Holby City – Resource allocation UPDATE

March 30, 2009
The most recent episode of Holby City, Feet of Clay, is available to view of download on via the BBC iPlayer until March 17 2009.

The most recent episode of Holby City is available to view of download on via the BBC iPlayer.

Following on from the recent BioethicsBytes post Holby City – “If you can’t look after yourself, then why should we?” (published on January 21 2009; updated February 4th 2009), which concerned ethical issues in NHS resource allocation as highlighted by two episodes of the BBC1 drama Holby City, this update post covers events in more recent episodes of Holby City – including the denouement to the storyline, as depicted in Feet of Clay.

The storyline concerns the “zero tolerance” policy implemented by Head of Surgery, Dr Ric Griffin (Hugh Quarshie), who is refusing to authorise surgical procedures for patients whose lifestyle choices may have contributed to their illness. Previous posts have covered the instigation of this policy in the episode Just (first broadcast on BBC1 on January 20 2009, at 20.00; TRILT Identifier: 00D15A4E),  and the events and debates this creates between the characters in Tough Love (first broadcast on BBC1 on February 3 2009, at 20.00; TRILT Identifier: 00D8E505). This post notes relevant events in the subsequent episodes Trust, Truth and Mercy, and Take Her Breath Away, and the closure of the storyline in Feet of Clay.

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Holby City – “If you can’t…look after yourself, then why should we?”

January 21, 2009
Watch this episode via the BBC iPlayer (available until January 27th 2009)

Watch this episode via the BBC iPlayer (available until January 27th 2009)

The issue of resource allocation in the NHS has cropped up several times in recent programmes (see, for example, Dom’s on the Case regarding the “postcode lottery”. The present post examines the ethical issues implicit in a different aspect of resource allocation in healthcare: the potential for conflict between traditional medical ethics and core NHS values and increasingly prominent views of the individual as both responsible and accountable for their own health status. This tension came to the fore in Just, a recent episode of the BBC drama Holby City (first broadcast on BBC1 at 8.00pm on 20th January 2009), and is captured nicely in one particular quote from the programme in which surgeon Ric Griffin challenges his patient, an obese smoker, “if you can’t be bothered to look after yourself, then why should we?” (00:38:07)

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Xenotransplantation – Holby City

September 8, 2006

 A recent episode of the medical drama Holby City has a 90 second clip that could prove a very nice introduction to the concept of xenotransplantation.  In the episode “Better the devil you know“, first broadcast on September 6th 2006 (Sept 7th in Scotland), a terminally ill man has to come to terms with the fact that he can no longer receive the kidney transplant he had been expecting.  Just at the end of the episode (starting 54 and a half minutes in), Dr Percival Durant (known as Abra, and played by Adrian Edmondson) tells the patient that he may be able to offer him a new solution and proceeds to give a very useable explanation of xenografts.  This could lead easily into a discussion of the scientific and ethical problems with a transplant of this type.  For those with access to the services of BUFVC, the TRILT identifier for the episode is 005BDB24.  The actual operation takes place in the next episode “Star maker (September 12th/13th).