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The watchdog has now issued new guidelines clarifying the risks doctors need to consider before embarking on a romance with a former patient, such as taking into account that some patients can be more vulnerable than others.

The updated guidelines outlined in the doctors' handbook Good Medical Practice, and which come into force next month, state: "If you are considering whether to pursue a personal relationship with a former patient, you must use your professional judgment.

"Although it would not be possible to specify a length of time after which it is acceptable to pursue a relationship with a former patient, it is reasonable to expect that the more recently a professional relationship ended the less likely it is to be appropriate to begin a personal relationship with the patient." Patient groups welcomed the change, saying it was about time the watchdog moved into "the 21st century".

The least severe incidents can usually be addressed by discussing them with the patient or through a discussion between the patient and the office manager or administrator.

Until now, the General Medical Council has discouraged doctors from having relationships with former patients deemed vulnerable at the time they were being treated, and it continues to ban them with current patients.

While our system is not perfect, it has significantly improved our ability to set expectations and draw boundaries in an environment where some payers have very narrowly defined the circumstances under which termination is acceptable.