National guidance for child protection in Scotland - Scottish ...

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opinion (as courts consider them “experts”) based on their findings and will have to clearly state the probability of abuse. It is imperative that all specialist paediatric medical examinations result in a clear report. This should also contain details of the doctor’s role, experience and status. It should contain statements of fact (evidence found on history and examination), then an opinion about whether abuse may be possible or probable. It must be sufficiently detailed to meet the Reporter’s requirement as well as the Procurator Fiscal, if necessary, in criminal cases. This is called a Stage 1 report. A Stage 2 report may be completed after further investigations and results are available, and may have additional evidence from research to support the diagnosis of abuse. This is usually written by a specialist consultant in child protection. 21
PART 2 HEALTH SERVICES RESPONSIBILITIES IN CHILD PROTECTION Chapter 5 NHS Links with Other Agencies This section: Highlights importance of inter-agency working. Outlines role of Chief Officers in promoting joint working. Outlines role of Child Protection Committees. Sets out the responsibilities of NHS 24 and Scottish Ambulance Service. All healthcare staff, in accordance with their statutory and professional responsibilities, must work with local authorities, police and other partner agencies, to protect children and young people to reduce risk and protect from abuse, neglect, and to promote their wellbeing. All front-line staff must know how to access local child protection guidelines and child protection advisers. Strategic Links between Boards and Local Authorities The Framework for Standards outlines the standards which all services should strive to provide. These include that: Agencies and professionals should work together to assess needs and risks and develop effective plans on an interdisciplinary and interagency basis. Agencies work in partnership with members of the community to protect children and young people. Agencies individually and collectively demonstrate leadership and accountability for their work and its effectiveness. A Quality Improvement Framework, using quality indicators, helps services evaluate how well they protect children and meet their needs.¹ Chief Constables, Chief Executives of Health Boards and Local Authorities, referred to as Chief Officers, are responsible for ensuring that their agencies, individually and collectively, work to protect children and young people as effectively as possible. In order to achieve effective partnership working, there needs to be positive and constructive working relationships between individuals and agencies, exemplified and promoted by strong leadership and commitment of Chief Executives, Directors, and Lead Members in all agencies. It is essential that health services have robust and effective joint working with other agencies to promote the wellbeing of children and young people and protect them from abuse and neglect. Within each Health Board area there are a number of strategic groups which plan and deliver systems and processes to improve joint working and communication across and between agencies, in particular Integrated Children Service Planning and the Child Protection Committee. Chief Officers should demonstrate effective collaborative working to discharge their child protection responsibilities and consistently promote effective joint working within and across services. 22
Page 1 and 2: CHILD PROTECTION GUIDANCE for Healt
Page 3 and 4: © Crown copyright 2013 You may re-
Page 5 and 6: MINISTERIAL FOREWORD Keeping Scotla
Page 7 and 8: affecting children, young people an
Page 9 and 10: and must be familiar with local pro
Page 11 and 12: experiencing difficulties in lookin
Page 13 and 14: Chapter 2 Roles and Responsibilitie
Page 15 and 16: Chapter 3 Sharing a Child Protectio
Page 17 and 18: Healthcare staff have a duty to co-
Page 19 and 20: Specific advice is provided below r
Page 21 and 22: Emergency and Urgent Care Medical S
Page 23: Specialist Child Protection Paediat
Page 27 and 28: NHS 24 NHS 24 is Scotland’s Natio
Page 30 and 31: Specification for a Child Protectio
Page 32 and 33: The Executive Director Lead Child P
Page 34 and 35: Provide advice and support on child
Page 36 and 37: Healthcare staff should seek advice
Page 38 and 39: individuals made through provisions
Page 40 and 41: All medical staff require both sing
Page 42 and 43: from the reporter or from an agent
Page 44 and 45: Appendix 1 Key Definitions and Conc
Page 46 and 47: Informal kinship care refers to car
Page 48 and 49: What is Harm and Significant Harm i
Page 50 and 51: Where a child is thought to be at r
Page 52 and 53: decision to remove a child's name w
Page 54 and 55: GIRFEC PRACTICE MODEL 51
Page 57 and 58: Proformas for Medical Assessment Ap
Page 59 and 60: 8. Reason for referral Briefing tak
Page 61 and 62: 11. Birth/Medical history 14. Devel
Page 63 and 64: 18. General examination Name(s) of
Page 65: Details of female genital findings
Page 68 and 69: Details of anal findings Natal fold
Page 70: Body diagrams Appendix A 67
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No access visit - when a visit has
Page 76 and 77:
Missing Family Alert The purpose of
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High Risk Families High Risk Famili
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Risk taking behaviours as a result
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and child protection orders) to pro
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Children and Young People with Disa
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High Risk Families ACMD (2003). Hid
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Hester, M., Westmarland, N., Gangol
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Straus, M.A., Hamby, S.L., Finkelho
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© Crown copyright 2013 ISBN: 978-1
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