Do you need a chaperone?

NHS England has published a national set of principles it expects health services to follow when providing chaperones to patients.

This publication is welcome, especially following Healthwatch England's 2024 cervical screening project, which revealed that one quarter of women had not been told in advance they could request a chaperone be present. As a result of this finding and feedback from local Healthwatch case studies, the establishment of a national policy on chaperones for intimate examinations was recommended,

Improving chaperone practice in the NHS: key principles and guidance, states that while providers will retain flexibility to set local chaperoning policies, these should be ‘underpinned by a shared set of principles to ensure a level of commonality in our offer to patients and service users’.

This includes:

·       Ensuring policies are advertised to patients, the public and service users, and also ensuring they are available online and in easy read formats.

·       Making the offer of a chaperone clear to the patient before any consultation, ideally at the time of booking the appointment and then again at the time of the examination.

·       Considering the patient’s preferences in relation to choice of chaperone, which may include sex, religious beliefs or other personal circumstances.

·       Staff should also identify where patients may have additional needs, such as communication difficulties or learning disabilities, and make reasonable adjustments to ensure they understand the offer and feel supported.