Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think if a pharmacist refuses to dispense medication due to religious or personal beliefs

313 replies

Soubriquet · 24/04/2024 10:11

They shouldn’t be a pharmacist.

I mean, the morning after pill is healthcare. Your personal or religious beliefs shouldn’t come into this.

OP posts:
BIossomtoes · 26/04/2024 11:36

Racism, misogyny and paedophilia aren’t moral choices @JaneTheVirgin.

GirlOfThe70s · 26/04/2024 10:46

I live in a small rural village which has one GP surgery, with one GP. He will not prescribe the morning after pill, nor will he refer anyone for a termination. This is all clearly stated on their website. Although neither of those things apply to me any more, I do wonder what younger women in the village are meant to do.

JaneTheVirgin · 26/04/2024 09:08

BIossomtoes · 26/04/2024 08:00

Maybe the answer would be to work in a clinical area where there’s no chance of your patient being a rapist. How would you know anyway? It’s hugely disrespectful to talk about “phony morals”. They’re not, they’re just different to yours.

Yes, exactly - and pharmacists should work in areas they won't have the opportunity to dispense the MAP, not refuse it to dispense it to women. But they don't which is the point were talking about in this thread.

I know because they have been attached to police and/or prison guards.

I don't respect 'morals' which deny women the right to choose what to do with their body. Morals that can cause actual damage to women. And if you think about it for a very short while you'd understand why we absolutely cannot be forced to RESPECT other people's beliefs regardless of what they are. Maybe this one you agree with so I should respect it, but should we also be forced to respect racist beliefs? The belief men can change sex? The belief adults can have consensual sex with children? The belief women are to be slaves to their husband's?

Of course not.

LoveWine123 · 26/04/2024 09:02

What a pointless thread. OP posted and ran and now probably watching others fighting over a moot point. Has that actually ever happened?

RawBloomers · 26/04/2024 08:55

VanillaImpulse · 26/04/2024 08:00

I know of pharmacists who have declined to dispense puberty blockers to young teens. Do you think this is wrong too? They believed it was in the child's best interest. Not to mention the prescriptions were written by a Romanian doctor who the pharmacist had no way of finding out if they are genuine. Gender GP prescription obviously!!

The General Pharmaceutical Council guidelines specifically differentiate between refusing on grounds of belief and refusing on clinical grounds.

wombat15 · 26/04/2024 08:46

UpsideDownSomewhere · 26/04/2024 03:28

But that doesn't actually mean anything does it really? So if we follow this principle, the pharmacist can refuse the map because there is another pharmacy available, be it five/ten/fifteen miles away... It doesn't take into account that the patient does not drive, or has no access to public transport, or the money available to travel xyz miles away. It's a catch all, means nothing statement. I'm my case ( and this was years ago), the pharmacist refused the map but didn't check I could actually access the other pharmacy which was miles away whilst the clocks steadily ticking... I was fortunate and managed to get a lift but for those that cant, what happens then? It's extremely negligent behaviour imo.

It does take it into account. If the patient hadn't been able to access a medication and suffered harm as a result they would be in trouble.

WillimNot · 26/04/2024 08:17

I would love to say I'm surprised but I'd be lying.

I went with DD to ask about the pill, not because they are sexually active, but because they suffer horrific periods (which they've inherited from me) and were 6 months away from sitting GCSEs. I thought, let's see what we can try and sort out, have 6 months to find the right pill, and hopefully sit exams with one less stress. Sensible, right?

Not according to the female GP we saw. It somehow made it worse being a woman.

Her attitude was atrocious. She basically accused DD of being a slapper, apparently she is sick of all you young girls coming in for the pill, we should test you for STDs, etc etc. That stemmed from a rash my DD had which is an ongoing, stress related form of eczema, not some Victorian STD.

It made no difference when DD pointed out they are a lesbian so not sexually active. I ended up walking out with DD as I was so angry. This wasn't years ago either, but 2022!

When we raised it and asked to see someone else, the attitude was "oh yes, X GP doesn't like to deal with things like that, especially with teens due to her religious beliefs. She feels English girls have the wrong attitude towards sex". Considering to get the appointment we had to explain why we wanted it, surely the system should have flagged that this GP was not appropriate to see?

I actually changed surgery I was so annoyed because they felt that justified her lack of professionalism. Basically her view is all English teenage girls are slappers. Surely dealing with their rights to choose to prevent teen pregnancy is better than a line out the door for terminations? Not according to that GP and the fact the manager did nothing but give an excuse as religion for it was disgusting.

I've recently done a course where we were told about an employee in a pub who refused to serve alcohol due to religious beliefs. Why would you even apply?

BIossomtoes · 26/04/2024 08:00

JaneTheVirgin · 25/04/2024 23:46

The point is it shouldn't be allowed.

All of the posts in support of the pharmacists on this thread are talking about respecting peoples beliefs and not being forced to do X because it's against their morals.

If they can get away with not providing care to women because of phony morals, I should be allowed to not provide care to rapists because that's against MY morals.

I fail to see how the 2 are different and yet legally discrimination against women is allowed but discrimination against rapists is not.

Maybe the answer would be to work in a clinical area where there’s no chance of your patient being a rapist. How would you know anyway? It’s hugely disrespectful to talk about “phony morals”. They’re not, they’re just different to yours.

VanillaImpulse · 26/04/2024 08:00

I know of pharmacists who have declined to dispense puberty blockers to young teens. Do you think this is wrong too? They believed it was in the child's best interest. Not to mention the prescriptions were written by a Romanian doctor who the pharmacist had no way of finding out if they are genuine. Gender GP prescription obviously!!

VanillaImpulse · 26/04/2024 07:55

Then it should be declassified to the same as paracetamol/canestan etc, that you can buy in the supermarkets with no one supervising. I doubt it’s addictive, which is what controlled drugs usually are.

One of the reasons it's not available off the shelf is that paedophiles can get underage girls to take it so they can go on sexually abusing them without it resulting in a pregnancy. This is why a consultation is needed to check the woman is not there as a result of rape.

RawBloomers · 26/04/2024 04:00

@UpsideDownSomewhere I excerpted two small pieces. The guidelines give much more form.

But no, even just on what I excerpted I don’t think your reading is reasonable. They explicitly say so [the patient] can access the service they need in a timely manner and without hindrance.. Which a pharmacy miles away with no transport available would not provide.

I’m not claiming pharmacists never fail on this front. Just that there is a high bar they are supposed to live up to and a mechanism for holding them to that bar.

UpsideDownSomewhere · 26/04/2024 03:28

RawBloomers · 26/04/2024 03:17

The General Pharmaceutical Council, who oversee pharmacists, have thought through how to balance patient and pharmacists rights. I think they’ve done a great job. From their guidelines on religion, personal values and belief:

Pharmacy professionals have the right to practise in line with their religion, personal values or beliefs as long as they act in accordance with equalities and human rights law and make sure that person-centred care is not compromised…If a pharmacy professional is unwilling to provide a certain service, they should take steps to make sure the person asking for care is at the centre of their decision-making, so they can access the service they need in a timely manner and without hindrance.

Pharmacists found to have contravened these guidelines can be sanctioned.

Edited

But that doesn't actually mean anything does it really? So if we follow this principle, the pharmacist can refuse the map because there is another pharmacy available, be it five/ten/fifteen miles away... It doesn't take into account that the patient does not drive, or has no access to public transport, or the money available to travel xyz miles away. It's a catch all, means nothing statement. I'm my case ( and this was years ago), the pharmacist refused the map but didn't check I could actually access the other pharmacy which was miles away whilst the clocks steadily ticking... I was fortunate and managed to get a lift but for those that cant, what happens then? It's extremely negligent behaviour imo.

RawBloomers · 26/04/2024 03:17

The General Pharmaceutical Council, who oversee pharmacists, have thought through how to balance patient and pharmacists rights. I think they’ve done a great job. From their guidelines on religion, personal values and belief:

Pharmacy professionals have the right to practise in line with their religion, personal values or beliefs as long as they act in accordance with equalities and human rights law and make sure that person-centred care is not compromised…If a pharmacy professional is unwilling to provide a certain service, they should take steps to make sure the person asking for care is at the centre of their decision-making, so they can access the service they need in a timely manner and without hindrance.

Pharmacists found to have contravened these guidelines can be sanctioned.

Skodacool · 26/04/2024 01:01

YANBU the morning after pill is legal.

JaneTheVirgin · 26/04/2024 00:24

wombat15 · 26/04/2024 00:10

I think it is different because they are refusing a specific treatment to everyone. If they decided some people could have it but not others based on a prejudice it wouldn't be allowed.

But if your refusal only affects 1 group - a protected characteristic group - that's still discrimination. I'm pretty sure thats the law - and only women need the MAP.

wombat15 · 26/04/2024 00:10

JaneTheVirgin · 25/04/2024 23:46

The point is it shouldn't be allowed.

All of the posts in support of the pharmacists on this thread are talking about respecting peoples beliefs and not being forced to do X because it's against their morals.

If they can get away with not providing care to women because of phony morals, I should be allowed to not provide care to rapists because that's against MY morals.

I fail to see how the 2 are different and yet legally discrimination against women is allowed but discrimination against rapists is not.

I think it is different because they are refusing a specific treatment to everyone. If they decided some people could have it but not others based on a prejudice it wouldn't be allowed.

Yellogreen · 25/04/2024 23:46

I don’t disagree in principle but it’s not ideal and there should always be another option for the patient and if there’s not like if they are the only pharmacist in the village then imo their religious beliefs need to be set aside for the patient otherwise they shouldn’t be in that position of responsibility.

JaneTheVirgin · 25/04/2024 23:46

meditrina · 25/04/2024 12:23

You are not allowed because the policy covers the provision of specified services, not anything about the patient.

There is no reason to question their pharmacy knowledge as the exemption covers both contraception and termination services

The point is it shouldn't be allowed.

All of the posts in support of the pharmacists on this thread are talking about respecting peoples beliefs and not being forced to do X because it's against their morals.

If they can get away with not providing care to women because of phony morals, I should be allowed to not provide care to rapists because that's against MY morals.

I fail to see how the 2 are different and yet legally discrimination against women is allowed but discrimination against rapists is not.

T1Dmama · 25/04/2024 23:34

Strange thing to ask then not return within 10 pages

Mamanyt · 25/04/2024 23:24

I live in the USA, and this is a BIG deal for us right now. For my own part, I don't think that anyone should be making decisions on anyone else's health care, IN ANY WAY, based on their own religious beliefs. That should be a strictly "best medical advice" choice, and with pharmacists, especially, the choice was made by a licensed physician, which trumps a licensed pharmacist.

EC22 · 25/04/2024 23:22

YABU

SabreIsMyFave · 25/04/2024 23:21

QueenEmma · 25/04/2024 12:30

They shouldn't be working in those professions if their beliefs prevent them from prescribing/carrying out things that are legally allowed in this country. It's hard enough for most women to pluck up the courage to get the morning after pill, arrange an abortion etc without being judged by the healthcare professional who is supposed to be helping you. Are they going to refuse vasectomies? Refuse to treat gay men, no, I bet they aren't because it's always about persecuting women with these people. Do they know the history of all the medication they prescribe, how it's been derived, tested etc how do they know any of that isn't against their beliefs? I'm all for people believing whatever they want, it's a free country but if they can't leave those beliefs behind whilst they are at work then they shouldn't be doing the job!

.

Jennifer Lopez Applause GIF by NBC World Of Dance
PixieLaLar · 25/04/2024 23:16

innerdesign · 25/04/2024 12:53

What I said is not 'vile'. It's an unpleasant thought, but it's true that legally it's not the pharmacist's responsibility, which is the only point I'm making. In reality if someone declared a dangerous situation you'd hope a HCP would help them, order them a taxi, call the police, whatever is appropriate.

Personally I think your comments are vile considering the personal stories PP have shared on this thread.

Pharmacists are health care professionals who should have a duty of care to their patients. This should not be happening in 2024.

TheSlimmingFoodie · 25/04/2024 22:34

Mischance · 24/04/2024 10:38

I think it should be allowed.
We do not want to lose the skills and enthusiasm of gynaecologists just because there is this one small aspect of their job that they are not able to perform.

I have worked in the NHS and it does not present a problem - they simply refer the patient on to another consultant. I have never seen it be a problem, either for the patient or with the other consultants.

For some people abortion is the taking of a life and they are allowed to have those views - it is not entirely illogical. Thank goodness that we live somewhere where they are allowed to hold that view and for it to be respected.

This

Cloudysky81 · 25/04/2024 20:54

They have a right not to dispense the MAP. It's established in their code of conduct they just have to signpost you to somewhere where it can be obtained.

Dispensing the MAP represents a tiny proportion of their job and there aren't that many places in the UK where it would be impossible to travel to another pharmacy in a timely manner and postal delivery is also available within 24 hours.

Swipe left for the next trending thread