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You are here: Home / Resource Support & Frequently Asked Questions / SystmOne Support Centre / Safeguarding System / Safeguarding At Risk of Harming Others

Safeguarding At Risk of Harming Others

At Risk of Harming Others Register

Patients are included in the organisation’s at risk of harming others register via the presence of a Read code indicating they are a risk WITHOUT a subsequent code of At low risk of harming others. 

Read codes that indicate possible risk include: 

  • Perpetrator of domestic abuse 
  • Perpetrator of physical, sexual, emotional abuse 
  • Violent patient register 
  • On the sex offenders register 
  • At risk of harming others codes 

Patient on this register can be found in the following searches: CDRC > Safeguarding 

Safe uardin Re ister-AtRisk of Harmin Others # 
Safeguarding Register- At Risk of Harming Others - High Risk* 
Safeguarding Register- At Risk of Harming Others - Moderate Risk* 
Safeguarding Register- At Risk of Harming Others - Risk Level Not Recorded #

Flags 

Patients on the at risk of harming others register will be flagged with the following icon: 

Patients on the at risk of harming others register, who are felt to pose a high risk, will be flagged with the following icons: 

Risk of Harming Others Template 

How to Access

In the lower left hand corner use the search bar, type in ‘At Risk of Harming Others CDRC’ and select the following template:

Alternatively, press F12 and search for ‘At Risk of Harming Others CDRC’, this will open the aforementioned template.

The Risk of Harming Others template provides an overview 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. 

Risk to Others 
feguar ding Summar y 
Add Safeguarding Recall 
Discussion 
MDT Meeting 
Show All Safeguarding Information 
AddFemove From Register 
Familyyousehold Concern 
MARAC 
MAPPA 
Sex Offenders Register 
Domestic Incident Police Repon 
At Risk Of Harming Others 2019 
Home Rels Profs Risk to Others Register Resources Cohorts 
Sa 
Entered by 
FORBES, Gareth (Dr) (General Medical Practitioner) 
Child Safeguarding Summary 
Summary of Concerns/Events 
Safeguarding Recall Not Recorded 
Past history ofviolent behaviour, firearms offences, drug issues, organised 
crime involvement 
on the AT RISK OF HARMING OTHERS register - High Risk 
NO record ofvulnerable people in famitymousehold 
NO record of MARAC Information 
MAPPA Information Recorded 
NO record of sex offenders register information 
NO record of Domestic Incident Police Report

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 adult is currently on the practice at risk of harming others register Template to add/remove the patient from the register 
Whether or not there are other people of concern in the household e.g. children, other vulnerable adults Link template to flag the record to show there are other vulnerable people in the household 
Whether or not the patient has been recorded in a MARAC A protocol to guide user through recording MARAC information 
Whether or not the patient has been recorded in a MAPPA A protocol to guide user through recording MAPPA information 
Whether or not there is information about the sex offenders register 
Whether or not there is a record of police domestic incident reports. A protocol to guide user through recording a police domestic incident report 

The boxes below provide some information on the additional tabs included in the Risk of Harming Other Template.

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 

The Profs/Schools page shows recorded professionals 

Professionals 
Record Relationshg 
11 Jun 201g 
Name 
Organisation 
Work Contact 
Social Worker 
Mr Turkey Lurkey 
occ 
01 2345678go
Adding/Removing From Register

The At Risk Of Harming Others template allows you to add the adult to the register (top half) or remove them (bottom half).   

At Risk Of Harming Others Register 
Add Patient To The 'Potentially Harmful to Others' List 
use this section to record when an individual is a riskJpotential risk to 
other. Record the nature ofthe concern in the notes box 
on the AT RISK OF HARMING OTHERS register - High Risk 
24 Dec 2018 
High risk of harm to others IXagSX) 
Notes 
Risk to others 
Level of Risk 
Alleged perpetrator of abuse or violence (X 
Alleged perpetrator of domestic violence (X 
Alleged perpetrator of emotional abuse 
Alleged perpetrator of physical abuse 
Alleged perpetrator of sexual abuse (XaLVE) 
At risk of harming others (XaIVk) 
On sex offenders register (XaKS6) 
use this box to record level of risklF KNOWN. You do not need to record this if not knowm 
Click here if the patient is thought to be HIGH RISK 
Click here if the patient is thought to be MOD RISK 
Click here if the patient is thought to be LOW RISK 
High risk 
Moderate risk 
Low risk 
Past history ofviolent behaviour, firearms offences, drug issues, 
organised crime involvement 
Two flags will be shown 
One flags will be shown 
No flags will be shown 
This removes the patient from the At Risk of Harming Others register

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