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A child-centred system: the governments response to the Munro review of child protection. Our world class support team help you to be highly effective Safeguardians. As well as a locations function where staff can specify where a concern took place to support your organisations understanding of the contextual nature of safeguarding and allow the safeguarding leads to identify locations which present a risk. 6/21/2023 2:27 PM PT. Communication is essential. The case studies presented described GPs having a central role in identifying and supporting children and parents, many of whom had been in contact with social care services at some point. This guidance describes the responsibilities and expectations for all involved in protecting children and will support the care and protection of children. These were used by participants of the consensus development meeting to develop a recommended strategy for recording. Were always here if you need us. The system is easy to use, and our award-winning customer support team are always happy to offer a helping hand if needed. This portal now also allows the reporter to print a copy of the report submitted. Hippisley-Cox J, Coupland C, Vinogradova Y, et al. GPs were invited to a consensus development meeting. A validation exercise confirmed the specificity of the Read Code list for identifying maltreatment concerns. If concerns were not reported when they first arose, was there a reason for this and what has prompted reporting now. GPs under-record maltreatment-related concerns in childrens electronic medical records. There is a need for controlled trials to evaluate whether improved recording of maltreatment concerns leads to effective intervention and improved outcomes for children and their families. Information is lacking on how concerns about child maltreatment are recorded in primary care records. The digital system means you are free from the risks associated with paper-based solutions which can become lost or damaged. Signs of neglect and abuse. Easy-to-use, centralised, secure record-keeping and case management for all types of safeguarding concerns. With a unique and multi-faceted approach to conservation issues and the humanitarian roots of these problems, we have been working in five countries to improve the lives of animals and people. What other professionals are involved? of records of safeguarding concerns will not be child protection concerns as such and will not necessitate a child protection referral. We will be there when you call. In order to ensure that all relevant information is recorded and appropriate steps are taken, concerns should be recorded on a standardised form that all workers are familiar with. De Lusignan S. Codes, classifications, terminologies and nomenclatures: definition, development and application in practice. Copies of proformas used in the study and the report that was sent to GPs are available from the authors on request. Record subject child or other child. Securely share information with other organisations and other trusted external partners, even those who do not have MyConcern installed. "MyConcern gives me peace of mind that all the information I need to protect students has been accurately recorded and I can access this securely at any time. This is extremely useful when needing to get other agencies involved such as An Garda Sochna or Tusla. In this blog, we examine the many benefits of using a digital, online safeguarding system to record and manage all safeguarding and child protection concerns, compared to outdated paper files and systems. When did these concerns first come to light? Only 82 codes were recorded more than once in the 11 practices or >10 times in THIN (more detailed results can be accessed via http://www.clininf.eu/maltreatment). NHS general medical practitioner consultations: by age, 2000/01. Your cookie preferences have been saved. Nevertheless, participating GPs agreed that these codes would likely represent a clinically significant level of concern because of the disincentive to use permanent and potentially stigmatising codes that could be seen by patients and parents and this was supported by a validation exercise (Box 2). All content is available under the Open Government Licence v3.0, except for graphic assets and where otherwise stated, Appendix G: Armed Forces child protection contacts, Appendix I: Practice insights introduction, Cabinet Secretary for Education and Skills, Cabinet Secretary for NHS Recovery, Health and Social Care, Legal Services (Solicitor to the Scottish Government), National guidance for child protection in Scotland, Part 2A: Roles and responsibilities for child protection, Part 2B: Approach to Multi-Agency Assessment in Child Protection, Part 3: Identifying and Responding to Concerns about Children, Part 4: Specific Support Needs and Concerns, Appendix C: Legislation list of other relevant legislation, Appendix D: Timescales for stages in child protection processes, Appendix E: United Nations Convention On the Rights Of The Child, Appendix H: Reporting a child concern to child protection services, Name of the child, age, date of birth and home address if possible, Name/address/phone of parents/carers or guardians. This form is not mandatory. When you can analyse the data and start making these changes you are moving away from reactive safeguarding to a proactive safeguarding strategy. parental behaviour?). The child protection file should be started as soon as you become aware of any concerns. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Careers, Unable to load your collection due to an error. Many of Newsom's proposed spending cuts come from environmental programs over the next few . The rate of children with at least one maltreatment-related code was 8.4/1000 child years (11 study practices, 20092010), and 8.0/1000 child years (THIN, 20092010). There must be a procedure in place where the DLP regularly reviews child safeguarding concerns. The governments response to the recent Munro Review of Child Protection recommended improved local coordination to identify children at risk of maltreatment who need early intervention but do not meet the criteria for receiving childrens social care services.16,17 Guidance issued by the National Institute for Health and Clinical Excellence (NICE) on when to suspect child maltreatment advises the recording of information on children who reach either the consider or suspect thresholds (Box 1).18. This document is part of a collection Supporting documents Appendix H: Reporting a child concern to child protection services Help to build a picture of a child's lived experience and tell their story. Child sexual abuse. Entries would automatically be tagged with the date entered, type of event (for example, consultation, telephone call, social services report), and who entered the code. They may support accuracy in an initial outline of concerns, assisting prompt, efficient response. Pensacola News Journal. . Any contact with childrens social services, including whether the child is fostered or living in other forms of statutory care or living informally outside the family home. Gilbert R, Kemp A, Thoburn J, et al. Concerns must be recorded in order to identify any potential patterns that may cause concern in relation to safeguarding children. However, full and robust records must be made of all concerns. Who was contacted in relation to the concern? Report on the whole organisation, a small part of it or even an individual profile. Report on the whole organisation, a small part of it or even an individual profile. A second limitation is that the 11 practices are unlikely to be representative of general practice in the UK, because of their lead GPs expertise in child protection. Our safeguarding examples are designed to be used alongside your organisation's safeguarding and child protection policies and procedures. ELC and SAC services must have a procedure in place which outlines what concerns are recorded, how these concerns are recorded, how they are stored and who has access to them. Find insights, updates and practical answers to all types of safeguarding challenges. Records must be factual and include details of concerns and any decision and actions that have been taken in relation to the concern(s). experience. Before the Indian Child Welfare Act was enacted, between 25% and 35% of Native American children were being taken from their homes and placed with adoptive families, in foster care or in institutions. High-income families may end up being the disproportionate beneficiaries of subsidized professional childcare. Michalakidis G, Kumarapeli P, Ring A, et al. Bethesda, MD 20894, Web Policies Each of the 9 lead GPs was asked about three children: one for whom there was a current safeguarding concern; one who was currently looked after; and one who was currently in contact with childrens social care. 17/10/2018 . We use cookies to collect anonymous data to help us improve your site browsing Presenting a new, unique 8-point strategic model for safeguarding in education. Developing and evaluating complex interventions: the new Medical Research Council guidance. The EA Child Protection Support Service (CPSS) Resources; Apply for Child Employment, Children in Entertainment and Chaperone Applications; Numerator data for both datasets comprised any child who had at least one maltreatment-related record. A systematic approach, building on expert recommendations from the RCGP, was adopted,29 with an attempt to keep guidance simple, feasible, and easy to remember.30 The suggested use of a data entry form is designed to counter large variations in coding that are exaggerated by velocity coding (systems that encourage users to choose the most frequently used codes).31. Getty. The intervention builds on evidence that use of data entry forms and/or standardised coding in primary care settings can improve recording39,40 and can have promising effects on process outcomes (that is, measures of good clinical management) for other chronic conditions.41,42. Key points - chapter 6; What you should record; Storage and access to records; Child protection examinations 61-70. It introduces key points you need to consider when developing or reviewing your child protection records retention and storage policy and signposts to further information. because of how a child appears? Call us on 0808 800 5000 On average, maltreatment-related codes were recorded in 8.08.4 children per 1000 child years, with variation between practices. Physically: does he/she have any known injuries or immediate health needs and do they require medical treatment? In fact, depending on the other parent's history and parenting skills, it's possible for the offending parent to . Consensus recommendations are to record the code child is cause for concern as a red flag whenever maltreatment is considered, and to use a list of codes arranged around four clinical concepts, with an option for a templated short data entry form. This publication presents an overview of State laws that designate the officials and entities that may have access to the confidential records of child abuse and neglect reports and investigations, the circumstances under which information may be disclosed, and the appropriate use of confidential information. Users can access the training at the Aged Care Quality and Safety Commission's aged care learning information system - Alis. All recorded safeguarding/child protection concerns must be passed to the school/settings Designated Safeguarding Lead (DSL) as soon as possible. When stating their reasons for undercoding maltreatment concerns, GPs cited damage to the patient relationship, uncertainty about which codes to use, and having concerns about recording information on other family members in the childs records. GPs record information about child maltreatment concerns in electronic records using codes, text, and scanned documents; GP case studies revealed no relevant codes for some known cases. This guidance will be helpful to anyone who has to keep child protection records. Records must be stored securely in line with the services Record Keeping Procedure and Confidentiality Procedure and the Pre-School Regulations 2016. Contacting Child Protection How to make a report Where to get help For immediate help for a child In Victoria, any person who believes, on reasonable grounds, that a child is in need of protection from abuse or neglect can make a report to Child Protection. What happened? Future studies could improve the sensitivity of the measure of maltreatment-related concerns by including free-text entries. Lykke K, Christensen P, Reventlow S. This is not normal signs that make the GP question the childs well-being. Record each child who is the subject of concerns (the subject child) in an intake event in ICMS. As THIN data are broadly representative of the UK primary care population,26,27 unadjusted rates were calculated. Of the 42 cases from three practices, 40 met thresholds for suspect and two for consider (see Box 1 for definitions). One practice was excluded as no maltreatment-related codes were recorded in the database or for the three cases discussed in the telephone interview. National Institute for Health and Clinical Excellence. The GP was also asked to present the events that gave rise to concerns, actions taken within and outside of primary care, recording of the concerns, and any subsequent events. :: Design by Click Media & Design , www.childsafeguardingelc.ie/resources-publications/, www.tusla.ie/get-in-touch/duty-social-work-teams/, Recording Child Protection and Welfare Concerns, National Child Safeguarding Programme - Early Learning and Care, Details of the person who raised the concern. Development of a quality improvement intervention involving: clinical audit, a descriptive survey, telephone interviews, a workshop, database analyses, and consensus development in UK general practice. There was consensus in terms of retaining simplicity and allowing coding of children below and above the threshold for referral to childrens social care. NICE = National Institute for Health and Clinical Excellence. The .gov means its official. Guidance is given on when and how to report child protection or welfare concern to Tusla. Holge-Hazelton B, Tulinius C. Beyond the specific child. Children First has a set of principles This Guide will help you when considering reporting a child protection or welfare concern to Tusla. Bourke A, Dattani H, Robinson M. Feasibility study and methodology to create a quality-evaluated database of primary care data. The DSL will need to make a professional judgement about what action needs . Thu Jun 22 2023 - 20:22. Research revealing multiple instances of the organised sexual exploitation of teenage girls living in State care by groups of predatory men needed "urgent political . It could affect their ability to: Adopt a child Become a child care provider Provide foster/respite care Work or volunteer in positions involving children, youth or vulnerable adults The Read clinical classification. A report with results from phases 13 was circulated in advance and GPs were asked to think of possible strategies for improving recording in preparation for consensus development. This information is vital when showing the board of management members the child protection concerns within your organisation and helps with the allocating of funding, determining what additional training might be needed and any additional support staff or students may benefit from. Record of Concern (ROC) Guidance for the completion of this form can be found: http://www.thegrid.org.uk/info/welfare/child_protection/proformas/index.shtml Checklist for DSP (to be printed on back of record of concern form) Child clearly identified? With MyConcern you can generate multiple reports to fit your needs. This is extremely useful when needing to get other agencies involved such as, Marketing Content Manager, The Safeguarding Company. Call Childline on 0800 1111, Weston House, 42 Curtain Road, London, EC2A 3NH. The code list was developed to meet the threshold of consider child maltreatment (Box 1);18 this was based on evidence of parental risk factors, adverse parentchild interaction, or harm to the child, according to Glaser,21 and clinical input from an experienced GP. GPs agreed that simplicity and ease of implementation were key. Each CPS is required to investigate child abuse and maltreatment reports, to protect children (anyone under 18 years old) from further . What is a childs case in general practice? Maya Kowalski, the 10-year-old daughter of . Getting to right for children and young people: overcoming cultural barriers in the NHS to meet their needs. GPs should be encouraged to code further details of the case on the opening or default screen and to use free text if necessary. through what this or another child has said? Visit 'Set cookie preferences' to control specific cookies. Call us on 0116 234 7246 Codes related to local authority or foster care or care/supervision order, SN5550: Physical abuse of child 13HP600: Violence between parents V4H300: Emotional abuse of child 13IB: Child in care, Codes labelling a child as in need, vulnerable, or at risk, referring to a history of maltreatment, relating to parental drug or alcohol abuse, or to problems with parenting or the childparent relationship, 8CM5: Child in need 13If: Child is cause for concern 13IF.11: Vulnerable child 63CA:hv: Mother not managing well ZV61300: Other parent-child problems, Codes indicating child is in contact with childrens social care, (10 practices; 24 939 children <18 years; 3783.2 years at risk; 316 children 1 maltreatment-related code), (442 practices; 875 941 children <18 years; 1 359 910 years at risk; 10 908 children 1 maltreatment-related code). The child is at Level 2 or above on the Continuum of Need 4.4 Where concerns relate to more than one child from the same family at the school a separate file for each child should be created. Woodman J, Brandon M, Bailey S, et al. The Tusla Child Protection and Welfare Report Form must be used to report concerns to Tusla. Evidence action taken and the impact of this. Children In Need in England, including their characteristics and further information on children who were the subject of a child protection plan (201011 Children in Need census, Final). An official website of the United States government. 57% of surveyed parents prefer child care from a family member. This should be recorded at the top of the first page of the report records. Refworld is the leading source of information necessary for taking quality decisions on refugee status. Over a period of ten years, Children of Conservation has changed the lives of thousands of African conservation workers and their families. Lazenbatt A, Freeman R. Recognizing and reporting child physical abuse: a survey of primary healthcare professionals. This guidance will be helpful to anyone who has to keep child protection records. The facts are not consistent with their concerns. Any complex intervention should be developed and evaluated according to established methodologies.43, Studies that link routine primary care data with routine hospital data and social care data are needed to investigate the contribution of GPs in relation to other professionals. The approach simply provides a standard way of implementing widely accepted recommendations to record concerns. Child Protection - School Record of Concern Child Protection - School Record of Concern Child Protection - School Record of Concern pdf53.26 KB. A full list of codes can be requested from the authors. To opt-out click for more information. This step towards a proactive safeguarding approach also shows that the safeguarding culture within your organisation is robust, deterring inappropriate people from applying for positions within your organisation and demonstrating to other schools that your establishment's child protection policy and procedures are world-class. Woodman J, Pitt M, Wentz R, et al. During the interview, GPs accessed each childs electronic medical record and described how information was recorded. Concerns about harm to a child from abuse, neglect, exploitation or violence should be reported without delay to social work or in situations where risk is immediate, to Police Scotland. When you start to record every concern, you can then start to spot patterns and trends in the safeguarding and child protection concerns within your organisation. The Recording Child Protect and Welfare Concerns Form outlines: National Child Safeguarding Programme - Early Learning and Care. Refworld contains a vast collection of reports relating to situations in countries of origin, policy documents and positions, and documents relating to international and national legal frameworks. Prompts below are not an assessment. Allegations against staff members. National Society for the Prevention of Cruelty to Children. MyConcern automatically creates robust chronologies, meaning that time spent collating details of case management for weekly safeguarding meetings, case reviews and other investigations can be dramatically scaled down. For over thirty years, Stephen Klarich has been handling criminal cases and matters involving sex offenses. In total, 350 Read Codes were identified as maltreatment-related codes; examples of these codes are given in Box 2. A system for solution-orientated reporting of errors associated with the extraction of routinely collected clinical data for research and quality improvement. Buckley B, Byrne MC, Dineen B, Smith SM. a Cause for Concern Record is opened a Multi Purpose Child Protection Form (MPCPF) must be completed and the guidance followed. These standards are embodied in the Child Abuse Prevention and Treatment Act (CAPTA).2 Many of CAPTA's requirements concern the confidentiality of records concerning the children and families who are served by . State child protective services agencies are required to maintain records of the reports of suspected child abuse and neglect that they receive. This article reports the development of a simple intervention to improve the quality of recording of maltreatment by GPs. Help for adults concerned about a child Copyright 2023 Child protection is a term that generally describes services to children who have been, or may be, suffering from abuse or neglect. If concerns are identified and acted upon early, most are likely to be addressed through pastoral care arrangements and early help processes. Patient identifiable information (used in telephone interviews and study presentations) was accessed only by the patients GP. In addition to reporting and referring wellbeing concerns to relevant authorities, you also have a duty of care to ensure that children feel safe and supported at your service. For example, a child coming to school without a coat in winter may not seem like a big concern; however, that same child may also not have their lunch, or the gym equipment, may have shoes with holes in them or never hand in their homework. Age-adjusted incidence rates by practice, sorted by deprivation index (high to low). What has the child said to this point? The report was circulated to all 11 GPs and comments incorporated.

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