QuestionSBA
QuestionChoice
If the patient is Gillick competent then you cannot break confidentiality and inform her parents.
10005159
d
Inform her parents without her consent
QuestionChoice
Gillick competency refers to a child under 16 years old being able to make decisions about their treatment without their parents'/carers' consent. If a child is Gillick competent then according to Fraser guidelines they can access contraception without the consent of their carers.
10005156
a
Assess if the patient has Gillick competency, as she is less than 16 years old
QuestionChoice
You have to assess whether the patient has Gillick competency first before discussing risks and benefits. If the patient is Gillick competent then the patient should be told about risks and benefits so she can make a well-informed decision.
10005157
b
Give it to her straight away without discussing the risks and benefits of the treatment
QuestionChoice
This is an extreme measure and would not be considered unless the partner is significantly older and the patient is being groomed. In this instance, the parents would also be informed.
10005160
e
Call child services
QuestionChoice
This would be an unsuitable response. If the patient is Gillick competent there is no reason for you to refuse to give oral contraception.
10005158
c
Don't give the contraception to her as she is too young and you think it is not appropriate for her age
Concept
Chapter
2693
4380
Gillick competency
Topic
219
Medicine in society
13578
A 14-year-old girl has presented to the GP asking for contraception as she has recently become sexually active with her 15-year-old partner.

Which one of the following is the best course of action?
a