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Parents could be told to let children see doctor alone
Amy Iggulden, Evening Standard27 Sep 2007
Parents taking their children to the doctor could be asked to let them be seen alone under guidelines issued today.
For the first time doctors have been ordered to "respect the rights" of children to make decisions for themselves and refuse treatment if they wish.
Official guidance from the General Medical Council says doctors should treat children confidentially and inform them of their right to a private consultation.
It applies to all 240,000 doctors - not just GPs - and is aimed at improving medical care for children and teenagers.
Researchers for the council found that most children said they were not taken seriously by their doctor. Some GP surgeries also displayed posters saying under-16s could not make appointments without an adult.
Council president Professor Sir Graeme Catto said: "This is the first time the GMC has set standards for doctors specifically about children and young people. It recognises that children are individuals with rights that should be respected."
Luziane Tchiegue-Nouta, 16, Lewisham's acting Young Mayor - elected by 11- to 18-year-olds to represent them in the borough - said: "Young people need to know they can see their doctor in confidence. It is important that they are treated as patients in their own right."
The GMC guidelines cover advice on sex, abortion and contraception for under-16s, as well as child protection.
They say doctors can legally offer advice to under-age girls about sex as long as five key tests are met - one of which is that they cannot be persuaded to tell their parents. Doctors who object should refer the patient to a colleague. The document tells doctors "usually" to share information about under-13s having sex, as they are under the age of consent, and to inform authorities about fears of abuse.
The key instructions are:
• Involve children and young people in discussions about treatment and take views seriously.
• Give them respect and treat confidences in the same way as with adults.
• Share information only in the "best interests" of a child.
It means children of any age would be allowed to refuse treatment if the doctor judged them capable of making their own decisions.
The document states: "Parents cannot override the competent consent of a young person to treatment that you the doctor consider is in their best interests. But you can rely on parental consent when a child lacks the capacity to consent."
Michael Keegan, ethics policy adviser for the council, said: "This is about involving children and engaging with them directly. There is clear harm in overriding anybody's autonomy. What doctors need to do is communicate properly with young people.
"Sometimes that might mean asking the parent to step out of the room for a moment if the conversation is being inhibited, but more often it is going to mean making sure doctors are making eye contact with children and engaging them about their own treatment."
Mr Keegan acknowledged that parents could be concerned but said doctors needed to make sure children's views were being heard.
The guidance, which applies to 14 million under-18s, was drawn up after a three-month consultation with more than 800 people, including children.
Reader views (8)
I think it is a good idea because I wouldn't say anything with my parents there but my dad talks for me so I wouldn't say anything. Also my dad says I'm lying and kind of takes control of the situation.
- Catherine, London, 03/04/2009 16:53
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I think its a good idea. What if a child is being abused, they are hardly likely to tell the doctor with the parent sitting there. Children have so few opportunities to unburden themselves and this could be a very useful way to do so privately.
- Olive, London, 28/09/2007 10:13
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Wow.. if that's not going to be open to abuse. There are just way too many ways for this to go wrong. What a terrible idea. I wonder if there will be a minimum age for this?
- Sm, USA, 27/09/2007 22:51
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This is now beyond parody. When will they start to sort out issues that actually concern ordinary people? Like actually being able to see a doctor, clean hospitals, end of mixed sex wards etc...
- Caroline, Bucks, 27/09/2007 20:25
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No, Kathleen, not the world, just this country.
- Craig, Pinner, Middlesex, 27/09/2007 17:32
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Kathleen, I don't think you should give up on the whole world - it's just the UK that has lost the plot entirely...
- Emma, Staines, UK, 27/09/2007 14:38
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Children should be treated as children ... all this baloney about human rights has gone way too far. And who's going to supervise the doctors?
- Paul, London, 27/09/2007 14:10
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So if the child doesn't want treatment for an infection because it involves a shot his rights should be respected? The world has gone mad.
- Kathleen, Connecticut, USA, 27/09/2007 12:58
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