Information for separated parents

Accessing Care for Your Child

We understand that co-parenting can be challenging, and our aim is to support you and your child by making the process of accessing healthcare clear and fair for everyone. This page explains how appointments, medical records, consent and communication are managed when parents are separated.

Working Together in Your Child’s Best Interests

To provide safe and consistent care, we ask separated parents to:

  • Avoid booking duplicate appointments

  • Communicate respectfully with our staff

  • Keep each other informed about requests, appointments and decisions

  • Understand that the surgery cannot take sides, mediate disagreements or withhold appropriate information from a parent who has parental responsibility

Our focus is always on your child’s wellbeing, and cooperative communication helps us deliver the best care possible.


Parental Responsibility

Parents or carers with parental responsibility have legal rights and duties relating to their child’s healthcare.

What this means in practice

  • Either parent with parental responsibility may request medical information or book an appointment for their child.

  • Evidence of parental responsibility (e.g., birth certificate or court order) may be requested.

  • Where appropriate, we may grant proxy online access to a child’s medical record to a parent with parental responsibility.

Proxy Access

Before approving access, the surgery may need to check:

  • ID for both parent and child

  • Documents confirming parental responsibility

  • Contact details for both parents

  • Safeguarding considerations

  • For children aged 11+, whether the child can consent to their parent seeing their records

Further guidance is available by searching “Parent and guardian proxy access for children – NHS”.


Sharing Medical Records

Where appropriate and in the child’s best interests, a parent with parental responsibility may receive copies of their child’s medical records.

  • A child’s views may be considered if they are mature enough to understand.

  • Third-party information may be removed (redacted).

  • Although there is no legal requirement to notify the other parent, keeping each other informed promotes transparency and reduces conflict.


Appointments and Healthcare Decisions

Day-to-Day Decisions

Routine matters (e.g., minor illnesses, diet, routines) can be managed by the parent caring for the child at that time.

Major Decisions

Important medical decisions must be discussed and agreed between both parents, such as:

  • Operations or procedures

  • Significant treatments

  • Long-term therapies

  • Vaccinations

  • Mental health interventions

If you disagree, the surgery cannot decide for you. The parent disputing the decision must seek legal advice or apply to court.

During Appointments

It is the responsibility of the parent attending the appointment to:

  • Share relevant updates with the other parent

  • Inform them of planned appointments

  • Ensure both parties remain aware of the child’s care


Consent for Vaccinations

  • Vaccinations require informed consent from someone with parental responsibility.

  • If parents disagree, the vaccination will not be given until the issue is resolved legally.

  • We cannot take sides or proceed based on one parent’s wishes over the other.

  • Older children may be able to give consent themselves if they have sufficient understanding (known as “Gillick competence”).


Helpful Tips to Avoid Misunderstandings

When contacting the surgery, please:

  • Confirm parental responsibility if asked

  • Be clear and specific in your request

  • Inform the other parent of requests, appointments or updates

  • Avoid asking us to keep information secret from the other parent (we cannot do this)

  • Consider the child’s views if they are old enough to understand

  • Keep a personal record of what you have shared or agreed

This approach helps keep care consistent, reduces confusion, and ensures both parents remain informed and involved.


We’re Here to Support You

We recognise that separation can be a difficult time for families. Our team is here to help guide you through the process and ensure your child receives safe, coordinated care.

If you need advice or have questions about anything on this page, please get in touch with our reception or administrative team.