'Exceptional circumstances' – access to low priority treatments after the Herceptin case

Clinical Ethics 1 (4):205-208 (2006)
  Copy   BIBTEX

Abstract

What is the link between patients' rights to NHS treatment and PCTs' duties to live within their budgets? This was the issue in Rogers v Swindon PCT [2006], in which a patient had been denied trastuzamab (Herceptin®) for early-stage breast cancer. In principle, rationing is lawful and PCTs have to make hard choices about spending priorities, but they may not ignore the interests of needy patients in doing so. Rather, they must balance the 'corporate' interests of the PCT with the 'clinical' interests of individuals. One way of doing so is to adopt an Ethical Framework at the macro-level to guide NHS resource allocation, but to also recognize 'exceptional cases' at the micro-level, even if the treatment is generally considered to be a low priority. This article is primarily concerned with these micro-level cases. Patients and clinicians should know how the balance is struck. Such a system operates in Berkshire, but there is plenty of room for debate about how it should develop

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 76,363

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Casuistry as methodology in clinical ethics.Albert R. Jonsen - 1991 - Theoretical Medicine and Bioethics 12 (4).
The nature and reach of privileged access.Ram Neta - 2008 - In Anthony E. Hatzimoysis (ed.), Self-Knowledge. Oxford University Press.
Welfare should be the currency of justice.Richard J. Arneson - 2000 - Canadian Journal of Philosophy 30 (4):497-524.
Personalized Medicine's Ragged Edge.Leonard M. Fleck - 2010 - Hastings Center Report 40 (5):16-18.

Analytics

Added to PP
2010-08-24

Downloads
74 (#165,246)

6 months
1 (#451,398)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references