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Abstract

Recent child protection reports and changes in sexual offences laws in England and Wales have altered the ethical and legal landscape for health professionals working with sexually active young people. This study aimed to identify the educational needs of a sample of those professionals. A true/false questionnaire was developed comprising statements concerning sexual activity in young people. We sent it to a sample of Family Planning staff, genitourinary (GU) medicine nurses and doctors in 102 Family Planning and 261 GU-medicine clinics throughout England and Wales. A total of 168 completed questionnaires were returned. The range of correct responses for the whole group was between 2 and 10 out of 10, with a median of 6. We identified some misunderstanding concerning the term ‘Fraser’ competence and the legal basis on which contraception can be provided to under 16-year olds, as well as some lack of awareness concerning present advice on child protection. In free text responses, many people volunteered educational needs.

Keywords

ethics-medical sexual behaviour adolescent behaviour child welfare sex offences

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References

Sexual Offences Act 2003. See http://www.opsi.gov.uk/ACTS/acts2003/20030042.htm (last checked March 2007)

The Victoria Climbie Inquiry.

Report of an Inquiry by Lord Laming. CM5730 January 2003. See http://www.victoria-climbie-inquiry.org.uk/finreport/finreport.htm (last checked March 2007)

Bichard Inquiry Report. 2004. HC 653. London: The Stationery Office. See www.bichardinquiry.org.uk (last checked March 2007)

The Children Act 2004. See http://www.opsi.gov.uk/acts/acts2004/20040031.htm (last checked March 2007)

Sexual offences Act 2003, section 82, sub-section 2. See http://www.opsi.gov.uk/ACTS/acts2003/20030042.htm (last checked March 2007)

E v DPP [2005] EWHC 147

Wheeler

Gillick or Fraser? A plea for consistency over competence in children.

BMJ 2006; 332: 807

Sexual Offences Act 2003, section 9. See http://www.opsi.gov.uk/ACTS/acts2003/20030042.htm (last checked March 2007)

Sexual offences Act 2003, section 5. See http://www.opsi.gov.uk/ACTS/acts2003/20030042.htm (last checked March 2007)

10.

Department of Health. Best Practice Guidance for Doctors and other Health Care Professionals on the Provision of Advice and Treatment to Young People under 16 on Contraception, Sexual and Reproductive Health. July 2004. See http://www.dh.gov.uk/assetRoot/04/08/69/14/04086914.pdf (last checked March 2007)

11.

General Medical Council. Confidentiality: Protecting and Providing Information. April 2004. See http://www.gmc-uk.org/guidance/current/library/confidentiality.asp (last checked March 2007)

12.

Department of Health. Information sharing. Appendix 3. What to do if You are Worried a Child is being Abused. London: DoH, 2003. See from www.dh.gov.uk/assetRoot/04/06/13/03/04061303 http://www.wiredforhealth.gov.uk/Word/confidentiality_guide.doc (last checked March 2007)

13.

Children Act 2004, section 11. See http://www.opsi.gov.uk/acts/acts2004/20040031.htm (last checked March 2007)

14.

Gillick v West Norfolk & Wisbech AHA & DHSS [1985] 3 WLR (HL)

15.

R (on the application of Axon) v Secretary of State for Health (2006) [2006] EWHC 372

16.

Clinical Effectiveness Unit. Faculty of Family Planning and Reproductive Health Care. Contraceptive Choices for Young People. October 2004. See www.ffprhc.org.uk/admin/uploads/YoungPeople.pdf (last checked March 2007)

17.

Sexual offences Act 2003, section 93, schedule 4 and 7. See http://www.opsi.gov.uk/ACTS/acts2003/20030042.htm (last checked March 2007)

18.

Sexual Offences Act 2003, s 16-24. See http://www.opsi.gov.uk/ACTS/acts2003/20030042.htm (last checked March 2007)

19.

HM Government. A Guide to Working Together to Safeguard Children Inter-agency Working to Safeguard and promote the Welfare of Children. April 2006. (Chapter 5 Paras. 25 and 26). See http://www.everychildmatters.gov.uk/resources-and-practice/IG00060/ (last checked March 2007)

The law concerning teenage sex: do we understand it?

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