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\u2019t been responded to, vaccinators may ask for the child\u2019s parents\u2019 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>
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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4492", "label" : {"_value" : "Biography information for Maria Caulfield"} } , "answeringMemberConstituency" : {"_value" : "Lewes"} , "answeringMemberPrinted" : {"_value" : "Maria Caulfield"} , "dateOfAnswer" : {"_value" : "2024-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-03-18T17:43:06.46Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2024-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Consent to Medical Treatment: Pupils"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of the use of Gillick competence for vaccinations in schools.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4498", "label" : {"_value" : "Biography information for Mr Ranil Jayawardena"} } , "tablingMemberConstituency" : {"_value" : "North East Hampshire"} , "tablingMemberPrinted" : [{"_value" : "Mr Ranil Jayawardena"} ], "uin" : "18534"} , {"_about" : "http://data.parliament.uk/resources/1695838", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1695838/answer", "answerText" : {"_value" : "
No assessment has been made of the adequacy of levels of parental choice and responsibility to decide the medical care their child receives. Those with parental responsibilities are entitled to give consent for medical treatment on behalf of their children. However, they are not entitled to inappropriate treatment for their children, or to refuse treatment which is in the child\u2019s best interests.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4492", "label" : {"_value" : "Biography information for Maria Caulfield"} } , "answeringMemberConstituency" : {"_value" : "Lewes"} , "answeringMemberPrinted" : {"_value" : "Maria Caulfield"} , "dateOfAnswer" : {"_value" : "2024-03-18", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-03-18T17:52:24.24Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2024-03-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Health Services: Children"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment her Department has made of the adequacy of levels of parental (a) choice and (b) responsibility to decide the medical care their child receives.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4498", "label" : {"_value" : "Biography information for Mr Ranil Jayawardena"} } , "tablingMemberConstituency" : {"_value" : "North East Hampshire"} , "tablingMemberPrinted" : [{"_value" : "Mr Ranil Jayawardena"} ], "uin" : "18535"} , {"_about" : "http://data.parliament.uk/resources/1693957", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1693957/answer", "answerText" : {"_value" : "
NHS England has developed an internal national plan in collaboration with key stakeholders, to improve uptake within the breast screening programme from 2023 and beyond. This plan will encompass a series of evaluative projects, which are expected to report by April 2024. It is available on the NHS Futures Platform. This is a collaboration platform that empowers everyone working in health and social care to safely connect, share, and learn across boundaries.<\/p>
The Government has invested £10 million of funding for the breast screening programme, which provided 28 new breast screening units and nearly 60 upgrades, to be targeted at areas with the greatest challenges of uptake and coverage. This will provide extra capacity for services to recover from the impact of the pandemic, boost uptake of screening in areas where attendance is low, tackle health disparities, and contribute towards higher early diagnosis rates in line with the NHS Long Term Plan.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4044", "label" : {"_value" : "Biography information for Andrew Stephenson"} } , "answeringMemberConstituency" : {"_value" : "Pendle"} , "answeringMemberPrinted" : {"_value" : "Andrew Stephenson"} , "dateOfAnswer" : {"_value" : "2024-03-12", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-03-12T18:02:35.063Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2024-03-05", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Breast Cancer: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what plans she has to help improve breast screening uptake.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4498", "label" : {"_value" : "Biography information for Mr Ranil Jayawardena"} } , "tablingMemberConstituency" : {"_value" : "North East Hampshire"} , "tablingMemberPrinted" : [{"_value" : "Mr Ranil Jayawardena"} ], "uin" : "17236"} , {"_about" : "http://data.parliament.uk/resources/1690478", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1690478/answer", "answerText" : {"_value" : "
Decisions on existing water fluoridation schemes in England were determined by the relevant National Health Service or local authorities responsible at the time they were introduced, in agreement with the water undertaker and focussed on reducing tooth decay. The Government\u2019s proposal to expand water fluoridation in the North East, subject to a public consultation to begin early this year, is based on large inequalities in oral health, existing feasibility studies, and water company experience operating such schemes.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4117", "label" : {"_value" : "Biography information for Andrea Leadsom"} } , "answeringMemberConstituency" : {"_value" : "South Northamptonshire"} , "answeringMemberPrinted" : {"_value" : "Andrea Leadsom"} , "dateOfAnswer" : {"_value" : "2024-02-28", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-02-28T15:22:16.987Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2024-02-20", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Fluoride: Drinking Water"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what criteria were used to determine the location of water fluoridation schemes.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4498", "label" : {"_value" : "Biography information for Mr Ranil Jayawardena"} } , "tablingMemberConstituency" : {"_value" : "North East Hampshire"} , "tablingMemberPrinted" : [{"_value" : "Mr Ranil Jayawardena"} ], "uin" : "14905"} , {"_about" : "http://data.parliament.uk/resources/1682223", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1682223/answer", "answerText" : {"_value" : "
As part of the Government\u2019s 10-year drug strategy, local authorities are receiving £532 million of additional investment through to 2024/25 to improve drug and alcohol treatment and recovery services.\u202fThis funding is in addition to the Public Health Grant.<\/p>
<\/p>
The Department is actively supporting local authorities to develop and implement their local plans for drug and alcohol treatment and are monitoring outcomes through the national outcomes framework. This support includes the Commissioning Quality Standard, published in August 2022, which provides guidance for commissioning effective alcohol and drug treatment and recovery services. The Department also published guidance on Recovery support services and lived experience initiatives to support regions to develop and improve recovery-orientated systems of care, to help people to achieve and sustain recovery. The guidance is available at the following link:<\/p>
<\/p>