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You are here: Home / Resources / SystmOne Resource Centre / Safeguarding System / Safeguarding Children

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 

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