What if a chaperone is not available?
On a home visit, or in an out-of-hours setting, a chaperone might not be possible. In such circumstances, you should consider whether the examination is urgent on a clinical basis. If it isn’t, you could rearrange the appointment for a time when a chaperone is present.
If the examination is urgent, but hospital admission is not indicated on the history alone, there may be occasions when a doctor goes ahead in the absence of a chaperone. In such circumstances, obtain and record the patient’s consent. In addition, record the fact that the patient was examined in the absence of a chaperone, along with the clinical reasons why.
Further information: Medical Council, Guide to Professional Conduct and Ethics(2009)