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Child Safeguarding Protocol In EMIS Web Jez McCole, GP, Gleadless Medical Centre,

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Presentation on theme: "Child Safeguarding Protocol In EMIS Web Jez McCole, GP, Gleadless Medical Centre,"— Presentation transcript:

1 Child Safeguarding Protocol In EMIS Web Jez McCole, GP, Gleadless Medical Centre, Sheffield @jezmccole

2 The Problem Lack of awareness of Safeguarding issues Common to most busy surgeries What is already in the busy record? What was the point of coding it? Coding is more than just about QOF Bringing the electronic medical record to life Highlighted during our Three Minute Surgery

3 Theme 2 - Everything is ok This theme demonstrated how professionals didnt recognise the safeguarding issues or vulnerabilities that existed. There were 2 main reasons for this: 1. Normal for Community. In 3 cases professionals felt that the children were one of a number of children like this in the community: There are lots of other families like this in their practice area so this family would not have stood out. This is of concern… because of the clear level of risk that there was in this family. (2011) 2. Misplaced Optimism. There was evidence (in 8 cases) of professionals working with an overoptimistic view of the situation. The most common reason was that they didnt question, recognise, know or collate the family history or vulnerabilities that exist. Assessments failed to consider the historical information regarding this couple. Agencies failed to consider the multiple risk factors (2011)

4 Theme 3 - Assessment, Assessment, Assessment 1.An Assessment Mindset is seeing every encounter with a family as an opportunity to re-evaluate the situation. The lack of this was an issue in 6 cases. 2.Silo Thinking. In 6 cases professionals viewed situations in isolation, were task focused and episodic. This also highlighted where professionals didnt consider the possible impact of the parents mental health on their parenting. 3.Downgrading of risk (4 recent cases). In these professionals closed cases when there was no evidence of any new information to inform this decision. 4.Recognition of risk by universal services. 3 cases highlighted that although universal services had contact with a family, they didnt recognise the circumstances the children were living in. 5.Communication and information sharing was an issue in 10 reviews. This highlights the importance of assessment and the difficulties that arise when this isnt thoroughly completed.

5 Three Minute Surgery N = 40+

6 Our Aims When any record is loaded To present the Child Protection Status of the patient To inform the user about Safeguarding procedures

7 Protocol Overview – The finished product

8 Protocol Ingredients A coded record ConceptsConnectors Protocol Alerts (Zap box)

9 A (well) Coded Record Agree your codes Used on the record of the child [13Iv]Child is the subject of a Child Protection Plan [13Iw]Child has been removed from a plan [13IO] [13IS]Child is a Child in Need [13IT]Child is no longer a Child in Need Used on the record of a parent/guardian [13Iy]Family member subject of a Child Protection Plan [13Iz]Family member removed from a Child Protection Plan

10 THE CONCEPTS The engines of the protocol Interrogate the record Change the direction of flow based on what they find Written in the Concept Manager





15 Create a Protocol

16 Build the Protocol Starts as a blank canvas

17 Add a pre-prepared Concept

18 Protocol Flow – Child currently on a plan

19 Protocol Alerts - Zap

20 Protocol Alerts

21 Safeguarding Template


23 Protocol Overview – Child currently on a plan

24 Protocol Overview – Child no longer on a Plan

25 Concept & Alert No Longer on a Plan ConceptAlert

26 Protocol Overview – The finished product

27 …and finally!

28 Program the trigger Thank you Update Record

29 Examples of other Gleadless Protocols & Reports Label printing Helicobacter eradication eGFR African ethnicity adjuster Metformin & Low eGFR warning Arrhythmia check Amiodarone Safety QRISK checker Folic Acid prescribing by risk factors Diabetes reports DMARD max med review 3months preventer Diabetes Hypoglycaemia Risk Driving on Hypoglycaemics District nurse case load management Protocols Mental Health Care Planner Cannabis Support Alert

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