Do Doctors Need a Code of Practice?

Abstract

In medicine as in society in general, the balance between individual freedom and codes of behaviour is a delicate one. At present the British system of controlling medical practice gives a high priority to the clinical freedom of individual practitioners. This system has, like so many British institutions, evolved in a haphazard way. Most of the bodies which control practice in this country were set up in the 19th century and have remained relatively unaltered since then. The 20th century, however, has seen the introduction of socialized medicine, the development of medical technology which depends on scientists as much as on doctors, and increasing public concern about the autonomy of doctors. As we approach the 21st century we should be asking whether it is wise to continue regulating medical practice through 19th century institutions.