A rock and a hard place? Ministry of Defence | Defence News | MOD confirms loss of recruitment data

Wed, 30 Jan 2008 09:09:41 +0000

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On 30 Jan 08, at 0820, James Cox wrote:

> When it comes to more traditional electives- fixing minor heart  
> defects, dealing with sports injuries, etc - again i'd be hard  
> pushed to imagine a parent choosing to refuse such a course of  
> action, where a doctor believes it is safe to go ahead.

Jehovah's Witnesses?  Christian Scientists?

And what's the MMR vaccination rate looking like today?

>
> Interestingly the one other elective treatment that may cause  
> contention is where we started: abortion. If i remember correctly,  
> a doctor may not be permitted to involve a parent in an abortion  
> without the patient's consent, however prescription of birth  
> control pills still seems to involve parental notification for minors.

If it does, it's not consistent.  A friend of ours was prescribed  
them in the 80s, and the lack of knowledge by her parents meant that  
the vital fact that several of her mother's relatives had had DVTs  
wasn't communicated.  She had a DVT in her early twenties.

 From http://cks.library.nhs.uk/contraception_emergency/in_depth/ 
management_issues:

Consent to medical treatment
In the UK, people over the age of 16 years are presumed to be  
competent to consent to medical treatment. In contrast, competence to  
consent to medical treatment must be demonstrated in children under  
the age of 16 years [FFPRHC, 2004a].
In England and Wales, it is lawful to provide contraceptive advice  
and treatment to young people without parental consent, provided that  
the practitioner is satisfied that the Fraser criteria for competence  
are met [Teenage Pregnancy Unit, 2001; FFPRHC, 2004a; Wheeler, 2006].  
The criteria are that:
The young person understands the practitioner's advice.
The young person cannot be persuaded to inform their parents, or will  
not allow the practitioner to inform the parents, that contraceptive  
advice has been sought.
The young person is likely to begin or to continue having intercourse  
with or without contraceptive treatment.
Unless she receives contraceptive advice or treatment, the young  
person's physical or mental health (or both) are likely to suffer.
The young person's best interest requires the practitioner to give  
contraceptive advice or treatment (or both) without parental consent.
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<html><body style=3D"word-wrap: break-word; -webkit-nbsp-mode: space; =
-webkit-line-break: after-white-space; ">
<br><div><div>On 30 Jan 08, at 0820, James Cox wrote:</div><br =
class=3D"Apple-interchange-newline"><blockquote type=3D"cite"><div>When =
it comes to more traditional electives- fixing minor heart defects, =
dealing with sports injuries, etc - again i'd be hard pushed to imagine =
a parent choosing to refuse such a course of action, where a doctor =
believes it is safe to go ahead.</div></blockquote><div><br =
class=3D"webkit-block-placeholder"></div><div>Jehovah's Witnesses? =
=A0Christian Scientists?</div><div><br =
class=3D"webkit-block-placeholder"></div><div>And what's the MMR =
vaccination rate looking like today?</div><br><blockquote type=3D"cite"> =
<div><br></div> <div>Interestingly the one other elective treatment that =
may cause contention is where we started: abortion. If i remember =
correctly, a doctor may not be permitted to involve a parent in an =
abortion without the patient's consent, however prescription of birth =
control pills still seems to involve parental notification for =
minors.</div> </blockquote><br></div><div>If it does, it's not =
consistent. =A0A friend of ours was prescribed them in the 80s, and the =
lack of knowledge by her parents meant that the vital fact that several =
of her mother's relatives had had DVTs wasn't communicated. =A0She had a =
DVT in her early twenties.</div><div><br =
class=3D"webkit-block-placeholder"></div><div><div>From=A0<a =
href=3D"http://cks.library.nhs.uk/contraception_emergency/in_depth/managem=
ent_issues">http://cks.library.nhs.uk/contraception_emergency/in_depth/man=
agement_issues</a>:</div><div><br =
class=3D"webkit-block-placeholder"></div><div><ul> <li style=3D"margin: =
0.0px 0.0px 0.0px 0.0px; line-height: 16.0px"><font face=3D"Verdana" =
size=3D"3" color=3D"#212121" style=3D"font: 11.0px Verdana; color: =
#212121"><b>Consent to medical treatment</b></font></li> <ul> <li =
style=3D"margin: 0.0px 0.0px 0.0px 0.0px; line-height: 16.0px"><font =
face=3D"Verdana" size=3D"3" color=3D"#212121" style=3D"font: 11.0px =
Verdana; color: #212121"></font></li> <li style=3D"margin: 0.0px 0.0px =
0.0px 0.0px; line-height: 16.0px"><font face=3D"Verdana" size=3D"3" =
color=3D"#212121" style=3D"font: 11.0px Verdana; color: #212121">In the =
UK, people over the age of 16 years are presumed to be competent to =
consent to medical treatment. In contrast, competence to consent to =
medical treatment must be demonstrated in children under the age of 16 =
years [<a =
href=3D"http://cks.library.nhs.uk/contraception/in_depth/references#A18109=
"><font color=3D"#0056c2" style=3D"color: #0056c2"><u>FFPRHC, =
2004</u>a</font></a>].</font></li> <li style=3D"margin: 0.0px 0.0px =
0.0px 0.0px; line-height: 16.0px"><font face=3D"Verdana" size=3D"3" =
color=3D"#212121" style=3D"font: 11.0px Verdana; color: =
#212121"></font></li> <li style=3D"margin: 0.0px 0.0px 0.0px 0.0px; =
line-height: 16.0px"><font face=3D"Verdana" size=3D"3" color=3D"#212121" =
style=3D"font: 11.0px Verdana; color: #212121">In England and Wales, it =
is lawful to provide contraceptive advice and treatment to young people =
without parental consent, provided that the practitioner is satisfied =
that the Fraser criteria for competence are met [<a =
href=3D"http://cks.library.nhs.uk/contraception/in_depth/references#A10955=
"><font color=3D"#0056c2" style=3D"color: #0056c2"><u>Teenage Pregnancy =
Unit, 2001</u></font></a>; <a =
href=3D"http://cks.library.nhs.uk/contraception/in_depth/references#A18109=
"><font color=3D"#0056c2" style=3D"color: #0056c2"><u>FFPRHC, =
2004</u>a</font></a>; <a =
href=3D"http://cks.library.nhs.uk/contraception/in_depth/references#A24628=
"><font color=3D"#0056c2" style=3D"color: #0056c2"><u>Wheeler, =
2006</u></font></a>]. The criteria are that:</font></li> <ul> <li =
style=3D"margin: 0.0px 0.0px 0.0px 0.0px; line-height: 16.0px"><font =
face=3D"Verdana" size=3D"3" color=3D"#212121" style=3D"font: 11.0px =
Verdana; color: #212121">The young person understands the practitioner's =
advice.</font></li> <li style=3D"margin: 0.0px 0.0px 0.0px 0.0px; =
line-height: 16.0px"><font face=3D"Verdana" size=3D"3" color=3D"#212121" =
style=3D"font: 11.0px Verdana; color: #212121">The young person cannot =
be persuaded to inform their parents, or will not allow the practitioner =
to inform the parents, that contraceptive advice has been =
sought.</font></li> <li style=3D"margin: 0.0px 0.0px 0.0px 0.0px; =
line-height: 16.0px"><font face=3D"Verdana" size=3D"3" color=3D"#212121" =
style=3D"font: 11.0px Verdana; color: #212121">The young person is =
likely to begin or to continue having intercourse with or without =
contraceptive treatment.</font></li> <li style=3D"margin: 0.0px 0.0px =
0.0px 0.0px; line-height: 16.0px"><font face=3D"Verdana" size=3D"3" =
color=3D"#212121" style=3D"font: 11.0px Verdana; color: #212121">Unless =
she receives contraceptive advice or treatment, the young person's =
physical or mental health (or both) are likely to suffer.</font></li> =
<li style=3D"margin: 0.0px 0.0px 0.0px 0.0px; line-height: 16.0px"><font =
face=3D"Verdana" size=3D"3" color=3D"#212121" style=3D"font: 11.0px =
Verdana; color: #212121">The young person's best interest requires the =
practitioner to give contraceptive advice or treatment (or both) without =
parental consent.</font></li> </ul> </ul> =
</ul></div></div></body></html>=

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