Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Or should GP surgery's not be allowed to advertise themselves as 'pro-life'?

184 replies

Clownwithafrown · 08/09/2024 22:15

I'm job hunting and came across an ad for a medical receptionist at a GP surgery. I wasn't sure where exactly this particular surgery was so googled it and this statement was on the home page; 'The Doctors here at xxxx Surgery are committed to a 'pro-life' policy. This means that the Doctors value each individual’s 'life' from conception to natural death.'

I'm not reading that wrong am I, they are stating that they're anti abortion aren't they? Surely that shouldn't be allowed at an NHS practice should it? I'm a bit gobsmacked that it's blatantly there on the home page, literally the first thing you see when you click on the site. And it clearly means all the doctors, I mean obviously people don't have to register with that surgery but for there to be no options for those who already are registered just doesn't seem right to me. Does anyone know if this is actually allowed?

OP posts:
Elseaknows · 09/09/2024 16:36

I'd rather not have a GP secretly judging me with their beliefs. I'd rather know outright with a statement on their website like the OP showed so I know who to avoid.

Puzzledandpissedoff · 09/09/2024 16:34

All the posters claiming "well they shouldn't be NHS GPs" - why exactly? Everyone is entitled to their beliefs

Put simply, @Elseaknows, a belief is (or IMO should be) a private matter, and full access to female reproductive healthcare is an obvious public need

As said earlier, I've absolutely no issue with people's private beliefs and will always respect their right to hold them, but I don't feel it's acceptable for folk to use these to disadvantage someone else no matter what field they work in

HeritageVegetable · 09/09/2024 16:31

YankSplaining · 09/09/2024 16:22

Why is it “odd” he would be okay with contraception and the morning after pill?

Most people who have strong objections to all abortion also object to the MAP. Some also object to the IUD which sometimes prevents implantation of a fertilised egg.

YankSplaining · 09/09/2024 16:22

Theunamedcat · 09/09/2024 14:42

My former GP is a pro life Dr but he would refer on fast tracking you he was honest with me when I said I was keeping my unplanned pregnancy and said he hated making those referrals but everyone has a choice it was only abortion he referred on he was happy with contraception and comfortable with the morning after pill oddly enough

Why is it “odd” he would be okay with contraception and the morning after pill?

RedToothBrush · 09/09/2024 15:27

I'd argue it possibly is discrimination under the equality act. You can't discriminate on the basis of belief...

RedToothBrush · 09/09/2024 15:06

Honestlymade · 09/09/2024 15:00

I agree @RedToothBrush that NHS commissioners of GP services need to make sure people have access to the services that they need This is something for commissioners to look at.

There are far too few GPs however, as a result of long term poor planning by successive governments really. Its not like there is a ready supply of other GPs to contract with instead, which makes negotiations challenging for commissioners.

Agree. I would register a complaint on these grounds tbh.

It's fine for doctors to be pro-life but not for an area to be pro-life. Otherwise it risks groups of GP surgeries in a small area all doing the same deliberately for religious reasons to control the local population.

Honestlymade · 09/09/2024 15:00

I agree @RedToothBrush that NHS commissioners of GP services need to make sure people have access to the services that they need This is something for commissioners to look at.

There are far too few GPs however, as a result of long term poor planning by successive governments really. Its not like there is a ready supply of other GPs to contract with instead, which makes negotiations challenging for commissioners.

RedToothBrush · 09/09/2024 14:45

I had a previous GP which had conscious objectors. It made me feel uncomfortable and that they didn't respect women or care about women's health.

It was one of MANY reasons I wanted to change surgeries. They were known locally as having poor attitudes to women generally. Fuck knows why so many people put up with it.

The problem is that GP surgeries are catchment based and it's extremely difficult to get accepted by a GP surgery outside catchment. It's hard enough to get accepted to a surgery in some places where you DO live in catchment.

I ended up at one point without a GP because they were so bad and I refused to engage with them anymore (they were engaging in practices which have since been outlawed so it's not just me being oversensitive). It took me several years to get a place elsewhere.

So the poor women in that area are really screwed by this. And I don't think an advert like this is acceptable. It is acceptable for an individual doctor to be a conscious objector (even though I don't like it) but not to deliberately set up and establish a practice and then recruit on this basis which makes the entire area at the mercy of pro-lifers and DOES make it harder for women in that area to seek support they need.

Even if we were able to easily change surgeries, it would be better than this situation. This is the imposition of pro-life views on an entire community who don't have alternatives easily available.

This is appalling. And not ok.

Words · 09/09/2024 14:42

Likely to include end of life care also, such as putting a DNR in place ( do not resuscitate)

Theunamedcat · 09/09/2024 14:42

My former GP is a pro life Dr but he would refer on fast tracking you he was honest with me when I said I was keeping my unplanned pregnancy and said he hated making those referrals but everyone has a choice it was only abortion he referred on he was happy with contraception and comfortable with the morning after pill oddly enough

Honestlymade · 09/09/2024 14:37

CurlewKate · 09/09/2024 14:29

@Honestlymade
"When healthcare involves deliberately ending human life, exemptions should apply."

They do. The doctor merely has to refer the patient to another HCP.

I know.

I was responding to those who were arguing GPs should not be allowed to be pro-life as they are not providing full healthcare.

Haroldwilson · 09/09/2024 14:31

RaspberryRipple2 · 09/09/2024 12:45

Given the name of the surgery and the stated beliefs I’d assume it’s a catholic practice. On that assumption I find the statement quite useful ie I’m not catholic and don’t have those beliefs so I wouldn’t join that surgery. I wouldn’t like to get a shock otherwise if I hadn’t understood that before signing up. I expect the transparency is a good thing in that the patients are aware that their doctors share these core beliefs (which people have pointed out numerous times are allowed in law) and will therefore advise them in a way that doesn’t conflict with their religion?

What does this mean though? People might well be theoretically anti abortion or anti IVF, morning after pill etc but find themselves in a situation where they end up choosing that anyway. Your doctor shouldn't be a bar to accessing healthcare.

CurlewKate · 09/09/2024 14:29

@Honestlymade
"When healthcare involves deliberately ending human life, exemptions should apply."

They do. The doctor merely has to refer the patient to another HCP.

Honestlymade · 09/09/2024 14:08

C8H10N4O2 · 09/09/2024 13:56

That assumes you have a choice of surgeries and services, that the policy was in place before you joined and that the full implications were clearly explained - no proper reproductive services available.

The local area health trusts should not be giving tax payer funded contracts to businesses knowing they will not provide one of the most basic functions of that service.

Would they contract in GP businesses which refused deliver other aspects of basic primary care "on principle"? Perhaps psychiatric services, diabetic clinics, or vaccinations?

None of your other examples involve ending human life. See above my post on euthanasia and assisted suicide. If these were legal I don't believe medics should be forced to participate in this either. When healthcare involves deliberately ending human life, exemptions should apply.

Your anger should really be focussed on the PCT not the individual GPs. Its the PCT or local Health board or whatever is it called where you live who commission services and are responsible for ensuring access to services to the population.

Honestlymade · 09/09/2024 14:03

C8H10N4O2 · 09/09/2024 13:47

Nobody has stated an individual doctor or nurse should perform an abortion - that's a wild misdirection from the thread OP.

The point is that a taxpayer funded public health body is contracting out primary health care services to a business which refuses to provide a key component of primary health care - aka women's reproductive services based on NICE guidelines.

And frankly, if an HCP doesn't want to provide women's reproductive services then yes - I'd suggest they choose a speciality which doesn't require delivery of those services rather than take the business and refuse to provide them.

There are plenty of areas of medicine which don't require delivery of women's reproductive services. Its unethical to take the money for a service you intend to restrict or refuse to deliver.

I strongly disagree with this. I believe abortion must be available to women. But I also agree Drs should be able to opt out of providing this service. Allowing this is a reasonable recognition that this is not healthcare like other healthcare, as it uniquely involves the ending of a human life.

Just like I am staunchly in favour of euthanasia and assisted suicide and if these are ever made legal in the UK that will be a great day. However, I also strongly believe that Drs should be able to opt out as assisted suicide and euthanasia are not healthcare like other healthcare as they involve ending a human life.

I personally believe that assisting me to die at a time of my choosing is part of the healthcare package that I want from our healthcare service, but I also have a (non-religious) medic friend who strongly believes that that this is not part of healthcare. She sees it as separate and that medics should preserve, not end, life The system has to allow respect for both views.

Medics should not be required to facilitate the end of human life if this is against their principles.

Tandora · 09/09/2024 13:59

suziequatrosfatnan · 09/09/2024 09:32

Signposting it clearly means they shouldn't use the coy term 'pro-life' and use plain English

They need to use the phrase 'forced birth'

"We believe in forced birth meaning that if you are pregnant you must continue to give birth whether it will risk the life and health of you, your foetus or others.

Please don't ask for us any further support on preventing this situation because we will not provide it"

👏🏻👏🏻👏🏻👏🏻

WorriedMutha · 09/09/2024 13:59

I think the pro life notice is a clear indication that they won't sign an abortion referral form. Two medical practitioners have to sign a form permitting an abortion. Commonly a GP signs and the clinic providing the abortion service endorses.
If a GP is pro life, they won't want to sign the form endorsing. Being referred to a doctor who will is a simple matter. If you care to look at the guidelines this is allowed for.
I'm sorry if you think health care professionals shouldn't be allowed to hold this view but that's the law and abortion is facilitated by referring on.

Tandora · 09/09/2024 13:58

That’s disgusting. What surgery is it? Don’t protect them!

C8H10N4O2 · 09/09/2024 13:56

Honestlymade · 09/09/2024 13:50

I actually think its helpful. It means you know to avoid that surgery if you know you won't get the services you may need.

That assumes you have a choice of surgeries and services, that the policy was in place before you joined and that the full implications were clearly explained - no proper reproductive services available.

The local area health trusts should not be giving tax payer funded contracts to businesses knowing they will not provide one of the most basic functions of that service.

Would they contract in GP businesses which refused deliver other aspects of basic primary care "on principle"? Perhaps psychiatric services, diabetic clinics, or vaccinations?

YankSplaining · 09/09/2024 13:51

NeedBiggerWindChimes · 09/09/2024 12:07

We'll have to agree to disagree on that. If I were a woman seeking an abortion, I'd be glad for the heads up. It might save me having an uncomfortable experience, and might help me get more timely care than having to get a referral and other appointment with someone else.

I think offering care to people of whatever sexual orientation, even if you disagree, is different than asking someone to be an active participant in a termination when it goes against their conscience. I've supported people in situations I don't agree with before, because it was a neutral act for me. That's different to participating.

A closer parallel would be the argument about whether bakers should be able to refuse to bake a wedding cake for a situation they don't agree with.

You’re right, it’s different. There’s a big difference between “we don’t perform this procedure” and “we don’t accept a patient who is a particular type of person.”

drspouse · 09/09/2024 13:51

Babyboomtastic · 08/09/2024 23:45

If it's the only GP practice covering a large rural area, I'd have concerns, but assuming it's a town/city practice then it's being upfront and it's upto people when they sign up or go elsewhere.

For many people abortion IS an ethical issue and making it a compulsory service that a medical professional must supply means that many doctors won't be able to continue their job. I think we have a decent balance in the UK so that doctors aren't forced to make decisions they disagree with or leave their job, but also ensuring that women can access abortion services.

I've never heard of an entire pro life GP practice though.

We're in a medium sized town but we only have two medical practices to choose from, and they are geographically overlapping but the one we aren't with only has one location in my part of town (and ours only has one location in the other part of town). It's quite a sprawling town so if you were in area A you'd be travelling 5 miles on rubbish buses to the nearest surgery of practice B, if A didn't offer abortion, rather than walking round the corner to practice A.

So in reality, people don't have a choice of which practice to go with, and usually you'd choose a practice as a child or young adult and only change if you move - you'd struggle to change practice in the 2 weeks or so leeway you might have between finding out you are pregnant and needing to be referred for an abortion.

Honestlymade · 09/09/2024 13:50

Naunet · 09/09/2024 09:03

This is disgusting. Yes individual doctors should be able to hold a ‘pro-life’ opinion, but to advertise the whole GP service that way? How is that allowed?

I actually think its helpful. It means you know to avoid that surgery if you know you won't get the services you may need.

TeenLifeMum · 09/09/2024 13:48

Yeah, I’ve heard of this. Easy to be pro life on a 6 figure salary having not faced learning your dc has a severely life limiting disability.

C8H10N4O2 · 09/09/2024 13:47

Elseaknows · 09/09/2024 12:19

I'm sorry but all those stating doctors should be forced to do this doesn't sit right with me. Imagine being that vulnerable and having a doctor who clearly hates you have gone through with an abortion? NO THANK YOU.
All the posters claiming "well they shouldn't be NHS GPs" - why exactly? Everyone is entitled to their beliefs. Women will still get the help they deserve and need. Just because you demand a service, doesn't mean ALL doctors need to provide it then and there.
As for long lasting contraception, my GP doesn't offer things like coils and IUD because they need specialist fitting so you have to go to a specialised clinic?
MAP is available at most pharmacies now too.
Demanding doctors or nurses to do procedures they morally object to isn't the way to go.

I say this as someone who had a termination (as a teenager) and had a nurse sit and cry in the corridor after she told me I had passed the embryo. I felt numb, then relieved. She was obviously devastated which made me feel so guilty.

Edited

Nobody has stated an individual doctor or nurse should perform an abortion - that's a wild misdirection from the thread OP.

The point is that a taxpayer funded public health body is contracting out primary health care services to a business which refuses to provide a key component of primary health care - aka women's reproductive services based on NICE guidelines.

And frankly, if an HCP doesn't want to provide women's reproductive services then yes - I'd suggest they choose a speciality which doesn't require delivery of those services rather than take the business and refuse to provide them.

There are plenty of areas of medicine which don't require delivery of women's reproductive services. Its unethical to take the money for a service you intend to restrict or refuse to deliver.

YankSplaining · 09/09/2024 13:45

AmyFarrahFowler1 · 09/09/2024 09:46

I dunno. My friend had this experience. Baby had stopped growing at 17/18 weeks I think it was, they went on and on about an abortion even after she had been clear that she wasn’t going to do that. It was a massively traumatic time for her and that aspect made her very uncomfortable. They were clear that they didn’t trust her judgment and felt she was making a mistake or taking an “unnecessary risk”.

That baby is a healthy five year old now, by the way.

Edited

Thank you. I don’t know what’s supposed to be so unbelievable about doctors sometimes pressuring women to have abortions - surely we don’t all believe that every doctor is a perfect model of ethical standards.