You must take reasonable care to avoid acts or omissions which you can reasonably foresee would be likely to injure your neighbour... who then is my neighbour? Persons who are so closely and directly affected by my act that I ought reasonably to have them in my contemplation as being affected when I am directing my mind to the acts or omissions in question
The Bolam approach was altered in Montgomery v Lanarkshire Health Board (2015), where the court now looks at risk factors and whether the claimant should be more aware of any risks before agreeing to anything.
When the court considers whether there has been a breach of duty, they look at risk factors and whether the claimant should be more aware of any risks before agreeing to anything
C was a pregnant woman of small stature and a diabetic
Doctor did not inform her of the 9-10% risk of shoulder dystocia among diabetic women, where the baby's shoulders are unable to pass through the pelvis, this led to her baby being born with cerebral palsy
During the trial a professional witness stated that it was proper practise not to disclose risk and so the Court ruled that there was no negligence based on the Balam principle
On appeal the HoL stated that the doctor was negligent as a person of sound mind is entitled to decide which treatment to undergo and consent must be obtained before invasive treatment
For there to be informed consent, a doctor must be under a duty to take reasonable care to ensure that the patient was aware of any material risks involved in any recommended treatment