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Fraser guidance contraception — MRCPCH TAS MCQ

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HardEthics, law and research governanceFraser guidance contraceptionMRCPCH TAS

A 15-year-old requests contraception and asks that her parents are not told. She understands the advice, cannot be persuaded to involve a parent and is likely to continue intercourse. What legal framework is most relevant?

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

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Correct answer: D — Fraser guidelines for contraceptive advice

Fraser guidelines apply to contraceptive advice for under-16s when the young person understands the advice and specific criteria are met. Parental responsibility does not automatically override a competent young person's confidentiality. The pearl is that Gillick competence is broader, while Fraser guidance is contraception-specific.

Reference: GMC 0-18 years guidance; RCPCH Theory examination syllabi; UK legal principles in child health