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Analysis of Benefits and Harms of Compulsory testing<br />

Patient Practitioner Team Trust Public<br />

Benefits<br />

Harms<br />

Fair – all patients<br />

treated the same<br />

Possible early<br />

diagnosis and Rx<br />

Autonomy overridden<br />

- coercion<br />

Small risk from<br />

procedure<br />

False<br />

positives/negatives<br />

Certainty of need<br />

for Rx<br />

Better informed<br />

decision<br />

Feels “valued”<br />

More likely to<br />

report?<br />

Uncertainty of –ve<br />

result<br />

False -ve<br />

Team morale<br />

Feel “valued”<br />

Les likely to have<br />

absence due to stress<br />

May be less risk<br />

averse<br />

More likely to report<br />

Additional procedure -<br />

> additional exposure<br />

May become less<br />

careful<br />

Practicality Additional storage of samples<br />

Cost of testing, staff time<br />

How to deal with results – confidentiality for patient and practitioner<br />

Simplified Process<br />

Primary medical/dental care?<br />

Better Staff Morale<br />

More focused Rx may reduce<br />

costs<br />

Reduced absence<br />

Senior Mgt do not have to<br />

spend time on individual<br />

cases<br />

Legal clarity<br />

Improved Occupational<br />

Health<br />

Resistance from<br />

GUM/Virology<br />

Happier valued workforce<br />

Enhance Recruitment<br />

retention<br />

Better prevalence<br />

information<br />

“right Thing to do”<br />

HCPs may less risk averse<br />

Potential Distrust of<br />

doctors/NHS<br />

Costs of testing/treatment<br />

Potential Compensation to<br />

patient/practitioner

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