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Children and Young People Ethics (Principle of parental autonomy (They…
Children and Young People Ethics
Gillick Competence
If not competent- 1 parent can give consent
If parent refuses consent -> Court
If under 16 and competent- consent is sufficient
Unless emergency: Treat
Principle of parental autonomy
They know their child the most- Best interest
However- This can be overruled (C. Gard, Neon Roberts).
Explains why parents can decide on treatments for children
16- Competence presumed.
However- 18 or younger and refuse treatment can go through parents or courts
Compulsory vaccination?
Harm Principle
: Power over civilian can be exercised against will if it prevents harm to others
Could be used for compulsory vaccination if:
Good for public, bad for autonomy
Is it necessary to prevent harm, and if so, will prevent more harm than it causes. BMA says no atm.
Child protection
However not always required when serious concerns (abuse, harm)
Fraser Guidelines
Understand advice and implications
Are likely to continue sex with or without treatment
Under 16 and can receive sexual health treatment and advice if:
Cannot be persuaded to tell parents
Likely to suffer physical or mental harm
Best interest to receive advice and treatment without parental knowledge or consent
Safeguarding, respecting confidentiality and consent before parent