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Alan Stanton
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==Child safeguarding and parental consent to treatment == In 2012, Dr Stanton co-authored an article in the 'Child Abuse Review' journal stating that discharging a child from medical care against medical advice is a form of child abuse, and that Discharge Against Medical Advice forms must not be made available to parents of sick children.<ref name=":0">{{Cite journal | last = Stanton | first = Alan | author-link = | last2 = Powell | first2 = Robin | author-link2 = Robin Powell | date = 2012-11-13 | title = Discharge Against Medical Advice (DAMA) Forms - A Damaging Document | url = https://onlinelibrary.wiley.com/doi/abs/10.1002/car.2234 | journal = Child Abuse Review|language=en | volume = 22 | issue = 5 | pages = 377–380|doi=10.1002/car.2234|issn=0952-9136|quote=Discharge Against Medical Advice (DAMA) forms are sometimes used when parents wish their children to be discharged against medical advice.<br> We argue that there is no place for their use in the care of children; their use may amount to collusion with medical neglect, protecting neither child nor practitioner.<br >Child safeguarding teams within healthcare provider organisations should ensure that DAMA forms are not used with respect to children ... <br >But the rights of any child to refuse treatment are only where it will not result in death or serious harm. In Re W (A Minor) (Consent to Medical Treatment) (1993) 1 FLR 1, Lord Donaldson said ‘No minor of whatever age has the power by refusing consent to override a consent to treatment by someone who has parental responsibility for the minor’ (p. 1611).Thus, the court as parens patriae may overrule a parent’s refusal of treatment, a ‘Gillick competent’ or even a 16- or 17-year-old child’s decision, when to do so is necessary to save the child’s life or prevent really serious and irreparable harm to the child, under the general principle that it is the duty of the court to preserve life and ensure, so far as it can, that children survive to attain the age of 18.<br>If agreement cannot be reached and the child genuinely remains at medical risk, it is hard to see the provision of a DAMA form as anything more than formalised collusion with neglect: The primary duty of the doctor is to the patient, the child. In those circumstances, which of course should be very rare, the only way in which a doctor can fulfil the duty of care is to make a referral to an agency with statutory child protection powers, which are the local authority, the police or the NSPCC, which should act quickly to secure the immediate safety of the child (HM Government, 2010) ... We believe that doctors and nurses with responsibility for safeguarding children should ensure that DAMA forms are not available for doctors to use when caring for children and that training for medical teams in safeguarding duties includes an understanding of why this is so.|via=}}</ref> He recommends that if parents cannot be persuaded to change their mind on their child's treatment then using Social Services, the NSPCC and the police is appropriate, including Emergency Protection Orders. Dr Stanton also explains rights of "a child" (anyone aged under 18) to refuse treatment can be overruled either by parents or those acting in the role of parents (e.g., medical staff) in cases where the child is at risk of "serious harm", a term which he does not explain further.<ref name=":0" /> Alan Stanton has been appointed to the review panel for the [[NICE guidelines]] review in October 2018, these guidelines which strongly influence [[NHS]] treatment and policy for people with [[ME/CFS]] in the UK.<ref>{{Cite web | url = https://www.nice.org.uk/guidance/gid-ng10091/documents/committee-member-list | title = Committee member list {{!}} NICE CG53 CFS/ME guidance update | last = [[NICE]] | first = | date = October 28, 2018 | website = nice.org.uk|archive-url=|archive-date=|url-status= | access-date = 20 October 2018}}</ref>
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