I don't think the Bolam Test is explicitly rejected for all time.
More like the Bolam test was rejected in Rogers V Whitaker, because
it was outweighed by a duty to warn of potentially serious
complications - ie that loss of an eye (in I think a one-eyed person)
was a material risk in knowing that it was not a risk generally
warned (rare and non-crucial in two-eyed people).

Yes, I'm not suggesting that the courts will always ignore the
reasonable standard of the time - the essence of Rogers v
Whitaker I think is that the court reserves the _right_ to
reject the professional bodies standard practice.

I do think GPs can use the Bolam test to define a reasonable standard
of care, but that a legal case is judged on the basis of all the
relevant facts pertaining to the particular case.

Certainly having a well defined professional standard and
following it is a good start in any defence - but the fact
that it can't be relied upon to win you every case leads
to the strange tail wagging dog reasoning that
Richard was referring to.

Andrew
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