Ethical issues and expenditure on health and social care

This talk will outline the regulatory framework (both mental health and social care) currently in place in Ireland for people with intellectual disability (I.D.) and mental health problems, in the context of the varied nature of available mental health services. As not all aspects of service are currently under the regulatory system, potential ethical issues arise, and will be discussed.In addition new legislation regarding the support of people with vulnerable decision making capacity will be outlined (Assisted Decision Making (Capacity) Act, 2015); potential ethical issues that are currently arising from this legislation will be explored and discussed.Disclosure of interestThe author has not supplied his declaration of competing interest.

Download Full-text

Clinical commissioning – the ethical implications

Clinical Risk ◽

10.1258/cr.2011.011046 ◽

2011 ◽

Vol 17 (6) ◽

pp. 225-229

Author(s):

Dennis Cox

Keyword(s):

Primary Care ◽

Health Care ◽

Social Care ◽

Ethical Issues ◽

Health Needs ◽

Health Care Spending ◽

Ethical Implications ◽

Health And Social Care

The Health and Social Care Bill proposes clinically led commissioning. The new Clinical Commissioning Groups will become statutory bodies and replace the old primary care trusts. This primary legislation will transfer accountability for health care spending to clinicians who will have a duty to meet the health needs of a population as well as balance a budget. This change gives rise to a number of ethical issues which are explored in this article.

Download Full-text

Self-Neglect: Ethical Considerations

Annual Review of Nursing Research ◽

10.1891/0739-6686.34.89 ◽

2016 ◽

Vol 34 (1) ◽

pp. 89-107 ◽

Cited By ~ 6

Author(s):

Mary Rose Day ◽

Patricia Leahy-Warren ◽

Geraldine McCarthy

Keyword(s):

Community Health ◽

Multidisciplinary Team ◽

Social Care ◽

Ethical Issues ◽

The United States ◽

Public Health Issue ◽

Team Approach ◽

Best Interest ◽

Ethical Considerations ◽

Health And Social Care

Self-neglect is a significant international public health issue. Estimates suggest that there may be over one million cases per year in the United States. Aging populations will put more people at risk of self-neglect. This chapter presents background literature, self-neglect definitions and policy context, risk factors, and a brief overview of research on perspectives of self-neglect from both clients and community health and social care professionals. A case study is presented from the perspective of an individual and is used to explore ethical issues therein. A person-centered assessment within a multidisciplinary team approach is required for building a therapeutic relationship with clients. Capacity is a central issue in the management of responses to self-neglect. Ethical considerations of importance for community health and social care professionals include beneficence and nonmaleficence, autonomy and capacity, and respect for people's rights and dignity. A model of ethical justification is presented to explain dilemmas, challenges, and actions. Competence of professionals, multidisciplinary team working, informed consent, privacy, confidentiality, and best interest are also critical considerations. Effective decision making by an interdisciplinary team of professionals needs to be person-centered and give due consideration to the best interest of self-neglecting clients. The purpose of this chapter is to provide an in-depth discussion and examination of ethical issues and challenges relating to self-neglecting clients.

Download Full-text