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<p>The Gillick competence is a guideline used to determine whether children can provide
informed consent based on their level of intelligence, knowledge, and competence.
In schools, where requests for parental consent haven’t been responded to, vaccinators
may ask for the child’s parents’ contact details to seek oral consent over the phone.
For young people, and children in secondary school settings who may be offered the
measles, mumps and rubella vaccine alongside other school aged vaccinations, after
every attempt to gain parental consent has been exhausted, the School Aged Immunisation
Service team may make a clinical decision to give the vaccination using the Gillick
competence framework. This allows a child to consent to their own treatment where
appropriate, and when they are competent to do so.</p><p>The Green Book Chapter two,
Information for public health professionals on immunisation, provides guidance on
seeking consent for vaccination, including the use of the Gillick competence. Obtaining
consent to treatment and assessing the adequacy of the use of the Gillick competence
in schools is the responsibility of each service provider.</p>
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