BMJ  2007;335:791 (20 October), doi:10.1136/bmj.39371.570509.DB

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NICE guidelines create ethical dilemmas in care of elderly people, says report

Anne Gulland

London

The first 150 words of the full text of this article appear below.

A report that looks at problems affecting elderly people around the world has warned that the United Kingdom's policy of prescribing drugs on the grounds of cost effectiveness is damaging the human rights of older people.

The report, by the International Longevity Centre, warns that the National Institute for Health and Clinical Excellence has created "new ethical dilemmas about allocation of scarce resources" for older people.

It says, "Prescribing drugs according to cost effectiveness may be the opposite of the rights based approach: decisions can condemn patients to deteriorate before the drug will be prescribed, as is the case with Aricept [donepezil] for dementia patients."

The report also called for the government to act on a recent House of Lords test case, which ruled that private care homes fall outside the scope of the Human Rights Act (Y L v Birmingham City Council and others, HL 20 June 2007). The . . . [Full text of this article]


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