Transcript Dr PWD Meerstadt - London Safeguarding Children Board

Dr PWD Meerstadt
Interim Designated Doctor for
Child Protection
Interim Designated Paediatrician for
Child Death Reviews
COMMUNITY PAEDIATRIC SERVICE
GUIDANCE REGARDING THE MANAGEMENT OF ACUTE SEXUAL ASSAULTS AND
CHRONIC SEXUAL ABUSE IN CHILDREN/YOUNG PEOPLE
Initially, to whomever the Sexual Assault/Child Sexual Abuse is reported this agency must
report the case to Children’s Safeguarding and Social Care Services (CS &SCS)
SC & SCS
CCP triage with
SS & police
Acute sexual assault
Allegation of
CSA
Police
Strategy Meeting
No action
Haven
Exam
**
Police
forensic
route
Health/safeguarding
route
Medical +
Surgery
needed
Forensic
specimen
s
Chain of
evidence
Paediatric
gynaecologists
No
surgery
needed
Medical
treatment
• Pregnancy
• STD
screening
Recorded police
interview (Achieving
Best Evidence)
report
CP. CC
C/P. Plan
*Prior to the medical, check if there is to be police involvement and if so, whether they intend to do an ABE
interview. If an ABE interview is scheduled the doctor should take a history from the Social Worker but NOT
from the parent or from the child/YP; such an action by the doctor could contaminate the evidence to be
given by the parent/child/YP to the police
+ See local protocol for guidance regarding CSA medicals
NB
• GPs should not undertake CSA medicals
Acute Paediatrician should not examine children for sexual abuse
NB.
 Acute SA must not be referred to the QEH
 Chronic CSA is not an emergency and should not be referred to the QEH but should be deferred - to be seen by the Consultant
Community Paediatricians
 Children seen by QEH for non-accidental injury, but found to be CSA also, should be managed as per the NAI protocol.
 The question whether all children presenting as NAI should also have an anogenital examination is undecided.