In Scots Law
1 When the Exception is the Rule: Rationalising the ‘Medical Exception’ in Scots Law 2 I. INTRODUCTION No medical practitioner who performs a legitimate medical operation on a patient (in the course of competently carrying out the duties of their profession)1 commits a delict or a criminal offence.2 This is so in spite of the fact that to infringe the bodily integrity of another person is plainly both a crime3 and a civil wrong.4 Notwithstanding the fact that the patient may desire the operation, the ‘defence’ of consent cannot possibly justify the serious injuries intentionally inflicted in the course of an operation to effect a kidney transplant, or to amputate a limb, or even to insert a stent, since these procedures are highly invasive and effect irreversible changes to the physicality of the patient(s).5 The ‘medical exception’ has consequently and consistently been invoked by legal commentators when considering cases of invasive surgery, or procedures which involve serious wounding.6 Since consent is no defence to serious assault,7 this exception to the general rule that to inflict such is to commit a crime must be justified by means other than an appeal to the 1 ‘Proper’ medical treatment is a prerequisite: Margaret Brazier and Sara Fovargue, Transforming Wrong into Right: What is ‘Proper Medical Treatment’?, in Sara Fovargue and Alexandra Mullock, The Legitimacy of Medical Treatment: What Role for the Medical Exception, (London: Routledge, 2016), p.12 2 See, generally, Sara Fovargue and Alexandra Mullock, The Legitimacy of Medical Treatment: What Role for the Medical Exception, (London: Routledge, 2016), passim.
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