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<p>The second opinion appointed doctor (SOAD) service safeguards the rights of patients
subject to the Mental Health Act in specific circumstances. A SOAD is an independent
doctor appointed by the Care Quality Commission, who gives a second opinion on whether
certain types of medical treatment for a mental disorder should be given without the
patient’s consent. SOADs are consulted in certain circumstances when a patient refuses
treatment, or is too ill or otherwise incapable of giving consent. Outside of these
specific circumstances, if an individual disagrees with their doctor about a mental
health diagnosis or treatment, they can ask for a second opinion, although there is
no legal right to one.</p><p>Good Medical Practice, from the General Medical Council
(GMC), sets out the standards of care and behaviour expected of all medical doctors
practising in the United Kingdom. It states that doctors must recognise a patient’s
right to choose whether to accept their advice, and respect a patient’s right to seek
a second opinion. The GMC is an independent regulator, and is responsible for operational
maters including any assessment of its policies and guidance. Managing second opinion
requests is the responsibility of local National Health Service organisations.</p>
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