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Fraser competence contraception — DRCOG MCQ

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HardEthicsFraser competence contraceptionDRCOG

A 16-year-old requests a contraceptive implant. She understands the method, alternatives, bleeding changes and removal process, and there are no safeguarding concerns. Her mother telephones to say she does not consent. What is the best approach?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Provide the implant after informed consent and eligibility assessment

The best answer is “Provide the implant after informed consent and eligibility assessment”. A 16-year-old is generally presumed able to consent to her own medical treatment and is entitled to confidentiality. The clinician should confirm informed choice and medical eligibility, offer sexual-health and safeguarding assessment, and encourage support where helpful. A parent cannot veto a competent young person’s contraceptive care simply by withholding agreement.

Reference: GMC: Children and young people: https://www.gmc-uk.org/professional-standards/ethical-hub/children-and-young-people