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• W2079773802 abstract "Strict product liability becomes a reality in the United Kingdom next week, when part I of the Consumer Protection Act 1987 comes into force on 1 March. Yet little guidance has so far emerged on what the new r?gime will mean for doctors, and most doctors probably assume it will have little effect on their practices. Representatives of the BMA's General Medical Services Committee and the department of health are discussing the matter with a view to issuing guidance to general practitioners, and the Central Committee for Hospital Medical Services is pursuing the question of guidance for hospital doctors. In fact, the act will impose a considerable burden of record keeping on doctors if they are not to find themselves legally liable for the supply of a defective drug or other medical product. The act makes producers of defective products liable without the need to prove negligence, but suppliers will also become liable unless they can identify the producer. Not only dispensing general practitioners will become suppliers but also any doctors who give patients drugs or appliances from their bags or consulting rooms. In the case of items supplied by doctors in hospitals the health authority will be the supplier. Doctors and health authorities will therefore need to keep full records identifying the source of every item supplied, and records will need to be preserved for 10 years, the cut off point for taking legal action; draft guidelines from the BMA suggest that this may well have to include the cat gut used in operations. Doctors fitting contraceptive devices, for instance, must keep a note of the brand fitted. The litigation over the Dalkon Shield has shown that in the 1970s when the shield was popular, many doctors simply wrote intrauterine contraceptive without identifying the type. Doctors who cannot identify the supplier of a device fitted after 1 March could be liable in subsequent litigation. Doctors could also become strictly liable as producers if they mix their own medicines or modify drugs or appliances before supplying them to the patient. The Pharmaceutical Society of Great Britain has issued guidelines for pharmacists that dispensing doctors would also do well to follow. The society suggests that when making bulk quantities of medicine for sale as a nostrum or for subsequent dispensing records should be kept of the suppliers, batch numbers, dates received, and dates issued. A BMA internal memorandum has raised the question of doctors who introduce additives into intravenous fusions, which is common practice in operating theatres and intensive care units. Under the act it seems that they could be considered producers." @default.
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• W2079773802 title "Strict product liability arrives: implications for doctors" @default.
• W2079773802 doi "https://doi.org/10.1136/bmj.296.6622.635" @default.
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