10. Avoiding discrimination and prejudice
The investigations or treatment you provide or arrange must be based on
your clinical judgment of the patient’s needs and the likely effectiveness of
the treatment. You must not allow your views about a patient’s lifestyle,
culture, beliefs, race, colour, gender, sexuality, age, social status, or
perceived economic worth to prejudice the treatment you provide or arrange. If
you feel that your beliefs might affect the treatment you provide, you must
explain this to patients, and tell them of their right to see another doctor You
must not refuse or delay treatment because you believe that patients’ actions
have contributed to their condition, or because you may be putting yourself at
risk. If a patient poses a risk to your health or safety you may take
reasonable steps to protect yourself before investigating their condition or
providing treatment.
GMC Good Medical Practice, paragraphs 13–15
The excellent GP
- treats all patients equally and ensures that some groups are not favoured at
the expense of others
- discusses racism and promotes equal opportunities within the practice team
- is aware of how his or her personal beliefs could affect the care offered to
the patient, and does not impose his or her own beliefs and values
- takes measures to protect the practice team from patients who might pose a
threat
The unacceptable GP
- provides better care to some patients than others as a result of his or her
own prejudices
- pressures patients to act in line with his or her own beliefs and values
- refuses to register certain categories of patients, such as the homeless, the
severely mentally ill, or those with problems of substance or alcohol misuse
- refuses to make arrangements to see patients who pose a threat, or carelessly
puts at risk members of the practice who are seeing such patients