The adapted CoRE-Values framework: A decision-making tool for new clinical ethics advisory groups

Abstract

A new Clinical Ethics Advisory Group (CEAG) was created to contribute to NHS Trust policies and guidelines in response to ethical issues arising from the COVID-19 pandemic. An ethical analysis framework used in medical education, the CoRE-Values Compass and Grid, was adapted to form a step-wise ‘ABC’ decision-making process. CEAG members found the framework simple to understand and use and the model facilitated time-efficient decisions that were explicitly justifiable on moral, ethical, professional and legal grounds. The adapted CoRE-Values framework might help facilitate decision-making processes for similar new clinical ethics advisory or support committees.

The Patients Changing Things Together (PATCHATT) ethics pack: A tool to support inclusive ethical decision-making in the development of a community-based palliative care intervention

“…My current dilemma is, is it ethical to develop and offer a PATCHATT programme to those with a life-limiting illness? There could be a gut reaction to this question, seen as legitimately occurring in the ‘Assess’ stage of Manson et als.’ 20 ethical decision-making model. Although potentially valid, I would argue such a decision is best reached through a supportive, structured approach to ethical decision-making.…”