This protocol relates to the use of chaperons within
general practice. The LMC is
grateful to Dr. Mitchell and partners for permission to reproduce it.
1)
The GP/Nurse should be given an explanation of the procedure involved,
and the reason for it. (BMJ 1999)
2)
Verbal consent is obtained from the patient prior to all examinations of
an intimate nature. (BMJ 1999)
3)
A chaperon should be offered to all patients (male or female) undergoing
intimate examination, irrespective of the gender of the doctor/nurse. (RCOG
1997).
4)
If the patient prefers to be examined without a chaperon, this request
should be honoured and recorded in the patients’ notes/computer record.
(RCOG 1997)
5)
Patient dignity, privacy, confidentiality and the doctor (nurse)/patient
relationship all need to be taken into account when the use of a chaperon is
considered (BMJ 1999)
6)
The GP/Nurse is at liberty to ask for a chaperon to be present if they
feel the situation warrants it. Should
the patient refuse, the GP/Nurse can inform the patient that they are unable to
perform the examination unless a third person is present.
7)
If an intimate examination/procedure is necessary as part of a home
visit, the patient should be offered the choice of having a chaperon present,
i.e. a family member or a friend.
8)
When patients book an appointment for an intimate procedure, the
reception staff can inform them that a chaperon can be brought along.
9)
An explanation of the practice protocol for the use of chaperons i.e. as
a means of protection for the patients’ and staff is to be included in the
practice newsletter and practice information leaflet.
Gloucestershire LMC
For further advice contact: jpeniket@compuserve.com
Dec 01