{"id":4337,"date":"2022-10-07T15:12:55","date_gmt":"2022-10-07T14:12:55","guid":{"rendered":"https:\/\/cdrc.nhs.uk\/?page_id=4337"},"modified":"2022-10-07T15:16:55","modified_gmt":"2022-10-07T14:16:55","slug":"safeguarding-at-risk-of-harming-others","status":"publish","type":"page","link":"https:\/\/cdrc.nhs.uk\/resources\/systmone-resource-centre\/safeguarding-system\/safeguarding-at-risk-of-harming-others\/","title":{"rendered":"Safeguarding At Risk of Harming Others"},"content":{"rendered":"\n<h2 class=\"has-text-color wp-block-heading\" style=\"color:#009f98\">At Risk of Harming Others Register<\/h2>\n\n\n\n<p>Patients are included in the organisation&#8217;s at risk of harming others register via the presence of a Read code indicating they are a risk <span style=\"text-decoration: underline;\">WITHOUT <\/span>a subsequent code of&nbsp;<strong>At low risk of harming others<\/strong><em>.<\/em>&nbsp;<\/p>\n\n\n\n<p>Read codes that indicate possible risk include:&nbsp;<\/p>\n\n\n\n<ul><li>Perpetrator of domestic abuse&nbsp;<\/li><li>Perpetrator of physical, sexual, emotional abuse&nbsp;<\/li><li>Violent patient register&nbsp;<\/li><li>On the sex offenders register&nbsp;<\/li><li>At risk of harming others codes&nbsp;<\/li><\/ul>\n\n\n\n<p>Patient on this register can be found in the following searches: CDRC &gt; Safeguarding&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"687\" height=\"76\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-226.png\" alt=\"Safe uardin Re ister-AtRisk of Harmin Others # \nSafeguarding Register- At Risk of Harming Others - High Risk* \nSafeguarding Register- At Risk of Harming Others - Moderate Risk* \nSafeguarding Register- At Risk of Harming Others - Risk Level Not Recorded # \" class=\"wp-image-4340\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-226.png 687w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-226-300x33.png 300w\" sizes=\"(max-width: 687px) 100vw, 687px\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Flags&nbsp;<\/h4>\n\n\n\n<p>Patients on the at risk of harming others register will be flagged with the following icon:&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"21\" height=\"22\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-224.png\" alt=\"\" class=\"wp-image-4338\"\/><\/figure>\n\n\n\n<p>Patients on the at risk of harming others register, who are felt to pose a high risk, will be flagged with the following icons:&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"47\" height=\"22\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-225.png\" alt=\"\" class=\"wp-image-4339\"\/><\/figure>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-text-color wp-block-heading\" style=\"color:#009f98\">Risk of Harming Others Template&nbsp;<\/h2>\n\n\n\n<div class=\"wp-block-getwid-accordion has-icon-left\" data-active-element=\"none\">\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\"><strong>How to Access<\/strong><\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>In the lower left hand corner use the search bar, type in &#8216;At Risk of Harming Others CDRC&#8217; and select the following template:<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/10\/image-370.png\" alt=\"\" class=\"wp-image-5220\" width=\"342\" height=\"32\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/10\/image-370.png 448w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/10\/image-370-300x28.png 300w\" sizes=\"(max-width: 342px) 100vw, 342px\" \/><\/figure>\n\n\n\n<p>Alternatively, press F12 and search for &#8216;At Risk of Harming Others CDRC&#8217;, this will open the aforementioned template.<\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>The <strong>Risk of Harming Others<\/strong> 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.&nbsp;This is added by clicking the&nbsp;<strong>Safeguarding Summary&nbsp;<\/strong>button or right clicking the current thumbnail and choosing&nbsp;<strong>Copy Questionnaire.&nbsp;<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"972\" height=\"538\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-227.png\" alt=\"Risk to Others \nfeguar ding Summar y \nAdd Safeguarding Recall \nDiscussion \nMDT Meeting \nShow All Safeguarding Information \nAddFemove From Register \nFamilyyousehold Concern \nMARAC \nMAPPA \nSex Offenders Register \nDomestic Incident Police Repon \nAt Risk Of Harming Others 2019 \nHome Rels Profs Risk to Others Register Resources Cohorts \nSa \nEntered by \nFORBES, Gareth (Dr) (General Medical Practitioner) \nChild Safeguarding Summary \nSummary of Concerns\/Events \nSafeguarding Recall Not Recorded \nPast history ofviolent behaviour, firearms offences, drug issues, organised \ncrime involvement \non the AT RISK OF HARMING OTHERS register - High Risk \nNO record ofvulnerable people in famitymousehold \nNO record of MARAC Information \nMAPPA Information Recorded \nNO record of sex offenders register information \nNO record of Domestic Incident Police Report \" class=\"wp-image-4341\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-227.png 972w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-227-300x166.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-227-768x425.png 768w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-227-630x350.png 630w\" sizes=\"(max-width: 972px) 100vw, 972px\" \/><\/figure>\n\n\n\n<p>The&nbsp;<strong>Discussion<\/strong><em>&nbsp;<\/em>box is used to record important narrative.&nbsp;Previous discussions can be followed down the right hand side of the template.&nbsp;<\/p>\n\n\n\n<p>The&nbsp;<strong>Show All Safeguarding Information&nbsp;<\/strong>button opens a template that shows all coded information that might be relevant to safeguarding, including out of hours attendance and DNAs.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"987\" height=\"653\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-228.png\" alt=\"30 Jul 2015 \nNotes \n22 May 2017 \nNotes \n04 Jun 2017 \nNotes \nDiscussion about child health [XaPJc) \nNo further concerns \nDiscussion about child health [XaPdc) \nfurther episode of domestic violence disclosed \nDiscussion about child health [XaPdc) \nReferred for section 47 assessment \nChild Protection ListPlan Codes \nChild in Need Information \nCause for Concern Information \n18 Sep 2015 Child is cause for concern IXaMzr) \nNotes \nSelf Harm \nin a house with domestic violence \nDrug and Alcohol Codes \nDomestic Abuse Information \n18 Sep 2015 Police domestic incident report received Xaaqr) \nNotes \nIn house with domestic vioence \nSocial Service InvoVement \nMARACNAPPA \n18 Sep 2015 Subject of multi-agency risk assessment conference IXaXg6) \nNotes \nfewJfehs \n1 g Jun 2017 Subject of multi-agency risk assessment conference [XaXg6) \nConcern ResoVed Codes \nDNA Information \nlg Nov 2013 Did not attend kG) \nNotes \n13 Dec 2013 Did not attend kG) \nmms \" class=\"wp-image-4342\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-228.png 987w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-228-300x198.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-228-768x508.png 768w\" sizes=\"(max-width: 987px) 100vw, 987px\" \/><\/figure>\n\n\n\n<p>The next panel shows some key information with links to templates to display or record additional information.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Information&nbsp;<\/strong><\/td><td><strong>Link&nbsp;<\/strong><\/td><\/tr><tr><td>Whether or not the adult is currently on the practice at risk of harming others register&nbsp;<\/td><td><a href=\"\/\/d.docs.live.net\/d9ee9bfd984f25ef\/DCS\/Derwentside%20Clinical%20System\/LTC%20Management\/Safeguarding\/Children.one\" target=\"_blank\" rel=\"noreferrer noopener\">Template<\/a>&nbsp;to add\/remove the patient from the register&nbsp;<\/td><\/tr><tr><td>Whether or not there are other people of concern in the household e.g. children, other vulnerable adults&nbsp;<\/td><td>Link template to flag the record to show there are other vulnerable people in the household&nbsp;<\/td><\/tr><tr><td>Whether or not the patient has been recorded in a MARAC&nbsp;<\/td><td>A protocol to guide user through recording MARAC information&nbsp;<\/td><\/tr><tr><td>Whether or not the patient has been recorded in a MAPPA&nbsp;<\/td><td>A protocol to guide user through recording MAPPA information&nbsp;<\/td><\/tr><tr><td>Whether or not there is information about the sex offenders register&nbsp;<\/td><td><\/td><\/tr><tr><td>Whether or not there is a record of police domestic incident reports.&nbsp;<\/td><td>A protocol to guide user through recording a police domestic incident report&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The boxes below provide some information on the additional tabs included in the Risk of Harming Other Template.<\/p>\n\n\n\n<div class=\"wp-block-getwid-accordion has-icon-left\" data-active-element=\"none\">\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Relatives\/Carers<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>The&nbsp;<strong>Rels\/Carers&nbsp;<\/strong>page shows currently recorded relationships.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"982\" height=\"689\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-229.png\" alt=\"Hom RelsjCarers \nrofsjSchool \nRelatives\/Carers \nRecord Relationship \nFind Co-habtants \nCarers Details \nChild Protection Referral Child Protection Conf \nBruising in Non-Mobile Children \nMother \nContacts \nResources \nReport \nFamily Relationships \n23 Jul 2015 \nName \nAddress \n23 Jul 2015 \nName \nAddress \nJemima Duck \n4 Watling Street \nconsett \nFather \nMickey Mouse \n4 Watling Street \nconsett \nNo recorded information about carers \" class=\"wp-image-4343\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-229.png 982w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-229-300x210.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-229-768x539.png 768w\" sizes=\"(max-width: 982px) 100vw, 982px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Professionals&nbsp;<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>The&nbsp;<strong>Profs\/Schools&nbsp;<\/strong>page shows recorded professionals&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"852\" height=\"500\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-230.png\" alt=\"Professionals \nRecord Relationshg \n11 Jun 201g \nName \nOrganisation \nWork Contact \nSocial Worker \nMr Turkey Lurkey \nocc \n01 2345678go \" class=\"wp-image-4344\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-230.png 852w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-230-300x176.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-230-768x451.png 768w\" sizes=\"(max-width: 852px) 100vw, 852px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Adding\/Removing From Register<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>The&nbsp;<strong>At Risk Of Harming Others&nbsp;<\/strong>template allows you to add the adult to the register (top half) or remove them (bottom half).&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"987\" height=\"499\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-231.png\" alt=\"At Risk Of Harming Others Register \nAdd Patient To The 'Potentially Harmful to Others' List \nuse this section to record when an individual is a riskJpotential risk to \nother. Record the nature ofthe concern in the notes box \non the AT RISK OF HARMING OTHERS register - High Risk \n24 Dec 2018 \nHigh risk of harm to others IXagSX) \nNotes \nRisk to others \nLevel of Risk \nAlleged perpetrator of abuse or violence (X \nAlleged perpetrator of domestic violence (X \nAlleged perpetrator of emotional abuse \nAlleged perpetrator of physical abuse \nAlleged perpetrator of sexual abuse (XaLVE) \nAt risk of harming others (XaIVk) \nOn sex offenders register (XaKS6) \nuse this box to record level of risklF KNOWN. You do not need to record this if not knowm \nClick here if the patient is thought to be HIGH RISK \nClick here if the patient is thought to be MOD RISK \nClick here if the patient is thought to be LOW RISK \nHigh risk \nModerate risk \nLow risk \nPast history ofviolent behaviour, firearms offences, drug issues, \norganised crime involvement \nTwo flags will be shown \nOne flags will be shown \nNo flags will be shown \nThis removes the patient from the At Risk of Harming Others register \" class=\"wp-image-4345\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-231.png 987w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-231-300x152.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-231-768x388.png 768w\" sizes=\"(max-width: 987px) 100vw, 987px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>At Risk of Harming Others Register Patients are included in the organisation&#8217;s at risk of harming others register via the presence of a Read code indicating they are a risk WITHOUT a subsequent code of&nbsp;At low risk of harming others.&nbsp; Read codes that indicate possible risk include:&nbsp; Perpetrator of domestic abuse&nbsp; Perpetrator of physical, sexual, [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":4321,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Safeguarding At Risk of Harming Others - Clinical Digital Resource Collaborative<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cdrc.nhs.uk\/resources\/systmone-resource-centre\/safeguarding-system\/safeguarding-at-risk-of-harming-others\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Safeguarding At Risk of Harming Others - Clinical Digital Resource Collaborative\" \/>\n<meta property=\"og:description\" content=\"At Risk of Harming Others Register Patients are included in the organisation&#8217;s at risk of harming others register via the presence of a Read code indicating they are a risk WITHOUT a subsequent code of&nbsp;At low risk of harming others.&nbsp; Read codes that indicate possible risk include:&nbsp; Perpetrator of domestic abuse&nbsp; Perpetrator of physical, sexual, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cdrc.nhs.uk\/resources\/systmone-resource-centre\/safeguarding-system\/safeguarding-at-risk-of-harming-others\/\" \/>\n<meta property=\"og:site_name\" content=\"Clinical Digital Resource Collaborative\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-07T14:16:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-226.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cdrc.nhs.uk\/resources\/systmone-resource-centre\/safeguarding-system\/safeguarding-at-risk-of-harming-others\/\",\"url\":\"https:\/\/cdrc.nhs.uk\/resources\/systmone-resource-centre\/safeguarding-system\/safeguarding-at-risk-of-harming-others\/\",\"name\":\"Safeguarding At Risk of Harming Others - 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