Legal and Ethical Issues Associated with Medication

  • Sherri Ogston-TuckEmail author


This chapter addresses the professional, legal and ethical issues associated with medicine management and the role of the nurse. To ensure safe practice, it is imperative that safeguards are recognised and applied; therefore pertinent legislative frameworks, policy and professional regulation are discussed. Safeguarding patients when administering prescribed medicines means the nurse must have up-to-date knowledge and skill, and a key aspect of this is to ensure consent to treatment from the service user is secured; for this reason drawing on relevant legislation, the consensual process is reviewed.

Not infrequently, medicine management provokes ethical and legal challenges for the healthcare professional; these demand reflection and careful consideration; consequently in this chapter legal and ethical parameters and professional boundaries are appraised.


Accountability Duty of care Ethics Regulation Legislation 


  1. Alexis O, Caldwell J (2013) Administration of medicines—the nurse role in ensuring patient safety. Br J Nurs 22(1):32–35CrossRefGoogle Scholar
  2. Beauchamp T, Childress J (2013) Principles of biomedical ethics, 7th edn. Oxford University Press, OxfordGoogle Scholar
  3. Bolam v Friern Management Committee (1957) 2 All ER 118 [Online]. Lexis®Library. Accessed 12 Mar 2019
  4. Bolitho v City and Hackney Health Authority (1997) 4 All ER 771 HL [Online]. Accessed 12 Mar 2019
  5. Data Protection Act (1998) [Online]. Accessed 12 Mar 2019
  6. Data Protection Act (2018) [Online]. Accessed 12 Mar 2019
  7. Department of Health (DH) (2004) Building a safer NHS for patients: improving medication safety. The Stationery Office, LondonGoogle Scholar
  8. Department of Health (DH) (2009) Reference guide to consent for examination or treatment, 2nd ed [Online]. Accessed 22 May 2019
  9. Dimond B (2015) Legal aspects of nursing, 7th edn. Pearson, HarlowGoogle Scholar
  10. Environmental Information Regulations (2004) [Online]. Accessed 6 Apr 2019
  11. Francis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry Executive summary. The Stationery Office, London [Online]. Accessed 12 Mar 2019
  12. Freedom of Information Act (2000) [Online]. Accessed 6 Apr 2019
  13. Gallagher A, Hodge S (2012) Ethics, law and professional issues: a practice-based approach for health care professional. Palgrave MacMillan, HampshireCrossRefGoogle Scholar
  14. General data protection act (2018). Accessed 22 May 2019
  15. Griffith R, Tengnah C (2017) Law and professional issues in nursing (Transforming nursing practice series), 4th edn. Learning Matters, ExeterGoogle Scholar
  16. Health Act (2009) [Online]. Accessed 12 Mar 2019
  17. Health and Social Care Act (2012) [Online]. Accessed 12 Mar 2019
  18. Human Medicines Regulations (2012). Accessed 12 Jan 2019
  19. Institute for Safe Medication Practices (ISMP) (2007) The five rights: a destination without a map [Online]. Accessed 12 Mar 2019
  20. Kent v Griffiths and ORS (2000) 3 CLL Rep 98 [Online]. Accessed 12 Mar 2019
  21. Medicines Act (1968) [Online]. Accessed 12 Mar 2019
  22. Medicines and Healthcare products Regulatory Agency (MHRA) (2015) Amendments to the Human Medicines Regulations 2012 [Online]. Accessed 12 Mar 2019
  23. Mental Capacity Act (2005) (c.9) [Online]. Accessed 12 Mar 2019
  24. Ms B v An NHS Trust (2002) 2 All ER 449 [Online]. Accessed 12 Mar 2019
  25. National Patient Safety Incident Reports (NaPSIR) (2018a) National patient safety incident reports: 26 September 2018 [Online]. Accessed 6 Apr 2019
  26. National Patient Safety Incident Reports (NaPSIR) (2018b) NRLS National patient safety incident reports: commentary [Online]. Accessed 8 Apr 2019
  27. Nettleship v Weston (1971) QB 691 (CA) [Online]. Accessed 12 Mar 2019
  28. NHS Litigation Agency (NHSLA) (2018) NHS Litigation Authority Annual Reports and Accounts 2017/18 [Online]. Accessed 6 Apr 2019
  29. Nursing and Midwifery Council (NMC) (2018) Standards framework for nursing and midwifery education (2018) [Online]. Accessed 12 Mar 2019
  30. Ogston-Tuck S (2011) Introducing medicines management. Pearson, HarlowGoogle Scholar
  31. Ogston-Tuck S (2013) Legal issues that impact on nursing practice. In: Brooker C, Waugh A (eds) Foundations of nursing practice, 2nd edn. Elsevier, LondonGoogle Scholar
  32. Prendergast v Sam and Dee Ltd and others (1989) TLR citedGoogle Scholar
  33. The Controlled Drugs (Supervision of Management and Use) Regulations (2006). Accessed 25 Apr 2019
  34. The Human Medicines Regulations (2012). Accessed 12 Aug 2019
  35. The Misuse of Drugs Act (1971). Accessed 12 Aug 2019
  36. The Misuse of Drugs Regulations (2001). Accessed 25 Apr 2019
  37. The Misuse of Drugs (Notification of and Supply to Addicts) Regulations (Northern Ireland) (1973). Accessed 25 Apr 2019
  38. The Misuse of Drugs (Safe Custody) Regulations (1973). Accessed 25 Apr 2019
  39. Tingle J, Cribb A (2013) Nursing law and ethics, 4th edn. Wiley-Blackwell, West SussexGoogle Scholar
  40. Tschudin V (ed) (2003) Approaches to ethics: nursing beyond boundaries. Edinburgh, Butterworth HeinemannGoogle Scholar
  41. Wilsher v Essex Area Health Authority (1987) UKHL 11 (10 March 1987). Accessed 12 Mar 2019
  42. Wilsher v Essex HA (1998) AC 1074 (HL) [Online]. Accessed 12 Mar 2019

Further Reading

  1. Carvalho S, Reeves M, Orford J (2011) Fundamental aspects of legal, ethical and professional issues, 2nd edn. Quay Books, LondonGoogle Scholar
  2. Department of Health (DH) (2010) Confidentiality: NHS code of practice [Online]. Accessed 12 Mar 2019
  3. Hodgson J (2010) The UK’s Supreme Court: how it works and why it exists. Br J Nurs 19(3):194–195CrossRefGoogle Scholar
  4. Information Commissioner’s Office (2005) Data Protection Act Factsheet [Online]. Accessed 12 Mar 2019
  5. Infusion Nurses Society (INS) (2008) INS Position paper: the role of the Registered Nurse in the insertion of external jugular peripherally inserted central catheters and external jugular peripheral intravenous catheters. J Infus Nurs 31(4):226–227CrossRefGoogle Scholar
  6. McHale JV (2009) Conscientious objection and the nurse: a right or a privilege? Br J Nurs 18(20):1262–1263CrossRefGoogle Scholar
  7. McHale J, Fox M (2007) Healthcare law, 2nd edn. Sweet & Maxwell, LondonGoogle Scholar
  8. McInroy A (2005) Blood transfusions and Jehovah’s witnesses: the legal and ethical issues. Br J Nurs 14(5):270–274CrossRefGoogle Scholar
  9. Stychin CF, Mulcahy L (2010) Legal methods and systems, 4th edn. Sweet & Maxwell, LondonGoogle Scholar
  10. Supplementary Guidance: Public Interest Disclosures. [Online]. Accessed 12 Mar 2019
  11. Walters TP (2009) The Mental Capacity Act—a balance between protection and liberty. Br J Nurs 18(9):555–558CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Three Counties School of Nursing and Midwifery, College of Health, Life and Environmental Sciences, St John’s Campus, University of WorcesterWorcesterUK

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