A matter of choice? - patient decision-making and support in non-euploid embryo transfers.

Deciding whether to transfer a non-euploid embryo presents a challenge for both individuals and clinicians involved in assisted reproductive technologies (ART) with preimplantation genetic testing (PGT). The uncertainty surrounding clinical outcomes and long-term effects complicates this decision, and there is limited research on the factors that influence individuals' experiences during this decision-making process. An online survey was utilized to gather data on elements influencing the decision-making process.

Consent in pregnancy: A qualitative study of the experiences of ethnic minority women.

Objective: Consent in ante-natal and birthing contexts is often challenging, controversial and poorly understood. Increasing evidence indicates that ethnic minority women's overall experiences of ante-natal care are unsatisfactory, but little is known about their involvement in the consent process. This study aims to explore the views and experiences of ethnic minority women when making decisions requiring their consent.

Women's experiences of consent to induction of labour: A qualitative study.

Objective: Induction of labour (IOL) does not require formal written consent, and little is known about how consent operates in this context. This prospective study explores pregnant women's experiences of the IOL consent process.

Methods: Qualitative study using semi-structured, interviews with thirteen women admitted to hospital for IOL.

Consent practices in midwifery: A survey of UK midwives.

Objective: To explore midwives' knowledge and understanding of the law and practice of consent in the post-Montgomery world.

Design: Cross-sectional online survey. Descriptive statistical analysis of midwives' survey responses.

Patient-centred consent in women's health: does it really work in antenatal and intra-partum care?

Background: Legal and social changes mean that information sharing and consent in antenatal and intrapartum settings is contentious, poorly understood and uncertain for healthcare professionals. This study aimed to investigate healthcare professionals' views and experiences of the consent process in antenatal and intrapartum care.

Methods: Qualitative research performed in a large urban teaching hospital in London.

Choice in episiotomy - fact or fantasy: a qualitative study of women's experiences of the consent process.

Background: Consent to episiotomy is subject to the same legal and professional requirements as consent to other interventions, yet is often neglected. This study explores how women experience and perceive the consent process.

Methods: Qualitative research in a large urban teaching hospital in London.

Consent on the labour ward: A qualitative study of the views and experiences of healthcare professionals.

Objective: Consent on the labour ward is a complex and controversial topic which is poorly understood. Consenting labouring women is recognised as challenging and problematic, and thus, it is uncertain that pregnant women experience true informed consent during labour. This project aims to explore healthcare professionals' views and experiences of consent practice on the labour ward.

Consent in pregnancy - an observational study of ante-natal care in the context of Montgomery: all about risk?

Background: How to best support pregnant women in making truly autonomous decisions which accord with current consent law is poorly understood and problematic for them and their healthcare professionals. This observational study examined a range of ante-natal consultations where consent for an intervention took place to determine key themes during the encounter.

Methods: Qualitative research in a large urban teaching hospital in London.

Mental capacity assessment: a descriptive, cross-sectional study of what doctors think, know and do.

Background: The Mental Capacity Act (MCA) (2005) was enacted in 2007 in England and Wales, but the assessment of mental capacity still remains an area of professional concern. Doctors' compliance with legal and professional standards is inconsistent, but the reasons for poor compliance are not well understood. This preliminary study investigates doctors' experiences of and attitudes toward mental capacity assessment (MCAx).

Consent in pregnancy: A qualitative study of the views and experiences of women and their healthcare professionals.

Objective: Consent in antenatal settings is contentious, poorly understood and recognised as problematic for pregnant women. This study aimed to investigate participants' views and experiences of the consent process.

Design: Qualitative research performed in a large urban teaching hospital in London.

Between Scylla and Charybdis: Charting the Wicked Problem of Reusing Health Data for Clinical Research Informatics.

Objectives:  Recognising dilemmas posed by the sharing and reuse of health data as a classic wicked problem and uncover some current key challenges to clinical research informatics.

Methods:  A modified thematic review process including identification of agreed critical research questions, appropriate query terms and search strategy, identification of relevant papers in accordance with inclusion criteria, and authors' co-review of full text papers.

Results:  Queries returned 4,779 papers published between January 2014 and November 2017.

Data Safe Havens and Trust: Toward a Common Understanding of Trusted Research Platforms for Governing Secure and Ethical Health Research.

In parallel with the advances in big data-driven clinical research, the data safe haven concept has evolved over the last decade. It has led to the development of a framework to support the secure handling of health care information used for clinical research that balances compliance with legal and regulatory controls and ethical requirements while engaging with the public as a partner in its governance. We describe the evolution of 4 separately developed clinical research platforms into services throughout the United Kingdom-wide Farr Institute and their common deployment features in practice.

Legal and professional implications of shared care: a case study in oral anticoagulation stroke prevention therapy.

Background: Policy initiatives and technological advances enable the use of integrated shared care models of healthcare delivery whereby the focus of care is moved from the hospital to the community, and also of models where patients take increasing responsibility for monitoring and treatment. Such shifts may or may be perceived to change professional roles and responsibilities with implications to the delivery of a professionally and legally acceptable standard of care. We focus on oral anticoagulation and stroke prevention therapy to examine some possible professional and legal implications of the increasing use of shared care.

Laparoscopic adjustable gastric band: how to reduce the early morbidity.

Background: Laparoscopic adjustable gastric band insertion is a safe weight reduction procedure, but serious complications can develop. The aim of this study was to evaluate our technique in preventing early band complications.

Methods: Patients were given the choice of procedure according to body mass index, the presence of diabetes, and preference.

Patient experience with gallstone disease in a national health service district hospital.

Background: The prevalence of gallstone disease in the community makes it an important area of service in district general hospitals. Laparoscopic surgical techniques in synergy with modern imaging and endoscopic and interventional techniques have revolutionized the treatment of gallstone disease, making it possible to provide prompt and definitive care to patients.

Methods: Patients with gallstone disease were treated based on a predetermined protocol by a special-interest team depending on the patient's mode of presentation.