A man diagnosed with HIV refuses to tell his regular partner, who is at risk, despite repeated advice. What is the GMC position on disclosure?
Answer and explanation
Correct answer: A. It may be justified in the public interest if his partner faces serious harm
- Step 1: The GMC permits disclosure to protect a person at risk of serious harm.
- Step 2: The doctor must weigh benefit against harm, tell the patient first where possible, and disclose only what is necessary to the person at risk.
Answer
It may be justified in the public interest if his partner faces serious harm.
Why not the others: Disclose immediately to his whole family: Broad disclosure is not proportionate. Disclose to his employer: Employers are not at risk. Disclosure is never permitted, whatever the risk to his partner or anyone else: Absolute confidentiality is not required when serious harm is likely.
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