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NHS England “They make a lot of assessments of the professionals in the same way the professional will be doing an assessment of the young person,” he added. Young participants wanted to be absolutely clear about how any sensitive information they divulged would be used or shared. They also said health professionals needed to speak to them using appropriate language they could understand, and nurses and others should expect to get answers “given in language that might be different from words they normally use” or in the form of pictures, video or another format, noted Professor Rowland. Professionals highlighted the challenges in raising sensitive and difficult topics with young people, who more often than not present at settings like A&E, walk-in centres and sexual health services not specifically geared to treat younger patients. “Some people – such as someone who works in a sexual assault centre – are specially trained to do this and it is what they do in their job every single day, so they find it a lot easier, but that’s not to say that every one of their interactions is easy,” said Professor Rowland. “But a lot of the professionals were telling us that these are difficult conversations and any help they can get to build a positive rapport would be a real help,” he said. The issue of time was also discussed given A&E departments, wards and other health services across the country are under considerable pressure and hit by staffing shortages. One A&E nurse who took part in the project explained it was possible to have meaningful conversations with children and young people even when time was short. “This is about a conversation and she explained that conversation starts the moment the child or young person arrives at your facility,” said Professor Rowland. “You’re observing them on your way out to the waiting room to collect them. On the way to the cubicle you will be having a conversation – you won’t be walking in silence,” he said.

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