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Safeguarding Children PLT Level 3

Safeguarding Children PLT Level 3. Dr Sandy Taylor Named GP for Safeguarding Children Nottingham City Sandra Morrell Designated Nurse Nottingham City CCG. Intercollegiate Document 2014. Child Protection. Neglect. Physical abuse. Emotional abuse. Sexual abuse.

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Safeguarding Children PLT Level 3

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  1. Safeguarding Children PLTLevel 3 Dr Sandy Taylor Named GP for Safeguarding Children Nottingham City Sandra Morrell Designated Nurse Nottingham City CCG

  2. Intercollegiate Document 2014

  3. Child Protection Neglect Physical abuse Emotional abuse Sexual abuse

  4. New, or not so new, problems • FGM • Medical neglect • Child trafficking/asylum • Sexual exploitation • Radicalisation • Internet • Looked After Children

  5. Don’t Keep Mum ProjectExpected findings

  6. Don’t Keep Mum ProjectActual Findings

  7. Social Care Loxley House opposite train station Social workers Handle all safeguarding referrals from professionals and public Liaise with police and other services Run Child Protection Conferences Apply to the courts to remove children Are our brilliant colleagues Children and Families Direct 0115 876 4800 Emergency duty team 0115 876 5600

  8. Safeguarding Team Clifton Cornerstone 9am- 8pm Monday-Friday Health service run by Specialist Safeguarding Practitioners Advice when unsure of what to do Escalation route when you are more worried than Social Care You do not have to call the team if you know what you are doing and just want to make a referral 9am- 5pm 0115 878 6403 5pm-8pm 07973451097

  9. GP Safeguarding Leads Meetings

  10. www.childnottsafe.org.uk

  11. www.childnottsafe.org.uk

  12. NICE NG76 Child Abuse and Neglect

  13. NICE CG89 Child Maltreatment

  14. Other mechanisms of injuries Lacerations abrasions and scars Non-fatal submersion Oral Injury Poisoning Spinal Injury Thermal injury Visceral injuries • Life threatening events with bleeding from mouth or nose • Bites • Cold injury • Eye trauma • Fractures • General injuries • Intracranial injuries

  15. Vulnerability Factors Socio-economic • Poverty and poor housing do not cause abuse but they reduce a families resilience and make children more vulnerable to abuse and neglect

  16. Family Factors The Triology of Risk Domestic Violence Parental Mental Health Drug or alcohol misuse

  17. Why Don’t Children Disclose Abuse? • Feel guilt or shame • Being coerced or groomed • Fear worse may happen, broken family, into care • Don’t know they are being abused • May have communication difficulties if young, learning difficulties or little English

  18. What can a child’s behaviour tell us? • Things they cannot put into words • Can be aggressive or sexual or passive or fearful or naughty • Can mimic ADHD or ASD • Can be due to past or ongoing abuse • School refusal and running away are very big clues

  19. Concerning behaviour Drug and alcohol misuse Sexualised behaviour Self-harm Bullying or being bullied Beware ADHD and ASD as an explanation for odd behaviour Recurrent nightmares Extreme distress Markedly oppositional behaviour Becoming withdrawn

  20. Case study Mum has been told by the school to bring her five year old to see you because he is being aggressive in the playground and badly bit a little girl. • What do you want to know? • How will you conduct the consultation? • Who can help you?

  21. Wetting and Soiling Consider abuse if a child; Has secondary day or night wetting not responding to treatment Is reported to be deliberately wetting Shows encopresis (doing normal stools in the wrong place) or smearing

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