Fraser criteria Flashcards
What is the Fraser criteria?
A set of guidelines that can be used specifically to decide if under 16s can consent to contraceptive or sexual health advice.
What does the guidelines of the Fraser criteria include?
1) The young person understands the practitioner’s advice.
2) The young person cannot be persuaded to inform their parents or will not allow the practitioner to inform their parents, contraceptive advice has been sought.
3) The young person is likely to continue having intercourse with or without contraceptive treatment. Unless he or she receives contraceptive advice or treatment the young person’s physical and mental health [ Or both] are likely to suffer.
4) The young person’s best interest requires the practitioner to give contraceptive advice or treatment [ or both] without parental consent.
5) In Scotland, the Fraser guidelines do not apply, however the Age of Legal Capacity Act 1991 applies similar criteria.
6) Consultations with minors are confidential but there are circumstances where confidentiality would have to be breached, which broadly includes safeguarding concerns or if Fraser criteria were not met.
Which Act replaces the Fraser criteria in Scotland?
In Scotland, the Fraser guidelines do not apply, however the Age of Legal Capacity Act 1991 applies similar criteria.
What are important criteria to consider when discussing information with a patient?
- Does the information look appealing?
- Where is the information?
- Is it up to date?
- Is the information correct?
- Is the information relevant to this individual?
- Who wrote the information?
- Is there a bias or agenda you can think of apparent in the information?
How do GP surgeries meet the needs of its population?
1) As independent businesses, GP practices can modify their staffing and clinic appointment times depending on the needs of the patient population [ and employees].
2) There might be leaflets aimed at different populations within the practise catchment area, and information might be available in language spoken locally.
What is the legal age of consent to sexual activity in the UK?
16
What is important to consider when discussing sexual activity with a minor?
It is important to establish if there is coercion, exploitation or sexual abuse involved when discussing sexual activity with a minor.
Counsel minors on the emotional and physical implications of sexual activity, including consequences of pregnancy and risks of STIs, which can be passed on without symptoms.
What should the GP do when there are safeguarding issues regarding to a minor?
The healthcare professional must refer the young person immediately through recognised child protection pathways.
Any safeguarding concerns should be reported to the safeguarding lead at the GP practice and referred on to social services (or the police if there is a high level of risk).
What is a patient group direction (PGD)?
PGD is a written instruction for the sale, supply and/or administration of medicines to groups of patients who may not be individually identified before presentation for treatment.
What does PGDs allow healthcare professionals to do?
PGDs allow health care professionals specified within the legislation to supply and/or administer a medicine directly to a patient with an identified clinical condition without the need for a prescription or an instruction from a prescriber.
What is the health care professional responsible regarding PGDs?
The health care professional working within the PGD is responsible for assessing that the patient fits the criteria set out in the PGD.
This creates a prescription for a group of patients that fall within pre-defined inclusion criteria.
Where can people get emergency hormonal contraception?
Emergency hormonal contraception (EHC) is available from GPs, walk-in centres, out-of-hours services and sexual health clinics.
