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Message: <blockquote data-quote="Buachaille" data-source="post: 19381" data-attributes="member: 1096">"discretion or leeway in its interpretation, implementation, or use"The health professional has, therefore, choices and may or may not wish in light of particular circumstances, evidence/facts available to him/her decide to follow any particular 'guideline'.   In doing so I would assume that they would be able, if challenged, to to robustly defend any particular course of action determined by them.  (For example, having considered case x within the context of the guidelines on the basis of (whatever) I conclude that a more appropriate course of action would be..... ) On the other hand, a patient might assume, and I think many do, that guidelines are some form of mandatory direction/regulation to take a particular course of action - which they are clearly not. Would be simple if the policy was set out in terms of 'in the case of x the following course of action should/must be taken.  But then, if rigid rules applied would we need health professionals to make the decisions.  I doubt it.  Another task for delegation to the seemingly growing band of Stalinist practice receptionists perhaps.</blockquote>

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