title: Understanding general practitioners' conflicts of interests and the paramountcy principle in safeguarding children.
abstract: As family physicians, general practitioners play a key role in safeguarding children. Should they suspect child abuse or neglect they may experience a conflict between responding to the needs and interests of the child and those of an adult patient. English law insists on the paramountcy of the interests of the child, but in family practice many other interests may be at stake. The authors argue that uncritical adoption of the paramountcy principle is too simplistic and can lead, paradoxically, to greater harm. They argue for a more subtle and nuanced view of interests and of conflicts of interest in safeguarding children.
authors.affiliation: Faculty of Health and Social Care Sciences, Kingston University and St George's University of London, Kingston Hill, Kingston upon Thames KT2 7LB, UK. p.wainwright@sgul.kingston.ac.uk
authors.forename: Paul
authors.initials: P
authors.lastname: Wainwright
authors.forename: Ann
authors.initials: A
authors.lastname: Gallagher
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D002648:Child; D002669:Child Welfare / Q000941:ethics* / Q000331:legislation & jurisprudence; D002675:Child, Preschool; D016265:Conflict of Interest; D003657:Decision Making / Q000941:ethics; D004992:Ethics, Medical; D005192:Family Health; D005194:Family Practice / Q000941:ethics*; D006801:Humans; D007223:Infant; D010819:Physician's Role