Safeguarding children in primary care Current hot topics and FAQs Dr Tara Jones, Surrey-wide named GP for safeguarding children

CQC inspection What to expect in relation to safeguarding children Family Doctor Association guidance August Specific and repeated reference to safeguarding -Ensure staff are up to speed on safeguarding issues -Get training sorted if not already done so -Safeguarding is likely to be part of EVERY inspection visit

CQC inspection (2) Oxted Health Centre, August 2013 Staff directly questioned regarding safeguarding Training log inspected (levels, dates, non-attendees) New staff induction Safeguarding lead; who/how/where/when? What to do if you were concerned about a professional/colleague at the practice? External contact points

CQC inspection (3); GP Mythbuster 33 Guidance issued April 2015 GPs and all other practice staff to demonstrate their competence in safeguarding children and YP at risk Specifically demonstrating identification, responsibilities, awareness of internal arrangements/external processes “In a good practice”…. Training RCGP toolkit safeguarding-children

Bruising in non-independently mobile children Pre-mobile infants/ children with significant disabilities. The only SSCB policy stating “you must”. Why is this an issue? Serious case reviews; locally and nationally. Points of contention! Information for parents. Current review of SSCB policy.

RAIS Surrey County Council’s Referral, Assessment and Intervention Service Returns Children’s Services referrals to the local area teams New option to seek social worker’s advice New referrals and children already known to CS

RAIS (2) North East (Spelthorne, Epsom+Ewell, Elmbridge) North West (Surrey Heath, Runneymede, Woking) South East (Tandridge, Reigate+Redhill, Mole Valley) South West (Guildford+Waverley)

What’s new locally/nationally? (1) Safeguarding children prompt cards PDF and e-book formats via RCGP/NSPCC safeguarding children toolkit Main toolkit 223 pages Essential elements 7 pages Specimen safeguarding policy

What’s new locally/nationally? (2) Female Genital Mutilation Resource Pack “Raising awareness” training DVD “FGM risk and safeguarding-guidance for professionals” DH March 2015 “FGM Enhanced Dataset; Implementation Summary for GP Practices” hscic 2015 Mandatory reporting….

Your named GP; FAQs! “How should my practice store child protection case conference minutes”? GMC guidance summer 2012 clear; as part of the child/ren’s clinical record BUT conflicting advice from medical defence bodies Best practice=treat as any other medical information i.e.in main notes Third party information/redaction

“What training do I/my staff need in safeguarding children?” See previous regarding CQC inspection Level 1, all non-clinical staff ( offer/60-safeguarding-children-nhs-organisations) Level 2, all clinical staff ( Level 3, practice safeguarding lead/deputy------> ALL GPS (multi-agency) Formal update 3 yearly, in house annual events

“How do I contact you? And for what?” FOR WHAT? support, advice, case discussion, training requests etc. etc. HOW? IF URGENT? Does this actually need to be discussed with Children’s Services? ANY QUESTIONS?