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I don't quite agree with that analysis. If he is Gillick Competent he can
consent, but he may not be able to refuse if it is in his best interests
(not the interests of his carers) to be tested.

As Tim says not the lab's problem,  but its well worth fighting through the
layers of protection that GPs surround themselves with for a chat when the
results become available. I would be inclined to do a GC-MS confirmation on
it before reporting it if it is positive. I would also be inclined to
discuss with the GP the possible utility of doing a full screen on it for
all misused substances, including nicotine and alcohol as this may well be
in the child's interests.


Robert Forrest

> -----Original Message-----
> From: Clinical biochemistry discussion list
> [mailto:[log in to unmask]]On Behalf Of Reynolds Tim
> Sent: 17 March 2003 15:37
> To: [log in to unmask]
> Subject: Re: Consent to under-age drug-screen
>
>
> Since the GP acquiesced to the mother's demand, it is the GP on whom any
> ethical burden fell; As a minor, the mother has the right to determine
> whether the child should be tested, depending on his Gillick-competencey;
> and it could be argued that since he is old enough to get the
> cash to smoke
> cannabis he is probably Gillick-competent and therefore should be able to
> refuse...
>
> Fortunately not the lab's problem.
>
> TIM
>
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> > -----Original Message-----
> > From: Damian Griffin [mailto:[log in to unmask]]
> > Sent: 17 March 2003 14:20
> > To: [log in to unmask]
> > Subject: Consent to under-age drug-screen
> >
> >
> > I received a urine sample from a GP with the following comment:
> >
> > "Boy aged 14. Mum wants to have his urine screened for drugs because
> > she thinks he is on cannabis."
> >
> > Is it ethical to do this test
> >
> >
> > --------------------------------------------------
> > Dr Damian Griffin
> > Consultant Chemical Pathologist,
> > Morriston Hospital,
> > Swansea NHS Trust
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