28/07/2011

Doctors Get Help On Vulnerable Adults

Doctors have an obligation to take action if they believe vulnerable adults are being abused or neglected, says new British Medical Association (BMA) guidance issued today.



The Department of Health in England commissioned the BMA to produce ‘Safeguarding vulnerable adults - a toolkit for general practitioners’ because of a lack of clarity in this increasingly complex area.



While the guidance is principally aimed at GPs, any professional working in health care settings with vulnerable adults will find it useful. 



The guidance highlights the obligation doctors have to protect vulnerable adults and that legislation is in place to protect doctors who wish to speak out. This includes identifying abusers, identifying systemic healthcare failures and reporting poor performance by health professionals.



The toolkit also stresses that safeguarding vulnerable adults is not the same as child protection.

The term vulnerable adults covers an extremely wide range of individuals, some of whom may be incapable of looking after any aspect of their lives and others who may be experiencing short periods of illness or disability with an associated reduction in their ability to make decisions. 



It is essential, according to the BMA guidance, that doctors support the independence and the quality of life of vulnerable adults. Doctors should also involve this group of individuals in decisions about their treatment and care as far as possible.



The guidance provides a number of scenarios that illustrate these points, including a patient recovering from a stroke who wants to go for walks outside the nursing home and the case of an elderly lady who is in the early stages of Alzheimer’s but wants to continue to live on her own.



Chairman of the BMA's Medical Ethics Committee (MEC), Dr Tony Calland, said:

 "The way doctors deal with these possible situations demonstrates how complex caring for vulnerable adults can be. There is no ‘one size fits all’ solution and each case needs to be judged individually. This toolkit will help to guide and support doctors in their decision-making.



"Our guidance also helps doctors identify which adults have the capacity to protect and promote their own interests, and which adults may need decisions made on their behalf."

(BMcN)

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