Casey David, Choong Kartina A
School of Medicine and Dentistry, University of Central Lancashire, Preston PR1 2HE, United Kingdom.
Lancashire Law School, University of Central Lancashire, Preston PR1 2HE, United Kingdom.
J Forensic Leg Med. 2016 Jan;37:22-7. doi: 10.1016/j.jflm.2015.10.002. Epub 2015 Oct 22.
The suicide of doctors under regulatory investigation in the United Kingdom has recently been under scrutiny. Despite a commissioned report into the issues surrounding these deaths, we discuss a variety of procedural and legal lacunae not yet openly considered for reform. We identified that the UK coronial system has in place several legal instruments requiring coroners to report the physician suicides as preventable to the regulatory body, the General Medical Council (GMC). We were unable to identify that these suicides were reported in line with established legislation. We also explored the relationship between the GMC and its registered doctors, concluding that the GMC does indeed have a duty of care towards its members on this important matter and that there should be procedural reform to tackle the inherent risk of suicide whilst under investigation.
近期,英国正在接受监管调查的医生自杀事件受到了密切关注。尽管已委托撰写了一份关于这些死亡事件相关问题的报告,但我们仍讨论了一系列尚未公开考虑进行改革的程序和法律漏洞。我们发现,英国死因裁判制度已出台多项法律文书,要求死因裁判官将可预防的医生自杀事件报告给监管机构——英国医学总会(GMC)。但我们未能确定这些自杀事件是否按照既定法律进行了报告。我们还探讨了英国医学总会与其注册医生之间的关系,得出的结论是,在这一重要问题上,英国医学总会确实对其成员负有照护职责,并且应该进行程序改革,以应对调查期间自杀的固有风险。