10th
Child protection
Principles of the children act(1989) The child’s welfare is paramount Parental responsiblity Children are best cared by both parents Children as individual in their ownrightSection 28 of the children act 2004Lord Laming recommendations 2003Child protection overided confidentilityNeeds ensure effective inter agency communication.Assessment framework Parenting capacity Child development needs Family&social interactionLinked domestic violence-Antenatal routine enquiryMARAC-multi agency risk assessment conference Linked to substance abuseManaging disclosure1-take allegation seriously2-record accurately sign date3-don’t promise confidentiality4-listen don’t press for information5-explain what you will do next6-reassure the child or personTypes of abuse1-physical abuse(non accidental injury)2-neglect-difficult to set the limits3-emotional abuse-difficult to set the limits long term implications difficult to prove witnessing domestic violence 4-sexual abuseRole of the docotorExamination of childRecordArrange treatment medical follow up Prepare written reportConscent1-medical emergency conscent required2-16 years and over can give own conscent3-
