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1.4.1 Protocol of Arrangements for Child Protection Medicals (including Medical Form for Child Protection)

Contents

  1. Contact Arrangements
  2. Sexual Abuse
  3. Key Points
  4. Monitoring

    Appendix 1: Referral for Medical Examination in Suspected Child Abuse Form

    Appendix 2: Referral Pathway for Physical Abuse or Urgent Neglect Cases Flowchart

    Appendix 3: Children with Additional Needs: Referral to the Child Development Centre Form

    Appendix 4: Medical Examination and Report for Child Protection Enquiries


1. Contact Arrangements

Each normal working day the Child Development Centre has an allocated doctor for physical abuse (not requiring A & E attendance) and urgent neglect cases (defined as children discovered in such dire need that immediate removal of the child may be required).

Monday to Friday 9am - 5pm

To arrange a medical you must first fax the Request Form for medical examination, (see Appendix 1: Referral for Medical Examination in Suspected Child Abuse Form) having looked at the flow chart (see Appendix 2: Referral Pathway for Physical Abuse or Urgent Neglect Cases Flowchart) to 01895 279299 and then confirm receipt by telephoning the Child Development Centre on:

  • 01895 279818;

    or
  • 01895 279845;

    or
  • 01895 279370;

    or
  • CDC Reception 01895 279395.

Office contact details (including work mobile numbers of team manager and social worker) are to be included on the request form.

The doctor on call will contact the team manager/social worker to discuss the case and arrange a time for examination.

Out of Hours 5pm to 9am

Please contact Paediatric Specialist Registrar On Call at Hillingdon Hospital by contacting the switchboard on 01895 238282.


2. Sexual Abuse

Please contact the Paediatric Specialist Registrar/Consultant Paediatrician On Call at Hillingdon Hospital by contacting the switchboard on 01895 238282.


3. Key Points

Good communication is vital to ensure that medical examinations are organised smoothly with minimum disruption for children and families and the professionals involved. The Children's Social Care staff who are directly involved in taking children and families for medicals should make available their work mobile to Paediatric staff to facilitate full communication.

Community Paediatricians are commissioned to provide Child Protection cover only from 9am to 5pm, therefore the child must arrive at the Child Development Centre within adequate time to complete the examination.

The following criteria is a general guide but must be assessed on a case-by-case basis through discussion between the Children's Social Care Manager and the Paediatrician at the Child Development Centre.

  1. The following are considered as having greater priority:
    • Young age (especially under 2 years);
    • Severity of the injury;
    • Other vulnerabilities (such as disability);
    • Disputed cause of injury.
  2. The following receive less priority:
    • Historical allegations;
    • Adolescent age group without disability;
    • Siblings of cases being presented "just to check";
    • Siblings on sibling abuse;
    • Perpetrator or other non-perpetrating adult admitting assault occurred, so non-accidental causation is known;
    • If the child is going to foster care;
    • Sibling fights of a relatively minor nature.
    NB. Cases should not be presented as "urgent" by the social worker if the injury is known to be old; or if it is based on old information.
  3. Elective or non-urgent "paediatric" or "developmental" assessments arising from child protection case conferences, Court directions or long term child in need cases. The referral should be made using the Child Development Centre Referral Form. (See Appendix 3: Children with Additional Needs: Referral to the Child Development Centre Form);
  4. If a child cannot be brought to the Child Development Centre at a reasonable time (before 5pm), and it meets the criteria of being urgent, then this should be discussed with the Consultant Paediatrician on Call via the switchboard and a decision should be made regarding the examination, and whether it could be held over until the next day;
  5. The children who meet the criteria of less priority should be discussed with the On Call Paediatrician at the Child Development Centre and a time to bring the child for an examination the next day should be agreed;
  6. Emergency Duty Team (Out of Hours Social Care staff) are not able to take over from Children's Social Care day-time staff as there is only one worker on duty for the whole borough. The day team (Children's Social Care staff) will need to complete the piece of work, particularly if it is a Friday night where there will be no day staff on duty over the weekend.


4. Monitoring

In both the Hillingdon Community Health and Hillingdon Hospital, we will be monitoring numbers of requests for medical examination, and whether any undue delays occur.

Children's Social Care are asked to keep a log of difficulties arising from the new arrangement and to forward them to the Designated Doctor for child safeguarding, Dr Chelvi Kukendrarajah.


Appendix 1: Referral for Medical Examination in Suspected Child Abuse Form

Click here to view Referral Form


Appendix 2: Referral Pathway for Physical Abuse or Urgent Neglect Cases Flowchart

Click here to view Flowchart


Appendix 3: Children with Additional Needs: Referral to the Child Development Centre Form

Click here to view Development Centre Referral Form


Appendix 4: Medical Examination and Report for Child Protection Enquiries

Click here to view Examination Report and guide

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