Biomaterial Database

Should junior doctors strike? 2016

Mark Toynbee, and Adam Aj Al-Diwani, and Joe Clacey, and Matthew R Broome

Warneford Hospital, Oxford Health NHS FT, Oxford, UK Department of Psychiatry, University of Oxford, Oxford, UK.

An impasse in negotiations between the Department of Health (DoH) and the British Medical Association in November this year led to an overwhelming vote for industrial action (IA) by junior doctors. At the time of writing, a last minute concession by DoH led to a deferment of IA to allow further negotiations mediated by the Advisory, Conciliation and Arbitration Service. However, IA by junior doctors remains a possibility if these negotiations stall again. Would the proposed action be ethically justifiable? Furthermore, is IA by doctors ever ethically defendable? Building on previous work, we explore important ethical considerations for doctors considering IA. The primary moral objection to doctors striking is often claimed to be risk of harm to patients. Other common arguments against IA by doctors include breaching their vocational responsibilities and possible damage to their relationship with patients and the public in general. These positions are in turn countered by claims of a greater long-term good and the legal and moral rights of employees to strike. Absolute restrictions appear to be hard to justify in the modern context, as does an unrestricted right to IA. We review these arguments, find that some common moral objections to doctors striking may be less relevant to the current situation, that a stronger contemporary objection to IA might be from a position of social justice and suggest criteria for ethically permissible doctor IA.

UI	MeSH Term	Description	Entries
D008505	Medical Staff, Hospital	Professional medical personnel approved to provide care to patients in a hospital.	Attending Physicians, Hospital,Hospital Medical Staff,Physicians, Junior,Registrars, Hospital,Attending Physician, Hospital,Hospital Attending Physician,Hospital Attending Physicians,Hospital Medical Staffs,Medical Staffs, Hospital,Hospital Registrar,Hospital Registrars,Junior Physician,Junior Physicians,Physician, Junior,Registrar, Hospital,Staff, Hospital Medical,Staffs, Hospital Medical
D010817	Physician-Patient Relations	The interactions between physician and patient.	Doctor-Patient Relations,Doctor Patient Relations,Physician Patient Relations,Physician Patient Relationship,Doctor Patient Relation,Doctor-Patient Relation,Physician Patient Relation,Physician Patient Relationships,Physician-Patient Relation,Relation, Doctor Patient,Relation, Doctor-Patient,Relation, Physician Patient,Relation, Physician-Patient,Relations, Doctor Patient,Relations, Doctor-Patient,Relations, Physician Patient,Relations, Physician-Patient,Relationship, Physician Patient,Relationships, Physician Patient
D004992	Ethics, Medical	The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.	Medical Ethics
D006113	United Kingdom	Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London.	Great Britain,Isle of Man
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006806	Human Rights	The right of the individual to cultural, social, economic, and educational opportunities as provided by society, e.g., right to work, right to education, and right to social security.	Linguistic Rights,Right to Housing and Shelter,Rights of Indigenous Peoples,Collective Human Rights,Equal Rights,Human Rights, Collective,Indigenous Peoples Rights,Rights, Collective Human,Rights, Equal,Rights, Linguistic
D012935	Social Justice	An interactive process whereby members of a community are concerned for the equality and rights of all.	Food Justice,Common Good,Justice,Obligations of Society,Good, Common,Justice, Food,Justice, Social
D013317	Strikes, Employee	Work-related situations in which the employees as a group refuse to work until certain conditions of employment are granted by the employer.	Employee Strikes,Strikes,Employee Strike,Strike,Strike, Employee
D028681	Moral Obligations	Duties that are based in ETHICS, rather than in law.	Moral Duties,Duties, Moral,Duty, Moral,Moral Duty,Moral Obligation,Obligation, Moral,Obligations, Moral
D034462	Dissent and Disputes	Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.	Dispute,Dissent And Dispute,Disputes,Dissent,Political Dissent,Professional-Family Disagreement,Professional-Patient Disagreement,And Dispute, Dissent,And Disputes, Dissent,Disagreement, Professional-Family,Disagreement, Professional-Patient,Disagreements, Professional-Family,Disagreements, Professional-Patient,Dispute, Dissent And,Disputes and Dissent,Disputes, Dissent And,Dissent, Political,Professional Family Disagreement,Professional Patient Disagreement,Professional-Family Disagreements,Professional-Patient Disagreements