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Safeguarding Children

Safeguarding Children Register 

Children are included in the organisation’s safeguarding children register via inclusion on one of the following lists: 

  1. Children on the protection list: 
    • Has a protection list Read code without a more recent removed from protection list code
    • OR 
    • Included on the protection list on the S1 safeguarding protection node. 
  2. Children in need: 
    • Has a child in need code without a more recent no longer child in need code 
  3. Looked after child: 
    • Has a looked after child code without a more recent no longer looked after code 
  4. Any other child who is ‘of concern’: 
    • Has a wide range of ‘of concern’ codes without a more recent no longer cause for concern.  These include codes for abuse, self-harm, drug misuse, family history of mental health problems, domestic violence, FGM 

Children on these lists can be reviewed in the following searches: CDRC > Safeguarding 

Safe uardin Re ister- Children Currentl on rotection list* Safeguarding Register- Children 2 Currently in need # Safeguarding Register- Children 3 Safeguarding Register- Children 4 Safeguarding Register- Children 5 Safeguarding Register- Children 6 Looked after child (current) # Cause for concern (but not on protection list or in need o Any safeguarding issues # Children removed from safeguarding list*

Flags 

Children in any of these lists will be flagged with the following icon: 

Children who have been on the social services child protection list at any point but are currently not on the list will have this icon:  

Children who have been removed from the protection list but remain in need or ’cause for concern’ will have both icons: 

Children who are currently looked after will have this icon: 

Systematic Review 

Children on the register can be given a Safeguarding recall to allow systematic review. The review date is shown on the safeguarding template.

The following search identifies children on the register who do not have a review date 

CDRC > Safeguarding > *Children with Safeguarding issues but no safeguarding review date 

The following search identifies children whose review is pending or overdue. This can be used for clinical or other review meetings. 

CDRC > Safeguarding > * Child due for safeguarding review

Safeguarding Children Template 

How to Access

In the lower left hand corner use the search bar, type in ‘Safeguarding Children CDRC’ and select the following template:

Alternatively, press F12 and search for ‘Safeguarding Children CDRC’, this will open the aforementioned template.

The Safeguarding Children CDRC Template provides an overview of safeguarding for the selected patient. A thumbnail sketch can be entered at the top of the page to provide an aide-memoir for meetings etc. This is added by clicking the Safeguarding Summary button or right clicking the current thumbnail and choosing Copy Questionnaire. 

Safeguarding Children 201 Other Details Exact date & time • Mon 21 dan 201g x Changing the consultation date will affect all other data enterel To avoid this, cancel and press the 'Next button ProfsjSchool Child Protection Referral Child Protection Conf Bruising in Non-Mobile Children Contacts Resources Reports Hide Warning Home elsjCarers Safeguarding Children Finished by FORBES, Gareth (Dr) (General Medical Practitioner) [04 dun 201 7 06:34] Child Safeguarding Summary Summary of Concerns/Events Mother Gemima Puddleduck Father DOnald Duck Father has significant mental health and drug dependency issues Mother has been victim of domestic violenc4 Frequent non-attendance for health appointments Superseded Date 04 Jun 2017 22 May 2017 30 2015 Discussion Selection Referred for section 47 assessment further episode of domestic violence disclosed No further concerns Safeguarding Summary Add Safeguarding Recall Discussion MDT Meeting Show All Safeguarding Information AddFemove From Register Domestic Abuse Domestic Incident Police Repon MARAC Safeguarding Referral Contacts 04 sep 2017 Safeguarding Record of current SAFEGUARDING CONCERN NO record of Domestic Abuse Information Domestic Incident Police Report Recorded MARAC Information Recorded NO record of FGM Information Child Safeauardina Risk Threshold Tool Brooke Sexual Behaviour Tool Safeguarding Children (old template) Information print Suspend Cancel Bruising in Immobile Children Show Incomplete Fields Show recordings from other templates Show empty recordings Changed

The Safeguarding Recall panel shows when the child is next due to be reviewed for safeguarding issues. This can be set to reflect the level of concern e.g. needs to be discussed in 2 weeks or in 6 months. Reports in CDRC reporting identify children with safeguarding issues who have a pending/overdue recall or no recall. 

The Discussion box is used to record important narrative. Previous discussions can be followed down the right hand side of the template. 

The Show All Safeguarding Information button opens a template that shows all coded information that might be relevant to safeguarding, including out of hours attendance and DNAs. 

30 Jul 2015 Notes 22 May 2017 Notes 04 Jun 2017 Notes Discussion about child health [XaPJc) No further concerns Discussion about child health [XaPdc) further episode of domestic violence disclosed Discussion about child health [XaPdc) Referred for section 47 assessment Child Protection ListPlan Codes Child in Need Information Cause for Concern Information 18 Sep 2015 Child is cause for concern IXaMzr) Notes Self Harm in a house with domestic violence Drug and Alcohol Codes Domestic Abuse Information 18 Sep 2015 Police domestic incident report received Xaaqr) Notes In house with domestic vioence Social Service InvoVement MARACNAPPA 18 Sep 2015 Subject of multi-agency risk assessment conference IXaXg6) Notes fewJfehs 1 g Jun 2017 Subject of multi-agency risk assessment conference [XaXg6) Concern ResoVed Codes DNA Information lg Nov 2013 Did not attend kG) Notes 13 Dec 2013 Did not attend kG) mms

The next panel shows some key information with links to templates to display or record additional information. 

Information Link 
Whether or not the child is currently on the practice safeguarding register Template to add/remove the patient from the register 
Whether or not there is any recorded information about domestic abuse Domestic abuse template 
Whether or not there is a record of police domestic incident reports. A protocol to guide user through recording a police domestic incident report 
Whether or not the child has been recorded in a MARAC A protocol to guide user through recording MARAC information 
Whether or not there is information about FGM Template to display/add information about FGM 

The next section has a link to a page for making a safeguarding referral along with tools to assess the level of risk and help decide on the most appropriate intervention. 

Finally, there is a link to local contacts – this can be customised for local areas. 

Relatives/Carers 

The Rels/Carers page shows currently recorded relationships. 

Hom RelsjCarers rofsjSchool Relatives/Carers Record Relationship Find Co-habtants Carers Details Child Protection Referral Child Protection Conf Bruising in Non-Mobile Children Mother Contacts Resources Report Family Relationships 23 Jul 2015 Name Address 23 Jul 2015 Name Address Jemima Duck 4 Watling Street consett Father Mickey Mouse 4 Watling Street consett No recorded information about carers
Professionals and Schools 

The Profs/Schools page shows recorded professionals and current school attended. 

Safeguarding Children 2019 Other Details Exact date & time • Mon 21 dan 201g x Changing the consultation date will affect all other data enterel To avoid this, cancel and press the 'Next button Home RelsjCarers ProfsjSch001 Child Protection Referral Child Protection Conf Bruising in Non-Mobile Children Contacts Resources Reports Hide Warning Professionals Record Relationship New Schook 25 Name Organisation Address Telephone Work Contact Health Visitor Sara L Hunter Leadgate Surgery Watling Street consett 01 207583555 03000261 121 08g01 Burnhope Primary School (1 14041) Langley Avenue Burnhope Durham OH,' OAG started: 21 Jan 201g Information Suspend Cancel Show Incomplete Fields
Child Protection Referral 

The Child Protection Referral page is customised for each area and gives clear details on how to make a referral along with a prepopulated referral proforma. 

Home RelsjCarers ProfsjSchool Child Protection Referral Child protection Conf Bruisin in Non-Mobile Children Durham To make a referral to children's services (First Contact) call 03000267979 Contacts Resources Reports Further Action ASAP (must be within 48h) EMAIL referral proforma to Team Manager Child and Family Services firstcontact-gcsx@durhamßcsxgovuk AND - EMAIL referral proforma to named nurse for safeguarding Harrogate District FT Karen Watson HDFTSC-Durham@nhsnet County Durham FT Gillian Worland cdda-trcpteamsouth@nhsnet Same Day - Send a copy ofthe referral to the GP - Inform health visitor or school nurse Within 3 working days - ensure that you have received a response from Children's service. If not you must contact children's services County Durham First Contact Referral form Referral Flowchart Darlington To make a referral to children's services call Children's Access Point 01325 406222 email childrensaccesspoint@darlington.gcsx.gov.uk Out of hours contact the Emergency Duty Team 08702 402gg4 Further Action ASAP (must be within 24h) email referral proforma to the above email address Same Day - email referral proforma to Named Nurse Harrogate District FT Karen Watson HDFTSC-Durham@nhsnet County Durham FT Gillian Worland cdda-trcpteamsouth@nhsnet - Send a copy ofthe referral to the GP - Inform health visitor or school nurse Within 3 working days - ensure that you have received a response from Children's services If not you must contact children's services Darlington Child Protection Referral Form Referral Flowchart
Child Protection Conferences 

The Child Protection Conference page has a link to the standard pre-populated proforma for GP reports to child protection conferences, along with places to enter a summary of conference outcomes. 

If a Safeguarding Conference recall is added, a register can be kept to ensure it is easy to see who has a safeguarding conference due in the future. Reports are available to show these children, please see Useful Reports below.

Home RelsjCarers ProfsjSchool Child Protection Referral Child Protection Conferences Review Conference Repon Proforma Child protection report submitted Child protection apologies sent Safeguarding Meeting (wth summary) Child Protection Conf Bruising in Non-Mobile Children Safeguarding Conference Contacts Resources Reports Add safeguarding conference recall to record the next meeting or right click on an existing recall in the box to move on/amend the dat4 w Recall Backto Home Page Safeguarding Conference Recall NOT Recorded
Bruising in Immobile Children 

The Bruising in Immobile Children page displays the process for managing this issue. 

Home RelsjCarers ProfsjSchool Child Protection Referral Bruising in Immobile Children Child Protection Conf Bruising in Non-Mobile Any Health Professional observes bruise or suspicious mark SUSPECT child maltreatment. A child who is seriously ill should be referred immediately to hospital Seek and explanation, record accurately and refer Explain to family the reason for immediate referral to Children's SeMces and Hospital Paediatricians Immediate Phone Referral to Children's Services for multi-agency assessment and information sharing Inform GP and HV Immediate Phone Referral to Hospital Durty Consultant Paediatrician child seen urgently for further assessment to exclude a medical condition Inform GP and HV Make a child protection referrak Link to information sheet for parents and protocol NICE - when to suspect child maltreatment
Adding/Removing From Register 

The Safeguarding Children Register template allows you to add the child to the register (top half) or remove them (bottom half). There are 4 pages, one for each of the four subdivisions of the safeguarding register. 

Child Protection List Child In Need Cause for Concern Cause for Concern Record of current SAFEGUARDING CONCERN Child in Need Information use this box to record any child who is cause for concerm Record the nature of the concern in the notes box This will add the patient to yoursafeguarding children register Child is cause for concern Unborn child is cause for safeguarding concern More specific concerns can be recorded here s for Concern use this box to record if a child is no longer a cause for concern Child no longer vulnerable

Useful Reports

The following reports can be useful to: 

  1. Identify issues arising in children who are known to have some safeguarding concerns  
  2. Identify children who may have unidentified safeguarding concerns. 

To be most effective these reports can be run as a monthly batch and the results directed to safeguarding leads. 

Children with MARAC/MAPPAJDVI but no other relevant code Children with Safeguarding concern who have been deducted in the past two months Children with Safeguarding concern who have been registered in the past two months Children with Safeguarding Concerns who have DNAJunplanned care in past two months Children without Safeguarding Concern who have DNA x3 in the past year (last episode in the past 2 months) Children without Safeguarding Concern with unplanned care on 3 separate days in the past year (last epsiode in the past 2 months) #
SearchPatients
? Children with MARAC/MAPPA/DVI but no other relevant code 


Children with a MAPPA, MARAC, domestic violence incident code who have never been on the practice’s safeguarding register.  This may be because a safeguarding code was never added or because they were an older child who was a perpetrator. 
? Children with Safeguarding concern who have been deducted in the past two months
 		Allows you to see which patients have left the practice 
? Children with Safeguarding concern who have been registered in the past two months Allows you to see which patients have joined the practice
? Children with Safeguarding Concerns who have DNA/unplanned care in past two months Children who are already on the practice’s safeguarding register who have had a recent DNA or episode of unplanned care. 
? Children without Safeguarding Concern who have DNA x3 in the past year (last episode in the past 2 months)Children who are not currently on the practice’s safeguarding register who have DNA’s on at least 3 occasions in the last year 
? Children without Safeguarding Concern with unplanned care on 3 separate days in the past year (last episode in the past 2 months) #Children who are not currently on the practice’s safeguarding register who have the at least episodes of unplanned care in the last year