Safeguarding Children Register
Children are included in the organisation’s safeguarding children register via inclusion on one of the following lists:
- Children on the protection list:
- Has a protection list Read code without a more recent removed from protection list code
- Included on the protection list on the S1 safeguarding protection node.
- Children in need:
- Has a child in need code without a more recent no longer child in need code
- Looked after child:
- Has a looked after child code without a more recent no longer looked after code
- 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
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:
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
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.
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.
The next panel shows some key information with links to templates to display or record additional information.
|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.
The following reports can be useful to:
- Identify issues arising in children who are known to have some safeguarding concerns
- 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/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|