Sexual Health and Relationships


Contents

  1. Provision of Information and Advice
  2. Puberty and Sexual Identity
  3. Pornography
  4. Sexual Activity in Homes
  5. Contraception
  6. Pregnancy and Termination
  7. Sexual Exploitation
  8. Sexually Transmitted Infections
  9. Masturbation
  10. Peer Group Abuse


1. Provision of Information and Advice

Home’s managers must ensure that children are offered good quality, age appropriate up to date information, support and advice on matters relating to sexual health and relationships. This information should supplement what is provided through the child’s school/educational setting.

Before providing information and advice on sexual health and relationships, the manager/staff must consult the social worker and, if possible, parents or those with Parental Responsibility to ensure it is provided in the context of the child’s background and needs. Any specific requirements must be incorporated into the child’s Placement Plan.


2. Puberty and Sexual Identity

Staff must adopt a non-judgemental attitude toward children, particularly as they mature and develop an awareness of their changing bodies and their sexuality.

Staff must adopt the same non judgemental approach to children who are confused about their gender or sexual identity or who have decided to embrace a particular lifestyle (so long as it is not abusive or illegal).

Children who are confused about their sexual identity or gender or indicate they have a preference must be afforded equal access to information, education and support.

As necessary this must be addressed in Placement Plans.


3. Pornography

The use of online filters can help to ensure that younger children do not accidentally access pornographic or sexual images online. See UK Safer Internet for more information,

Older young people are likely to be curious about sex and relationships and may search for online for pornographic or sexual material. It is important that staff have an open discussion with young people about pornographic images and the impact that viewing these can have on young people and their own developing relationships. The NSPCC have produced comprehensive guidance for parents and carers on how to talk to young people about online porn and healthy relationships.

For more information please see Online porn - Advice on how to talk to your child about the risks of online porn and sexually explicit material (NSPCC).


4. Sexual Activity in Homes

Children under the age of 13 are deemed to be incapable in law of giving consent to sexual activity. Therefore, children under this age who engage in sexual activity must be referred to Children’s Social Care under the West Yorkshire Consortium Inter Agency Safeguarding and Children Procedures Manual as a Child Protection Referral.

The home’s manager must be alert to such relationships when considering the placement of children under 13. Children of this age who are likely to be at risk from each other (or from older children) should not be placed together. See Referring Safeguarding Concerns Procedure.

When considering the placement (or ongoing placement) of children over the age of 13, the manager must assess the risk of sexual relationships developing and should ensure strategies are in place to reduce or prevent these risks if there are concerns that relationships are exploitative or abusive.

Where children aged 13 - 18 are placed together with no identified risk of exploitative or abusive behaviour, the manager and staff must monitor any developing relationships, and sensitively but positively discourage children from engaging in under age sexual relationships.

Overall, staff should be mindful of their duty to consider the welfare of children and this includes working to minimise risks and consequences of any sexual activity between young people living in the home. If there is any suspicion that a child is in an abusive or exploitative relationship it must be discussed with the social worker.

When staff suspect children are sexually active they should:

  1. Ensure the basic safety of all the children concerned;
  2. Notify the home’s manager, who should notify/consult relevant social workers and consider reviewing the child's Placement Plan;
  3. Record all events in the Daily Log, relevant child's Daily Record. If required an incident report should be completed.

If a child is sexually exploited this should be reported to Ofsted as a Notifiable Event, see Notification of Serious Events Procedure


5. Contraception

Access to contraceptives or advice on sexual health should not be conditional on children giving information about their lifestyles.

Children may engage in sexual activity before they reach the age of consent, and it is sensible therefore to talk about contraception before they reach 16.

In such circumstances, home’s staff should consult the child’s social worker to agree what reasonable steps can be taken to minimise risk of pregnancy or infection, including facilitating contact with relevant agencies providing contraceptive advice, such as the Brook Advisory Service.

Matters of concern must be discussed with the social worker and addressed in Placement Plans.


6. Pregnancy and Termination

If a child is suspected or known to be pregnant the manager should talk to the child about who should be informed and explore what support the child may require to promote their own and the unborn baby's welfare.

Under normal circumstances, the child's social worker and parent(s) should be informed and should collaborate with the child in drawing up a suitable plan for the promotion of the welfare of the parent to be and the unborn child.

However, a child may request that parent(s) and/or that the social worker is not informed.

In all cases where there are any concerns that the pregnant child or the unborn child is suffering or likely to suffer Significant Harm, the manager must discuss it with the child's social worker with a view to making a Child Protection referral. In these circumstances it must be explained to the child why her request for confidentiality cannot be agreed. See Referring Safeguarding Concerns Procedure.

In cases where there are no Child Protection concerns, the child should be encouraged to inform her social worker and parents. Where the child is 16 or over, however, a request to keep the pregnancy confidential her parents may be respected. Where a child under the age of 16requests confidentiality, it may be possible to agree this if the child is of an age and level of understanding to make such an informed decision.

See Consents and Delegated Authority.

Where a child wishes to terminate a pregnancy, the social worker must be notified/consulted with a view to providing advice, counselling and support by suitably qualified independent counsellors.

If the termination goes ahead, the manager must ensure that the child's privacy is protected and any physical or emotional needs are addressed sensitively.


7. Sexual Exploitation

See also West Yorkshire Consortium Procedures Manual - Safeguarding Children and Young People from Child Sexual Exploitation: Policy, Procedures and Guidance.

Child Sexual Exploitation is a form of child sexual abuse. It occurs where an individual or group takes advantage of an imbalance of power to coerce, manipulate or deceive a child or young person under the age of 18 into sexual activity (a) in exchange for something the victim needs or wants, and/or (b) for the financial advantage or increased status of the perpetrator or facilitator. The victim may have been sexually exploited even if the sexual activity appears consensual. Child sexual exploitation does not always involve physical contact; it can also occur through the use of technology. Boys as well as girls can be sexually exploited.

Children who are placed in residential units may can be especially vulnerable to child sexual exploitation or may have experienced it before their placement.

The manager and all staff must be alert to signs of sexual exploitation, and should do all they can to create an environment which encourages children to be open about their experiences and which offers them support.

Where there is any suspicion that a child is being sexually exploited, it should be addressed in the child's Placement Plan.

Where children living the home are being sexually exploited, their social worker must be notified, and the home's manager, must make a notification to Ofsted and the police. See Notification of Serious Events Procedure.

See also Safeguarding Children and Young People from Sexual Exploitation Procedure


8. Sexually Transmitted Infections

Also see Infections and Blood Borne Viruses Procedure

If it is known or suspected that a child has a sexually transmitted infection the home’s manager and social worker must be informed and decide what measures to take.

The child should be referred, with the parents’ consent if possible, to the local Genito-Urinary Medicine Clinic, who will provide the child and staff with advice, counselling, testing and other support.

Only those immediate carers of the child who need to know will be informed of any suspicion or the outcome of any tests and the strategies or measures to be adopted.

Other children in the home should only be informed if there is a direct risk to them; for example if the infected child deliberately attempts to infect them.

The only other individuals who will be told are the child's GP and Health Visitor.

Before disclosing to any other agency or individual, the following criteria must be satisfied:

  • The child (where appropriate) and the parents have given their written consent to the disclosure;
  • The disclosure would be in the best interests of the child;
  • Those receiving the information are aware of its confidential nature.

8.1 Consent to testing

The permission of the child aged 16 or over must be given before testing.

If a child under 16 has sufficient age and understanding, his or her permission must be given before testing.

Wherever possible, the consent of the parents should be obtained. In order for parents to be able to participate in decision-making, they must be provided with adequate information and given appropriate support including access to counselling both before the test and in the event of a positive diagnosis.

Where parental consent is not forthcoming, but there is a clear medical recommendation that testing is in the child's best interests, legal advice should be obtained as to whether the test can proceed.


9. Masturbation

It is accepted that masturbation is part of normal sexual development but children must be positively encouraged to undertake such activities in private and in a manner which is not harmful to themselves or other people.


10. Peer Group Abuse

The possibility of peer abuse should always be taken seriously. However, it is important not to label or stigmatise normal sexual exploration and experimentation between children.

Sexual behaviour is not usually a cause for concern unless it is compulsive, coercive, age-inappropriate or between children of significantly different ages, maturity or mental abilities.

If at any time staff suspect children are engaged in abusive sexual relationships as perpetrators and/or victims, they must immediately inform the home’s manager, who must consult the social worker and make a referral under the Referring Safeguarding Concerns Procedures.