Gillick Competence & Fraser Guidelines | PostGradMedic

[@akuarosee]

This ties in quite nicely with Family Law and medical decision making. Namely s.8(1) of the Family Reform Act 1969 and Article 12(1) of the UNCRC 1989. Thank you for the detailed explanation.

[@fariba9671]

Informative video, particularly for ethnical questions of medical interviews. Thank you!

[@OllieBurtonMed]

You're very welcome!

[@MancunianMedic]

Just came across this and it's a really nice summary of what I am currently learning about! Thanks :)

[@wt1836]

Thanks for elaborating on how you would include these topics in a response. Hope you can carry on in that format when it pertains to interview topics. I've already sent you quite a few topics in August. But if you could do a video on providing advice or a general framework on how to present your response would be really useful. E.g. what things should we always keep in mind - how the action/work experience etc. relates to roles, responsibilities, and expectations of doctors. Keeping in mind of GMP etc.

[@xenne.]

Thank you! Great for making notes in preparation for interviews

[@Chimpy_Mc_Gibbon]

My name is Nathan Gillick. My colleagues always make jokes about Gillick competence.

[@ClaireCarmichael]

Great video!!! Really useful for healthcare professionals/ students out there. I remember learning about this in first year :) I work in sexual health part time and we have our young persons clinic 💕 we see patients as young as 13/14! We have health advisors and amazing nurses who risk assess and inform each individual :) I’d much rather a young person / child was well inform with health promotion than going out and ending up pregnant or with an STI too 😭 it’s far better they are fully informed to make safe life choices :)

[@jayanthishriperumal7035]

Great presentation . Please continue posting and not stop this good work.

[@Maymay-on4qy]

Hey Ollie, i was wondering what your thought is on this possible situation. What if the child is asking for birth control pills, but you find out they’re being sexually assaulted at home. If the abuser pressurs her to ask for pills from you, w you still give the pills? Or would this not be deemed valid consent since it could be considered involuntary. How would you go to the authorities about this? Also, let’s assume the child is mature and competent to give consent.

[@calisthenics.bypaulina]

Let’s say for example a parent of a child (with a new condition), tells a doctor not to tell the child what condition they have, but the child then asks the doctor what their condition is. Would the doctor be able to tell the child their own condition? Or how would be the best way to respond?

[@calisthenics.bypaulina]

Also another scenario is: if let’s say a 14 year old ask for contraception, then according to the Fraser guidelines would the doctor be able to prescribe that? even though they’d then be promoting underage sex, but at the same time could be avoiding underage pregnancy, because if the contraception is not prescribed they would just have sex unprotected

[@tejpradhan9117]

​@@calisthenics.bypaulina Scenario 1: The doctor can't tell the child without the consent of the patient. Scenario 2: The doctor can prescribe that as long as they are satisfied that the 14 year old is safe in the relationship and if they think the patient would continue to have unprotected sex if the doctor did not prescribe contraception. The principle is that if teenagers are going to have sex anyway it's best to prescribe them contraceptives to avoid pregnancy.

[@charlotteevans103]

Thank You so much!!!

[@misspurrr-fect3684]

I remember the coverage of this court case it was mainstream.

[@randomcontent7917]

hi how come item 4 and 5 were the same?

[@yuiyui3331]

Is​ Gillick​ involve​ only​ age.14-16, if​ child​ less​ than​ 14 will​ Gillick​ works​ too?

[@OllieBurtonMed]

Gillick doesn't have a set age limit - it's the point at which the child shows enough understanding of the situation

[@yuiyui3331]

@@OllieBurtonMed so​ if.child 12 yrs​ old​ want​ Ocp, kid​ could​ have? If​ Gillick​ competency approved?

[@OllieBurtonMed]

@@yuiyui3331 It might be part of discussions you would have with the child. For both Gillick & Fraser guidelines there is no lower age limit. However, you must remember risk to the child, and other laws. In the UK for example, children under 13 cannot legally consent to sexual activity at all - so while you can think about Gillick/Fraser, there are other problems in that scenario around safeguarding.

[@yuiyui3331]

@@OllieBurtonMed how​ different​ Gillick​ and​ fraser? Or​ they​ the​ same? Thank​ you​ very​ much.​ I​ve​ been​ confusing.🩷

[@OllieBurtonMed]

@@yuiyui3331 No problem! Gillick specifically is about consent to medical treatment (and applies to any kind of medical intervention). Note that this is not the same as the ability to legally refuse life-saving treatment, which in the UK cannot be done until age 18. Fraser guidelines are specifically about sexual health and contraceptive advice - there are some specifics: learning.nspcc.org.uk/child-protection-system/gillick-competence-fraser-guidelines

[@Lone432345]

As someone who dosn't live in the U.k.. Dose this only apply to contraceptives. Or dose it apply to medial treatments and surgeries as well. Just wondering.

[@OllieBurtonMed]

Gillick competence applies to all medical treatments or interventions that a doctor could provide. I believe the Fraser guidelines are specific to contraception although I could be wrong about that.

[@arveenarasu2068]

@@OllieBurtonMed Doing my MRCOG now, Fraiser Guidelines now refers to contraceptions and treatments. So it applies for TOP and deinfubulation.

[@MadTwatter]

Isn't it different though if they're a "tranner" (to use your words)?

[@misspurrr-fect3684]

..... Are vaccines inclusive ?

[@OllieBurtonMed]

As far as I'm aware it applies to any medical treatment and would include vaccines

[@misspurrr-fect3684]

@@OllieBurtonMed 👍👍