- To equal treatment and equal benefit of the law in all applications by and dealings with government, the private sector and others. Substantive equality means that family responsibility, rural areas, historic disadvantage, etc. are relevant factors.
- Not to be unfairly discriminated against by any patient, medical scheme, medical faculty or school, government, employer or any other person or institution on the basis of their race, gender, origin or any other ground. Doctors have the right not to be harassed.
- To have his/her life protected which includes the right not to be placed in disproportional life-threatening situations.
- To freedom and security of the person which includes the right to physical autonomy and the right to be free from violence.
- To privacy which includes protection of personal information, communication, family and property.
- To freedom of religion, belief and opinion which includes the right of doctor to act in accordance with their beliefs. Doctors have the right to reasonable accommodation of their religious beliefs, short of undue hardship to others. Doctors also have the right to clinical independence.
- To freedom of expression which includes the right to express themselves and their opinions without victimisation. Doctors have the right to notify their patients of their services according to the rules of the HPCSA.
- To freedom of assembly demonstration, picketing and to present petitions, without victimisation.
- To freedom of association which includes the right to voluntarily form, join and participate in any association or to disassociate. It includes the unfettered right to choose life partners and friends.
- To make political choices and participate in political activities without any victimisation.
- To freedom of movement and residence which includes not to be subjected to unreasonable limitations in terms of where doctors must live and work.
- To freedom of trade, occupation and profession including choices in relation to specialisation where positions exist. This includes the rights of doctors to take part in economic endeavours.
- To fair labour practices including fair dispensations of overtime, leave and working conditions and the right to have their grievances taken up at appropriate forums. Doctors have the right to be assisted in disciplinary enquiries, to state their side of the case and to an impartial chairperson. Doctors have the right to work in an environment that is not hostile in terms of sex, gender, sexual orientation or (presumed) race or ethnicity. Doctors have the right to post-exposure prophylactics in cases of occupational exposure to HIV.
- To an environment that is not harmful to their health or wellbeing, including appropriate management of stressful situations and supervision/ assistance of junior doctors.
- To property, which includes the right to be paid a fair remuneration for services rendered and not to have any unlawful interference with these and other property rights. Doctors have the right not to be taxed more or targeted exclusively based on their assumed financial status.
- To access to housing especially where doctors are fulfilling training requirements, community service, or contributing to alleviate the plight in rural areas.
- To access to health care where reasonably possible within the states available resources. The duty to realise this right rests on the state that has to proof the reasonability of their measures and laws in that regard. The state has to ensure that appropriate systems are in place for medico-legal work, such as cases of rape, domestic violence, abuse, assault, drunken driving, etc.
- Of access to social security which includes access to insurance and social assistance. Social security institutions have to remunerate doctors fairly and timely.
- To education and further education which includes access to CPD activities. Private institutions must maintain standards not inferior to that of public institutions.
- To language and culture which includes the right to converse in the language of one's choice, where practicable.
- To access to information held by the state and/or private institutions.
- To just administrative action which includes the right to reasons in writing where a doctor's rights or interests are affected/threatened. This includes action taken by the HPCSA and government.
- To access to the courts which includes the right to have their justifiable disputes heard in a court of law or other appropriate forum. Doctors who act as witnesses in cases have the right to be fairly remunerated for their services.
- Not to be arrested, detained or accused in contravention with section 35 of the Constitution. Doctors have the right not to be forced to take part in any unlawful (bodily) search or seizure and have the right to enquire as to the status of the subject brought to them, as well as the legislation in terms of which this is done.
|
- To treat all his/her patients equally and provide them with the same level of concern.
- Although a doctor has the right to choose his/her patients, such choices may never amount to unfair discrimination and emergency treatment may never be refused. Doctors have the duty not to harass patients, colleagues or others on the basis of sex, gender, sexual orientation, race or any (presumed) group characteristic.
- To protect life, within the confines of a patient's right to physical autonomy and decision-making power.
- To ensure that patients are not subjected to cruel, inhuman or degrading punishment or treatment and to report instances where such occur, especially within the spheres of prison, detention, etc, as well abuse of children and the elderly. Doctors have to ensure that patients part take in all types of research with their full and informed consent.
- To protect the privacy and confidentiality of his/her patients and to only disclose health care, treatment, diagnostic and other health information with the patient's informed and written consent or when authorised by law or a court to do so.
- To respect the religion, beliefs and opinions of their patients, even if it differs from their own, and not to force any patient or colleague to prescribe to any religious practice, belief or opinion. Doctors have the responsibility to respect the clinical independence of their colleagues and not to succumb to pressures of dual loyalty.
- Not to practice hate speech or to subscribe to expression that is harmful to others or is aimed at inciting harm or violence. Doctors have a responsibility to listen to their patients and take their views into consideration. Doctors have the responsibility not to advertise in an unprofessional- or comparative manner.
- To exercise their rights to assembly, demonstration, picketing and petitions to such an extent that it does not affect the health care of their patients.
- Not to exercise his/her association in such a manner that it discriminates against any other person, amounts to supporting any scheme providing perverse incentives or - to a denial or exclusion of the rights or benefits potentially due to other doctors or others.
- To ensure that any political affiliation and activities does not interfere with his/her duties to good patient care.
- Not to interfere with the rights of movement and residence of others and to, as far as possible, accommodate patients whose residence may cause difficulty in accessing health care.
- To ensure that they exercise their occupation within the limits set by the HPCSA and the law. This also means that economic endeavours should not amount to perverse activities, or undermine good patient care.
- To fulfill their employment duties. The heads of facilities have the responsibility to facilitate and harmonise the employment rights of doctors employed by them. Doctors who are HIV positive have the duty to modify their practice of medicine to such an extent so as not to endanger the lives of their patients.
- To ensure that medical waste are disposed off appropriately and that appropriate protocols are followed in terms of infectious disease control. Doctors have the responsibility to inform their patients of the harmful effects of medicines and how to store and use it properly.
- To pay their dues, to fairly remunerate their own employees and to respect the property of others.
- To take care of state housing provided to them and not to refuse housing (to let or sell) to any person based on a prohibited ground of discrimination.
- Not to unreasonably refuse a patients access to health care, especially where there are no state facilities available to assist patients. Doctors may not refuse emergency treatment to patients. Doctors have a responsibility to assist in realising the right of access to health care, which may include issuing prescriptions ensuring access to the best available treatment.
- To ensure that medical reports are fair and accurate and that only particulars that are authorised by law are disclosed to insurance and assistance agencies.
- To ensure that s/he is informed about the latest developments in their fields and take part in educational activities.
- To tolerate and respect linguistic and cultural diversity. Doctors have to recognise that language and culture may serve as barriers in health care.
- To provide access to information requested by their patients and to ensure that health data is stored safely and not sold or passed on without the patient's informed consent.
- To ensure that the principles of administrative justice are adhered to if they are in positions of authority, policy-making and decision-making that affects people.
- To assist in legal proceedings when called upon as expert witnesses. Doctors have a particular responsibility in relation to crimes such as child abuse, domestic violence and abuse of the elderly.
- To assist in the realisation of the right of access to health care of all arrested, detained and accused persons and to bring to the attention of the authorities or inspecting judge any irregularities or needs in relation to health care.
|