Which ethical values underpin England's National Health Service reset of paediatric and maternity services following COVID-19: a rapid review.

BMJ Open
Anna ChiumentoLucy Frith

Abstract

To identify ethical values guiding decision making in resetting non-COVID-19 paediatric surgery and maternity services in the National Health Service (NHS). A rapid review of academic and grey literature sources from 29 April to 31 December 2020, covering non-urgent, non-COVID-19 healthcare. Sources were thematically synthesised against an adapted version of the UK Government's Pandemic Flu Ethical Framework to identify underpinning ethical principles. The strength of normative engagement and the quality of the sources were also assessed. NHS maternity and paediatric surgery services in England. Searches conducted 8 September-12 October 2020, and updated in March 2021, identified 48 sources meeting the inclusion criteria. Themes that arose include: staff safety; collaborative working - including mutual dependencies across the healthcare system; reciprocity; and inclusivity in service recovery, for example, by addressing inequalities in service access. Embedded in the theme of staff and patient safety is embracing new ways of working, such as the rapid roll out of telemedicine. On assessment, many sources did not explicitly consider how ethical principles might be applied or balanced against one another. Weaknesses in the policy...Continue Reading

References

Jan 25, 2008·BMC Medical Research Methodology·Danielle A SouthernUNKNOWN APPROACH Investigators
Jul 7, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Melissa C BrouwersUNKNOWN AGREE Next Steps Consortium
Nov 15, 2011·Journal of Medical Ethics·Daniel Strech, Neema Sofaer
May 17, 2012·Systematic Reviews·Sara KhanguraDavid Moher
Nov 29, 2012·BMC Medical Research Methodology·Allison TongJonathan Craig
Sep 18, 2016·Medicine, Health Care, and Philosophy·Angeliki Kerasidou
Dec 7, 2016·Systematic Reviews·Mourad OuzzaniAhmed Elmagarmid
May 3, 2020·BMC Medical Ethics·Richard Huxtable
May 21, 2020·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Helen I McDonaldMichael Edelstein
May 23, 2020·BMJ : British Medical Journal·Zoe FritzDominic Wilkinson
Jun 3, 2020·Midwifery·Mary J RenfrewSoo Downe
Jul 2, 2020·BMJ : British Medical Journal·Daniel Sokol, Rupen Dattani
Jul 3, 2020·Journal of Clinical Epidemiology·Andrea C TriccoSharon E Straus
Jul 28, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·L S KasavenB P Jones
Sep 19, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Rebecca B ReingoldRanit Mishori
Sep 28, 2020·Lancet·Richard Horton
Sep 29, 2020·Paediatrics and Child Health·Aliki BogiatzopoulouRachel Harwood

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