Family/Household Case for Concern Register
This register identifies patients with safeguarding concerns (victims or perpetrators) who have close contact with other vulnerable people such as children or vulnerable adults. Examples might include a parent with significant drug and alcohol problems who lives with their children; a violent patient who lives with someone with a significant learning difficulty; a pregnant woman with a past history as a perpetrator of child abuse
Effective flagging of these patients can help to ensure the needs of the vulnerable person are considered when seeing the index patient.
Patients are included in the organisation’s Family/Household which is Cause for Concern register via the presence of a Read code indicating there is a risk e.g. Family is cause for concern, unborn child is cause for safety concern WITHOUT a subsequent code of Family no longer cause for concern.
Children who are on the practice’s child safeguarding register are not counted in this register.
Patients on these lists can be found in the following searches: CDRC > Safeguarding
Flags
Patients on this safeguarding register will be flagged with the following icon :
They will also often have an icon to indicate they, themselves, are vulnerable or at risk of harming others.
Family/Household Cause for Concern Template
In the lower left hand corner use the search bar, type in ‘Safeguarding Family is Cause for Concern CDRC’ and select the following template:
Alternatively, press F12 and search for ‘Safeguarding Family is Cause for Concern CDRC’, this will open the aforementioned template.
The Family/Household Cause for Concern 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.
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.
The next panel shows some key information with links to templates to display or record additional information.
| Information | Link |
| Whether or not the adult is currently on the practice register of patients who have vulnerable close contacts | 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 |
Pages included in the Family/Household Cause for Concern Template:
The Rels/Carers page shows currently recorded relationships.
The Profs page shows recorded professionals.
The Family/Household Concern Register template allows you to add the patient to the register (top half) or remove them (bottom half).
