Medicine and the Law

Failure to obtain informed consent – is it a criminal offence?

Authors

  • M S Khan Attorney of the High Court of South Africa; Lecturer, Steve Biko Centre for Bioethics, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa https://orcid.org/0000-0002-4270-8264

DOI:

https://doi.org/10.7196/SAMJ.2023.v113i9.759

Keywords:

Informed consent, medical law, assault

Abstract

There is a plethora of literature that suggests that a failure by a medical practitioner to obtain informed consent from a patient amounts to assault. Assault is a loaded concept in South African (SA) law, and has applicability to both criminal and civil law. When one thinks of the term ‘assault’, it is normally associated with a criminal activity. It is well documented that a civil case can be levelled against a medical practitioner who fails to obtain informed consent from a patient. However, the criminal law aspect has not been explored in the same level of detail. This article aims to delve deeper into this aspect by outlining the requirements for assault as defined by the SA common law, and to evaluate whether a criminal offence has actually been committed by a medical practitioner in the event that proper informed consent was not obtained.

Author Biography

  • M S Khan, Attorney of the High Court of South Africa; Lecturer, Steve Biko Centre for Bioethics, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

    LLB, LLM - Medical Law (UKZN)

    Attorney of the High Court of South Africa

    Lecturer, Steve Biko Centre for Bioethics, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

References

Carstens and Permain. Foundational Principles of South African Medical Law Cape Town:

LexisNexis, 2007.

Constitution of the Republic of South Africa, 1996. https://www.gov.za/documents/constitution/

constitution-republic-south-africa-1996-1 (accessed 8 February 2023).

South Africa. National Health Act No. 61 of 2003. https://www.gov.za/documents/national-health-act

(accessed 8 February 2023).

Castell v De Greef 1994 (4) SA 408 (C).

McQuoid-Mason DJ. What constitutes medical negligence? SA Heart J 2010;7(4):248-251. https://doi.

org/10.24170/7-4-1939

Smith GH. Cardiothoracic surgery. In: Powers MJ, Harris NH, Lockhart-Mirams (eds). Medical

Negligence. 2nd ed. London: Butterworths, 1994:975-996.

Van Loggerenberg A. An alternative approach to informed consent. S Afr Law J 2018;18(1)55-72.

Esterhuizen v Adminstrator Transvaal 1957 (3) SA 710 (T).

Burchell JM. Principles of Criminal Law (5th ed). Cape Town: Juta, 2016.

Rex Respondent v Nkosi Appellant 1928 AD.

Kemp G, Walker S, Palmer R. Criminal Law in South Africa. 3rd ed. Cape Town: Oxford University

Press, 2015.

S v Humphreys 2013 (2) SACR 1 (SCA).

Downloads

Published

2023-09-04

Issue

Section

In Practice

How to Cite

1.
Khan MS. Medicine and the Law: Failure to obtain informed consent – is it a criminal offence?. S Afr Med J [Internet]. 2023 Sep. 4 [cited 2024 Sep. 14];113(9):18-9. Available from: https://samajournals.co.za/index.php/samj/article/view/759

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