Within hospitals, changed working practices threaten continuity of care in clinical teams. Home Office Communications Directorate; Diagnose and be damned. Child abuse and neglect and the brain—a review. He stresses the importance of accurate written records, discharge plans, and better information systems.
Working together to safeguard children: These include creative use of child abuse inquiry reports themselves, role plays and simulations and workshops designed to enhance critical reflection skills. Local support should be available from the designated and named doctor and nurse, whose roles are defined in Department of Health guidance. National Center for Biotechnology Information , U. UK review of effective government structures for children.
Downloads per month over past year. The designated and named professionals would have a leading role in the local implementation of Lord Laming’s most ambitious proposal—for regular revalidation in child protection of every consultant paediatrician and general practitioner.
Child protection—lessons from Victoria Climbié
Child and Family Social Work, 13 2. Journal List BMJ v. These themes are outlined and then connected with concerns the authors of the current paper identified in journal papers written 10 years or more ago.
Lord Laming heard evidence that child protection is an unpopular specialty of paediatrics. Every chief executive must ensure that these individuals have enough time and resources to do their jobs properly. No one condones poor clinical practice, but some complaints are malicious and are intended to obstruct social work and police investigations, and some arise from orchestrated campaigns.
These include creative use of child abuse inquiry reports themselves, role plays and simulations and workshops designed to enhance critical reflection skills. Health for all children. Local support should be available from the designated and named doctor and nurse, whose roles are defined in Department of Health guidance. Home Office Communications Directorate; Prevention depends on collaboration, as emphasised in the publication Working Together from the Department of Health.
This might best be achieved by a standardised package and process, which would be equally relevant for trainees.
The answer is, probably not a lot, unless there is also professional and managerial commitment to other, and arguably more important, changes. But the key question is not who will be accountable for the next child abuse tragedy 3 but how much the better reporting arrangements will contribute to preventing one.
The paper concludes with an outline of teaching approaches the current authors have adopted in pursuit of the kinds of learning opportunities they believe need to be put in place to improve professional practice in children and families’ work. As with any difficult clinical situation, consultation with colleagues is important.
Child abuse and neglect and the brain—a review. Simple intervention to improve detection of child abuse in emergency departments.
Child protection—lessons from Victoria Climbié
Working together to safeguard children: This article has been cited by other articles in PMC. Expert evidence 10 years after the implementation of the Children Act Effects of prenatal and infancy nurse home visitation on surveillance of child maltreatment.
Support Center Support Center. A process of audit should be in place in each department of the hospital to monitor adherence to local and national statements of good practice. These teams naturally focus on the needs of their adult patients and are at risk of forgetting the child or children at home. UK review of effective government structures for children.
J Child Psychol Psychiatry.
This must include opportunities to form continuing education and support networks with others in similar posts. Children like Victoria die when individual professionals do not work together.
It is argued that the gap between recognition that society needs competent, well-trained and skilled social work and other professionals to safeguard the lives of children and families and understanding of what education, training and employment support mechanisms are necessary in order for workers to become and remain well-trained, skilled and effective, remains as wide as ever.
The syllabus for all paediatric trainees must include patterns of abuse, legal and ethical issues, and an understanding of social and cultural factors and of the motivation for abuse.
Within hospitals, changed working practices threaten continuity of care in clinical teams. Often the reasons lie in failures of systems rather than individual shortcomings.
All general practitioners treat children and have a duty to be aware of the many different manifestations of child abuse and to respond by seeking advice.