Resources Page (Dominic Wilkinson)

Resources page (Dominic Wilkinson)

Select publications by topic (links to open access copies of papers or to pre-print wherever possible)

(page still in development - more coming...)


  • Charlie Gard and Alfie Evans
  • Extreme Prematurity
  • Perinatal palliative care
  • Resource allocation
  • Disability
  • Organ Transplantation

Wilkinson D, Barclay S, Savulescu J. Disagreement, mediation, arbitration - how to resolve disputes about medical treatment. Lancet. 2018

Wilkinson D, Savulescu J. Alfie Evans and Charlie Gard—should the law change? BMJ 2018; 361 

Paris J, Ahluwalia J, Cummings BM, Moreland MP, Wilkinson D. The Charlie Gard Case:  British and American Approaches to Court Resolution of Disputes over Medical Decisions. J Perinatology 2017 (forthcoming)

Wilkinson D, Savulescu J. Hard lessons: learning from the Charlie Gard case. JME 2017. (link to blog version)

Wilkinson D, Savulescu J. After Charlie Gard. Ethically ensuring access to innovative treatment. Lancet. 2017. 

Wilkinson D. Restoring balance to ‘best interests’ disputes in children. BMJ 2017. 

Wilkinson D. Beyond resources: denying parents’ requests for futile treatment. The Lancet , Volume 389 , Issue 10082 , 1866 – 1867. Published online first May 4 2017 S0140-6736(17)31205-9 

BAPM 2019 Framework - resources

British Association of Perinatal Medicine. Perinatal Management of Extreme Preterm Birth Before 27 weeks of Gestation: A BAPM Framework for Practice. 2019

All change? No change? The 2019 framework (pdf of powerpoint presentation). Talk given in Oxford November 2019



Wilkinson D, Petrou S, Savulescu J, Rationing potentially inappropriate treatment in newborn intensive care in developed countries. Seminars in Fetal and Neonatal Medicine 2017 forthcoming. Published online first 1/11/2017 doi: 10.1016/j.siny.2017.10.004

Gillam L, Wilkinson D, Xafis V, Isaacs D. Decision-making at the borderline of viability. Who should decide and on what basis? Journal of Paediatrics and Child Health 2017 Feb;53(2):105-111. doi: 10.1111/jpc.13423.s

Wilkinson D. ‘The grey zone in neonatal treatment decisions.’ In Parents, ethics and healthcare decision-making Ed McDougall R, Delany C, Gillam L. Federation Press, Melbourne, 2016

Keir A, McPhee A, Wilkinson D. Beyond the borderline: outcomes for inborn infants born at ≤ 500 grams. Journal of Paediatrics and Child Health 2014; 50(2): 146-52 doi: 10.1111/jpc.12414 

Wilkinson DJ, Gestational Ageism. Arch Pediatr Adolesc Med 2012; 166(6): 567-72 doi:10.1001/archpediatrics.2011.1262

Sidgwick P, Harrop E, Kelly B, Todorovic A, Wilkinson D. Fifteen minute consultation: Perinatal Palliative Care. Arch Dis Child Education and Practice Edition 2016 doi:10.1136/archdischild-2016-310873 

Xafis V, Watkins A, Wilkinson D. Death Talk: basic linguistic rules and communication in perinatal and paediatric end-of-life discussions. Patient education and counseling 2016 Apr;99(4):555-61. doi: 10.1016/j.pec.2015.10.025

Wilkinson D, de Crespigny L, Xafis V, Ethical language and decision-making for prenatally diagnosed lethal malformations. Sem Fetal Neonatal Med 2014 Oct;19(5):306-11. doi: 10.1016/j.siny.2014.08.007

Wilkinson D, de Crespigny L, Lees C, Thiele P, Savulescu J, Watkins A. Perinatal management of trisomy 18, a survey of obstetricians in Australia, New Zealand and UK. Prenatal Diagnosis 2014; 34(1): 42-9 doi: 10.1002/pd.4249 PMID: 24122837 

Wilkinson D, Thiele P, Watkins A, de Crespigny L. Fatally flawed? A review and ethical analysis of lethal congenital malformations. BJOG 2012; 119(11): 1302-1308 doi: 10.1111/j.1471-0528.2012.03450.x 

  1. Wilkinson, D. and J. Savulescu. (forthcoming). Prioritisation and parity: which disabled infants should be candidates for scarce life-saving treatment. In Oxford Handbook of Philosophy and Disability, ed. A. Cureton and D. Wasserman: Oxford University Press.
  2. Wilkinson D, Petrou S, Savulescu J  Expensive care? Resource-based thresholds for potentially inappropriate treatment in intensive care. Monash Bioethics Review 2018 doi: 10.1007/s40592-017-0075-5 
  3. Wilkinson D, Petrou S, Savulescu J, Rationing potentially inappropriate treatment in newborn intensive care in developed countries. Seminars in Fetal and Neonatal Medicine 2018 Feb;23(1):52-58. Published online first 1/11/2017 doi: 10.1016/j.siny.2017.10.004 
  4. Nair T, Savulescu J, Everett J, Tonkens R, Wilkinson D. Settling for second best: when should doctors agree to parental demands for suboptimal medical treatment? JME 2017 ;43:831-840. Doi:10.1136/medethics-2016-103461AOA    
  5. Wilkinson D, Savulescu J. Cost equivalence and pluralism in publicly funded health care systems. Health Care Analysis 2017; 1 – 23.doi:10.1007/s10728-016-0337-z aoa
  6. Wilkinson D. Rationing ConscienceJournal of Medical Ethics 2017;43:226-229  
  7. Wilkinson D, Savulescu J. Disability, discrimination and death. Monash Bioethics Review 2014; 32(1-2): 43-62 doi: 10.1007/s40592-014-0002-y        

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book cover ethics conflict medical treatment children written by Dominic Wilkinson and Julian Savulescu

"A thought-provoking and thorough analysis of disputes about treatment for children…This book has something for general readers…students of bioethics…[and] those working at the cutting edge of medicine. It should stimulate discussions in paediatric and neonatal intensive care units everywhere."


Peter Singer, Ira W. DeCamp Professor of Bioethics, Princeton University


"The sad case of Charlie Gard, both heart wrenching and philosophically complex, promises to become a seminal case in the field of medical ethics. There are certainly no two better scholars than Wilkinson and Savulescu to explore and articulate the lessons we can learn from this tragic story."

Robert D. Truog, Frances Glessner Lee Professor of Medical Ethics, Harvard Medical School


Publication Date: September 28th 2018

Pre-order here:



Death or disability book cover

Oxford University Press

Wilkinson, D., (2013), 'Death or Disability?  The 'Carmentis Machine' and decision-making for critically ill children', (Oxford University Press)

Dominic Wilkinson

  • Written by an expert in both paediatrics and ethics
  • Illuminates the medical and scientific aspects of ethical dilemmas
  • Draws on the latest in neuroscience
  • Moves the debate forwards, with practical suggestions


This book reflects a remarkable blend of philosophical sophistication and clinical expertise . . . Wilkinson's book will be mandatory reading for philosophers and clinical ethicists who are writing on, or working with, critically ill children and their parents. - J. Paul Kelleher, Mind

this is a wonderful book: wise, clever, humane, realistic and humble. It will be, and richly deserves to be, the cornerstone of academic and practitioner debate about this terrible, and terribly important area of ethics and medicine. - Charles Foster, European Journal of Health Law

His style, clear and simple for a work on a subject of considerable complexity, and yet profound in its way of dealing with issues more related to philosophy and ethics, make this book a read of great interest not only for professionals pediatric medicine, but also for affected families and for anyone who wants to know the problems of bioethics from a multidisciplinary perspective. - Revista Española de Discapacidad

the best book of the decade in bioethics . . . this is a book that must be read by everybody who is seriously interested in the bioethical issues that arise in neonatal intensive care or, more generally, in decision making for children with chronic, debilitating or life-threatening conditions. - John D. Lantos, Notre Dame Philosophical Reviews

this was an interesting read, comprehensive, analytical, and thought-provoking . . . Wilkinson does a good job of articulating and providing evidence to support his point of view. He successfully accomplishes what he sets out to do, while keeping the reader entertained with historical points, clinical examples, and philosophical theories and vignettes. - Marlyse F. Haward, The American Journal of Bioethics

The author skilfully draws on his training in philosophy, bioscience and clinical practice to offer an analysis that is original, not merely in content but also in form. Wilkinsons comparison of the Carmentis Machine with contemporary neuroimaging is inspired. - Deborah Bowman, Times Higher Education Supplement