Transcript Safeguarding Children in Hillingdon

Safeguarding Children in
Hillingdon
Dr Helen Neuenschwander
GP Advisor for Safeguarding
[email protected]
Promoting Best Practice in Child Protection
Representing GPs on Safeguarding Committee (Health)
Victoria Climbie
2.11.1991 – 25.2.2000
Laming Report 2003
•Central Government Led Children & Families Board
•National Agency for Children & Families with local networks
•Board for Children & Families in all Local Authorities
•Government to review law re private fostering arrangements
•Child Protection Register to be replaced by Child Protection
Plans
•Improve joint working between agencies
•GPs to update training every 3 years
•Training to be considered for non-clinical staff in contact with
children
•Always keep accurate and contemporaneous notes
•If deliberate harm is considered a possibility, history can be taken
from the child without parent’s consent
•If deliberate harm is considered, do not dismiss this without
documenting the discussion and decision
Peter Connelly 1/3/06 – 3/8/07
Laming Review 2009
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30. All Children’s Trusts should have sufficient multi-agency training in
place to create a shared language and understanding of local referral
procedures, assessment, information sharing and decision making
across early years, schools, youth services, health, police and other
services who work to protect children. A named child protection lead
in each setting should receive this training.
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34. The Department of Health should promote the statutory duty of all GP
providers to comply with child protection legislation and to ensure
that all individual GPs have the necessary skills and training to carry
out their duties. They should also take further steps to raise the profile
and level of expertise for child protection within GP practices, for
example by working with the Department for Children, Schools and
Families to support joint training opportunities for GPs and children’s
social workers and through the new practice accreditation scheme
being developed by the Royal College of General Practitioners.
35. The Department of Health should work with partners to develop a
national training programme to improve the understanding and skills
of the children’s health workforce (including paediatricians, midwives,
health visitors, GPs and school nurses) to further support them in
dealing with safeguarding and child protection issues.
Child Maltreatment
NICE 2009
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Physical Abuse
Sexual Abuse
Emotional Abuse
Neglect
Fabricated or Induced Illness
Consider vs Suspect
• Plausible explanation?
• Site of NAI on body (esp non-mobile child)
• Quality of interaction between child and
parent/carer
• Background knowledge of family & their
circumstances
• Consider
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Discuss
• Suspect
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Act
• Document
always
Referral
• Form of words to use with family/carers
• Refer to Children’s Social Care duty desk by
phone.
• Written referral within 48 hours
• Should be acknowledged within one day and
assessment within 15 days
Meetings and Decisions
• Complete reports when requested accurately
and on time – please.
• Don’t send unabridged computer printouts.
• Update clinical records with Child Protection
Plan
Read coded entry
• Consider major alert entry for child with child
protection plan in place.
Safeguarding Children in
Hillingdon
Dr Helen Neuenschwander
GP Advisor for Safeguarding
[email protected]
Promoting Best Practice in Child Protection
Representing GPs on Safeguarding Committee (Health)