Our roles and responsibilities as GPs Professional values Our roles and responsibilities as GPs

agent/shaper of policy patient’s advocate clinician member of a profession family doctor person agent/shaper of policy patient’s advocate gatekeeper researcher resource allocator reflective practitioner GP’s role handler of information teacher learner team member business person team leader employer manager colleague partner

Self - principles and values Society as a whole Family Who are we responsible to? Patients NHS Colleagues and team

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

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

GMC - duties of a doctor Recognise limits of your professional competence Be honest and trustworthy Respect and protect confidential information Don’t 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

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) Contractual (Terms and Conditions of Service, agreements with PCT, practice agreements, contracts of employment)