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28Clinical ethics: Process and consensus: ethical decision-making in the infertility clinic—a qualitative studyJournal of Medical Ethics 35 (11): 662-667. 2009.Infertility treatment is a speciality that has attracted considerable attention both from the public and bioethicists. The focus of this attention has mainly been on the dramatic dilemmas created by theses technologies. Relatively little is known, however, about how clinicians approach and resolve ethical issues on an everyday basis. The central aim of this study is to gain insight into these neglected aspects of practice. It was found that, for the clinicians, the process by which ethical decis…Read more
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43Life Choices: A Hastings Center Introduction to Bioethics (review)Journal of Medical Ethics 28 (2): 131-131. 2002.
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13The Cambridge Medical Ethics Workbook: Case studies, Commentaries and Activities: M Parker, Donna Dickenson. Cambridge University Press, 2001, 29.95, pp 359. ISBN 0521788633 (review)Journal of Medical Ethics 29 (4). 2003.
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29The NHS and market forces in healthcare: the need for organisational ethicsJournal of Medical Ethics 39 (1): 17-21. 2013.The NHS in England is an organisation undergoing substantial change. The passage of the Health and Social Care Act 2012, consolidates and builds on previous health policies and introduces further ‘market-style’ reforms of the NHS. One of the main aspects of these reforms is to encourage private and third sector providers to deliver NHS services. The rationale for this is to foster a more competitive market in healthcare to encourage greater efficiency and innovation. This changing healthcare env…Read more
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33Good Clinical Practice and Ethics in European Drug ResearchJournal of Medical Ethics 22 (4): 249-249. 1996.
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63Use or ornament? Clinical ethics committees in infertility units: a qualitative studyClinical Ethics 4 (2): 91-97. 2009.This paper examines the role of clinical ethics committees (CECs) in infertility clinics in the UK, focusing on whether they usefully support infertility clinicians' ethical decision-making. The overall aim of the study reported here was to investigate how infertility clinicians approached and handled ethical problems in their everyday practice and this paper reports on one aspect of these data – what they thought about the use of CECs. This paper gives an overview of what arrangements there are…Read more
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35HIV testing and informed consentJournal of Medical Ethics 31 (12): 699-700. 2005.People should be allowed to decide how and where they wish to be tested for HIV without there being a formal requirement for pretest counsellingIn his paper, Ethics of HIV testing in general practice without informed consent, Fraser argues that pretest counselling and informed consent are pillars of the ethical conduct of HIV testing. In my response I want to look critically at these contentions. While I will agree with Fraser that it is always necessary to get informed consent from a patient fo…Read more
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30The Cambridge Medical Ethics Workbook: Case studies, Commentaries and Activities: M Parker, Donna Dickenson. Cambridge University Press, 2001, 29.95, pp 359. ISBN 0521788633 (review)Journal of Medical Ethics 29 (4). 2003.
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37They Can't Have My Embryo: The Ethics of Conditional Embryo DonationBioethics 27 (6): 317-324. 2013.There are substantial numbers of frozen embryos in storage that will not be used by those who produced them for their own fertility treatment. One option for such embryos is to donate them to others to use in their fertility treatment. There has been considerable debate about how this process should be organized. In the US, there are embryo adoption programmes that mediate between those relinquishing embryos and potential recipients. This is a form of conditional embryo donation, where the relin…Read more
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Humans and Other Animals: Beyond the Boundaries of Anthropology (review)Radical Philosophy 58. 1991.
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49General Practice and Ethics: Uncertainty and Responsibility (edited book)Routledge. 1999.Explores the ethical issues faced by GPs in their everyday practice, addressing two central themes; the uncertainty of outcomes and effectiveness in general practice and the changing pattern of general practitioners' responsibilities
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22Priority Setting and Evidence Based PurchasingHealth Care Analysis 7 (2): 139-151. 1999.The purpose of this paper is to consider the role that values play in priority setting through the use of EBP. It is important to be clear about the role of values at all levels of the decision making process. At one level, society as a whole has to make decisions about the kind of health provision that it wants. As is generally accepted, these priority setting questions cannot be answered by medical science alone but involve important judgements of value. However, as I hope to show values come …Read more
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21Beneath the Rhetoric: The Role of Rights in the Practice of Non-Anonymous Gamete DonationBioethics 15 (5-6): 473-484. 2001.The use of rights based arguments to justify claims that donor offspring should have access to information identifying their gamete donor has become increasingly widespread. In this paper, I do not intend to revisit the debate about the validity of such rights. Rather, the purpose is to examine the way that such alleged rights have been implemented by those legislatures that have allowed access to identifying information. I will argue that serious inconsistencies exist between the claim that don…Read more
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57How experience makes a difference: practitioners' views on the use of deferred consent in paediatric and neonatal emergency care trialsBMC Medical Ethics 14 (1): 45. 2013.In 2008 UK legislation was amended to enable the use of deferred consent for paediatric emergency care (EC) trials in recognition of the practical and ethical difficulties of obtaining prospective consent in an emergency situation. However, ambiguity about how to make deferred consent acceptable to parents, children and practitioners remains. In particular, little is known about practitioners’ views and experiences of seeking deferred consent in this setting
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S. A. Barnett, Biology and Freedom: An Essay on the Implications of Human EthologyRadical Philosophy 54 49. 1990.
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21Donor Conception and Mandatory Paternity Testing: The Right to Know and the Right to Be ToldAmerican Journal of Bioethics 13 (5): 50-52. 2013.No abstract
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Norbert Wiener, The Human Use of Human Beings: Cybernetics and Society (review)Radical Philosophy 54 49. 1990.
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47Symbiotic empirical ethics: A practical methodologyBioethics 26 (4): 198-206. 2012.Like any discipline, bioethics is a developing field of academic inquiry; and recent trends in scholarship have been towards more engagement with empirical research. This ‘empirical turn’ has provoked extensive debate over how such ‘descriptive’ research carried out in the social sciences contributes to the distinctively normative aspect of bioethics. This paper will address this issue by developing a practical research methodology for the inclusion of data from social science studies into ethic…Read more
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20Managing Ethical Challenges to Mental Health Research in Post‐Conflict SettingsDeveloping World Bioethics 16 (1): 15-28. 2015.Recently the World Health Organization has highlighted the need to strengthen mental health systems following emergencies, including natural and manmade disasters. Mental health services need to be informed by culturally attuned evidence that is developed through research. Therefore, there is an urgent need to establish rigorous ethical research practice to underpin the evidence-base for mental health services delivered during and following emergencies.
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14Patient and Public Participation in Health Care: Can We Do It Better?American Journal of Bioethics 14 (6): 17-18. 2014.No abstract
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15Book review: Women and Health Care Industry: An Unhealthy Relationship? Peggy Foster, 1995, Open University Press, 224 pages, £45.00 hardback, £13.99 paperback, ISBN 0-335-09472-4 (review)Health Care Analysis 5 (2): 171-172. 1997.
Liverpool, United Kingdom of Great Britain and Northern Ireland