Consent, Decisions, your rights and responsibilities

Information for young people, parents and carers
What is Consent
When a person makes a decision about their healthcare, it is called Consent.
No one can make a person do something they do not want to do. This means doctors, nurses, and other healthcare professionals must ask a person’s permission before giving any treatment.
Types of Consent
Informed consent
Before a person agrees to most medical tests and treatments, there are important things that should happen:
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They need to be given information about the test/treatment, that makes sense to them.
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They should have enough time to think about it.
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They should have a chance to talk about any treatment choices with someone.
Implied / Inferred consent
This is when a person show’s that they agree to have a check-up or treatment. For example, when you roll up your sleeve to have your blood pressure checked.
Remember, even in this situation, you can still ask questions and take some time to think before saying 'yes'.
It is essential to feel comfortable and to know what is going to happen. Take your time to decide.
Who can give consent?
A young person aged 16 or 17 years old, can also make decisions and consent to their treatment without parental consent.
For children and young people under the age of 16, their parents, or those with legal parental responsibility, can make most decisions for their children.
Competent
Children who are younger than 16 can sometimes be considered capable of making choices about their own health, without needing their parents. We call this being competent.
This means that a healthcare professional will check if a young person can understand and decide about their own care. They want to make sure the young person knows what is going on and can make a good choice.
Parent and carer’s role
Sometimes, parents and caregivers might feel left out when we suggest seeing their child without them or when getting their child’s consent.
We will always ask the young person if it's okay for their parents or caregivers to be there with them. We want everyone to feel comfortable and safe.
Parents still have a very important role in their child’s healthcare. For example, a young person may want to make a decision, but need the support of their parents or carers to help them. This is called a shared approach to decision-making.
What would happen if there were concerns about the decision a young person has made?
If a parent or carer has concerns, it is important they talk to the young person to let them know why they are worried.
If a healthcare professional is concerned, they will discuss this with the young person. They may also get advice from other professionals.
What happens when parents or carers disagree with a young persons’ decision?
The healthcare professional must do what is best for the young person. This is called making a decision in their best interests.
The healthcare professional will do this by:
- Listening to what the young person says
- Listening to what their parents think
- Consider how all this might affect the young person’s health
Keeping information private
Keeping information private is called confidentiality.
All health care professionals must make sure information shared with them remains confidential. When children are young, their parents or carers need to know all the available information to make informed decisions about their child’s health.
Decisions, rights and responsibilities
When a young person can make decisions about their health, they have the same legal rights as adults about confidentiality.
A young person who is seen alone will be advised by a health care professional that the information they share will be treated as private and can only be shared with a young person’s permission or knowledge.
A young person who is seen alone will be advised by a health care professional that the information they share will be treated as private and can only be shared with a young person’s permission or knowledge.
It is a good idea for young people to talk to their parents when making decisions about their health. Parents can be a big help and give support.
However, if a young person doesn't want to involve their parents, especially if it's a private matter, the healthcare professional might still talk to the parents about the general plan for treatment or procedure without sharing all the specific details.
It's all about finding the best way to help the young person.
Last updated13 Sep 2024