Schools said Covid teams can vaccinate pupils against the wishes of school parents

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Health care workers can decide whether children to get the Covid vaccine against their parents’ wishes, according to government guidelines published on Wednesday that made some school administrators fear protests at school gates.

The guidelines say that vaccinations for children aged 12 to 15 will be provided by the School Immunization Service (SAIS) teams that already implement influenza and human papillomavirus (HPV) vaccines in England. The role of schools will be limited to providing the location and distribution of information and consent forms for pupils and parents.

In cases where the parents withhold their consent but the child wants to move forward, the guidelines state that the vaccination teams will determine if the child is able to make an informed decision – known as Gillick’s competence – and “make every effort to contact a parent to verify before they proceed.”

“If a parent objects to having their child vaccinated but the child wants to be vaccinated and is judged to be eligible by Gillick, the healthcare professional will attempt to reach an agreement between the parent and child. However, the parent cannot overrule the child’s competent decision of Gillick, The instructions state. In this scenario the child will be vaccinated.

In cases where the parents refuse consent and the child is not considered eligible for Gillick or does not wish to be vaccinated, guidance from the UK Health Security Agency states that the vaccination will not be given.

According to the NHS, Gillick’s competence is when “children under the age of 16 can consent to their treatment if they are believed to have sufficient intelligence, competence and understanding to fully appreciate what is involved in their treatment”.

Some school administrators remain concerned that parents who oppose vaccination may try to contact their child’s school directly, even though the school played no role in the decision.

Jules White, principal of Tanbridge House High School in Sussex, said many of his fellow school leaders wanted to avoid getting into any conflicts between children and their families over the issue.

White said, “The directive appears to make it possible for a child who qualifies Gillick to receive the vaccination on the school site without permission from a parent or caregiver. While this decision will be made by trained professionals on the SAIS team, it leaves my Schools and other school staff are in a potentially very difficult situation.

“If an issue like this arises, I prefer to deal with it away from the school site – for example, at a GP’s office or a local medical center.”

The guidance also warns schools to prepare for protests or other disturbances.

She says: “We know that some schools receive campaign messages and emails with misinformation about the vaccine program and would like advice on how to deal with protests if they happen at school.

“In the event of a protest or disruptive activity outside the school, or if schools become aware that a protest has been planned, they must alert the SAIS provider, local authority and police contacts to discuss how best to manage the situation.”

The UK’s top medical officials decided this week to extend voluntary single doses of the Pfizer/BioNTech vaccine for children aged 12 to 15, after the Joint Committee on Immunization and Immunization earlier said the benefits of age-group immunization were less certain than in the elderly. . teenagers.

NHS trusts have begun contacting schools to arrange on-site vaccination days, and some expect to start getting consent from parents soon. Schools will be able to combine COVID and flu vaccinations in one visit.

Jeff Barton, general secretary of the Association of School and College Leaders, said he welcomes guidance that makes it clear that legal accountability for providing vaccines has been with the School Immunization Service, after principals reported receiving letters from pressure groups.

“The guidance is quite clear that schools are not responsible for mediating between parents and children who may disagree about consent or disagreement. This is the role of registered nurses in the school’s seniors immunization service,” Barton said.

“We are very concerned about the potential for protests outside schools, and we are pleased to see that the guidelines refer to this and provide advice on how to respond to this threat.”

Sources

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