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CAMHS won't see you now

'Patients just return and return'

Dr Abadi presents an interesting conflict of interests (News, August 20). I look forward to seeing how the catholic church resolves the matter over his surgery site.

I think it is important to note that his view 'we are legally obliged to refer and sign blue form A' is incorrect. Doctors are only obliged to let patients know a service is available, which may mean telling them how to access another provider. This may be a GP colleague, Marie Stopes or a local gynaecologist.

If you do not feel a patient's request for termination fulfils the criteria A-E on the blue form, or if you believe it may harm the patient, then you are not obliged to be part of the process.

In such situations I may write to the consultant to explain the patient's preference. I then delineate how I feel it is not in their best interests nor fulfils the ethical criteria set down in the 1967 Bill.

I feel this then encourages the consultant and patient to have a good chat about the matter.

Dr Mark Reed

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