title: Access by the unaccompanied under-16-year-old adolescent to general practice without parental consent.
abstract: BACKGROUND
  The views of primary health care providers concerning their willingness to consult with under-16-year-old adolescent patients without the presence of a parent or guardian are not well documented. Many young people believe they have to be aged over 16 years to see their general practitioner (GP) alone. Confidentiality is a major concern for young people. It is important that more is known about the willingness of GPs and practice nurses (PNs) to offer unaccompanied consultations without known parental consent.
  
  
  OBJECTIVE
  To provide information on the willingness of GPs and PNs to consult with under-16-year-olds and whether policies exist in general practices to facilitate access by unaccompanied under-16-year-olds.
  
  
  METHODS
  Cross-sectional study using a postal questionnaire.
  
  
  METHODS
  Seventeen general practices in the West of Cornwall.
  
  
  METHODS
  All GPs, PNs and receptionists were sent questionnaires.
  
  
  RESULTS
  The overall response rate was 79% (166/209 questionnaires). The majority of GPs and PNs (91%) were willing to consult with unaccompanied under-16-year-olds. A substantial number of primary health care team members are not aware of the existence of any practice policy on access. Only 41% of receptionists, 46% of PNs and 38% of GPs were aware of a definite practice policy.
  
  
  CONCLUSIONS
  GPs and PNs are willing to consult with under-16-year-olds without a parent or guardian being present. Many practices in this region do not appear to have policies in place to guide health professionals on under-16 access issues.
authors.affiliation: The Medical Centre, Trelawney Road, Helston, Cornwall TR13 8AU, UK. Linda.Davies@HMC.cornwall.nhs.uk
authors.forename: Lin
authors.initials: L
authors.lastname: Davies
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards* / Q000706:statistics & numerical data; D001294:Attitude to Health; D003219:Confidentiality; D003430:Cross-Sectional Studies; D004739:England; D005194:Family Practice / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000592:standards* / Q000706:statistics & numerical data; D000297:Psychology, Adolescent; D011795:Surveys and Questionnaires; D006113:United Kingdom