A report with results from phases 13 was circulated in advance and GPs were asked to think of possible strategies for improving recording in preparation for consensus development. To only allow the cookies that make the site work, click 'Use essential cookies only.' Is it known if the child is on the Child Protection register? The Read clinical classification. PDF RECORD OF CONCERN - Tiny Toes Day Nursery Each staff member can have their own secure login and can easily record and manage their child protection concerns on any web-enabled device, removing the challenge of paper files being stored in multiple locations. There is a need for controlled trials to evaluate whether improved recording of maltreatment concerns leads to effective intervention and improved outcomes for children and their families. With this information it makes it easier for the senior leadership team to delegate resources, purchase training and share the data and the findings with the Board of Management and the Inspectorate. MyConcern is an intuitive platform for recording incidents and tracking case management. Concerns must be recorded in order to identify any potential patterns that may cause concern in relation to safeguarding children. Gonzlez-Izquierdo A, Woodman J, Copley L, et al. To determine how the recording of child maltreatment concerns can be improved. All recorded safeguarding/child protection concerns must be passed to the school/settings Designated Safeguarding Lead (DSL) as soon as possible. Michalakidis G, Kumarapeli P, Ring A, et al. Our world class support team help you to be highly effective Safeguardians. In this blog, we discuss the difference between proactive and reactive child protection procedures and why it is vital to record and manage all manners of safeguarding concerns within your organisation. Age-adjusted incidence rates by practice, sorted by deprivation index (high to low). The codes used to estimate rates were very specific to child maltreatment but did not detect all children who had given rise to concern about maltreatment. sharing sensitive information, make sure youre on a federal However, best practice in child protection or safeguarding procedures is to record everything that may be a concern to members of staff, parents or even to other students. The types of codes used in both datasets were assessed by ranking the number of times they were used in 20092010, excluding codes used in <1 child in the 11 practices and in <10 children in THIN. Weve created this guidance to help organisations understand the principles of keeping and managing records about child protection concerns. Find out how our Library and Information Service can help. Allegations of assault. State child protective services agencies are required to maintain records of the reports of suspected child abuse and neglect that they receive. The codes were identified from searches of Read Code dictionaries, the Safeguarding children and young people toolkit from the Royal College of General Practitioners (RCGP), and codes reported by GPs during the telephone interviews and workshop. Details of informal consultation (if any), This form is for recording child protection and welfare concerns internally within a service and must not be used to report concerns to Tusla. Important concepts to hold in mind include: Is the family cause for concern? Log books Posters; Student complaints procedure General complaints procedure Safeguarding Poster Code of Conduct Poster Abusive Behaviour Poster Centre Rules Poster . An area in which several bullying concerns are reported can have more staff stationed there during breaks to stop this behaviour from continuing. Find information on all updates and changes to the Keeping Children Safe in Education 2023 Guidance. At The Safeguarding Company, we believe an organisation is doing safeguarding to the best of its ability when they use a secure, digital platform to record and manage all child protection concerns. or due to e.g. It is considered best practice for recording all concerns that may arise in services, including those that may not be reported to Tusla as they do not reach the threshold of harm under the Children First Act or Reasonable Grounds for Concern. Detailed analyses of the THIN data will be reported elsewhere. The nominal group technique for consensus (also known as expert panel methods) was adapted.28 GP ownership of the recommended quality improvement intervention was encouraged and the meeting was used to explore reasons for agreement or disagreement. Child protection | UNHCR NHS general medical practitioner consultations: by age, 2000/01. Inclusion in an NLM database does not imply endorsement of, or agreement with, Save and re-use reports and download aggregated data for your governing body. PDF Gui Idde Ell in Ness Ffoorr Ssaaffeegguuaarrddingg Reeccoordd Holge-Hazelton B, Tulinius C. Beyond the specific child. Record of Concern (ROC) Guidance for the completion of this form can be found: http://www.thegrid.org.uk/info/welfare/child_protection/proformas/index.shtml Checklist for DSP (to be printed on back of record of concern form) Child clearly identified? professor of primary care and clinical informatics, child maltreatment, computerised records, primary care. This comprised 14 closed questions about personal details, current recording systems and staff at the practice, multidisciplinary team meetings (to discuss families that are vulnerable), and the child protection experience and training of the GP leads. Review of the involvement and action taken by health bodies in relation to the case of Baby P. The protection of children in England: a progress report. Refworld is the leading source of information necessary for taking quality decisions on refugee status. Refworld | UN Committee on the Rights of the Child (CRC) Only 82 codes were recorded more than once in the 11 practices or >10 times in THIN (more detailed results can be accessed via http://www.clininf.eu/maltreatment). It outlines the Children First principles of practice and the importance of working together to protect children. Records for 875 941 children observed for a total of 1 359 910 person years at risk (mean 1.6, median 2.00 years) were analysed. Descriptive analyses and incidence estimates were carried out based on 11 study practices and 442 practices in The Health Improvement Network (THIN). Each CPS is required to investigate child abuse and maltreatment reports, to protect children (anyone under 18 years old) from further . It comes from knowing the signs of child abuse from knowing the sounds and that a child has been harmed . . In order to ensure that all relevant information is recorded and appropriate steps are taken, concerns should be recorded on a standardised form that all workers are familiar with. The disincentives to code raised by the 11 GPs were similar to those outlined in documents from the RCGP:33 potential harm for the child or parents having seen documented concerns, and perceived legal barriers to recording third-party information about parent risk factors or maltreatment of a sibling in a childs records. We recommend recording all of the following concerns in your safeguarding system to name a few, this is by no means an exhaustive list: Bullying. Culture/language/understanding: any considerations in communication? A code should be entered when the child is no longer a cause for concern and when removed from a child protection plan. All 11 of the GPs agreed to implement the recommendations in their practice with evaluation after 1 year. Views supported within the group are summarised in Box 3. Watch on. A third limitation is the difficulty of developing a measure of maltreatment-related concerns. Are you aware if this person has/these persons have access to other children? Telephone interviews, a workshop, and a consensus development meeting were conducted with lead GPs from 11 study practices. Table 2 shows that rates were similar between most computer systems and for THIN, which uses IPNS Vision software; however, rates were not similar for one practice that used Isoft Synergy and for which recording rates were low. Who was contacted in relation to the concern? How to report a concern Choosing the appropriate method of making a referral Suspicions of abuse by the general public The decision of Social Care Disagreeing with the decision of Social Care Disclosure is the process by which a child will let someone know that abuse is taking place. Codes and free text have different purposes: both are needed, Coding is essential for searchable records and to ensure that information about maltreatment concerns carries over to the next practice, Who enters the code or text affects how it is interpreted, Visibility of maltreatment concerns on the screen might be damaging to the therapeutic relationship with the family, Confidentiality requirements when recording third-party information (for example, relating to parents or siblings) cause concern to the GP is very important information and affects the childs risk status, Recording should favour events, observations, and findings over opinions, GPs are not, but should be, routinely informed about children who are referred to social care services by other professionals, Children followed up by health visitors (and school nurses) for maltreatment concerns should be coded in the GP record. Child Protection Documentation - Where do we even start?! Mental health concerns. Transit, child care are among the sticking points in California's $300 There is a library of over 130 categories of concern that safeguarding leads can use to categorise concerns. For two years, the United States has been effectively running an experiment . because of how a child appears? Call us on 0116 234 7246 When you start to record every concern, you can then start to spot patterns and trends in the safeguarding and child protection concerns within your organisation. Most codes were identified via searches of Read Code dictionaries; only 11 codes were uniquely identified using the other methods. This gives you more control over how you manage the concerns within your organisation and gives your staff the peace of mind that they are following a secure, effective process when managing concerns. The purpose of the Child Protective Services Act of 1973 is to encourage more complete reporting of child abuse and maltreatment. Help for adults concerned about a child Research revealing multiple instances of the organised sexual exploitation of teenage girls living in State care by groups of predatory men needed "urgent political . As THIN data are broadly representative of the UK primary care population,26,27 unadjusted rates were calculated. Numerator data for both datasets comprised any child who had at least one maltreatment-related record. Easy-to-use, centralised, secure record-keeping and case management for all types of safeguarding concerns, One of the most sensitive issues facing any leader is how to handle serious allegations about their staff. Three of the 11 GPs looked up the 42 cases in their practice identified by the codes (excluding child protection procedure codes and those that referred directly to abuse or neglect). The facts are not consistent with their concerns. Before Registered charity in England and Wales (216401), Scotland (SC037717) and Jersey (384). Records must be opened if: The child/unborn child is on the Child Protection Register or a Supervision Order A decision has been made to hold an Initial Child Protection Case Conference irrespective of the outcome As failure to use codes makes it impossible to search or audit these cases, an approach designed to be simple and feasible to implement in UK general practice was recommended. Finkelhor D, Turner H, Ormrod R, Hamby SL. Gilbert R, Kemp A, Thoburn J, et al. The low levels of recording in children aged 5 years contrast with evidence from community-based studies, which indicate higher rates of maltreatment in children of school age and adolescents.5,15,37,38 Potential explanations include the fact that older children present less often to GPs,3 GPs may fail to ask relevant questions, or they may recognise maltreatment but code it as something else. Bethesda, MD 20894, Web Policies This guidance will be helpful to anyone who has to keep child protection records. Our world class support team help you to be highly effective Safeguardians. This standardised form should form part of your services Child Safeguarding Recording Procedure. Communication and understanding; is he/she able to communicate without interpreting/without additional support for communication? In addition, data from 442 practices that contributed to The Health Improvement Network (THIN) primary care database in 20092010 were also analysed. Woodman J, Brandon M, Bailey S, et al. If the concern was raised by this child then who has spoken to him/her? No patient identifiers were extracted. The law established child protective services (CPS) in each county in New York. By selecting "Accept tracking", you agree The Safeguarding Company can use cookies, pixels, tags and similar technologies to improve your website experience and provide more personalized services to you, both on this website and through other media for Marketing and Functional purposes, like featuring personalised ads and improving the website. but Kevin makes it clear from his legal . It has definitely saved me hours and hours of my time! Alka Maher, School Counsellor,ACS International School Doha. The study involved four phases over 18 months, which are outlined below. The utility and challenges of using ICD codes in child maltreatment research: a review of existing literature. What happened? For over thirty years, Stephen Klarich has been handling criminal cases and matters involving sex offenses. The information has been carefully selected and compiled from UNHCR's global network of field . For example, a child coming to school without a coat in winter may not seem like a big concern; however, that same child may also not have their lunch, or the gym equipment, may have shoes with holes in them or never hand in their homework. Whether you've encountered a safeguarding issue or you want to make sure you're prepared, our examples highlight the steps you should take and the further resources available to help you keep children in . What is a childs case in general practice? Key points - chapter 7; Carrying out a child . Reporting to Department of Communities and Justice Are child protection or social care services involved? Recording Child Protection and Welfare Concerns Child protection is a term that generally describes services to children who have been, or may be, suffering from abuse or neglect. CP records retention and storage guidance, For safeguarding training, resources and consultancy. When recording and managing child protection concerns within your school or college, it can be tempting to only record the serious issues that warrant contacting an external agency such as An Garda Sochna or Tusla. National Institute for Health and Clinical Excellence. Burden and consequences of child maltreatment in high-income countries. This quality improvement intervention for recording maltreatment concerns was generated from a systematic analysis of current practice. For analysis, codes were grouped into four categories. GPs were invited to a consensus development meeting. Bourke A, Dattani H, Robinson M. Feasibility study and methodology to create a quality-evaluated database of primary care data. Maya Kowalski, the 10-year-old daughter of . Child Protection - School Record of Concern Child Protection - School Record of Concern Child Protection - School Record of Concern pdf53.26 KB. RCGP Clinical Innovation and Research Centre, London. In this blog, we examine the many benefits of using a digital, online safeguarding system to record and manage all safeguarding and child protection concerns, compared to outdated paper files and systems. Securely share information with other organisations and other trusted external partners, even those who do not have MyConcern installed. Accurate and up to date recording of child protection or welfare concerns is essential for a number of reasons: It can help educational settings identify child protection or welfare concerns at an Recommendations for coding cannot be comprehensive. Recording Concerns Note that poor practice concerns need to be recorded as well as instances of more serious abuse. In fact, depending on the other parent's history and parenting skills, it's possible for the offending parent to . February 10, 2022 Early Learning and Care (ELC) and School Aged Childcare (SAC) services must keep written records of all child protection and welfare concerns, including concerns that may not reach the threshold for reporting to Tusla. Seemingly small details may seem insignificant when viewed as a one-off concern, but when joined together in one digital chronology, it is possible for the safeguarding lead to see that there is a bigger issue. Potential adverse effects of labelling or recording would be detectable only in very large observational studies that are only feasible after implementation. Before the Indian Child Welfare Act was enacted, between 25% and 35% of Native American children were being taken from their homes and placed with adoptive families, in foster care or in institutions. Unfortunately, Johansson added, this is not an answer for everyone. Child maltreatment refers to any act of commission or omission by parent or other caregiver that results in harm, potential for harm, or threat of harm to a child, even if harm is not intended.1 It includes different types of abuse (physical, sexual, and emotional) and neglect. Kevin Costner 's estranged wife wants him to fork over nearly a quarter of million dollars a month to care for their kids . government site. The rate of the recording of maltreatment-related codes was determined using data extracted from the 11 practices for 20092010. The Legislature's budget increases child care funding by 25%, mostly by reallocating unspent funds from some programs. . We can help you build a world class safeguarding organisation wherever you are today and whatever you need now, The very best technology combined with excellent safeguarding practice will help you cut through the complexity of keeping vulnerable children and adults safe, Valuable resources developed by fellow Safeguardians. (For example because of an injury? From suspicion of physical child abuse to reporting: primary care clinician decision-making. (Name, age and address details of such children if available?). Emotionally: how is he/she right now and what does she/he need immediately for their reassurance/understanding? Download Child protection records retention and storage guidance (PDF). The authors have declared no competing interests. Characteristics of participating practices and lead GPs. One limitation of the analyses of rates of recording is that the sample of 11 practices was too small to examine reasons for variable rates. You can change your cookie settings at any time. Recording concerns about child maltreatment, http://archive.cqc.org.uk/_db/_documents/Baby_P.pdf, https://www.education.gov.uk/publications/eOrderingDownload/HC-330.pdf, http://www.education.gov.uk/rsgateway/DB/STR/d000970/index.shtml, For the purposes of this guidance, to consider child maltreatment means that maltreatment is a possible explanation for a report or clinical feature or is included in the differential diagnosis, Discuss concernwith colleagues; Discuss concernwith colleagues; make provision to reviewthe child, For the purposes of this guidance, to suspect childmaltreatmentmeans a serious concern about the possibility of childmaltreatment but is not proof of it, Refer the child to children's social care services, Listen and observe; seek explanation; record concerns, Codes related to child protection procedures, including for siblings, 13Iv: Subject to child protection plan 9F2: Child at risk case conference, Codes directly referring to child maltreatment, including domestic violence and maternal alcohol/drug abuse during pregnancy. There will be an iterative process of feedback and review by which this full list of codes will be periodically revised. Recording concerns could be evaluated as part of a whole-service package, designed to improve outcomes for children who are maltreated and their families. National Society for the Prevention of Cruelty to Children. The study measured how concerns about child maltreatment are currently recorded in electronic GP records and used an iterative, consensus approach to develop a quality improvement intervention. The Tusla Child Protection and Welfare Report Form should ideally be submitted through the. Supports for young people in the child protection system will be extended from age 18 to 21. . Record each child who is the subject of concerns (the subject child) in an intake event in ICMS. Child Protection Record of Concern Child protection record of concern 7. Tai TW, Anandarajah S, Dhoul N, de Lusignan S. Variation in clinical coding lists in UK general practice: a barrier to consistent data entry? Getty. These standards are embodied in the Child Abuse Prevention and Treatment Act (CAPTA).2 Many of CAPTA's requirements concern the confidentiality of records concerning the children and families who are served by . Contribute and read comments about this article on the Discussion Forum: http://www.rcgp.org.uk/bjgp-discuss, National Library of Medicine Is a person are persons are believed to be responsible for harm to a child? Performance of the QRISK cardiovascular risk prediction algorithm in an independent UK sample of patients from general practice: a validation study. This step towards a proactive safeguarding approach also shows that the safeguarding culture within your organisation is robust, deterring inappropriate people from applying for positions within your organisation and demonstrating to other schools that your establishment's child protection policy and procedures are world-class. Federal government websites often end in .gov or .mil. This empowers your staff and the entire organisation to look ahead and pre-empt concerns before they even begin. Written consent is best, however, telephone consent is also acceptable if this is not possible - don't forget to document it! Push for increased housing and social support for young people Many of Newsom's proposed spending cuts come from environmental programs over the next few . (Please note and share). Please select and accept your tracking preferences: Sustaining Your Safeguarding Culture During a Period of Change, With this information it makes it easier for the senior leadership team to delegate resources, purchase training and share the data and the findings with the, Marketing Content Manager, The Safeguarding Company. This portal now also allows the reporter to print a copy of the report submitted. Is the person who has spoken to the child available to be spoken with? This should be managed by the DLP in the service. 0:05. A child-centred system: the governments response to the Munro review of child protection. If concerns were not reported when they first arose, was there a reason for this and what has prompted reporting now. Report on the whole organisation, a small part of it or even an individual profile. Information about child protection concerns and referrals should be kept in a separate child protection file for each child, rather than in one concern log. Clear guidelines for the retention, storage and destruction of child protection records are also required as part of safeguarding policies and procedures. It introduces key points you need to consider when developing or reviewing your child protection records retention and storage policy and signposts to further information. With MyConcern you can generate multiple reports to fit your needs. PDF Child protection records retention and storage guidelines Impact of a computerized template on antibiotic prescribing for acute respiratory infections in children and adolescents. It has definitely saved me hours and hours of my time!, With MyConcern you can generate multiple reports to fit your needs. 6/21/2023 2:27 PM PT. As a first point, child safeguarding concerns must be discussed with the Designated Liaison Person (DLP) in the service. Disclosure of Confidential Child Abuse and Neglect Records This can be collected by including child protection questions and issues in initial rapid needs assessments (within 1 - 3 weeks), or specifically assessing child protection concerns (within 4-6 weeks, ongoing as required). The .gov means its official. The system is easy to use, and our award-winning customer support team are always happy to offer a helping hand if needed. PDF MLA Safeguarding Policy 2021 Gilbert R, Widom CS, Browne K, et al. Name of child's school, nursery/ early learning centre or childcare. Where Is Dr. Sally Smith From Netflix's 'Take Care Of Maya' Now? MyConcern automatically creates robust chronologies, meaning that time spent collating details of case management for weekly safeguarding meetings, case reviews and other investigations can be dramatically scaled down. How To Check If You Were Vaccinated For Certain Illnesses As A Child Physically: does he/she have any known injuries or immediate health needs and do they require medical treatment? the child protection concerns within your organisation and helps with the allocating of funding, determining what additional training might be needed and any additional support staff or students may benefit from. How to get Child Custody With a Criminal Record :: Design by Click Media & Design , www.childsafeguardingelc.ie/resources-publications/, www.tusla.ie/get-in-touch/duty-social-work-teams/, Recording Child Protection and Welfare Concerns, National Child Safeguarding Programme - Early Learning and Care, Details of the person who raised the concern. Children aged <5 years see their GP, on average, five times a year.3 As GPs often see multiple family members, they can detect stressors such as violence, parental depression, drug or alcohol abuse that put children at risk of maltreatment.46 They hold the continuous health record, making them a key resource for sharing information about maltreatment-related concerns.4,7,8, Child maltreatment is common and often chronic but many affected children only occasionally, or never, reach the threshold for investigation or intervention by child protection services.9 According to large, population-based, self-report and parent-report studies, around 4% of children in the UK and 10% of those in the US experience maltreatment each year.10,11 In contrast, in England 4.0% of children were assessed by social care services in 2010 (about half for possible maltreatment) and 0.4% were made the subject of a child protection plan.12 Doctors report only a minority of suspected cases of maltreatment to child protection services.13,14 Evidence is lacking about how often GPs in England report child maltreatment.15, National policy in the UK is starting to embrace evidence that child maltreatment occurs on continuums of severity and chronicity, and professionals often manage the problem without referral to child protection services.