June 18, 2021, 9:00 am - June 18, 2021, 5:00 pm

UKCEN 19th Annual Conference: Ethical Expertise in the NHS


Ethical Expertise in the NHS

19th UKCEN Conference Friday 18th June 2021, Virtual Conference on Zoom, RCP CPD 129331

Speakers to include:
Dave Archard, Queens University, Belfast
Alf Collins, NHS England
Janet Holt, University of Leeds
Josh Hordern, University of Oxford
Laura Machin, University of Lancaster
Anne Slowther, Warwick Medical School
Daniel Sokol, 12 King’s Bench Walk

Meeting fee £40, UK CEN members free (£10 reclaimable), students free (£10 reclaimable), IME members £20

Further Information and Applications 

A Free Pre-conference Workshop for Clinical Ethics Committee Members on Disagreement in Healthcare Ethics will also take place on Thursday 17th pm

Meeting Abstract
The objective of the meeting is to further understanding of the idea of ethical expertise as it may apply in the UK National Health Service. All healthcare professionals are expected to make the right choices and thereby do the right thing for their patients; in other words, they are expected to behave ethically. With this in mind, they may receive training in ethics and also have their conduct regulated by professional bodies who set out to maintain ethical standards. Not infrequently, however, it is unclear what doing the right thing entails. So could “ethical experts” help in these types of case? There are contrasting accounts of ethical expertise, and even if we accept the idea, it is not universally accessible in the NHS. So what should the NHS’ approach be to ethical expertise? Is existing ethical training for healthcare professionals sufficient to meet patient needs or should ethical expertise be made available in all parts of the NHS?

Provisional Programme

9.00 - 9.10Introduction and Welcome, Andrew Stanners, Leeds
9.10 - 11.10PLENARY 1: Ethical Expertise in Healthcare Chair: tbc 1. Dave Archard, Emeritus Professor, Queens University, Belfast 2. Alf Collins, Clinical Director, Personalised Care Group, NHS England
11.10 - 11.30Break
11.30 - 13.00Parallel Session A Chair: Anne MacNiven, GOSH Ethical Expertise Inside the Clinical Ethics Committee 1. Harleen Johal, Great Western Hospital CEAG member and PhD candidate, University of Bristol 2. Michael Spinks, Lay member, Great Ormond St Clinical Ethics Committee Parallel Session B Chair: Mikey Dunn, Oxford Education and Ethical Expertise 1. Laura Machin, Senior Lecturer in Medical Ethics, Faculty of Health and Medicine, University of Lancaster 2. Janet Holt, Senior Lecturer, School of Healthcare, University of Leeds
13.00 - 13.50Lunch
13.20 - 13.45AGM (UKCEN Members only)
13.50 - 15.20PLENARY 2: Ethical Expertise and Professionalism Chair: tbc 1. Laura Guidry-Grimes and Jamie Watson, Assistant Professors of Medical Humanities and Bioethics, University of Arkansas for Medical Sciences 2. Joshua Hordern, Associate Professor of Christian Ethics, University of Oxford
15.20 - 16.00Break and poster viewing
16.00 - 17.00DEBATE: “This House Believes that there is no such thing as Ethical Expertise” (NB, the positions argued by the speakers may not necessarily reflect their actual positions.) Chair: Julian Sheather For: Daniel Sokol, Barrister, 12 King’s Bench Walk, Temple Against: Anne Slowther, Professor, Social Science and Systems in Health, Warwick Medical School
17.00 - 17.10Poster Award and Closing Remarks

Speaker Biographies for UK Clinical Ethics Network Summer Meeting on Ethical expertise in the NHS.

Dave Archard is Professor and Visiting Scholar, School of History, Anthropology, Philosophy and Politics at Queen’s University Belfast. From 2005 to 2016, he was a member of the board of the Human Fertilisation and Embryology Authority. He has been the chair of the Nuffield Council on Bioethics since 2017. Other roles Archard has undertaken over his career include editorial or management roles at the journals Res Publica, The Philosophical Quarterly, the Journal of Applied Philosophy, and Contemporary Political Theory, and at the scholarly organisations the British Philosophical Association, the Arts and Humanities Research Council, and the Society for Applied Philosophy.

Alf Collins is NHS England’s Clinical Director, Personalised Care Group. He is a doctor, commissioner, researcher and national policy advisor in person-centred care. He has researched and published widely on self-management support, shared decision making, care planning, co-production, patient activation and patient engagement. He has worked with others to develop a number of measures of person-centred care, including the ‘clinician support for patient activation measure’. He has a visiting professorship in person-centred care from Coventry University and Honorary Fellowships at the Royal College of Physicians and the Royal College of General Practitioners.

Laura Guidry-Grimes PhD, HEC-C is an assistant professor at the University of Arkansas for Medical Sciences (UAMS) in the Department of Medical Humanities and Bioethics. She has a secondary appointment in Psychiatry and an affiliated position with the UAMS Center for Health Literacy. She serves as a clinical ethicist at UAMS and Arkansas Children’s Hospital. She previously worked as a full-time clinical ethicist at MedStar Washington Hospital Center in Washington, DC, and she received her PhD in philosophy at Georgetown University. Her research interests include the nature of vulnerability in clinical contexts and standards in ethics consultation. She co-authored Basics of Bioethics, 4th edition with Robert M. Veatch (Routledge, 2020) and co-edited Moral Expertise: New Essays from Theoretical and Clinical Bioethics with Jamie Carlin Watson (Springer, 2018). She publishes in leading bioethics journals, including the Journal of Medical Ethics, Journal of Clinical Ethics, Hastings Center Report, Nursing Ethics, and AMA Journal of Ethics.

Janet Holt is a Senior Lecturer in the School of Healthcare at the University of Leeds. Her research interests and publications are within the disciplines of Healthcare Ethics and Law and Nursing Philosophy. She is a reviewer for a number of healthcare journals, a member of the Editorial Board for the journal Nursing Philosophy, a consultant editor for the journal Nursing Ethics. She is regularly invited to speak at conferences on ethical aspects of healthcare and has facilitated many workshops and study days on ethics and law for healthcare professionals and in secondary schools in Leeds. She is also interested in research ethics, and is an expert member and Chair of Bradford Leeds Health Research Authority Research Ethics Committee.

Josh Hordern is Associate Professor of Christian Ethics in the Faculty of Theology and Religion and a Governing Body Fellow of Harris Manchester College. His research interests are in two main areas, healthcare and political theology. First, he works in partnership with healthcare researchers, clinicians and institutions, exploring questions concerning the ethos of healthcare, with a particular foci on precision medicine, medical professionalism and the role of compassion in healthcare organisations. Second, he pursues collaborative research in Islamic and Christian political thought, focussing especially on themes of affections, loyalty and conscience. For more detail, please see the two co-edited journal issues of The Muslim World and Studies in Christian Ethics (2016) and his first monograph Political Affections (2013).

Harleen Johal is a junior doctor and PhD student at the Centre for Ethics in Medicine at the University of Bristol. Her research, on conflict resolution in the adult intensive care unit, is being conducted as part of the Wellcome Trust funded cross-disciplinary project entitled ‘Balancing Best Interests in Healthcare Ethics and Law’ (BABEL). She is Co-Secretary of the Institute of Medical Ethics Postgraduate Committee, and she has served as a member of the Great Western Hospital Clinical Ethics Advisory Group since its formation in Spring 2020. Over the last year, Harleen has also worked as a Junior Clinical Fellow in Intensive Care Medicine. Through her clinical and academic work, her interests have extended to addressing racial disparities and healthcare inequalities.

Laura Machin is Senior Lecturer at Lancaster Medical School. Her research interests broadly rest within the social and ethical aspects of health and medicine. She has long-standing interests in matters related to reproductive medicine, and the donation of body parts, blood and tissue for a variety of purposes. Her current research interests are within the field of clinical ethics, including the need for clinical ethics committees and clinical ethicists, clinical ethics education and training, improving organisational cultures, and the interplay between practitioner, relative, and patient and their decision-making in healthcare. Her emerging research focus is located within research ethics. Throughout her research activities, she adopts an applied approach, whereby she considers the policy and practice implications of the topic under study. Her research has tended to be interdisciplinary in nature, drawing on a wide range of literature from medical sociology and medical ethics, and focused upon accessing hidden populations and interviewing on sensitive subjects.

Anne Slowther is Professor in Clinical Ethics at Warwick Medical School. She has been involved in the development of clinical ethics committees in the UK since 2000 and is a member of the UKCEN Board of Trustees. She has an interest in the evaluation of clinical ethics support services, and alternative models of clinical ethics support.

Daniel Sokol is a Barrister at 12 King’s Bench Walk and a former university lecturer in medical ethics. He has been a keynote speaker in international conferences, an after-dinner speaker, written three books on ethics and law and over 200 articles, both in peer-reviewed academic journals and in newspapers such as the Times, the Guardian and the International Herald Tribune. He writes a regular column for the British Medical Journal on ethico-legal issues, for which he was awarded ‘Best Column’ by the Medical Journalists’ Association in 2015.

Michael Spinks is a lay member of the Great Ormond Street Ethics committee as a parent representative, joining in 2019. Michael’s son, Rory, became a patient of GOS in 2013 when he was diagnosed with Complete Athymic Digeorge syndrome. Rory died in 2016, and over that time the family faced many decisions. His role on the Clinical Ethics Committee is to bring the parent perspective to the complex cases and an understanding of the family’s point of view. Not a medic by background, Michael works in asset management.

Jamie Watson PhD, HEC-C is Assistant Professor of Medical Humanities and Bioethics at University of Arkansas for Medical Sciences (UAMS) in Little Rock. He has a secondary appointment in Neurology and an affiliated position with the UAMS Center for Health Literacy. He also serves as a clinical ethicist at UAMS Health and Arkansas Children’s Hospital. His primary research is in social epistemology and bioethics, and it includes expertise, moral expertise, and moral distress. He also works on broader issues in medical humanities, including health literacy and literature and medicine. His books include Winning Votes by Abusing Reason: Responsible Belief and Political Rhetoric (Lexington, 2017), Moral Expertise: New Essays from Theoretical and Clinical Bioethics with Laura Guidry-Grimes (Springer, 2018), Expertise: A Philosophical Introduction (Bloomsbury, 2020), and A History and Philosophy of Expertise (Bloomsbury, in production).