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1.2.11 Medical Assessment for Child Protection Concerns in Child Protection Clinics held in Paediatric Outpatients, Calderdale Royal Hospital

SCOPE OF THIS CHAPTER

This chapter provides information for use by Social Workers when arranging a medical assessment at Calderdale Royal Hospital. 

AMENDMENT

It was reviewed locally and updated throughout as required in December 2014.


Contents

  1. Overview
  2. Physical Abuse
  3. Sexual Abuse
  4. Our Expectations from Other Agencies
  5. What you can expect from us


1. Overview

When there is a requirement for a child to undergo a medical assessment at Calderdale Royal Hospital, as a result of  concerns that abuse may have occurred ring the Paediatric Consultant for safeguarding via the switchboard on 01422 357171 between 0900 – 1700 hours Monday - Friday.

Unfortunately, we are unable to give social workers a definite appointment until they have visited the child to confirm an examination is definitely needed and parental consent has been obtained for the medical.

Cases of concern should normally come from Social Care or the Police. GP's may very occasionally require a second opinion prior to actual referral to Social Care. However, in all cases, information on prior concerns should be obtained from Social Care and Social Care should be aware of the attendance even if not actually involved. Social Care will require feedback on the outcome of the second opinion by the Paediatrician within 72 hours of the examination to decide if a Child and Family Single Assessment is justified. The paediatric on-take team will do the usual emergency evaluation of children requiring emergency assessment treatment out of hours.


2. Physical Abuse

0900-1700: Please contact the Calderdale Royal Hospital Switchboard on 01422 357171. You will be referred on to the Paediatric Consultant on call if there is no clinic availability.

1700 – 0900 and weekends and Bank holidays: Please contact the Paediatric Consultant on call (via hospital switchboard). Medical Registrars can provide emergency treatment and assessment and refer on after assessment if necessary.

Do not bring children unannounced to the Emergency Department.


3. Sexual Abuse

0900 – 1700 hours: Please contact the Paediatric Consultant for the week via the switchboard on 01422 357171

1700 – 0900 hours weekends and Bank holidays: There is currently no emergency sexual abuse rota for the examination of sexual abuse out of hours. If a child presents who is thought to have been sexually abused within the last 72 hours and if  Children’s Social Care, Police (tel: Safeguarding Unit 01422 337362, Calderdale Police General 101) and Paediatricians decide in a Strategy Discussion that a forensic examination is necessary and cannot wait until the next clinic session, the Police will request a Police Surgeon to undertake the forensic examination at Calderdale Royal Hospital. They will also request the presence of a paediatrician to assess the urgent needs of the child and family. The Police Surgeon will undertake the forensic examination and the paediatrician will do a general medical history and examination. Follow-up if required will be arranged in the Child Assessment Clinics.


4. Our Expectations from Other Agencies

Please ensure that you provide as much background information as possible to the situation such as;

  • Name of General Practitioner;
  • Birth History;
  • Family and Social care History.

It is much more difficult to carry out these examinations without this background information.

Please endeavour that if the parent is not present, there is consent to the examination in writing. In the case of a father, he needs to have Parental Responsibility, to be able to consent.

Please do not use us as technicians only, but involve the Paediatricians in subsequent decision making.

Please use the clinic sessions wherever possible.

Please provide feedback to the paediatrician regarding movement of case i.e. progression to Child Protection Conference

If social care/police become aware of further information following a medical this should be discussed as soon as possible with the paediatrician


5. What you can expect from us

  • A full assessment of the child including a full history and examination;
  • A written report of the examination, containing our opinion;
  • Where possible, our attendance at subsequent Child Protection conferences;
  • A report for Child Protection conference following the findings of the medical which may expand further than the medical report;
  • Follow up where appropriate, a referral for therapy etc.

End