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Contraceptive services with a focus on young people aged up to 25 overview

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Contraceptive services with a focus on young people aged up to 25

About

What is covered

This pathway covers NICE's recommendations on contraceptive services with a focus on young people aged up to 25 who are competent to consent to contraceptive treatment.
NICE advocates providing information and advice on all types of contraception – including the method which may be most effective and appropriate in each case, the benefits and risk of each method and how to manage any side effects.
The recommendations emphasise the need for services that are universal and inclusive and also offer additional tailored support for young people who are socially disadvantaged, or who may find it difficult to use contraceptive services. (The latter might include those who are members of some faith and religious groups.)
The recommendations are for all those who have an interest in, or responsibility for, contraceptive services. This includes those working in the NHS, local authorities, education and the wider public, private, voluntary and community sectors.

Updates

Updates to this pathway

4 September 2014 Minor maintenance updates.

Short Text

Contraceptive services with a focus on young people aged up to 25

What is covered

This pathway covers NICE's recommendations on contraceptive services with a focus on young people aged up to 25 who are competent to consent to contraceptive treatment.
NICE advocates providing information and advice on all types of contraception – including the method which may be most effective and appropriate in each case, the benefits and risk of each method and how to manage any side effects.
The recommendations emphasise the need for services that are universal and inclusive and also offer additional tailored support for young people who are socially disadvantaged, or who may find it difficult to use contraceptive services. (The latter might include those who are members of some faith and religious groups.)
The recommendations are for all those who have an interest in, or responsibility for, contraceptive services. This includes those working in the NHS, local authorities, education and the wider public, private, voluntary and community sectors.

Updates

Updates to this pathway

4 September 2014 Minor maintenance updates.

Sources

The NICE guidance that was used to create the pathway.

Quality standards

Quality statements

Effective interventions library

Effective interventions library

Successful effective interventions library details

Implementation

These resources include support for commissioners to plan for costs and savings of guidance implementation and meeting quality standards where they apply.
These resources will help to inform discussions with providers about the development of services and may include measurement and action planning tools.
These resources provide help with planning ahead for NICE guidance, understanding where you are now, and conducting improvement initiatives.
NICE produces resources for individual practitioners, teams and those with a role in education to help improve and assess users' knowledge of relevant NICE guidance and its application in practice.

Pathway information

Supporting information

Who should take action?

Managers and staff, including receptionists and administrators, working in services that provide contraception and contraceptive advice to young people. This includes education, maternity services, pharmacies and voluntary and private sector organisations.
Managers and staff in children's services, social care organisations and young people's advisory and support services. This includes guardians, chaperones, interpreters and advocates.

What action should they take?

Ensure staff are trained to understand the duty of confidentiality and adhere to the recommendations and standards laid out in their organisation's confidentiality policy.
Ensure staff are familiar with best practice guidance on how to give young people aged under 16 years contraceptive advice and supportDepartment of Health (2004) Best practice guidance for doctors and other health professionals on the provision of advice and treatment to young people under 16 on contraception, sexual and reproductive health. London: Department of Health . Ensure they are also familiar with local and national guidance on working with vulnerable young people.
Ensure those providing contraceptive services can assess the competence of young people aged under 16 to consent to receiving contraceptive advice and any treatment that may involve. They should also be able to assess the competence of other young people who may be vulnerable, for example, those with learning disabilities. Staff need to be able to gauge the young person's ability to understand the information provided, to weigh up the risks and benefits, and to voluntarily express their own wishes. Staff should also encourage young people to involve a parent or person with parental responsibility in the decision-making, where possible.
Ensure young people understand that their personal information and the reason why they are using the service will be confidential. Even if it is decided that a young person is not mature enough to consent to contraceptive advice and treatment, the discussion should remain confidential.
Reassure young people that they will not be discussed with others without their explicit consent. Explain that sharing information with another professional may be necessary if there are concerns, for example to protect a young person from possible harm or abuse. If this is the case, the young person should be told who needs to be informed and why.
Ensure the organisation's confidentiality and complaints policy is prominently displayed in waiting and reception areas, and is in a format that is appropriate for all young people.
Ensure young people are asked in private whether they wish anyone else to be present at their consultation.
Ensure staff are adequately supported and supervised. This includes establishing a formal debriefing process to help maintain client confidentiality and respect.

Glossary

Contraceptive services refers to the whole range of contraceptive, sexual and reproductive health services. This includes services:
  • in primary care
  • offered by community, education and pharmacy outlets (commissioned by local authorities from the NHS, the private or voluntary sectors)
  • commissioned by clinical commissioning groups (for example, termination of pregnancy [abortion] services)
  • commissioned by the NHS Commissioning Board (for example, contraceptive services provided within other specialist services, such as maternity services).
Also referred to as lasting and reliable contraception or LARC.
Socially disadvantaged young people may include those who are:
  • living in a deprived area
  • from a minority ethnic group (including gypsy and traveller communities)
  • refugees, asylum seekers and people recently arrived in the UK
  • teenage parents or the children of teenage parents
  • looked after or leaving care
  • excluded from school or do not attend regularly or have poor educational attainment
  • unemployed or not in education or training
  • homeless
  • living with mental health problems
  • living with physical or learning disabilities
  • living with HIV or AIDS
  • substance misusers (including alcohol misusers)
  • criminal offenders.
Sexually transmitted infection/s.

Paths in this pathway

Pathway created: March 2014 Last updated: September 2014

© NICE 2016

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