Consenting, competence & confidentiality in paediatric adolescent gynaecology 2022 TOG

Question 1

7 principles if informed consent

Answer 1

Question 2

Difference between consent and assent

Answer 2

consent is taken from those whoare legally empowered to agree to the treatment, assent is anagreement given by a child/adolescent or those who don’thave the legal empowerment to consen

Question 3

What to consider when assessing best interest of adolescent

Answer 3

Question 4

Who can given consent for young person?

Answer 4

Question 5

How to assess capacity

Answer 5

Question 6

What is Gillick competence

Answer 6

<16 assess medical advice or treatment without parental consent

Question 7

What are Fraser guidelines

Answer 7

Young person can seek contraceptive advice if Gillick competent
Encourage to seek parental advice

+ best interest of young person to have contraceptive advice/treament without parental knowledge

Question 8

When should raise safeguarding concerns

Answer 8

< 13 years
Older partner
Imbalance of power