SAFEGUARDING CHILDREN Pharmacy Training. Facilitators: Justine Yearwood, Named Nurse for Safeguarding Children and Rose Regan, Nurse Advisor for GP’s. Safeguarding Team. Carmelita Street, Clinical Service Manager Justine Yearwood, Named Nurse for Safeguarding Children
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Justine Yearwood, Named Nurse for Safeguarding Children
Rose Regan, Nurse Advisor for GP’s
To equip Pharmacists with the appropriate Safeguarding knowledge to effectively identify suspected cases of significant harm to Children and young People.
Sexual abuse involves forcing or enticing a child or young person to take part in sexual activities, including prostitution, whether or not the child is aware of what is happening. The activities may involve physical contact, including penetrative (e.g. rape, buggery or oral) or non-penetrative acts. They may include non-contact activities, such as involving children in looking at, or in production of, sexual online images, watching sexual activities or encouraging children to behave in sexually inappropriate ways.
Or otherwise causing physical harm to a child
Physical harm can also be caused when a parent fabricates the symptoms or deliberately induces illness in a childPhysical Abuse
Abnormal attachment between a child and parent.
Aggressive behaviour towards others.
Scapegoat within the family.
Low self esteem and lack of confidence.
Withdrawn or seen as a loner.
Playing on community and cultural fears.
Shouting / Swearing.
Indicators can be:
SKULL - fracture or bleeding under skull (from shaking)
EYES - bruising, black (particularly both eyes)
EARS - Pinch or slap marks, bruising
CHEEK/SIDE OF FACE - bruising, finger marks
NECK -bruising, grasp marks
UPPER & INNER ARM - bruising, grasp marks
MOUTH - torn frenulum
CHEST - bruising, grasp marks
SHOULDERS - bruising, grasp marks
Linear bruising. Outline of belt/buckles. Scalds/burns
GENITALS - bruising
KNEES - grasp marks
If a young person under the age of 13 years discloses
that they have engaged in or intend to engage in a
penetrative sexual act or other intimate sexual activity
there should be a presumption (within the constraints of
Professional Codes of Conduct), that the case will be
reported to Children’s Services P&A Team.
A comprehensive Risk Assessment
for under 16’s engaged in Sexual Activity includes . . .
The age of consent to any form of sexual activity is 16 for both men and women.
The Sexual Offences Act 2003 introduced a new series of laws to protect children under 16 from sexual abuse. However, the law is not intended to prosecute mutually agreed teenage sexual activity between two young people of a similar age, unless it involves abuse or exploitation.
Specific laws protect children under 13, who cannot legally give their consent to any form of sexual activity. There is a maximum sentence of life imprisonment for rape, assault by penetration, and causing or inciting a child to engage in sexual activity. There is no defence of mistaken belief about age of the child, as there is in cases involving 13-15 year olds.
Any competent young person in the United Kingdom can consent to medical, surgical or nursing treatment, including contraception and sexual and reproductive health.
Young people are owed the same duties of care and confidentiality as adults. Confidentiality may only be broken when the health, safety or welfare of the young person, or others, would otherwise be at grave risk.
Health professionals in the UK may provide contraceptive advice and
treatment to young people under 16 if, in their clinical judgement, they
believe it is in the young person’s best medical interests and they are
able to give what is considered to be informed consent.
Working Together to Safeguard Children (2006)
Parental mental illness does not necessarily have an adverse effect on a child but it is essential to always assess its implications for each child in the family.
Where a parent has a enduring and/or severe mental illness, children in the household are more likely to be at risk of, or experiencing significant harm.
A pregnant woman may have previous severe mental disorders e.g. schizophrenia or personality disorder involving risk of harm to self or others.
Parent/carer reports signs/symptoms not explained by a medical condition.
Poor response o prescribed medication and/or treatment.
New symptoms are reported on resolution of previous ones.
Child’s normal activities are restricted by parent due to the perceived illness.
Repeated presentations to a variety of doctors with a variety of problems
Further information on www.doh.gov.uk
Sharing information is essential to enable early intervention for people who need additional services to achieve positive outcomes.
It is vital for providing effective and efficient services that are coordinated around the needs of the individual and for safeguarding and protecting the welfare of individuals.
It is important that practitioners understand why,when,and how they should share information, so they can do so confidently and appropriately as part of their day-to-day practice.
Seek advice and support.
Actively listen but DO NOT press for information.
Inform them what you will do next.
Refer to Social Services.
Think of your safety and the safety of the child.
Follow policy and procedure.
Don’t manage the disclosure on your own.
Don’t ignore the allegation.
Don’t promise to keep a secret.
Don’t ask leading questions.
Don’t investigate yourself.
Don’t panicManaging a Disclosure of Abuse
(Unless Child Sexual abuse)
“You are professionally accountable for your practice. This means that you are answerable for your actions and omissions, regardless of advice or directions from another professional.”NMC Code of Professional Conduct, 2002
Information Sharing is vital to safeguarding and promoting the welfare of children & young people
It is important that practitioners understand the circumstances when, why and how they should share information.
Information Sharing: Practitioners’ Guide
Statutory or specialist assessment from this point
I = Identification and action
T = Transition
N = Needs met
Health Emotional Behavioral Education Identity
Family & Environmental Factors
Basic care Safety Emotional warmth Stimulation
National Assessment Framework
Children Safeguarding referral (revisited)
Manager & Lead Professional
Social Worker should
If no response after 3 days ring
If concerns agreed, refer to CFS using MARF in 48 hours
TRAINING IS ESSENTIAL TO SAFEGUARDING ITS YOUR’S AND YOUR MANAGER’S RESPONIBILTY TO ENSURE YOU RECEIVE THE RIGHT TRAINING FOR YOUR ROLE