A 15-year-old girl asks for emergency contraception and does not want her parents told. She understands the information. Which framework guides the doctor?

Answer and explanation

Correct answer: B. Gillick competence and the Fraser criteria

  1. Step 1: Competent under-16s can consent to treatment in England and Wales.
  2. Step 2: Gillick competence applies if she understands the advice, and the Fraser criteria cover contraception and confidentiality.
Answer
Gillick competence and the Fraser criteria.
Why not the others: Mental Capacity Act best interests only: The MCA applies from age 16. A Mental Health Act section 3 assessment: This is not a mental disorder detention issue. Bolam test of ordinary professional practice only, with parents making the decision: Bolam is not the test for a young person's competence.

Practise more Consent and capacity.

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