Scenarios: Fairness in Action

Fairness is tested when time is short or commercial choices are in play. Decisions should be consistent, documented and linked to clinical need. In everyday clinic pressures these principles are hard to maintain: clinicians must balance the immediate clinical needs of the patient in front of them with the collective needs of others waiting, and ensure commercial discussions do not override clinical suitability.[1][6][3]
Scenario 3
Scenario 4
Accountability details for both scenarios
- Who made the triage or recommendation.[1]
- What options and timelines were provided.[5][2]
- When follow-ups will occur.[5][7]
- Why the chosen path balances individual and collective fairness.[1][4]
References (numbered in text)
- 13. Show respect for fairness to others and do not discriminate, General Optical Council (Standards of practice for optometrists and dispensing opticians, effective 1 January 2025) Find (opens in a new tab)
- Sale and supply of spectacles — Principles, The College of Optometrists Find (opens in a new tab)
- Honesty and integrity, The College of Optometrists Find (opens in a new tab)
- Joint statement on conflict of interest, General Optical Council Find (opens in a new tab)
- Good communication with patients waiting for care, NHS England (31 October 2023) Find (opens in a new tab)
- The influence of time pressure on adherence to guidelines in primary care: an experimental study; Evangelia Tsiga, Efharis Panagopoulou, Nick Sevdalis, Anthony Montgomery, Alexios Benos; BMJ Open 2013 Find (opens in a new tab)
- Decision making and consent, General Medical Council (came into effect 9 November 2020; updated 13 December 2024) Find (opens in a new tab)
References are included to demonstrate that all the content in this course is rigorously evidence-based, and has been prepared using trusted and authoritative sources.
They also serve as starting points for further reading and deeper exploration at your own pace.

