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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:
Naunet · 09/09/2024 12:54

NeedBiggerWindChimes · 09/09/2024 12:23

A referral yes. But what if the job was asking you to drive the woman there and support her through the procedure? I've known someone in that position who refused to participate.

Perfectly fine, although I don’t know when doctors are ever asked to do that, but sure, refuse.

FOJN · 09/09/2024 12:55

WorriedMutha · 09/09/2024 10:12

The right to be a conscientious objector to abortion is enshrined in the 1967 Abortion Act. Many individual GPs are pro life and referring on to others is not controversial.
I knew many nurses, mainly Irish, who wouldn't take part in abortion care in hospitals and it wasn't an issue.
If there is a move to allow assisted dying, I would expect doctors to be allowed to opt not to play a role in it. I would be appalled if a right to death zealot demanded that they take part as they are paid by the tax payers.
Society rubs along so much better when we learn to tolerate others with opinions that don't align with our own.

Edited

If you object to abortion you simply don't have to have one. I 100% support your right to make that choice.

I can support medical staff having the right not to participate in the abortion process.

That makes me nothing but tolerant of different opinions.

These doctors have their opt out but still think they have the right to share their personal views on abortion with their patients. That is unprofessional and I'm surprised it is allowed.

There is a reason anti choice people are called forced birthers, it's because tolerance is a one way street for them.

Timeforaglassofwine · 09/09/2024 13:04

WorriedMutha · 09/09/2024 10:12

The right to be a conscientious objector to abortion is enshrined in the 1967 Abortion Act. Many individual GPs are pro life and referring on to others is not controversial.
I knew many nurses, mainly Irish, who wouldn't take part in abortion care in hospitals and it wasn't an issue.
If there is a move to allow assisted dying, I would expect doctors to be allowed to opt not to play a role in it. I would be appalled if a right to death zealot demanded that they take part as they are paid by the tax payers.
Society rubs along so much better when we learn to tolerate others with opinions that don't align with our own.

Edited

A hospital nurse is very, very different to a GP. A GP is most people's first point of contact to access healthcare. They / he (probably) don't have the luxury of being able to consciously object or express an opinion. No one is asking a GP to perform an abortion, they are asking "him" (because I'm assuming the practise is male run) to refer. His opinion don't matter and shouldn't be known to the woman or girl needing help.

FairCity · 09/09/2024 13:07

@Timeforaglassofwine why would you assume that? Over half of GPs are women, and I know plenty of women with moral qualms about abortion.

ThePrologue · 09/09/2024 13:08

Me ex-GP had a crucifix on his consulting room wall
That spoke volumes and not so subtly

CurlewKate · 09/09/2024 13:16

@Elseaknows "I'm sorry but all those stating doctors should be forced to do this doesn't sit right with me"

Is anyone saying doctors should be forced to perform abortions?

Honestlymade · 09/09/2024 13:21

copingwithreception · 08/09/2024 23:30

I would suspect they have just mistakenly used the term ‘pro life’ to put across the message they will support all patients from conception eg to mean they will support pregnant women . They probably need to just change the wording as it may not mean they are anti abortion at all (and would be extremely strange as a whole surgery to have that stance when the nhs offers abortion- individual doctors can be but they need to refer on to a colleague who can offer the referral )

No I think it means they are pro-life/ anti-abortion.

Doctors are allowed to be. GPs are also all independent contractors with a contract with the NHS. They are not direct NHS employees.

YankSplaining · 09/09/2024 13:24

CurlewKate · 09/09/2024 06:57

Absolutely outrageous. No HCP should be forced to act against their conscience-but must refer patients on to someone else. This statement would potentially put off women seeking help in a situation where time is of the essence. Oh and @YankSplaining "I’ve heard several stories about women who were very clear with their doctors that they weren’t going to have an abortion, only to have the doctors keep bringing it up again and again."
Yeah, sure you have.

I have. I read a lot of personal accounts from parents of children with Down syndrome, and this seems to be a not-uncommon experience in both the UK and the US.

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.

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.

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.

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.

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.

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.”

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?

Tandora · 09/09/2024 13:58

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

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 13:59

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"

👏🏻👏🏻👏🏻👏🏻

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.

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.

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.

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.

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.

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

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