Medical standards of care in the English model
Journal cover Ruch Prawniczy, Ekonomiczny i Socjologiczny, volume 88, no. 1, year 2026
PDF (Język Polski)

Keywords

due diligence
duty of care
medical law
medical professionals
civil liability

How to Cite

Pielak, A. (2026). Medical standards of care in the English model. Ruch Prawniczy, Ekonomiczny I Socjologiczny, 88(1), 107–120. https://doi.org/10.14746/rpeis.2026.88.1.06

Number of views: 50


Number of downloads: 39

Abstract

There is a lack of publications in Polish scholarly literature that draw attention to solutions concerning the medical standards of care applied in other countries. Such publications could serve as inspiration for interpreting the significance of medical standards in Poland, as well as for drafting relevant legislation. This would be facilitated by the fact that the issue of these standards is universal, and their significance is widely recognized. The article aims to investigate the concept of medical standards, the entity creating them, the process of their creation, their place within the common law system, and the impact of the guidelines on the judicial practice in England and Wales. The article uses a dogmatic legal method. A comparative method was also used to make comments on other legal systems in order to highlight the specific nature of the regulations in question. The study showed that English standard-setting procedures are transparent. They also ensure the participation of society. England and Wales implement a structured, monocentric system for setting standards of medical practice. Standards developed by expert teams are based on the evidence-based medicine, which eliminates the subjective beliefs of medical authorities.  Standards are less frequently called into question in court proceedings. This is a significant convenience for the medical professional community, as it provides them with a basic source of guidance on the proper approach to specific clinical cases. At the same time, it increases the stability and predictability of court rulings. 

https://doi.org/10.14746/rpeis.2026.88.1.06
PDF (Język Polski)

Funding

This paper was created under the National Science Centre (Poland) project no. 2021/41/B/HS5/04277.

References

Alonso-Coello, P., Ifan, A., Sola, I., Gich, I., Delgado-Noguera, M., Rigau, D., Tort, S., Bonfill, X., Burgers, J., i Schunemann, H. (2010). The quality of clinical practice guidelines over the last two decades: A systematic review of guideline appraisal studies. Quality and Safety in Health Care, 19(6), 1–7. DOI: https://doi.org/10.1136/qshc.2010.042077

Black, J. (1996). Constitutionalising self-regulation. The Modern Law Review, 59(1), 24–55. DOI: https://doi.org/10.1111/j.1468-2230.1996.tb02064.x

Black, N., Murphy, M., Lamping, D., McKee, M., Sanderson, C., Askham, J., i Marteau, T. (1999). Consensus development methods: A review of best practice in creating medical guidelines. Journal of Health Services Research and Policy, 4, 236–248. DOI: https://doi.org/10.1177/135581969900400410

Boratyńska, M., i Konieczniak, P. (2019). Standardy wykonywania zawodu lekarza. W: M. Boratyńska i P. Konieczniak (red.), System prawa medycznego: Tom 2. Cz. 1. Regulacja prawna czynności medycznych (s. 270–327). Wolters Kluwer.

Borysiak, W. (2020). Kilka uwag o pojęciu należytej staranności w stosunkach regulowanych przez prawo medyczne. Studia Prawa Prywatnego, 3–4, 35–57.

Borysiak, W. (2024). Concept of due care in medical law in a comparative perspective. European Journal of Health Law, 31(1), 1–26. DOI: https://doi.org/10.1163/15718093-bja10114

Bosek, L. (2018). Specyficzne źródła prawa medycznego. W: L. Bosek i M. Safjan (red.), System prawa medycznego: Tom 1. Instytucje prawa medycznego (s. 287–318). C. H. Beck.

Bosek, L. (2025). Komentarz do art. 6. W: L. Bosek (red.), Ustawa o prawach pacjenta i Rzeczniku Praw Pacjenta. Komentarz (s. 96–120). C. H. Beck.

Brazier, M., i Miola, J. (2000). Bye-bye Bolam: A medical litigation revolution? Medical Law Review, 8(1), 85–114. DOI: https://doi.org/10.1093/medlaw/8.1.85

Cave, E., i Brazier, M. (2016). Medicine, patients and the law. Manchester University Press.

Chin-Yee, B. H. (2014). Underdetermination in evidence-based medicine. Journal of Evaluation in Clinical Practice, 20(6), 921–927. DOI: https://doi.org/10.1111/jep.12258

Cohen, A. M., Starvi, P. Z., i Hersh, W. R. (2004). A categorization and analysis of the criticism of evidence-based medicine. International Journal of Medical Informatics, 73(1), 35–43. DOI: https://doi.org/10.1016/j.ijmedinf.2003.11.002

Darbyshire, P. (2014). Darbyshire on the English legal system. Sweet & Maxwell.

Eden, J., Levit, L., Berg, A., i Morton, S. (2011). Finding what works in health care: Standards for systematic reviews. National Academies Press. DOI: https://doi.org/10.17226/13059

Evetts, J. (2011). Sociological analysis of professionalism: Past, present and future. Comparative Sociology, 10(1), 1–37. DOI: https://doi.org/10.1163/156913310X522633

Field, M. J., i Lohr, K. N. (1990). Clinical practice guidelines: Directions of a new program. National Academic Press. DOI: https://doi.org/10.17226/1626

Freidson E. (2001). Professionalism: The third logic. University of Chicago Press.

Gillespie, A. A. (2013). The English legal system. Oxford University Press. DOI: https://doi.org/10.1093/he/9780199657094.001.0001

Girdwoyń, A. (2022). Należyta staranność lekarza (Niepublikowana rozprawa doktorska). Uniwersytet Warszawski. Rep. 1091088408

Goldacre, B., Drysdale, H., Dale, A., Milosevic, I., Slade, E., Hartley, P., Marston, M., Powell-Smith, A., Heneghan, C., i Mahtani, K. R. (2019). COMPare: A prospective cohort study correcting and monitoring 58 misreported trials in real time. Trials, 20, artykuł 118. DOI: https://doi.org/10.1186/s13063-019-3173-2

Górski, A., Grassmann, M., i Sarnacka, E. (red.). (2019). Standard wykonywania zawodów medycznych. C. H. Beck.

Guyatt, G. (1991). Evidence-based medicine. American College of Physicians (ACP) Journal Club Annals of Internal Medicine, 14(2), 2420–2425. DOI: https://doi.org/10.7326/ACPJC-1991-114-2-A16

Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P., Schünemann, H. J. (2008). GRADE: An emerging consensus or rating quality of evidence and strength of recommendations. British Medical Journal, 336(7560), 1106–1110. DOI: https://doi.org/10.1136/bmj.39489.470347.AD

Guyatt, G., Cook, D., i Hayens, B. (2004). Evidence based medicine has come a long way. British Medical Journal, 329(7473), 990–991. DOI: https://doi.org/10.1136/bmj.329.7473.990

Herring, J. (2012). Medical law and ethics. Oxford University Press.

Jansen, F. J. (2020). Professional regulation and medical guidelines: Real forces behind the development of evidence-based guidelines. Cambridge University Press. DOI: https://doi.org/10.1017/9781780689975

Kennedy, I., i Grubb, A. (1998). Principles of medical law. Oxford University Press.

Knaapen, L. (2013). Being evidence-based in the absence of evidence: The management of nonevidence in guideline development. Social Studies of Science, 43(5), 681–706. DOI: https://doi.org/10.1177/0306312713483679

Kulkarni, A. V. (2005). The challenges of evidence-based medicine: A philosophical perspective. Medicine, Health Care and Philosophy, 8, 255–260. DOI: https://doi.org/10.1007/s11019-004-7345-8

Nolan, D., i Davies, J. (2013). Torts and equitable wrongs. W: A. Burrows (red.), English private law (s. 928–971). Oxford University Press.

Ogus, A. (1995). Rethinking self-regulation. Oxford Journal of Legal Studies, 15(1), 97–108. DOI: https://doi.org/10.1093/ojls/15.1.97

Petzold, T., Deckert, S., Williamson, P. R., i Schmitt, J. (2018). Quality measurement recommendations relevant to clinical guidelines in Germany and the United Kingdom: (What) can we learn from each other? INQUIRY. The Journal of Health Care Organization, Provision, and Financing, 55, 1–10. DOI: https://doi.org/10.1177/0046958018761495

Różyńska, J. (2018). Międzynarodowe standardy etyczne i profesjonalne w biomedycynie. W: R. Kubiak i L. Kubicki (red.), System prawa medycznego: Tom 1. Pojęcie, źródła i zakres prawa medycznego (s. 115–118). Wolters Kluwer.

Samanta, A., Melo, M. M., Foster, Ch., Tingle, J., i Samanta, J. (2006). The role of medical guidelines in medical negligence litigation: A shift from the Bolam Standard? Medical Law Review, 14(3), 321–366. DOI: https://doi.org/10.1093/medlaw/fwl010

Samanta, J. (2021). Book Review of Friso Johannes Janses, Professional Regulation and Medical Guidelines: The Real Forces Behind the Development of Evidence-Based Guidelines. Medical Law Review, 29(2), 392–401. DOI: https://doi.org/10.1093/medlaw/fwab013

Samanta, J., Samanta, A., i Beswick, J. (2021). Responsible practice or restricted practice? An empirical study of the use of clinical guidelines in medical negligence litigation. Medical Law Review, 29(2), 205–232. DOI: https://doi.org/10.1093/medlaw/fwab004

Sibbald, B., i Roland, M. (1998). Why are randomized controlled trials important. British Medical Journal, 316(7126), 201. DOI: https://doi.org/10.1136/bmj.316.7126.201

Sobolewski, P. (2018). Prawo pacjenta do świadczeń zdrowotnych. W: L. Bosek i M. Safjan (red.), System prawa medycznego: Tom 1. Instytucje prawa medycznego (s. 810–822). C. H. Beck.

Trail, W. R., i Allen, B. A. (1996). Goverment Created medical practice guidelines: The opening of Pandora Box. Journal of Law and Health, 10(2), 233–236.

Tymiński, R. (2023). Charakter prawny standardów postępowania medycznego i jego konsekwencje w procesie stosowania prawa. Przegląd Sądowy, 7–8, 21–38.

Widłak, T. (2017). Interpretacja klauzuli aktualna wiedza medyczna w polskim prawie – zarys zagadnień epistemologicznych i metodologicznych. Gdańskie Studia Prawnicze, 38, 603–613.

Zajdel, J. (2010). Moc prawna standardów medycznych i wytycznych praktyki klinicznej. Medycyna Praktyczna, 5, 119–124.