quadriplegic and without function in any of his limbs, apart from a little movement in his right hand, since a car accident in 1990.1 Mr Lamb was permitted by the Court to take over the legal case of Tony Nicklinson, who died in August 2012, less than a week after his request (...)
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  28.  47
    Ethics briefing.Martin Davies, Sophie Brannan, Eleanor Chrispin, Veronica English, Rebecca Mussell & Julian C. Sheather - 2013 - Journal of Medical Ethics 39 (6):413-414.
    Ever so often in the UK, there is a flurry of activity around the information requirements of donor-conceived individuals. In April 2013, it was the launch of a report from the Nuffield Council on Bioethics that brought the issue back to public consciousness.1Since 1991, information about treatment with donor gametes or embryos has been collected by the Human Fertilisation and Embryology Authority . Since then, over 35 000 donor-conceived individuals have been born through treatment in licensed clinics. Medical information and (...)
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  29.  16
    Ethics briefing.Martin Davies, Ruth Campbell, Sophie Brannan, Veronica English, Rebecca Mussell & Julian C. Sheather - 2018 - Journal of Medical Ethics 44 (10):725-726.
    The Supreme Court has ruled in the case of Y that there is no requirement to seek the approval of the Court of Protection in decisions to withdraw clinically assisted nutrition and hydration from patients in a prolonged disorder of consciousness.1 Mr Y was 52-year-old man who suffered a cardiac arrest after a myocardial infarction as a result of coronary artery disease. It was not possible to resuscitate him for well over 10 min, resulting in severe cerebral hypoxia which caused (...)
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  30.  28
    Ethics briefing.Martin Davies, Sophie Brannan, Ruth Campbell, Veronica English, Rebecca Mussell & Julian C. Sheather - 2017 - Journal of Medical Ethics 43 (12):871-872.
    ### High Court rejects assisted dying challenge The High Court has rejected the latest challenge to the law on assisted dying in the UK, brought by Noel Conway. Mr Conway, a retired college lecturer, was diagnosed with motor neuron disease in 2012. Since his diagnosis, his health has deteriorated and he is dependent on ever-increasing levels of assistance with daily life, including the use of non-invasive ventilation to help him breathe. He sought a declaration from the court that section 2 (...)
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  31.  23
    Assisted dying.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2016 - Journal of Medical Ethics 42 (8):554-556.
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  32.  32
    BMA end-of-life care and physician-assisted dying project.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2016 - Journal of Medical Ethics 42 (6):409-410.
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  33.  2
    Ethics briefings.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2015 - Journal of Medical Ethics 41 (2):211-212.
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  34.  7
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2015 - Journal of Medical Ethics 41 (11):920-921.
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  35.  14
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2015 - Journal of Medical Ethics 41 (9):789-791.
  36.  10
    Ethics briefing.Rebecca Mussell, Sophie Brannan, Veronica English, Caroline Ann Harrison & Julian C. Sheather - 2023 - Journal of Medical Ethics 49 (4):301-302.
    In December 2022, the Office of the National Data Guardian (NDG)1 for health and social care in England published new guidance: What do we mean by public benefit? Evaluating public benefit when health and adult social care data is used for purposes beyond individual care.2 Research in the UK consistently demonstrates that for the public to consider a secondary use3 of health and care data appropriate and acceptable, it must deliver a benefit back to the public.4 The aim of the (...)
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  37.  28
    Ethics briefings.Martin Davies, Sophie Brannan, Eleanor Chrispin, Veronica English, Rebecca Mussell & Julian C. Sheather - 2013 - Journal of Medical Ethics 39 (1):62-64.
    In August 2012, the drug manufacturer, Fresenius Kabi, barred the sale of the anaesthetic, propofol, for use in lethal injections. The company announced that it would not accept orders for the drug from US departments of correction, and put in place similar requirements on all its wholesalers and distributors.1Propofol is one of the world's most widely used anaesthetics. Earlier in 2012, US states began to use propofol in executions following shortages of other drugs which had previously been used in lethal (...)
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  38.  8
    Ethics briefing.Rebecca Mussell, Sophie Brannan, Veronica English, Caroline Ann Harrison & Julian C. Sheather - 2023 - Journal of Medical Ethics 49 (6):449-450.
    At the time of writing, the UK Government’s ‘Illegal Migration Bill’1 had started progressing through the House of Commons. The Bill will enable the removal of people who have come to the UK seeking asylum by ‘illegal’ routes, including via the dangerous Channel crossing in small boats.2 That duty would apply whether a person makes a protection claim, human rights claim or is a victim of modern slavery or human trafficking. Asylum seekers risk crossing the Channel because there are very (...)
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  39.  1
    Ethics briefing.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2014 - Journal of Medical Ethics 40 (11):789-790.
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  40.  23
    Report from the national data guardian for health and care.Sophie Brannan, Ruth Campbell, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2016 - Journal of Medical Ethics 42 (10):690-692.
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  41.  9
    Ethics briefing.Ruth Campbell, Sophie Brannan, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2019 - Journal of Medical Ethics 45 (12):836-837.
    Previous Ethics briefings have charted the unprecedented developments in relation to the law on abortion in Northern Ireland this year,1 resulting in legislation being passed by the UK government that ‘decriminalised’ abortion in Northern Ireland, up to the point at which a fetus ‘is capable of being born alive’, from 22 October 2019. A new legal framework and supporting guidelines on abortion are now set to be introduced by 31 March 2020—which should reflect the recommendations in the 2018 United Nations’ (...)
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  42.  4
    Ethics briefing.Ruth Campbell, Sophie Brannan, Veronica English, Olivia Lines, Rebecca Mussell & Julian C. Sheather - 2020 - Journal of Medical Ethics 46 (4):280-281.
    ### British Medical association survey on physician-assisted dying closes Previous Ethics briefings have highlighted the survey of members on physician-assisted dying being carried out by the British Medical Association.1 This survey closed at midnight on Thursday 27 February. In total, 29 011 members responded – 20.1% of all members who received an invitation to participate – making this one of the largest surveys of medical opinion carried out on this issue, ever. The results of the survey will not make BMA (...)
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  43.  3
    Ethics briefings.Martin Davies, Sophie Brannan, Eleanor Chrispin, Veronica English, Rebecca Mussell, Julian C. Sheather & Ann Sommerville - 2012 - Journal of Medical Ethics 38 (3):190-192.
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  44.  9
    Ethics briefing.Martin Davies, Sophie Brannan, Veronica English, Caroline Ann Harrison, Carrie Reidinger & Julian C. Sheather - 2022 - Journal of Medical Ethics 48 (6):427-428.
    On 7 April 2022 – coinciding with World Health Day – the British Medical Association launched its new report, Health and human rights in the new world order.1 Written during the global upheaval triggered by the COVID-19 pandemic, and published just weeks after the Russian invasion of Ukraine, the report responds to a range of emerging and intensifying threats to health-related human rights globally. As the report establishes, human rights in health and healthcare matter because human suffering, and its relief, (...)
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  45.  11
    Ethics briefings.Martin Davies, Sophie Brannan, Eleanor Chrispin, Veronica English, Rebecca Mussell, Julian C. Sheather & Ann Sommerville - 2012 - Journal of Medical Ethics 38 (1):64-66.
  46.  9
    Ethics briefing.Rebecca Mussell, Sophie Brannan, Caroline Ann Harrison, Julian C. Sheather & Veronica English - 2022 - Journal of Medical Ethics 48 (10):797-798.
    In previous Ethics briefings 1 we have highlighted the developments in the case of Bell & Another v the Tavistock and Portman NHS Foundation Trust. The case concerned a judicial review of the practice of prescribing puberty blocking treatment to children and young people at the Gender Identity Development Service managed by the Tavistock and Portman NHS Foundation Trust. The Court of Appeal in its judgement2 found the Trust’s practices to be lawful, and overturned previous guidance given by the High (...)
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  47.  6
    Ethics briefing.Rebecca Mussell, Caroline Ann Harrison, Julian C. Sheather, Sophie Brannan & Veronica English - 2022 - Journal of Medical Ethics 48 (12):1083-1084.
    The office of the United nations high commissioner for human rights (OHCHR): serious human rights abuses against the Uyghur people in Xinjiang, China Very close to midnight on the 31 August 2022, minutes before Michelle Bachelet’s four-year term as UN Commissioner for Human Rights came to an end, her office finally succeeded in publishing her long-delayed report into serious human rights violations in the Xinjiang province in China. According to The Guardian newspaper, papers leaked in July of the same year (...)
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  48.  8
    Ethics briefing.Dominic Norcliffe-Brown, Sophie Brannan, Martin Davies, Veronica English, Caroline Ann Harrison & Julian C. Sheather - 2022 - Journal of Medical Ethics 48 (4):285-286.
    In parts of the world, discussion regarding COVID-19 has shifted towards endemicity, and questions of living with, rather than directly battling, the virus. As a result, ethical questions are being refocussed. The imperative is beginning to shift towards what we can learn from the pandemic, and how we can better prepare for future global outbreaks. Among the questions that need to be addressed is what Covid-29 has taught us about how research can be conducted ethically during major global public health (...)
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  49.  7
    Ethics briefing.Dominic Norcliffe-Brown, Sophie Brannan, Veronica English, Olivia Lines, Rebecca Mussell & Julian C. Sheather - 2020 - Journal of Medical Ethics 46 (10):707-708.
    An Amnesty International briefing, published in July 2020, highlights the grave risks health workers are facing globally, particularly in the face of the COVID-19 pandemic.1 The report uses data from 63 countries across the world from January to June 2020 and is rich with examples. While recognising that information about the pandemic is constantly evolving, and each country is in a separate phase of the outbreak, Amnesty International draws attention to several troubling trends. By virtue of the role undertaken by (...)
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  50.  4
    Ethics Briefing.Dominic Norcliffe-Brown, Sophie Brannan, Martin Davies, Veronica English, Rebecca Mussell & Julian C. Sheather - 2020 - Journal of Medical Ethics 46 (12):845-846.
    At the time of writing the COVID-19 pandemic was entering its ninth month, with nearly 800 000 recorded fatalities and 22 million infections in 188 countries and territories.1 In previous ethics briefings2 we raised concerns about the possibility that demand for life-sustaining treatment would overwhelm supply, with a consequent requirement for health professionals to make challenging triage decisions. Fortunately, to date, these have largely not been realised, although there is a possibility that countries in which containment measures have been less-successful, (...)
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