Safeguarding children in primary care

Current hot topics and FAQs

Dr Tara Jones, Surrey-wide named GP for safeguarding children

CQC inspectionWhat to expect in relation to safeguarding children

Family Doctor Association guidance August 2013

- Specific and repeated reference to safeguarding- Ensure staff are up to speed on safeguarding issues

- Get training sorted if not already done so- Safeguarding is likely to be part of EVERY inspection visit

CQC inspection (2)Oxted Health Centre, August 2013

Staff directly questioned regarding safeguarding Training log inspected (levels, dates, non-attendees)

New staff induction Safeguarding lead; who/how/where/when?What to do if you were concerned about a

professional/colleague at the practice?External contact points

CQC inspection (3); GP Mythbuster 33

• Guidance issued April 2015• GPs and all other practice staff to demonstrate their

competence in safeguarding children and YP at risk• Specifically demonstrating identification, responsibilities,

awareness of internal arrangements/external processes• “In a good practice”….• Training• RCGP toolkit

• http://www.cqc.org.uk/content/gp-mythbuster-33-safeguarding-children

Bruising in non-independently mobile children• Pre-mobile infants/ children with significant disabilities.• The only SSCB policy stating “you must”.• Why is this an issue?• Serious case reviews; locally and nationally.• Points of contention!• Information for parents.• Current review of SSCB policy.

RAIS

• Surrey County Council’s Referral, Assessment and Intervention Service

• Returns Children’s Services referrals to the local area teams

• New option to seek social worker’s advice• New referrals and children already known to

CS

RAIS (2)

• North East 0300 123 1610 (Spelthorne, Epsom+Ewell, Elmbridge)

• North West 0300 123 1630 (Surrey Heath, Runneymede, Woking)

• South East 0300 123 1620 (Tandridge, Reigate+Redhill, Mole Valley)

• South West 0300 123 1640 (Guildford+Waverley)

What’s new locally/nationally? (1)

• Safeguarding children prompt cards• PDF and e-book formats via

www.seqo.nhs.uk/leaflets/safeguarding/

• RCGP/NSPCC safeguarding children toolkit• Main toolkit 223 pages• Essential elements 7 pages • Specimen safeguarding policy

What’s new locally/nationally? (2)

• Female Genital Mutilation Resource Pack• “Raising awareness” training DVD• “FGM risk and safeguarding-guidance for

professionals” DH March 2015• “FGM Enhanced Dataset; Implementation

Summary for GP Practices” hscic 2015• Mandatory reporting….

Your named GP; FAQs!

“How should my practice store child protection case conference minutes”?

GMC guidance summer 2012 clear; as part of the child/ren’s clinical record

BUT conflicting advice from medical defence bodiesBest practice=treat as any other medical information i.e.in

main notesThird party information/redaction

“What training do I/my staff need in safeguarding children?”

See previous regarding CQC inspection

Level 1, all non-clinical staff (http://www.nsahealth.org.uk/e-learning/courses-we-offer/6

0-safeguarding-children-nhs-organisations)Level 2, all clinical staff (www.e-lfh.org.uk)

Level 3, practice safeguarding lead/deputy------> ALL GPS (multi-agency)

Formal update 3 yearly, in house annual events

“How do I contact you? And for what?” FOR WHAT? support, advice, case discussion, training

requests etc. etc.

HOW? E-mail tara.jones@nhs.net

IF URGENT? Does this actually need to be discussed with Children’s Services?

ANY QUESTIONS?