Following on from the Academy’s earlier report on accountable clinicians and informed patients, this report considers who patients can consider the coordinator of their care in out of hospital and outpatient settings.
Examining the particular ethical issues which arise in gaining consent for organ donation from children, and how practices in end of life care for children affect decision-making about organ donation. UKDEC proposes a model of decision-making which respects any known wishes or beliefs of the child but which, in the absence of these, provides a framework for making decisions about organ donation.
Prescribing of cytotoxic drugs, immunosuppressant agents and drugs with a narrow therapeutic index by inadequately trained doctors is a longstanding problem. Current systems lack appropriate safeguards and an ongoing and predictable risk to patient safety remains. This report makes nine recommendations to address the safety concerns.
The big four “proximate” causes of preventable ill-health are: smoking, poor nutrition, lack of physical activity and alcohol excess. Of these, the importance of regular exercise is the least well-known. Relatively low levels of increased activity can make a huge difference. All the evidence suggests small amounts of regular exercise (five times a week for 30 minutes each time for adults) brings dramatic benefits. This report is a thorough review of that evidence.