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

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CONTENTS MINISTERIAL FOREWORD Introduction and Purpose of Guidance PART 1 Chapter 1 Chapter 2 Chapter 3 Chapter 4 IDENTIFYING AND RESPONDING TO CONCERNS ABOUT CHILDREN AND YOUNG PEOPLE Supporting Vulnerable Children and Young People and Families Roles and Responsibilities of Healthcare Staff in the Process of Protecting Children Sharing a Child Protection Concern Medical Assessments in Child Abuse PART 2 Chapter 5 Chapter 6 HEALTH SERVICES RESPONSIBILITIES IN CHILD PROTECTION NHS Links with Other Agencies Health Boards Structure for Delivering Child Protection Services PART 3 Chapter 7 Chapter 8 Chapter 9 HEALTH BOARD PROCESSES TO SUPPORT PRACTITIONERS DELIVER HIGH QUALITY CHILD PROTECTION Caldicott Guardians, Information Sharing and Record Keeping Education, Learning and Development for Healthcare Staff Advice on Court Proceedings Appendices Appendix 1 Key Definitions and Concepts Appendix 2 GIRFEC Tools/Diagram Appendix 3 Process for Responding to Concerns Appendix 4 Proformas for Medical Assessment Appendix 5 Indicators of Risk in Specific Circumstances Supporting the Unseen Child or Young Person High Risk Families Children and Young People with Disabilities Appendix 6 References 1
MINISTERIAL FOREWORD Keeping Scotland’s children and young people safe is at the heart of the Scottish Government's vision for the future. Ensuring children and young people are safe is the first step to enabling them to become the responsible citizens, successful learners, confident individuals and effective contributors that they deserve to be. To achieve this we need to provide you, the healthcare professional, with the right resources to support your local practice. Your role is vital and we are committed to making sure that you have the necessary tools to enable you to undertake that role with confidence and vigour. As part of that commitment, in 2010 we published National Guidance on Child Protection in Scotland which set out common standards for child protection services in Scotland. At that time we recognised the need to update the specific guidance available for health professionals to reflect the National Guidance. I am pleased that the commitment we made has resulted in this guidance to help with your role in child protection. While child protection is clearly a collective responsibility, it is often a health professional who will have the first, and sometimes only, contact with a child or young person or their family. It is crucial that these early opportunities to protect the child or young person and support the family are not missed. Protecting children and young people, keeping them safe from harm is one of the most important responsibilities anyone can have but it is also one of the most demanding. I recognise this and this guidance is intended to help all staff who work in health services, regardless of whether their main contact is with a child, a young person or an adult. Putting the needs of the child or young person at the centre of your practice is essential. The Getting it Right for Every Child programme provides a framework for professionals to do this and we are bringing forward legislation during this Parliament to put the planning and delivery of services provided to children and young people onto a statutory foundation. We want Scotland to be best place in the world for children to grow up. I know that there is excellent work going on across Scotland to help realise this goal and I hope you find this guidance useful in helping you give children and young people one of the most important things they can have while growing up – the feeling of being safe. Aileen Campbell Minister for Children and Young People 2
Page 1 and 2: CHILD PROTECTION GUIDANCE for Healt
Page 3: © Crown copyright 2013 You may re-
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 and 24: Specialist Child Protection Paediat
Page 25 and 26: PART 2 HEALTH SERVICES RESPONSIBILI
Page 27 and 28: NHS 24 NHS 24 is Scotland’s Natio
Page 30 and 31: Specification for a Child Protectio
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Page 34 and 35: Provide advice and support on child
Page 36 and 37: Healthcare staff should seek advice
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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
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Page 48 and 49: What is Harm and Significant Harm i
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GIRFEC PRACTICE MODEL 51
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Proformas for Medical Assessment Ap
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8. Reason for referral Briefing tak
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11. Birth/Medical history 14. Devel
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18. General examination Name(s) of
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Details of female genital findings
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Details of anal findings Natal fold
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Body diagrams Appendix A 67
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No access visit - when a visit has
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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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