Medical Practitioner, Dr E New Zealand Men's Clinic - Health and ...

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Health and Disability Commissioner I believe we offer an important service that fills a medical need in society. I have understood Dr Tiller’s concerns and have made changes in areas that I agree with. I do not accept that my actions have constituted a breach of Code [right] 4(1), reasonable care of the patient. I believe [I] offer a high degree of reasonable care and accept that there will be differences of opinion at times but my underlying aim as a medical professional is to maintain a high standard of care above reasonable. While I am personally disappointed and sorry that the 4 cases have not had a successful outcome, they are by no means reflective of my care as a Doctor or of my clinic’s standard practice. The thousands of successful patients that I have treated and continue to manage their treatment is a testament of the standard of care at my clinic. I accept your criticism of my attention to section 4(2) due to my lack of understanding of the medicines act which was more administrative than negligent as I am very comfortable to explain to patients when prescribing medications for an unapproved use.” Dr E provided a report from Dr Sean Wright, a men’s health specialist from Australia, to support his response to the provisional opinion. Dr Wright’s report is attached as Appendix 6. 18 December 2008 12 Names have been removed (except the NZ Men’s Clinic) to protect privacy. Identifying letters are assigned in alphabetical order and bear no relationship to the person’s actual name.
Opinion 08HDC02899, 08HDC05986, 08HDC07100, 08HDC09984 Code of Health and Disability Services Consumers’ Rights The following Rights in the Code of Health and Disability Services Consumers’ Rights (the Code) are applicable to this complaint: RIGHT 4 Right to Services of an Appropriate Standard (1) Every consumer has the right to have services provided with reasonable care and skill. (2) Every consumer has the right to have services provided that comply with legal, professional, ethical, and other relevant standards. RIGHT 6 Right to be Fully Informed (1) Every consumer has the right to the information that a reasonable consumer, in that consumer’s circumstances, would expect to receive, including — … (b) An explanation of the options available, including an assessment of the expected risks, side effects, benefits, and costs of each option; and … (e) Any other information required by legal, professional, ethical, and other relevant standards; … Other relevant standards Good medical practice ― A guide for doctors (Medical Council of New Zealand, 2005) “Medical care Good clinical care … 3. In providing care you must: … 18 December 2008 13 Names have been removed (except the NZ Men’s Clinic) to protect privacy. Identifying letters are assigned in alphabetical order and bear no relationship to the person’s actual name.
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