According to the government guidelines published on Wednesday, students in England can be vaccinated at school without parental permission. The announcement has left teachers fearing protests at the school gates, and for good reason.
The guidelines states that vaccinations for children aged 12 to 15 will be administered by School Age Immunisation Service (SAIS) teams.
If the parents withhold consent but the child wants to be vaccinated, then the teams will determine whether or not the child is able to make an informed decision, which is known as Gillick competence. They will then “make every effort to contact a parent to check before they proceed”.
“If a parent objects to their child being vaccinated but the child wants to be vaccinated and is judged to be Gillick competent, the healthcare professional will try to reach agreement between the parent and child. However, the parent cannot overrule the decision of a Gillick competent child,” the guideline states.
The Guardian reports:
In cases where parents refuse consent and the child is not deemed to be Gillick competent or does not want to be vaccinated, the guidelines from the UK health security agency say a vaccination will not be given.
According to the NHS, Gillick competence is when children under the age of 16 “can consent to their own treatment if they’re believed to have enough intelligence, competence and understanding to fully appreciate what’s involved in their treatment”.
Some headteachers remain worried that parents who oppose vaccination may attempt to contact their child’s school directly, despite the school playing no part in the decision.
Jules White, the headteacher of Tanbridge House secondary school in Sussex, said many of his fellow school leaders wanted to avoid being caught up in any conflicts between children and their family over the issue.
“The guidance seems to make it possible for a child considered Gillick competent to have a vaccination administered on a school site without permission from a parent or carer. While that decision will be made by trained professionals in the SAIS team, it leaves headteachers and other school staff in a potentially very difficult position," stated White.
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