Working with young athletes policy
It is not uncommon for staff to be asked to see to work with a young athlete who, if under 18 is deemed to be a minor from a legal perspective. The Family Law Reform Act 1969 stipulates that individuals aged 16 and over can consent to medical treatment. Additionally, the Gillick competence principle, established in 1985, allows those under 16 to consent if they possess sufficient understanding and intelligence regarding the proposed treatment..
Whilst it is common to have a young person accompanied by a parent to a routine doctors appoint at the GP, it is not unusual to see an athlete accompanied by a coach or other sports official. While parents may delegate authority to coaches or officials under 'in loco parentis', potential conflicts of interest can arise between the coach's objectives and the child's welfare. Therefore, it's crucial to ensure that any accompanying adult genuinely represents the young athlete's best interests.
When a minor seeks consultation, you should:
Assess the individual's Gillick competence to determine their capacity to understand the implications of advice or interventions.
Preferably ensure the presence of a parent or legal guardian during consultations.
If another adult accompanies the minor, verify their role and ensure they act solely in the young athlete's best interests.
When providing substantial medical advice, such as referrals for secondary care or guidance on significant injuries, it's advisable to involve the parents or legal guardians directly, ensuring they are informed and, if feasible, present during discussions. This may include decisions to refer for secondary care advice, advice on significant changes to their status as a funded athlete, or difficult decisions which require some consideration. If they are not present, consider if it appropriate to contact them e.g. by phone (with the consent of the athlete).
It must be remembered that a young athlete can be in a very vulnerable position and you must ensure that the adult input to the welfare of that child is of the highest standards. If you suspect that the best interests of the young athlete are not being adequately represented you may feel more comfortable rearranging the consultation to such time that a more suitable person such as a parent accompanies them . It is also worth noting that the pressure to strive for success may cloud the judgement of athlete, coach and parent alike. It is your duty of care to ensure that wherever you suspect this, that your views are very clearly expressed.
Note to be issued to the young athlete when working with a member of the team:
“When you are under 16, it is normal practice to be accompanied by your parent or legal guardian when you see a doctor, physiotherapist or sports massage therapist. Although you may be happy to see the practitioner and the practitioner may feel happy to see you, there may be times where he or she would prefer someone such as your mother or father to accompany you, so that they may be able to help you in your discussions.”