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Published Online:https://doi.org/10.12968/bjsn.2011.6.6.278

Abstract

School nurses are the main group of health professionals charged with giving the HPV vaccine to 12–13-year-old girls. Consent lies at the heart of the lawfulness of that immunization and the school nurse can either proceed with the consent of a person acting under parental responsibility or on the consent of a Gillick competent patient. This article considers the requirements for Gillick competence and highlights the factors school nurses must consider when determining whether a child is competent to give consent to treatment.

References

  • Airedale NHS Trust v Bland [1993] AC 789 Google Scholar
  • B v B [1992] Google Scholar
  • Brabin et al., 2011 Brabin L, Stretch R, Roberts SA, Elton P, Baxter D, McCann R (2011) The school nurse, the school and HPV vaccination: A qualitative study of factors affecting HPV vaccine uptake. Vaccine 29(17): 3093–362 CrossrefGoogle Scholar
  • CQC, 2009 Care Quality Commission (2009) Essential standards of quality and safety. CQC, Newcastle Google Scholar
  • Department of Health (DH), 2006 Department of Health, Welsh Government, Scottish Executive, Department of Health Social Services and Public Safety (2006) Immunisation against infectious diseases. The Stationery Office, London Google Scholar
  • Gillick Competence, 1986 Gillick v West Norfolk and Wisbech AHA [1986] AC 112 ((HL)) Google Scholar
  • Health and Social care Act, 2008 Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (SI 2010/781) Google Scholar
  • Kennedy, & Grubb, 1998 Kennedy I, Grubb A (1998) Principles of Medical Law. OUP, Oxford Google Scholar
  • Nursing and Midwifery Council (NMC), 2008 Nursing and Midwifery Council (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. NMC, London Google Scholar
  • Nursing and Midwifery Council (NMC), 2011 Nursing and Midwifery Council (2011) Reasons for the substantive hearing of the conduct and competence committee panel held at Cardiff on the 21st January 2011. NMC, London Google Scholar
  • R (on the application of Axon) v Secretary of State for Health [2006] EWHC 37 Google Scholar
  • Re B (Child) [2003] EWCA Civ 1148 Google Scholar
  • Re J [2000] 1 FLR 571 (Fam) Google Scholar
  • Re L (Medical Treatment: Gillick Competence) [1998] 2 FLR 810 Google Scholar
  • Re M (A Child) (Refusal of Medical Treatment) [1999] 2 FLR 1097 (CA) Google Scholar
  • Re R (A minor) (Wardship Consent to Treatment) [1992] Google Scholar
  • Rosen, 2007 Rosen R (2007) Nurse escapes being struck off over MMR jab. Nursing Times. December 20: 4 Wheeler Google Scholar
  • J 2006 R (2006) Gillick or Fraser? A plea for consistency over competence in children. British Medical Journal 332(7545): 807 CrossrefGoogle Scholar

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