This applies to male and
If the patient has requested a chaperone
and none is available at that time the patient must
be given the opportunity to reschedule their appointment
within a reasonable timeframe (this may include simply
waiting in the clinic or practice until a member of
staff arrives on duty). If the seriousness of the condition
would dictate that a delay is inappropriate then this
should be explained to the patient and recorded in their
Children and their parents or guardians
must receive an appropriate explanation of the procedure
in order to obtain their co-operation and understanding.
If an under 16 presents in the absence of a parent or
guardian the healthcare professional must ascertain
if they are capable of understanding the need for examination.
Issues specific to religion, ethnicity,
culture and sexual orientation should be taken into
account and discussed, not presumed. We must all recognise
that each individual has very different needs and procedures
should be performed by a mutually agreed healthcare
For patients with learning difficulties
or mental health problems that affect capacity, a familiar
individual such as a family member or carer may be the
best chaperone. Adult patients with learning difficulties
or mental health problems who resist an examination
or procedure must be interpreted as refusing to give
consent and the procedure must be abandoned.
By having a chaperone of the same sex
as the patient present the examination may be made more
acceptable. Also, alternatives would be sought i.e.
appointment at a later date when chaperone available
or at alternative site if correct gender of chaperone
not available. If, at any time, this policy is considered
to be discriminatory in any way, the patient should
contact the practice manager to discuss their concerns.
In all cases where the presence
of a chaperone may intrude in a confiding clinician-patient
relationship their presence should be confined to the
physical examination. Communication between the health
professional and the patient should take place before
and after the examination or procedure.
working for the NHS has a legal duty to keep information
about you confidential.
how important it is to keep your personal information
safe and secure and we take this very seriously. We
have taken steps to make sure your personal information
is looked after in the best possible way and we review
carefully, as it contains important information about
how we use the personal and healthcare information we
collect on your behalf.
statement updated on Monday 26th October 2020, next
review date on Tuesday 26th October 2021