Professional values

1
Professional values

• Our roles and responsibilities
• as GPs

2
Why do this session?

• nMRCGP competencies
• Working with colleagues and in teams
• Maintaining an ethical approach
• Fitness to practice
• RCGP curriculum chapter 3 personal and
  professional responsibilities

3
What roles does a GP have?

• Think as widely as possible

4
member of a profession
clinician
family doctor
person
agent/shaper of policy
patients advocate
researcher
gatekeeper
teacher
resource allocator
GPs role
reflective practitioner
handler of information
learner
team member
business person
employer
team leader
colleague
manager
employee
partner
5
Self - principles and values
Family
Patients
Who are we responsible to?
Colleagues and team
Society as a whole
NHS
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4 ethical principles

• Beneficence - doing good
• Non maleficence - not doing harm
• Justice - fairness (distributive justice)
• Respect for autonomy - decision should be
  informed, competent, not coerced

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4 moral theories

• Virtue - innate character attributes
• Duties - rules of moral conduct
• Utility - the greatest good of the greatest
  number
• Rights - people are intrinsically entitled to
  certain things/services

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GMC - duties of a doctor

• Recognise limits of your professional competence
• Be honest and trustworthy
• Respect and protect confidential information
• Dont let personal beliefs prejudice patients
  care
• Act quickly to protect patients if you believe
  you or a colleague may be unfit to practise
• Avoid abusing your position as a doctor
• Work with colleagues in ways that best serve
  patients interests

• Make care of every patient your first concern
• Treat every patient politely and considerately
• Respect patients dignity and privacy
• Listen to patients and respect their views
• Give patients info in a way they can understand
• Respect their rights to be fully involved in
  decisions about their care
• Keep your knowledge and skills up to date

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The good general practitioner RCGP, 1985

• Awareness of your own values, beliefs and
  attitudes and how they affect your work
• Recognition of the social, cultural and
  organisational factors affecting their work
• Possession and application of ethical principles
• Tolerance, respect and flexibility in response to
  the ideas of others
• Willingness to submit work to review by peers and
  to give and receive criticism
• Ability to maintain own physical and mental
  health
• Awareness of factors influencing relationship
  between their personal and professional life
• Willingness to accept responsibility for patients
  and colleagues in the practice

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RCGP curriculum chapter 3 personal and
professional responsibilities

• Clinical governance
• Patient safety
• Clinical ethics and values-based practice
• Promoting equality and valuing diversity
• Evidence based practice
• Research and academic activity
• Teaching, mentoring and clinical supervision

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Some other sources of guidance

• Law (e g access to medical records, fitness to
  drive, consent issues, Mental Health Act,
  employment law, Human Rights Act, Mental Capacity
  Act)
• Contractual (Terms and Conditions of Service,
  agreements with PCT, practice agreements,
  contracts of employment)

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Scenarios for discussion

• You may not all agree on an answer
• There often isnt a right answer
• Learn to think both broadly and deeply about the
  issues raised
• And find a framework to support your thinking