Using $vec{k}$$cdot$$vec{p}$ theory, we derive an effective four band model describing the physics of the typical two-dimensional topological insulator (HgTe/CdTe quantum well) in the presence of out-of-plane in z-direction inversion breaking and in-plane confining potentials. We find that up to third order in perturbation theory, only the inversion breaking potential generates new elements to the four band Hamiltonian that are off-diagonal in spin space. When this new effective Hamiltonian is folded into an effective two band model for the conduction (electron) or valence (heavy hole) bands, two competing terms appear: (1) a Rashba spin-orbit interaction originating from inversion breaking potential in z-direction and (2) an in-plane Pauli term as a consequence of the in-plane confining potential. Spin transport in the conduction band is further analysed within the Landauer-Buttiker formalism. We find that for asymmetrically doped HgTe quantum wells, the behaviour of the spin-Hall conductance is dominated by the Rashba term.