Aspects of Medical Self-Discharge

Project Team

Dr Laura Machin Dr Laura Machin is currently a Lecturer in Medical Ethics at Lancaster Medical School. She is social-science trained and has experience in researching hard-to-reach populations on sensitive topics, qualitative interviewing techniques, and qualitative data analysis.

Dr David Warriner Dr David Warriner is currently a clinical research fellow in cardiology based in Sheffield. He has recently published in the BMJ on the matter of self-discharge[1]. He also has a keen interest in sports medicine, medical journalism, and medical education. In his spare time he is mainly outdoors; cycling, walking, surfing, or skiing.

Steffi Siby Steffi Siby is a third year medical student at Lancaster University and is currently undertaking a Special Study Module with Dr Machin exploring how patient self discharge against medical advice impacts upon General Practitioners.

Emily Ford Emily Ford is a third year medical student at Lancaster University. As part of her Special Study Module with Dr Machin she is exploring the ethical aspects of patient self-discharge against medical advice by interviewing Foundation Year 2 doctors. Her particular interests lie in mental capacity and how this influences doctors' approach to patients' requests to discharge themselves.

  1. Warriner, D. (2011). Patients who discharge themselves need further thought. BMJ, 343, 5054.


Dr Laura Machin, Dr David Warriner, Emily Ford, Steffi Siby
'A Matter of Care? Health Professionals' and Patients' Perspectives on 'Care' in the Context of Discharge Against Medical Advice'
Challenging Questions and Ethical Obligations: The Ethics of Everyday Practice Conference, University of Southampton, 21st January 2015

Dr Laura Machin, Dr David Warriner, Emily Ford, Steffi Siby
"Please don't go!" Healthcare professionals' duty of care in the face of self-discharge
Institute of Medical Ethics Research Conference, London, 20th September 2014

Dr Laura Machin, Dr David Warriner, Emily Ford, Steffi Siby
'Pendulum of Power: Medical Dominance in the Case Self-Discharge'
British Sociological Association Medical Sociology Annual Conference, Aston University, Birmingham, 10th - 12th September 2014

Dr Laura Machin
The Ethical Aspects of Self-Discharge from Hospital
Social and Ethical Aspects of Health and Medicine Seminar Series, Lancaster University, Sept 2015


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