Concepts
Ethics, law & frameworks/Principles & law · Negligencelow yield

Bolam & Bolitho

What it means

The standard of care for DIAGNOSIS/TREATMENT: a doctor is not negligent if they acted in accordance with a responsible body of medical opinion (BOLAM) — but that opinion must also withstand logical scrutiny / be reasonable (BOLITHO). Together they set the 'breach of duty' standard in negligence. (Note: for CONSENT, Montgomery replaced Bolam with a patient-centred standard.)

Worked example

A treatment choice supported by a respectable, logically defensible body of specialists is not negligent even if others would have done differently.

In the exam

In a negligence claim about a treatment decision, the court asks whether a responsible body of doctors would have done the same and whether that view is logically defensible.

What settles it

Bolam/Bolitho = standard for treatment/diagnosis; MONTGOMERY = standard for consent/disclosure (what the patient would want to know).

Classically confused with

Montgomery & material risk

Source: Bolam 1957; Bolitho 1997