Nurses provide valuable testimony concerning health care trends.
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Whether presenting to Hillary Rodham Clinton's Health Care Reform Task Force, or as citizens presenting to a Board of Selectmen on issues affecting the Council on Aging, health providers possess a unique and valuable perspective that few policymakers or politicians have. The health practitioner's role as a direct provider of health services, advocate, educator, role model, policymaker, clinician, researcher, consultant, collaborator, administrator, and counselor [1] can be combined to influence policy and policymakers through formal testimony preparation and presentation. Presenting testimony for public hearings is an effort to influence public policy. The purpose of this article is to provide guidelines which will encourage increased legislative involvement on the part of health providers. Those willing to be involved in local, regional, state, or national government activities by providing testimony may effect needed change.
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It is questionable today as to whether doctors know what is in the patient's best interest when it comes to delivering health care. This is further highlighted by changes in English law where the previously sound Bolam test has come under scrutiny as expert witness testimony is being contested in terms of its defensibility. Hence the Bolitho case has questioned the authenticity of expert knowledge in view of the Bolam test to the extent that opinion amongst expert groups may not in fact be based on sound current knowledge. As such this then has implications on the outcome of future litigations because expert opinion may well be open to scrutiny and logicality. Therefore, this article will discuss the development of medical negligence litigation since the inception of the Bolam test as a defence in medical law. It will also discuss Lord Woolf's warning to medical professionals that the courts would no longer apply a deferential 'Doctors knows best' doctrine in negligence cases. It will particularly look at the Bolam test and discuss whether this standing alone is a good enough defence in medical negligence.