Contents Introduction 1 Process for producing a confidentiality policy 3 Notes to support you through the process 4 Confidentiality policy framework 7 Guidance for completing the policy framework 11 Appendix 1: Suggested service level agreement for use with agencies working with pupils 20 Appendix 2: A sample statement for parents and carers concerning confidentiality and pupils 21 Appendix 3: A sample statement for pupils concerning confidentiality 24 Appendix 4: Hampshire Area Child Protection Committee interim protocol for working with sexually active young people under the age of 18 26 Introduction In the light of recent developments such as: The Children Act, 2004 OfSTED self-evaluation extended schools school-based health services information sharing and assessment the Common Assessment Framework for vulnerable young people the revised Data Protection legislation Healthy Schools enhanced status, it is becoming increasingly important for schools to have a comprehensive confidentiality policy which gives clarity to parents, pupils and staff about levels of confidentiality that can be offered in different circumstances. Also, Sex and relationship education guidance (DfES, July 2000), Drugs: guidance for schools (DfES, February 2004) and the National Healthy School Status – a guide for schools (Department for Skills and Education (DfES)/Department of Health (DH), September 2005) all advise that schools should have a clear, explicit confidentiality policy which should be well advertised to the school community. There is also useful advice about sharing information for the purposes of safeguarding and promoting the welfare of children in Appendix 3 of the DfES/DH publication, What to do if you’re worried a child is being abused: Children’s Services guidance (May 2003). This document has been written by the HIAS County Inspector/ Adviser for Personal Development Learning (PDL) and the Strategic Service Manager (Teenage Pregnancy) for the Hampshire Teenage Pregnancy Partnership to help schools by providing: February 2006 a process for developing the policy helpful hints for working through the process a model policy notes to support schools as they work through the model policy framework Guidance for Hampshire schools: writing a confidentiality policy 1 an outline service level agreement (SLA) that schools should complete when working with external agencies. Schools requiring more help in writing their policy should contact the Healthy Schools Team on Tel: 023 8081 6139. 2 Guidance for Hampshire schools: writing a confidentiality policy February 2006 Process for producing a confidentiality policy Step 1: Create a team Step 2: Read the government advice and useful publications Step 3: Identify other relevant school policies Step 4: Identify relevant factors or issues in the school and its catchment area Step 5: Draft the policy Step 6: Consult with parents, pupils, staff and the community Step 7: Revise draft in the light of feedback from the consultation Step 8: Refer to governors for approval Step 9: Disseminate policy Step 10: Monitor and review February 2006 Guidance for Hampshire schools: writing a confidentiality policy 3 Notes to support you through the process Step 1 – Create a team Ideally this should consist of a cross-section of the whole school community. It could include teachers, support staff, parents, governors and pupils, together with a representative from local health services, eg: the school nurse or health promotion team. Step 2 – Read government advice and useful publications Documents you should read include: 4 Sex and relationship education guidance, DfES, July 2000, ref: 0116/2000 What to do if you’re worried a child is being abused: Children’s Services guidance, DfES/DH, May 2003, ref: 31553 Developing sex and relationships education in schools: guidance and training activities pack for school governors – Sex Education Forum/National Children’s Bureau (NCB), 2003, ISBN: 1904787029 HIV in schools: good practice guide to supporting children infected or affected by HIV, Children and Young People HIV Network/NCB, 2005, ISBN: 1904787479 Sex and relationships education in pupil referral units, Sex Education Forum/NCB, 2004, ISBN: 1904787231 National Healthy School Status – a guide for schools, DH, September 2005, REF: 270390 Managing the support and reintegration of pregnant pupils and school-age parents: guidance for schools from Hampshire Local Education Authority, Hampshire Teenage Pregnancy Partnership, November 2004. Guidance for Hampshire schools: writing a confidentiality policy February 2006 Step 3 – Identify other policies Other relevant school policies might include: bullying policy child protection policy health and safety policy personal, social and health education (PSHE) policy sex and relationships policy substance use and misuse policy personal development learning policy. Step 4 – Identify relevant factors Factors to consider might be: whether the school is faith based faith/ethnic mix of the school community the age range of pupils in the school health issues within the school catchment area, eg: teenage pregnancy rates, incidences of drug misuse, levels of sexually transmitted infections (STIs), alcohol use, crime rates. Step 5 – Draft the policy The policy should be drafted with a team of people including a governor, a senior staff member, the PDL co-ordinator, the school nurse if possible and representatives from parents, pupils and members of the wider community. Step 6 – Consult with stakeholders Consultation can be carried out in a variety of ways: February 2006 through questionnaires for parents and pupils at staff meetings through school councils and tutor groups Guidance for Hampshire schools: writing a confidentiality policy 5 at open evenings for parents through discussion at a governors’ meeting by circulating the draft to key local health practitioners. Step 7 – Revise draft Revision should include the policy team. Step 8 – Refer to governors The draft policy should be presented to the whole governing body for ratification. Step 9 – Dissemination This can be done through: the school prospectus including in job details to applicants using posters and leaflets including the policy in agreements with other agencies working on the school site through tutor groups through the school council through assemblies on the school website. Step 10 – Monitoring and review Schools may wish to consider how they are going to monitor the effectiveness of the policy and when the policy is due for renewal. A two-year cycle is recommended. 6 Guidance for Hampshire schools: writing a confidentiality policy February 2006 Confidentiality policy framework Insert school logo Name of school: 1 Policy approved and adopted: Due for review: Member of staff responsible for implementation and review: Aim: 2 Objectives: Why the policy was developed: 3 How the policy was formulated/developed: 4 February 2006 Guidance for Hampshire schools: writing a confidentiality policy 7 Where and to whom the policy applies: 5 Staff support and training: 6 Policy 7.1 7.2 8 All school staff members: confidentiality and pupils NB: This applies to both teaching and nonteaching members of staff, visiting staff and outside agencies The school counsellor/welfare officer: confidentiality and pupils Guidance for Hampshire schools: writing a confidentiality policy February 2006 February 2006 7.3 The school nurse and health-based service: confidentiality and pupils 7.4 The Connexions Service: confidentiality and pupils 7.5 Peer support and mentoring projects: confidentiality between pupils 8.1 Parents and families: confidentiality and information about parents and families Guidance for Hampshire schools: writing a confidentiality policy 9 8.2 Staff and governors: confidentiality and information about staff and governors Linked policies: 9 Dissemination: 10 10 Guidance for Hampshire schools: writing a confidentiality policy February 2006 Guidance for completing the policy framework The model policy framework should be completed in consultation with the policy development team using the following guidance notes. Box 1 You should include details as to when the policy was approved and adopted. The policy should be reviewed bi-annually. It is suggested that the member of staff responsible for implementation and review is a member of senior management. Box 2 As a policy development team you should discuss the overarching aim and the objectives for your policy. Below are samples to help you. Sample aim All members of staff working on the school site are clear about the levels of confidentiality that they can offer to the school community and expect themselves. Sample objectives February 2006 To be transparent about the process for developing and reviewing this policy. For everyone to understand the varying levels of confidentiality which might be offered in different circumstances. Guidance for Hampshire schools: writing a confidentiality policy 11 Box 3 This should include reference to the documents encouraging the development of confidentiality policies. These include: Sex and relationship education guidance, DfES, July 2000, ref: 0116/2000 What to do if you’re worried a child is being abused: Children’s Services guidance, DfES/DH, May 2003, ref: 31553 Developing sex and relationships education in schools: guidance and training activities pack for school governors – Sex Education Forum/National Children’s Bureau (NCB), 2003, ISBN: 1904787029 HIV in schools: good practice guide to supporting children infected or affected by HIV, Children and Young People HIV Network/NCB, 2005, ISBN: 1904787479 Sex and relationships education in pupil referral units, Sex Education Forum/NCB, 2004, ISBN: 1904787231 National Healthy School Status – a guide for schools, DH, September 2005, REF: 270390 Managing the support and reintegration of pregnant pupils and school-age parents: guidance for schools from Hampshire Local Education Authority, Hampshire Teenage Pregnancy Partnership, November 2004. You may also wish to include the following reasons: 12 a clear, explicit and well-publicised confidentiality policy ensures good practice throughout the school which staff (including staff from external agencies), parents and pupils can easily understand the school needs to be clear about the boundaries of their legal and professional roles and responsibilities, eg: child protection procedures different professionals can offer varying levels of confidentiality in different circumstances, which can confuse staff and pupils sometimes parents and families may wish to disclose information confidentially to the school. Schools need to be clear about their position. Guidance for Hampshire schools: writing a confidentiality policy February 2006 Box 4 This should only be a brief summary of who was involved and the process the team went through. Box 5 The policy should refer to: all teaching and non-teaching staff employed by the school all visiting staff working with young people on the school site during the school day depending on their contractual arrangements, staff from external agencies delivering services on the school site, eg: Youth Service and voluntary organisations. Box 6 What training are you offering to support this policy? Eg: INSET training training offered by Hampshire Children’s Services, eg: sex and relationships education (SRE), information sharing and assessment induction of new staff service level agreements with visiting agencies. Boxes 7.1 to 7.4 The following has been approved by Hampshire County Council’s legal department and, after discussion with your policy team, you may wish to include these statements. It is important that the policy team and school agree that these properly describe what they wish to be school policy. February 2006 Guidance for Hampshire schools: writing a confidentiality policy 13 Box 7.1 All school staff members 14 We recognise that there are occasions when pupils are worried about something and feel that they cannot talk about it to their parents/carers. This can result in enormous stress for the individual which impacts on their education and health. Some pupils may feel that they can turn to teachers and other staff members for support and we want to be as helpful as we can whilst recognising that there may be some potential difficulties in being supportive. You should adhere to the following policy. When talking with pupils, it is important for you to be aware of maintaining your professional boundaries. Whilst being supportive where you can, distancing techniques should be used when appropriate and pupils encouraged or supported to access the confidential services offered on the school site. You must be clear to pupils that you cannot offer unconditional confidentiality when a pupil first begins to talk about something where confidentiality may become an issue. Pupils should be warned that if there is a child protection issue where the pupil, or others, are likely to be at risk of significant harm, you are under a duty to inform the school’s Child Protection Liaison Officer who may have to involve other agencies. (Please refer to the school’s child protection procedures for further advice on this aspect.) It is important that each member of staff deals with this sensitively and explains to the pupil that they must inform the appropriate people who can help the child, but that they will only tell those who need to know in order to help. School staff can only offer confidentiality to pupils on issues that do not involve significant illegal activities, eg: drug trafficking, arson. If the conversation begins to move to this kind of issue, the pupil must be warned that confidentiality cannot be guaranteed. In all cases where you feel that you have to break confidentiality with the pupil, you must inform the pupil and reassure them that their best interests will be maintained. Guidance for Hampshire schools: writing a confidentiality policy February 2006 In talking with pupils, you need to encourage them to talk to their parents/carers about the issue that may be troubling them and support in doing this should be offered where appropriate. Pupils should be made aware of the specialist confidential services that may be available on the school site or in the school community, eg: school nurse, counsellor, Connexions personal adviser, doctor or young people’s drop-in service. Box 7.2 The school counsellor/welfare officer The school counsellor can be approached by any pupil for a confidential discussion. Sometimes we may also refer pupils to the counsellor for discussions. The school counsellor cannot offer confidentiality over a child protection issue but, because sometimes it is necessary for a pupil to be able to talk about deep-seated troubling issues in order to help the pupil through their situation, we do not require our counsellor to inform senior or pastoral staff about illegal activities unless there is a child protection issue or other significant risk. Box 7.3 The school nurse and school-based health service The Government has recognised that for some young people, unless they are able to speak to someone confidentially away from their family, their health and wellbeing can be at great risk. Health services (including doctors, our school nurse and health drop in) can offer confidential health services (including contraception) to pupils under the age of 16, providing they follow the Fraser Guidelines which require: February 2006 the young person understands the advice and has sufficient maturity to appreciate what is involved in terms of moral, legal, social and emotional implications for themselves they cannot be persuaded to tell their parents/carers, or allow them to be informed (if appropriate) they are likely to begin or continue having sex Guidance for Hampshire schools: writing a confidentiality policy 15 the young person’s physical or mental health is likely to suffer unless they receive advice or treatment it is in the young person’s best interests to give advice or treatment. The requirement to offer a confidential service is within the professional code of practice for school nurses and other health service staff. The Government has also signed up to international legislation and charters which entitle young people to access health services. However, health professionals, like everyone else, must inform appropriate services if they become aware of a child protection issue in discussions with a young person. NB: On-site services must be very clear in their publicity about the levels of confidentiality offered, eg: a youth support centre or school-based health service will offer more confidentiality than will be offered by school staff. Box 7.4 The Connexions Service Connexions offers advice and support to young people aged 13 to 19 (up to 25 in the case of those with special needs), in order to help them reach their potential through education, training, employment and other developmental opportunities. In order to assist some young people to overcome the barriers that they face, Connexions usually offers a confidential service similar to that provided by school nurses (see above). They encourage young people to speak to their parents/carers about what is troubling them and they will offer support for this to happen. Confidentiality cannot be kept if a child protection issue is disclosed. We have agreed with Connexions that their personal advisers may offer a confidential service to the pupils in our school. Box 7.5 Peer mentoring and support All mentoring and support programmes should cover confidentiality issues in their training. The following is based on the Government’s teachernet website and could be used as a basis for your policy or adapted as necessary. 16 Guidance for Hampshire schools: writing a confidentiality policy February 2006 Pupils are not allowed to promise to keep secrets but all conversations between the mentor and mentee will be kept confidential except in the following circumstances: the mentor must tell either the mentoring co-ordinator or a teacher if a pupil discloses either any form of abuse or anything else that would make them worry about their safety if the mentee is about to disclose this sort of information, the mentor must tell them that they will need to take them to a member of staff, possibly as an advocate to help them if the mentor has a concern about the content of a mentoring meeting, they are encouraged to discuss it with the mentoring co-ordinator – it will not go further unless it fits into one of the above categories. Box 7.6 Pupil mentoring programmes involving adult mentors The suggestion listed for Box 7.5 applies equally to adult mentors. Box 8.1 Parents and families As a school you may wish to include a statement to recognise when you are prepared to keep information from parents/carers confidential. The following is a possible statement. We recognise that sometimes there may be family issues which might affect a pupil and which the family will only disclose to us if they can be sure the information will be treated confidentially. We will respect the wishes of the family and where it is felt necessary to share the information given to us, this will be discussed with the parent first unless a pupil is considered to be at immediate risk and/or there is an overriding child protection concern. February 2006 Guidance for Hampshire schools: writing a confidentiality policy 17 Box 8.2 Staff and governors Schools may wish to consider including a statement about confidentiality issues for staff and governors within this policy. This will require careful discussion, potentially involving school trade union representatives. You may wish to consider the following statement as a starting point. All staff can normally expect that their personal situations and health issues will remain confidential unless: it impinges on their terms of contract endangers pupils or other members of staff there is a legal obligation to disclose such information it is necessary for legal proceedings despite the duty of confidence, the staff member’s interest or the wider public interest justifies disclosure. Box 9 Linked policies List those policies that are linked and supported by the confidentiality policy, eg: bullying, child protection, health and safety, PSHE, SRE, personal development learning, drug abuse and misuse. Box 10 Dissemination A suggested statement follows. This policy should be widely publicised to all in the school community: 18 through the school prospectus through school newsletters with job details to applicants through posters and leaflets or agreements with other agencies working on the school site through tutor groups, assemblies and the school council Guidance for Hampshire schools: writing a confidentiality policy February 2006 on the school website by emphasising links to the to the school’s anti-bullying policy and child protection policy and procedures. The policy will be written in such a way as to be accessible to pupils, teachers, parents and the wider community. After approval of the policy, the following should carefully be considered: February 2006 the training for staff working on the school site service level agreements with external agencies other school policies linked to the confidentiality policy may need to be slightly amended how the policy is to be shared with parents, pupils and partner agencies. A model statement to parents is included in Appendix 2 and a model statement for pupils is included in Appendix 3. These will need to be adapted according to the details of the policy adopted by the school governing body the staff member responsible for the policy needs to collate issues which may arise and incorporate them into the policy review. Guidance for Hampshire schools: writing a confidentiality policy 19 Appendix 1 Suggested service level agreement for use with agencies working with pupils Organisation: ………………… School: ……………………. Named contact: …………………………………………………... Tel: …………………………….. Fax: ………………………... Reason for visit: ………………………………………………….. Year group: …………………………………………………….…. The teacher will be responsible for the behaviour of the pupils. Aims of sessions: Expected learning outcomes: Before the visit, the school will: ………………………………… Before the session, the visitor will: …………………………….. The visitor should be aware that the school staff are responsible for the pupils whilst they are in school: any materials to be given out should be shared with school staff the school has important policies that visitors should be aware of and have read, such as the confidentiality policy and equal opportunities policy. Equipment required on the day: ……………………………….. Date of sessions: ………………………………………………... Signed – school: …………………………..…… Date: …….… I have had/am willing to undergo a police check. Signed – organisation: ………………………... Date: …….… 20 Guidance for Hampshire schools: writing a confidentiality policy February 2006 Appendix 2 A sample statement for parents and carers concerning confidentiality and pupils This statement could accompany the school’s confidentiality policy. The team should ensure that this truly reflects and summarises the agreed school policy. There is increasing national concern for the emotional health and well-being of young people growing up in today’s society. We recognise that parents and carers want to do all they can to support their child but, even in the most supportive of relationships where there is excellent communication between parent/carer and child, there can be occasions when they are worried about something and feel that they cannot talk about it with you. This may result in enormous stress for the pupil, which can impact on their education, health and behaviour, unfortunately leading to self-harm and even suicide in the most extreme cases. Whilst we recognise that parents and carers will naturally be disappointed if their child does not choose to talk with you about what is troubling them, we feel there could be even more distress if the pupil is unable to cope with the issue themselves. On this basis, we have agreed the following. School staff (with the exception of the school nurse and school counsellor) Our staff will be supportive to pupils who approach them with concerns, but will make it clear that they cannot offer confidentiality to the pupil on anything that involves an illegal activity or anything that is a potential child protection issue where the pupil or others are likely to be at risk of significant harm. Senior staff in the school will liaise with parents/carers as appropriate in cases where a staff member has reported an issue over which they cannot offer confidentiality. Staff will support pupils to inform their parents/carers about issues that are troubling them as appropriate. We will make pupils aware of specialist confidential services on our school site and in the community where they can seek assistance if they wish. February 2006 Guidance for Hampshire schools: writing a confidentiality policy 21 School counsellor We employ a specialist school counsellor who can be approached by any pupil for a confidential discussion. Sometimes we may also refer pupils to the counsellor for discussions. The school counsellor cannot offer confidentiality over a child protection issue but, because sometimes it is necessary for a pupil to be able to talk about deep-seated troubling issues in order to help the pupil through their situation, we do not require our counsellor to inform senior or pastoral staff about illegal activities unless there is a child protection issue or other significant risk. School nurse and school health drop in The Government has recognised that for some young people, unless they are able to speak to someone confidentially away from their family, their health and wellbeing can be at great risk. Health services (including doctors, our school nurse and health drop in) can offer confidential health services (including contraception) to pupils under the age of 16, providing they follow the Fraser Guidelines which require: the young person understands the advice and has sufficient maturity to appreciate what is involved in terms of moral, legal, social and emotional implications for themselves they cannot be persuaded to tell their parents/carers, or allow them to be informed (if appropriate) they are likely to begin or continue having sex the young person’s physical or mental health is likely to suffer unless they receive advice or treatment it is in the young person’s best interests to give advice or treatment. The requirement to offer a confidential service is within the professional code of practice for school nurses and other health service staff. The Government has also signed up to international legislation and charters which entitle young people to access health services. However, health professionals, like everyone else, must inform appropriate services if they become aware of a child protection issue in discussions with a young person. 22 Guidance for Hampshire schools: writing a confidentiality policy February 2006 Connexions Service Connexions offers advice and support to young people aged 13 to 19 (up to 25 in the case of those with special needs), in order to help them reach their potential through education, training, employment and other developmental opportunities. In order to assist some young people to overcome the barriers that they face, Connexions usually offers a confidential service similar to that provided by school nurses (see above). They encourage young people to speak to their parents/carers about what is troubling them and they will offer support for this to happen. Confidentiality cannot be kept if a child protection issue is disclosed. We have agreed with Connexions that their personal advisers may offer a confidential service to the pupils in our school. February 2006 Guidance for Hampshire schools: writing a confidentiality policy 23 Appendix 3 A sample statement for pupils concerning confidentiality The policy team will wish to publicise the policy to pupils in a variety of ways. Below is a suggested statement. Again, this should properly reflect the negotiated and agreed confidentiality policy. (NB: This may need to be formatted in different ways and simplified in language appropriate for the range of pupils within the school.) We understand that there may be times when there are things which may be worrying you, but you feel that you cannot talk about them with your family. Teachers and other members of school staff will do all we can to help you, but you need to know the following: 24 if you really want to talk to someone confidentially (without anyone else knowing what you have said), you can speak to the school counsellor, school nurse or the Connexions personal adviser. We might also be able to help you find someone else outside of school if you think this is better for you the teachers and other members of staff in the school will often be able to help you with many of the things that may be worrying you, but they cannot promise to keep everything to themselves. If you tell them about some things like selling drugs or stealing, they will have to speak to one of the senior teachers in the school who might then have to speak to your parents/carers, the police or social services if the staff member feels that they have to tell someone else what you have talked about, they will always tell you first and help you sort it out, perhaps helping you to speak to your parents/carers if you want this very rarely, there may be things which you talk about that can be very dangerous for you or for other young people, eg: someone trying to harm you. Even the school counsellor, nurse or Connexions personal adviser may have to tell someone else about what you have said, but they will tell you first and always help you to sort things out Guidance for Hampshire schools: writing a confidentiality policy February 2006 February 2006 please remember if the school nurse or Connexions personal adviser is speaking in lessons, they have to tell things to senior teachers in the school, just like the teachers. The only time they can be confidential is when they see you outside of lessons. Guidance for Hampshire schools: writing a confidentiality policy 25 Appendix 4 Hampshire Area Child Protection Committee interim protocol for working with sexually active young people under the age of 18 1 Introduction The Sexual Offences Act (2003) includes a range of offences covering sexual activity involving young people under 18. The Act aims to reduce sexual exploitation and abuse of children and young people, not to criminalise normal adolescent behaviour. In 2000, a survey1 of over 11,000 males and females aged 16-44 indicated that the median age for first sexual intercourse was 16 with 30% of men having had sex before 16 and 26% of women having had sex before 16. Other surveys have reported similar findings. 1.2 It is not expected that all young people known to be involved in sexual behaviour will be automatically reported to the Police and if this was to happen, then those who are sexually active would be less likely to access contraceptive and sexual health advice and services, leaving them more open to unintended pregnancy and health risks. It could potentially result in the emergence of less rather than more information about abusive cases. However, children and young people need to be protected from abuse and exploitation and this can leave practitioners uncertain of when they should report cases to Social Services/Police. This protocol has been designed to assist practitioners to identify where relationships may be exploitative or abusive and the young people may need the provision of protection or additional services. 1.3 All young people, regardless of gender, who are believed to be engaged in, or planning to be engaged in, sexual activity should have their needs for health education, support and/or protection assessed by the agency involved. 1.1 1 Wellings K, Nanchahal K, Macdowall W, McManus S, Erens R, et al. Sexual behaviour in Britain; early heterosexual experience. Lancet 358: 1843-50 26 Guidance for Hampshire schools: writing a confidentiality policy February 2006 1.4 Under the Sexual Offences Act (2003) young people still have the right to confidential advice on contraception, condoms, pregnancy and abortion even if they are under 162. The Act guidance states that a person is not guilty of aiding, abetting or committing an offence if he/she is acting for the purpose of: protecting a child from sexually transmitted infection, or protecting the physical safety of the child, or preventing the child from becoming pregnant, or promoting the child’s emotional well-being by giving the advice. This exception covers not only health professionals, but anyone who acts to protect a child, eg: teachers, youth workers, social workers, professionals in the voluntary sector and Connexions Personal Advisers. 1.5 Qualified social workers employed within Social Services Departments have a legal duty to make further enquiries when there are Child Protection concerns. They are expected to follow the guidance in this protocol with respect to knowledge about the sexual activity of young people. 2 Sexual activity by age group 2.1 2 February 2006 Young people age 16-17 Although sexual activity (heterosexual or homosexual) is not an offence over the age of 16, young people under the age of 18 are still offered the protection of Child Protection Procedures. Consideration still needs to be given to issues of sexual exploitation through prostitution and abuse of power. Young people can be subject to offences of rape and assault and the circumstances of an incident/act may need to be explored with a young person. Young people in this age group are not deemed able to give consent if the sexual activity is with an adult in a position of trust, (eg: their teacher, youth worker, carer of a young person with profound learning difficulties) or a family member as defined by the Sexual Offences Act 2003. Also relevant is whether a young person has a learning disability or other communication difficulty that could hinder their capacity to communicate easily that they have been abused. Working with the Sexual Offences Act 2003, Home Office – May 2004 SOA/4 Guidance for Hampshire schools: writing a confidentiality policy 27 Young people age 13-15 Although the age of consent is 16, there is no intention to prosecute young people of a similar age involved in mutually agreed consensual sex unless it involves abuse or exploitation. In assessing the nature of any particular behaviour, it is essential to look at the facts of the actual relationship between those involved. Factors to be taken into account are set out in the Sexual Offences Act guidance: for example, age and emotional maturity of parties, whether the parties entered the sexual relationship willingly, any coercion or corruption, the relationship between the parties, whether there was any duty of care between the parties, or whether there was any breach of trust. These factors need to be taken into account for any young person under 18. 2.3 Any person who intentionally causes or incites someone under the age of 16 to engage in sexual activity may be prosecuted under the Sexual Offences Act 2003. The age difference may be a key indicator for concern (eg: a relationship between a 15 year-old and a 25 year-old). 2.4 In order to determine whether the relationship presents a risk to the young person, the following factors should be considered: whether the young person is competent to understand and consent to the sexual activity the nature of the relationship particularly if there are age or power imbalances whether there was overt aggression, manipulation, coercion or bribery and whether alcohol or drugs were used to facilitate the activity whether the young person’s own behaviour (for instance the use of alcohol or drugs) means they are unable to make an informed choice any attempts to secure secrecy by the sexual partner beyond what is usual in teenage relationships whether the sexual partner is known by agencies to have concerning relationships with other young people whether the young person denies, minimises or accepts adult concerns presence of a sexually transmitted infection in a child under 13 2.2 28 Guidance for Hampshire schools: writing a confidentiality policy February 2006 evidence of parental neglect or lack of supervision of a child under 13 where the relationship involves behaviours considered to be grooming in the context of sexual exploitation. Also relevant is whether a young person has a learning disability or other communication difficulty that could hinder their capacity to communicate easily that they have been abused. 2.6 Children under the age of 13 Under the Sexual Offences Act 2003 a child under 13 does not under any circumstances have the legal capacity to consent to any form of sexual activity and anyone involved in penetrative sex (in any form) with a child under 13 is liable to be convicted of rape. However, children under 13 also have a right to confidential contraceptive and sexual health treatment and advice to protect their welfare3. 2.5 3 Referral process In working with young people, it must always be made clear to them at the earliest appropriate point, that absolute confidentiality cannot be guaranteed, and that there will be some circumstances where the needs of the young person can only be safeguarded by sharing information with others. This discussion with the young person may prove useful as a means of emphasising the gravity of some situations. 3.2 On each occasion that a young person is seen, consideration should be given as to whether their circumstances have changed or further information is given which may lead to the need for referral or re-referral. 3.3 Anyone concerned about the sexual activity of a young person should initially discuss this with the person, or unit, in his or her agency responsible for child protection. There may then be a need for further consultation with a member of Social Services/Police – see below. Discussion with Social Services is not mandatory and will depend on the level of risk/need assessed by those working with the young person using the criteria in 2.4 above. 3.1 Sexual Offences Act 2003: key messages – Teenage Pregnancy Unit, May 2004 3 February 2006 Guidance for Hampshire schools: writing a confidentiality policy 29 3.4 3.5 3.6 3.7 3.8 3.9 30 Having used the criteria in 2.4 above to make an assessment and discussed the issue with the person responsible for child protection within their agency if appropriate, practitioners may want to informally discuss the issue with a Social Services Reception and Assessment Team for advice on whether to make a formal referral. This discussion can be held without individual’s names being disclosed. If, as a result of these informal discussions it is felt that a formal referral should be made, a timescale should be agreed (unless in exceptional cases) within which the practitioner will explain to the young person that confidentiality has to be broken and support can be offered. This may mean going outside of the prescribed Child Protection timescale (ie: young person to be seen within 24 hours) because this is in the best interest of the young person. The reason for the delay should be recorded on the case file. Children under 13 who are sexually active are particularly vulnerable and practitioners should recognise this vulnerability when considering a referral to Social Services/Police using the criteria in 2.4 above. For all under 18s there are cases where a referral to Social Services/Police would be expected, eg: sexual activity with an adult in a position of trust, for example, their teacher, youth worker, etc, or a family member as defined by the Sexual Offences Act 2003. In the vast majority of cases where there are no aggravating factors, it will not be in the best interests of the young person for criminal or civil proceedings to be instigated. However, practitioners should bear in mind that the Police and Social Services may hold information that will provide vital assistance to the assessment of risk. Whether or not to support a victim in making a complaint to the police should be the subject of professional judgement, taking advice as and when appropriate. In some cases urgent action may need to be taken to safeguard the welfare of a young person. However, in most circumstances there will need to be a process of information sharing and discussion in order to formulate an appropriate plan. There should be time for reasoned consideration to define the best way forward. Guidance for Hampshire schools: writing a confidentiality policy February 2006 3.10 Following any referral to Social Services (as outlined in Section 5 of the Child Protection Procedures) there may be one of these responses: no further action deemed necessary an initial assessment undertaken which may identify the young person as a child in need and additional services provided an initial assessment undertaken which may identify the young person as a child at risk of significant harm and in need of child protection intervention. Wherever possible, appropriate support should be offered and agencies should continue to offer the services provided. 3.12 In all cases of formal referrals to Social Services, Reception and Assessment Teams will record details of the individual(s) and actions taken. If the Reception and Assessment Team make a decision not to inform the Police, the reasons will be recorded, eg: having used the criteria in 2.4 above the case is clearly not abusive or exploitative but considered to be normal adolescent behaviour. 3.13 Sharing information with parents/carers Decisions to share information with parents/carers will be taken using professional judgement and having consulted the Child Protection Procedures. Decisions will be based on the child’s age, maturity and ability to appreciate what is involved in terms of the implications and risks to themselves. This should be coupled with the parents’/carers’ ability and commitment to protect the young person. Given the responsibility that parents/carers have for the conduct and welfare of their children, practitioners should encourage the young person, at all points, to share information with their parents/carers when it is judged safe to do so. 3.11 This protocol is written on the understanding that those working with this vulnerable group of young people will naturally want to do as much as they can to provide a safe, accessible and confidential service whilst remaining aware of their duty of care to safeguard them and promote their well-being. February 2006 Guidance for Hampshire schools: writing a confidentiality policy 31