Consent and confidentiality

This information explains how we support children and young people with their health and wellbeing.

It covers things like:

• When children can agree to treatment
• How we keep information private
• What happens during appointments
• How we keep children safe

We’ve made it easy to read and understand, so you know what to expect and how to get help if you need it. We also have a version available for children and young people: Confidentiality statement - Children and young people.

Consent to treatment

Children and young people have the right to get help with their health and wellbeing. Sometimes, they can agree to treatment without a parent—if they understand what it means. This is called Gillick Competence.

What is Gillick Competence?

Doctors and nurses check if a child under 16 can make their own health decisions. They must understand:

• What the treatment is
• Why they need it
• What could happen next
• If they do understand, they may be allowed to agree without a parent or carers permission.

Doctors and nurses should always check carefully to make sure the child is ready to make this decision.

Confidentiality

Confidentiality means keeping things private. Doctors and nurses usually won’t share what a child says, even with parents. But if the child is in danger or needs help to stay safe, a doctor or nurse may need to tell someone to protect them.

Getting help with health and feelings

Children and young people can come for an appointment if they need help with their health or how they’re feeling.

We offer appointments when there’s something to talk about—like a worry, a problem, or feeling unwell.

Our friendly and trained staff are here to listen, give advice, and help. Sometimes, one visit isn’t enough, and a child might need to come back a few times to feel better. If we think another service could help more, we’ll suggest it and explain why.
If a young person is 13 or older, we always encourage them to talk to their parents or carers and include them in their care.

Health records

Everything talked about during an appointment is written down in a private health record. Only health professionals or people who have legal permission can look at this information. This helps keep your child’s information safe and secure.

Keeping children safe

Health professionals always try to do what’s best for the child. They will explain things clearly and make sure the child understands. Parents and carers can ask questions anytime.

Need help or have questions?

Get in touch with the team involved in your care. You can find your team by searching our A-Z service directory.

If you're unhappy about any of the information included in this guidance, or the care you have received, let us know so we can make things better for you and other patients we care for.