Following every serious case of child abuse or neglect there is considerable consternation that greater progress has not been made to prevent such occurrences. Reviews and enquiries across the UK, over the last three decades, often identify the same issues - among them, poor communication and information sharing between professionals and agencies, inadequate training and support for staff, and a failure to listen to children (Ref.1).
Lord Laming’s inquiry report into the care of Victoria Climbie (Ref. 2) refocused the government’s attention on the needs of children and young people (Ref.3). Amongst the many recommendations Lord Laming advocated that professional bodies should be requested to develop models of continuing education/professional development for practitioners engaged in child protection work (Ref.2). In
addition organisations such as the Commission for Social Care Inspectorate have recently called upon professional organisations to provide greater clarity in relation to the remit of specific child protection roles (Ref. 4).
However, all who come into contact with children and young people have a duty to safeguard and promote their welfare and should know what to do if they have any concerns. Standards for practice, assessment tools and guidelines to assist practitioners in the field of child protection have been developed across the UK (Ref. 5-35) . The aim of this document is to provide all health care staff with a generic framework, within which professional group training programmes can be developed, to meet the needs of specific practitioners depending upon their particular role in relation to children and young people.
The document is divided into two parts:
• section A contains a generic competency framework.
• section B contains specific role descriptions for professionals undertaking lead, named and
designated roles in child protection.

Section A: generic competency framework
“Child protection training is essential for all health professionals engaged in services for
children. It is not an optional extra.” (Mr. Barry Capon, chair of independent inquiry into the
death of Lauren Wright, 2002)
All health care organisations have a duty under the Children Act 2004 to make arrangements to safeguard and promote the welfare of children and young people. Chief Executives will need to ensure that all staff are able to meet this requirement. Staff groups will have different training needs to fulfill their duties, depending on their degree of contact with children and young people and their level of responsibility.
This generic knowledge and skills framework developed by members of professional organisations 1 will assist health care professionals to identify, plan and deliver the training and education needs across the range of their employees 2 . For some employees this may require significant investment in training. Six levels of competency have been identified, but in reality there will be a continuous spectrum of competency required, and while examples have been given, these need to be considered as guidance
rather than absolute requirements 3. The important issue is that people are appraised, and trained, based on their roles relating to safeguarding, and children and families.
1
CPHVA, RCGP, RCM, RCN, RCPCH
2
Specific documents related to individual professional groups also exist i.e. RCGP child protection
competencies, NSCAN, RCN, RCPCH (NB. The NSCAN document will provide a detailed link between the
generic competency framework, roles and the NHS knowledge and skills framework).
3
It should be noted that the framework does not specifically identify child protection roles which
may be in place to meet local circumstances and need i.e. Nurse Consultant or advisory
roles.

Safeguarding Children and Young People: Roles and Competences for Health Care Staff
April 2006
Level 1: all staff working in health care settings (clinical and non-clinical)
Safeguarding
Level 1: all staff working in a health care
National Workforce
children and
settings
Competences*
young people
[see Appendix A]
•
Competency
Understand what constitutes child abuse.
CJ E202 Contribute to
•
the protection of
Know the range of physical
children from abuse.
abuse, emotional abuse, neglect and
sexual abuse.
•
Know what to do when they are concerned
that a child is being abused.
•
Knowledge
Know about the range of child abuse.
•
Know about local policies/procedures.
•
Know what to do if they have concerns.
•
Understand the importance of sharing
information, how it can help and the
dangers of not sharing information.
•
Know what to do if they experience
barriers to referring a child/family.
•
Skills
Be able to recognise signs of child abuse
as this relates to their role.
•
Be able to seek advice and report concerns,
ensuring that they are listened to.
•
Criteria for
Demonstrates awareness of child abuse and
assessment
appropriate referral mechanisms.
•
Demonstrates appropriate information
sharing .
•
Method
Mandatory induction programme.
•
Update/ refresher training at regular
intervals (minimum 3 yearly) with written
briefing of any changes in legislation and
practice from Named/ Designated
professionals minimum of annually.
* Skills for Health are in the process of developing National Workforce competencies across aspects of care to
underpin all future training and education programmes. Links are provided to detailed competencies already
developed in this specific area

Safeguarding Children and Young People: Roles and Competences for Health Care Staff
April 2006
Level 2: clinical and non-clinical staff who have regular contact with
parents, children and young people
S afeguard in g
L evel 2: clinical an d n on -clin ical staff w h o h ave
N ation al
ch ild ren an d
infreq u en t con tact w ith p aren ts, child ren an d
W ork force
you n g p eop le
you n g p eop le
C o m p eten ces *
[see A ppendix A ]
•
C om petency
C J E 202
A s level 1.
•
C ontribute to the
B e able to reco gnise child abuse.
•
protection of
B e able to docum ent their concerns.
•
children from
K now w ho to inform .
•
abuse.
U nderstand th e nex t steps in the child p rotection
process.
•
K now led ge
A s level 1.
•
U nderstand w hich group s of children are at risk
of harm or neglect .
•
K now w ho to inform , seek advice from and how
to contact them .
•
K now how to share in form ation – in w riting, b y
telephone, electronically or in person.
•
K now w ho to share in form ation w ith and w hen,
understandin g the difference betw een
inform ation sharin g on individual, organisational
and professional levels.
•
K now w hat to record, ho w long to keep it, how
to dispose of reco rds correctly, and w hen to
feedback or follow up.
•
A w are of ow n (and others’) professional roles
and boundaries.
•
U nderstand th e next steps in the child p rotection
process.
•
S kills
A s level 1.
•
B e able to docum ent child protection concerns,
differentiatin g betw een fact and opinion.
•
W here further support is needed, know w hen to
take action and w hen to refer to m an agers,
supervisors or other relev ant professionals.
•
C riteria for
A s level 1.
•
assessm ent
D em onstrates app ropriate referral for assessm ent
for fam ily support to red uce risks of child
m altreatm ent.
•
D em onstrates accurate d ocum entation of
concerns.
•
M ethod
M ultidisciplinary training.
•
U pdate/refresh er trainin g at regular intervals
(m inim um 3 yearly) w ith w ritten briefin g of an y
chan ges in legislation an d practice from N am ed/
D esign ated pro fessionals m inim um of annually.
* Skills for Health are in the process of developing National Workforce competencies across aspects of care to
underpin all future training and education programmes. Links are provided to detailed competencies already
developed in this specific area.

Level 3: all staff working predominately with children, young people
and parents
Safeguarding
Level 3: all staff working predominantly with
National Workforce
children and
children, young people and parents
Competences*
young people
[see Appendix A]
•
Competency
HSC325 Contribute
As level 2.
•
to protecting children
Knowledge of the implications of key
and young people
national document/reports.
•
from danger, harm
Understand the assessment of risk and
and abuse.
harm.
•
Understand multiagency framework/
assessment/ investigation/working.
•
CS10 Safeguard
Be able to present child protection concerns
children and young
in a child protection conference.
people from abuse.
•
Demonstrate ability to work with families
where there are child protection concerns.
•
Puts into practice knowledge of how to
CJ F406 Provide and
improve child resilience and reduce risks of
obtain information at
harm.
courts and formal
•
Understand forensic procedures/practice.
hearings (also
•
Where appropriate, be able to undertake
HSC448).
forensic procedures 4.
•
Be able to advise other agencies regarding
the health management of child protection
PH04.00 Improve
concerns.
health and well-being
•
Ability to contribute to serious case reviews
through working
or equivalent process.
collaboratively.
Cont…
•
Knowledge
As level 2.
•
Aware of implications of recent legislation/
national documents.
•
Understand multi-agency frameworks and
child protection assessment processes,
including the use of the Common
Assessment Framework.
•
Understand child protection investigation
and the basics of forensic procedures.
•
Aware of ACPC/Local Safeguarding
Children’s Board [or equivalents] and it’s
remit.
•
Know how to access the child index
register.
•
Aware of resources that may be available
within health and other agencies, including
the voluntary sector, to support families in
need.
4
Competence in the use of a colposcope and obtaining photo documentation ensuring that the latter properly
reflects the clinical findings and documenting if it does not; an understanding of what forensic samples may be
appropriate to the investigation and how these samples should be obtained and packaged according to the
current Association Chief Police Officers, Forensic Science Service and Association of Forensic Physicians
guidance; the aptitude to present the evidence, and be cross-examined, in subsequent civil and criminal proceed-
ings [RCPCH and the Association of Forensic Physicians September (2000) Guidance on paediatric
forensic examinations in relation to possible sexual abuse]
* Skills for Health are in the process of developing National Workforce competencies across aspects of care
to underpin all future training and education programmes. Links are provided to detailed competencies already
developed in this specific area.

Continued...Level 3: all staff working predominately with children, young people
and parents
•
K n o w le d ge
B e a w a re o f h o w o w n b e lie fs, ex p e rie n c e a n d
c o n t..
a ttitu d e s m ig h t in flu en c e p ro fe ssio n al
in v o lv e m en t in c h ild p ro tec tio n w o rk .
•
K n o w w h at to d o w h e n th ere is a n in su fficie n t
re sp o n se fro m o th e r o rg a n isa tio n s o r a g e n c ie s,
w h ile m a in ta in in g th e fo c u s o n w h a t is in th e
c h ild o r yo u n g p e rso n ’s b est in te re sts.
•
S k ills
A s lev e l 2 .
•
B e a b le to u n d erta k e a n a sse ssm e n t o f risk .
•
B e a b le to w o rk [a s p a rt o f th e m u lti-d isc ip lin a ry
te a m ] w ith c h ild re n , yo u n g p e o p le a n d th eir
fa m ilie s w h e re th e re a re c h ild p ro te ctio n
c o n c ern s.
•
B e a b le to p re sen t c h ild p ro te c tio n c o n c e rn s
v e rb ally a n d in w ritin g fo r c a se c o n fe re n c es/
c o u rt p ro c e e d in g s, c o re g ro u p s, stra te g y
m e e tin g s an d fam ily g ro u p c o n fe re n c e s.
•
B e a b le to id e n tif y a n d o u tlin e th e m a n a g em e n t
o f c h ild re n in n e e d .
•
B e a b le to in stiga te m e a s u re s to re d u c e th e risk
o f c h ild a b u se o c c u rrin g .
•
B e a b le to m a k e c o n sid e red d e cisio n s o n w h e th e r
c o n c ern s ca n b e a d d re sse d b y p ro v id in g o r
sig n p o stin g to so u rc es o f in fo rm a tio n o r a d v ic e.
•
B e a b le to m a k e c o n sid e red ju d g e m en ts a b o u t
h o w to a c t to safe g u ard a n d p ro m o te a c h ild o r
yo u n g p e rso n ’s w e lfare .
•
C riteria fo r
A s lev e l 2 .
•
a sse ssm e n t
D e m o n strate s ad v a n ce d k n o w led g e o f p a tte rn s
a n d in d ic ato rs o f c h ild m altre a tm e n t.
•
D e m o n strate s k n o w led g e o f th e stru ctu re an d
fu n c tio n in g o f A C P C /L C S B s [o r e q u iv a len ts].
•
D e m o n strate s u n d e rsta n d in g o f in fo rm a tio n
sh a rin g issu e s re la te d to c h ild p ro te c tio n an d
c h ild re n in n e e d .
•
D e m o n strate s in -d e p th k n o w le d g e o f e a c h
a g e n c y’s ro le a n d re sp o n sib ilitie s w ith in lo c a l
p o licie s a n d p ro c e d u re s.
•
M e th o d
M u ltid isc ip lin a ry/m u lti-a ge n c y tra in in g : rep o rt
re v iew s, rep o rt w ritin g , u n d e rsta n d in g ro les a n d
re sp o n sib ilitie s o f o th e r a ge n c ies, sign s a n d
s ym p to m s-in te rp re ta tio n o f b o rd e rlin e sig n s a n d
s ym p to m s.
•
H SC 33
A n n u a l re fre sh e r u p d a te tra in in g o r eq u iv ale n t
R e fle ct o n
i.e . d ista n ce le a rn in g, re flec tiv e p ra c tic e ,
an d d ev e lo p
sh a d o w in g a c o lle a g u e o r p a rticip a tio n in c h ild
yo u r
p ro tec tio n q u a lity a ssu ra n ce p ro c e sses.
p ra c tice

Level 4: specialist roles - named professionals
Safeguarding
Level 4: named child protection professionals
National Workforce
children and
Competences *
young people
[see Appendix A]
•
Competency
As Level 3.
PH02.06
•
Work in partnership
Be able to give sound policy advice.
•
with others to protect
Able to cascade information, and an appropriate
the public’s health
level, throughout the health service.
•
and well-being from
Be able to teach/train, and assure the competence of
specific risks.
health service personnel.
•
Be able to undertake/contribute to the ACPC serious
HI 127
case review/overview, including action plans.
Develop evidence-
•
Be able to develop robust internal child protection
based clinical
policy/guidelines/protocols.
guidelines.
•
Undertake child protection training needs analysis
and plan, design, deliver and evaluate multi-agency
PH03.00
and in-house child protection training in partnership
Develop quality and
with others.
risk management
•
Advise and inform the Board, Directors, Senior
within an evaluative
Managers and practitioners regarding child
culture.
protection/safeguarding (specialist/expert advice,
both proactive and reactive).
MSC B8
•
To be able to chair ACPC/LSCB [or equivalent]
Ensure compliance
subgroups.
with legal,
•
To lead/oversee child protection quality assurance
regulatory, ethical
and improvement processes.
and social
•
Undertake risk assessment of organisational ability
requirements.
to safeguard the welfare of children.
•
Give appropriate advice to external
DANOS BC4
agencies/organisations.
Assure your
•
Knowledge
As level 3.
organisation delivers
•
Aware of latest guidelines/best practice.
quality services.
•
Aware of latest research perspectives and
implications for practice.
•
Advanced understanding of child care law,
Cont…
confidentiality and consent.
•
Good understanding of forensic procedures.
•
Skills
As level 3.
•
Be able to give child protection policy advice.
•
Be able to confidently challenge practice and
support colleagues in challenging perceived views
offered by other professionals.
•
Be able to advise other agencies about the health
management of child protection concerns.
•
Be able to analyse and evaluate information and
evidence to inform inter-agency decision-making.
•
Be able to participate in a serious case review,
undertaking internal management reviews as part of
serious case reviews.
•
Be able to lead improvements in child protection
services.
•
Be able to establish child protection quality
assurance measures/processes.
* Skills for Health are in the process of developing National Workforce competencies across aspects of care to
underpin all future training and education programmes. Links are provided to detailed competencies already
developed in this specific area.

Continued...Level 4: specialist roles - named professionals
•
Skills cont..
Be able to undertake training needs analysis, teach
ENTO L3
Identify individual
and educate health service professionals.
•
learning aims and
Be able to review, evaluate and update local
programmes (also HI
guidance in light of research findings.
37).
•
Criteria for
As level 3.
•
assessment
ENTO L1
Demonstrates appropriate and effective learning
Develop a strategy and
strategies to enable competence development for
plan for learning and
staff at different levels.
•
development.
Demonstrates development of evidence based
clinical guidance.
ENTO L4
•
Demonstrates effective consultation with other
Design learning
health care professionals and participation in
programmes
interdisciplinary discussions.
(also HI 39).
•
Demonstrates participation in audit, design and
evaluation of service provision, including
ENTO L6
formulation of action plans and strategies to
Develop training
address issues raised by audit and serious case
sessions
reviews.
(also HI 40).
ENTO L10
Enable able learning
through presentations
(also HI 42.)
•
Method
Five sessions [or equivalent on-going learning
equating to 2 ½-3 days] a year CPD to cover
quality assurance, chairing meetings, supervision
and appraisal, teaching training.
•
MSC A3 Develop your
Participation in specialist professionals/support
personal networks.
groups or peer support networks at local and
national level..
* Skills for Health are in the process of developing National Workforce competencies across aspects of care to
underpin all future training and education programmes. Links are provided to detailed competencies already
developed in this specific area.
Level 5: designated roles
Safeguarding
Level 5: Designated child protection professionals
National Workforce
children and
Competences *
young people
[see Appendix A]
•
Competency
CJ F309 Support and
As level 4
•
challenge workers on specific
Child protection supervision and provision of
aspects of their practice (also
sound policy advice and support.
•
PH03.03).
Facilitation of training (and a training needs
analysis).
•
ENTO L1 Develop a strategy
Be able to lead/oversee child protection quality
and plan for learning and
assurance/improvement.
development.
•
Facilitate practice development.
•
Undertake/lead serious case reviews.
PH03.00 Develop quality and
•
Give appropriate advice to external
risk management within an
agencies/organisations.
evaluative culture
•
Be able to chair child protection subgroups for
example practice/procedures/ training
committees.

Continued...Level 5: designated roles
•
Knowledge
As level 4.
DANOS BC4 Assure your
•
organisation delivers quality
Advanced awareness of relevant national and
services
international issues/policies and implications
for practice.
•
PH08.01 Use leadership
Advanced understanding of court and criminal
skills to improve health and
justice systems.
well-being
Skills
•
As level 4.
•
PH02.06 Work in partnership
Be able to undertake/lead the health
with others to protect the
contribution to a serious case review.
public’s health and well-
•
Be able to chair internal child protection
being from specific risks
forums and sub-committees of ACPC/LCSBs
[or equivalent].
ENTO L4 Design learning
•
Be able to plan, design, deliver and evaluate
programmes (also HI 39)
multi-agency child protection training in
partnership with others.
ENTO L6 Develop training
•
Be able to oversee child protection quality
sessions (also HI 40)
assurance processes.
•
Be able to influence improvements in child
ENTO L10 Enable able
protection services across StHA [or
learning
through
equivalent].
presentations (also HI 42)
•
Be able to provide clinical supervision for
named professionals.
PH
06.01
Work
in
•
Be able to lead multi-disciplinary team review,
partnership with others to
evaluation and updating of local procedures
plan, implement, monitor and
and policies in light of relevant national and
review strategies to improve
international issues.
health and well-being
•
Be able to reconcile inter and intra
professional differences of opinion.
•
Criteria for
As level 4.
•
assessment
Demonstrates advanced knowledge of national
MSC A3 Develop
your
and international perspectives within practice.
personal networks
•
Demonstrates contribution to enhancement of
practice and the development of new
knowledge.
•
Demonstrates knowledge of strategies for child
protection management across StHA [or
equivalent].
•
Demonstrates ability to conduct rigorous and
auditable child protection supervision.
•
Method
Five sessions [or equivalent on-going learning
equating to 2 ½-3 days] a year CPD to cover
quality assurance, chairing meetings,
supervision and appraisal, teaching training.
•
Participation in specialist professionals/support
groups or peer support networks at local and
national level.
* Skills for Health are in the process of developing National Workforce competencies across aspects of care to
underpin all future training and education programmes. Links are provided to detailed competencies already
developed in this specific area.

Level 6: expert
Safeguarding
Level 6: expert
National Workforce
children and
Competences *
young people
[see Appendix A]
•
Competency
Police 2J3
As level 5
•
Present information to courts
Be able to act in the expert witness role within the
•
or other hearings.
family and criminal justice system, as well as civil
proceedings and judicial reviews.
•
PH06.03
Be able to give health service child protection
•
Work in partnership with
policy advice to government or other national
others to develop policies to
bodies.
improve health and well-
•
Knowledge
As level 5.
being.
•
In-depth knowledge of child protection issues and
service provision.
CJ F301
•
Understanding of research methodologies.
Develop and maintain a
•
The role and powers of the different courts, the
strategic overview of
standard and the burden of proof.
developments in knowledge
•
The expert’s role in key stages of the court
and practice (also HI 81).
process.
•
How to interpret and influence solicitors’
HI 82
instructions.
Initiate, and participate in,
•
Understand the outcomes of the court’s decision
networks and discussion
and the expert’s potential contribution.
groups.
•
Skills
As level 5.
•
Be able to analyse information, presenting a well-
documented assessment of evidence and
communication of recommendations in writing
and verbally.
•
Be able to respond to cross-examination.
•
Be able to provide an honest and balanced
presentation of opinions on causation.
•
Be able to review research literature.
•
Be able to undertake high quality forensic practice
when relevant.
•
Criteria for
As level 5.
•
assessment
Demonstrates critical insight of personal
limitations and ability to participate in critical peer
review.
•
Demonstrates effective consultancy skills.
•
Demonstrates participation in development of
practice through professional organisations at
national and international level.
•
Demonstrates in-depth knowledge of national and
international standards and strategies to safeguard
children and young people.
•
Participates in accreditation process (when
available).
* Skills for Health are in the process of developing National Workforce competencies across aspects of care to
underpin all future training and education programmes. Links are provided to detailed competencies already
developed in this specific area.

Section B: Role descriptions
These role descriptions are appended to the competency framework for guidance and to aid
interpretation of the competency statements. They have been developed independently and collaboratively
by a number of professional organisations. The information contained in these role descriptions has been
updated during the production of the competency element of this document. These role descriptions are
generic and NHS organisation terminology will vary slightly between the four UK nations.
Further work will be undertaken by professional bodies to define the time commitments for these roles.
Royal College of General Practitioners GP PCT lead for child
protection (www.rcgp.org.uk)
Purpose of the post
•
To promote the care of children in need of child protection and other vulnerable children, such as
those in special circumstances, within the primary care setting in general, and within general practice
in particular.
GPs have an important role to play at all stages of the child protection process. They also have an important
role to play in identifying families and children early in the course of their difficulties and providing timely
support of a preventative nature. They need education and support to fulfil these
tasks.(Ref. 5,6,7)
Scope of the post:
The post should respond primarily to the needs of the PCT and its population. GP Child Protection Leads will
therefore perform a variety of tasks; no two PCT GP leads will do exactly the same.
Tasks will include:
a) Some or all of the tasks, according to the experience of the GP and the needs of the PCT, of a
Named Doctor as described in ‘Working Together’ (Ref.8) and as described in the RCPCH job
description for Named Doctors (Ref. 9). It is expected that such GPs will work along side other
named and designated staff.
b) Specific clinical roles, for example, working with other named or designated staff to provide care to
looked after children.
c) Audit, for example audit conducted on behalf of the PCT and supporting in practice audit.
d) Educational roles, for example, working with other named or designated staff, supporting GP
education in child protection.
e) Liaison roles, for example, working along side LCSBs, LMCs, SHAs.
f)
Leadership roles, for example, working with other named and designated staff and the PCT on the
strategic planning of services for child protection.
g) Other roles as may be specifically identified and agreed to meet local PCT needs, such as research.

Person specification
Essential:
•
Experienced GP of good professional standing with considerable experience in the care of children
and young people.
•
Fully registered, vocationally trained (or equivalent).
•
Be able to demonstrate excellent communication skills.
•
Be able to demonstrate effective participation in continuing medical education.
•
Enhanced CRB check.
Desirable:
• Additional paediatric qualification (for example DCH) or experience (for example, attachment
to community paediatrics).
•
Qualification specific to the nature of the post, for example, GP trainer accreditation for a post
with mostly educational activities, or registration with Council for the Registration of Forensic
Practitioners for those undertaking forensic work.
•
RCGP membership.
Training/education:
Many GPs appointed to post will need training/education before they can fully occupy their post. Training
needs should be identified and met within the context of the GPs PDP. Protected and financially supported
time must be allocated by the PCT and must be proportionate to educational need and the nature of the role
occupied by the PCT GP lead.
National standards will be developed and Lead GPs should work towards these.
Appraisal
The GP Child Protection Lead should be appraised on an annual basis.
Supervision and support:
GP Child Protection Leads must be supervised and supported. Protected time must be allowed for this
proportionate to role; no GP should be expected to provide support to colleagues or occupy a clinical role
without supervision.
Accountability:
PCT GP leads in child protection will be accountable to the PCT Chief Executive
Administration time and support:
The Trust will supply appropriate secretarial support for GP Child Protection Leads when this is necessary,
paying particular attention to training activity and serious case reviews.

GPSI:
Some GPs with a special interest and expertise may be appointed as GPSI. Such appointments should
be made with reference to existing DH guidelines (Ref.10) and with reference to guidelines being
developed by RCGP on behalf of DH.
Such GPSI may be appointed as PCT GP leads in child protection.
Named professional for Child Protection
Model Job Description
RCN- www.rcn.org.uk/
CPHVA - www.msfcphva.org/
RCM - www.rcm.org.uk/
RCPCH- www.rcpch.ac.uk/
All NHS organisations providing services for children should identify a named doctor and a named
nurse/midwife for safeguarding .
Some Trusts do not provide any children’s services. There is still a need for a Named Professional for
Child Protection. There should also be an identified Named Midwife for Child Protection within all
Maternity units. The job description of this professional will need to reflect the appropriate workload,
both for child protection and for the rest of their work.
This job description should be agreed by the Health Trust that will be covered by the Named Professional.
This outline is based on the duties and responsibilities of the Named professional described in:
♦
This includes Named Nurse, Named Health Visitor, Named Midwife and Named Doctor
In England
1.
Safeguarding Children. This document is based on Working Together to Safeguard
Children’: A guide to inter-agency working to safeguard and promote the welfare of
children.(Department of Health et al, 1999).
2.
Child Protection Responsibilities of Primary Care Trusts. A letter to Chief Executives of
Primary Care Trusts (PCTs), Shadow PCTs and Primary Care Groups (PCGs), from Jacqui
Smith, Department of Health ( 28 January 2002).
3.
Working Together. (DfES, DoH, HO 2006) and based on Children Act 2004.
4.
Recommendations of The Victoria Climbié Inquiry – Report of an Inquiry by Lord
Laming. (January 2003).
5.
Self Assessment Tool for Child Protection for Clinical Teams. Commission for Health
Improvement (2004).

In Wales
1.
Working Together to safeguard and promote the welfare of children - a guide to
interagency working. National Assembly for Wales (2000) London: HMSO
2.
Carlile Review. Too Serious A Thing. National Assembly for Wales (2002) Cardiff: NAW
3.
Response to the Victoria Climbie Inquiry. Welsh Assembly Government (2003) Cardiff:
WAG
4.
Safeguarding Children: Working together for positive outcomes. Welsh Assembly
Government (2003) Cardiff, WAG
5.
All Wales Child Protection Procedures. Welsh Assembly Government (2004) Cardiff: WAG

Person Specification
Have a Criminal Records Bureau/Disclosure enhanced check.
The Named Nurse for child protection within the NHS Trust should:
Hold a senior level post. The local role would be subject to the usual Job Evaluation process.
1.
It is the normal expectation that it would be at a senior level within the Band 8 range.

2.
Have completed specific training in the care of babies or children and be registered on either
Part 1 of the NMC register as a registered children’s nurse, Part 2 as a registered midwife or
Part 3 as a Specialist Community Public Health Nurse having completed a specific programme
with a child and family focus. In respect of posts in Mental Health Trusts to be registered on
Part 1 of the NMC register as a registered mental health nurse.
3.
Prior to commencement in post must have completed specific post-registration training in
child protection/safeguarding children: law, policy and practice at level 2 or PGDip.
4.
Have a minimum of 3 years experience related to caring for babies/children and currently practising
in the field of child protection. Such Professionals ♦ should have an awareness and/or experience
in forensic matters
♦
This includes Named Nurse, Named Health Visitor and Named Midwife.
The Named Doctor for child protection within the NHS Trust should:
1.
Hold consultant status or the post of associate specialist/senior clinical medical officer within an
NHS Trust.
2.
Ideally have undergone higher professional training in paediatrics. Alternatively, by virtue of
experience and practice, have gained the professional respect of the consultant body and those
of primary health care.
3.
Have considerable clinical experience in caring for children and currently practising in the
field of child protection, including gathering and interpretation of evidence.
4.
Such Doctors should have an awareness and/ or experience in forensic matters.
Duties
The Named Professional in child protection will:
1.
Work closely with other Named Professionals and Designated Professionals in supporting
all activities necessary to ensure that the Trust meets its responsibilities in safeguarding
children.
2.
Be responsible to and accountable within the managerial framework of their employing
trust.
3.
Inter-Agency Responsibilities:
a)
Participate in Area Child Protection Committee Local Safeguarding Children
Boards (LSCBs) activities, which may include sitting on LSCBs or sub-
committees as appropriate. These responsibilities should be shared with other Named
and Designated Professionals.

b)
Advise police, social care and other agencies on health matters with regard to
safeguarding children in the community / hospital.
4.
Advisory Role
a)
Support and advise the Trust Board on child protection matters (this should be done in
conjunction with other Named and Designated Professionals).
b)
Contribute to the planning and strategic organisation of child protection services.
c)
Support, advise and work with Designated Professionals on all questions of planning and
strategy regarding child protection services.
d)
Ensure advice is available on day-to-day management of children and families where there
are child protection concerns to all specialties (including, but not limited to, primary health
care, Accident and Emergency, orthopaedics, obstetrics, gynaecology, child and adult
psychiatry). This advice may be specific to the hospital in which the Named Professional
works, for example, ophthalmology.
e)
The Named Professional in conjunction with other Named Professionals should advise
the Trust Board whether there is an appropriate service for children who may experience
all forms of child abuse and neglect, including Child Sexual Abuse and the taking of
forensic specimens.
5.
Clinical Role
a)
The Named Professional will take an active role, together with colleagues within the Trust,
in seeing children where there are child protection concerns (this does not mean that the
Named Professional alone should see all child protection cases, but be part of a team of
Nurses/Doctors who do). This should include all aspects of child abuse, including sexual
abuse and neglect.
b)
The Named Professional should support and advise other professionals on the management
of all types of child maltreatment.
c)
The Named Professional should have skills in the gathering and evaluation of evidence in
order to safeguard children and young people.
d)
The Named Professional should have appropriate skills in writing reports and presenting
information to case conferences and related meetings.
e)
The Named Professional should disseminate court craft skills, where needed, through
accessing trust legal services and facilities.

6.
Coordination and Communication
a)
The Named Professional should work closely with the Designated Professionals and other
Named professionals within the geographical area
b)
Be a member of the local Health Professionals’ Advisory group
c)
Be represented at the Strategic Health Authority (SHA) (usually via a health representative
group)
d)
Liase with the executive lead for Child Protection on the Trust Board.
6.
Policy and Procedures
a)
In conjunction with other named and designated professionals ensure that the Trust has
appropriate child protection policies and procedures in line with national guidance and with
ACPC (local Safeguarding Children Board, LSCB) guidance.
b)
Play a part in ensuring that procedures are distributed, understood and implemented by
alerting professionals of any changes made in the light of new developments (local and
national)
7.
Training
a)
Liase with Designated Professionals about assessment and priorities for training
b)
Together with other Named Professionals, ensure that the Trust has in accordance with
national policy an appropriate training strategy for safeguarding children (protecting children)
c)
Will play an active role in the delivery of training to health personnel and multi-agency and
disciplinary groups
8.
Monitoring
a)
Advise employers on the implementation of effective systems of audit in order to monitor
the agreed local child protection policies and procedures
b)
Assist with the collection of data in serious case reviews and developing the chronology of
such children and families (unless directly involved with the case, when it should be the
responsibility of someone else)
c)
Assist with monitoring the quality, acceptability and effectiveness of service provision and
training
d)
Advise on the implementation and recommendations from Serious Case Reviews

e)
Advise the Chief Executive of the Trust Board (via designated personnel i.e. Medical Director
or Nurse Director or children’s lead) of their responsibilities to ensure that the performance
indicators in relation to child protection are met.
9.
Supervision
a)
Together with other Named Professionals, advise on appropriate systems for child protection
case supervision in addition to normal clinical supervision and support of all health employees
b)
The Named Professional should support other professionals in their skills where child
protection matters are concerned
c)
The Named Professional should be trained to provide child protection supervision.
10. Personal Development
The Named Professional will attend the relevant local, regional and national continuing
professional development activities in order to maintain up to date skills in the area. This includes
meeting professional organisation requirements as a minimum in addition to specific training
related to specialist activities.
11.
Appraisal
The Named Professional must be appraised on an annual basis*. Reference must be made to
someone with specialist knowledge on child protection in order to ensure the appraisal of the
child protection role is appropriate.
* For nurses, midwives, health visitors and relevant health staff reference should be made to the
NHS Knowledge and Skills Framework
12.
Accountability
a)
The Named Professional is accountable to the Chief Executive of the employing bodies,
i.e.
England & Wales:
Chief Executive of Employing Trust
Scotland:
Chief Executive of the NHS Health Board
Northern Ireland:
Chief Executive of Employing Trust
b)
The Medical Director or Nurse Director within the organisation with primary responsibility
for children’s services will relate directly to and supervise the Named Professionals.

13.
Authority
The Named Professional should have the authority to carry out all of the above duties on behalf of
the employing body and be supported in so doing by others.
14.
Resources Required for the Post
Designated and named professional roles should always be explicitly defined in job descriptions,
and sufficient time and funding should be allowed to fulfil their child safeguarding responsibilities
effectively.
a)
There should be a named doctor and named nurse in every NHS Trust. [NB.There should
also be a named midwife for child protection within all Maternity Units]
b)
The amount of time required to undertake the tasks in the role description, will depend on
the size and needs of the population, the number of staff, the number of directorates
covered by the Trust and the degree of development of local safeguarding structures,
process and function*.
c)
The Trust will supply dedicated secretarial and effective support for the Named
Professional.
d)
At the time of a serious case review the Named Professional must be relieved of some of
their duties.
e)
There must be child protection safeguarding focused support and supervision for the
individual. This is an acknowledgement of the stressful nature of this work.
* Further work will be undertaken by professional bodies to clarify and quantify the time
requirements for the individual’s undertaking these roles.
The need for protected time is being affirmed in both the revised guidance on Working Together to
Safeguard Children. “PCTs should ensure establishment levels of designated and named professionals
are proportionate to the resident populations following any mergers, and the complexity of provider
arrangements…… a team approach can enhance the ability to provide 24 hour advice and provide
mutual support for those carrying out the designated and named professional roles” (Para 32), and in
Standard 5 of the National Service Framework for Children, Young People and Maternity Services –
where Primary Care Trusts (PCTs) need to demonstrate that they are meeting their responsibilities by
“ensuring that funding is available to enable the named and designated professionals to fulfil their roles
and responsibilities effectively” (Para 5.2)

Designated professional for Child Protection
Model Job Description
RCN- www.rcn.org.uk/
CPHVA- www.msfcphva.org/
RCM - www.rcm.org.uk/
RCPCH - www.rcpch.ac.uk/
All primary care organisations should have a designated doctor and nurse to take a strategic, professional
lead on all aspects of the health service contribution to safeguarding children across the area they
serve, and should cover all providers. This job description should be jointly agreed by the Health Trusts
that will be covered by the designated professional ♦. This outline is based on the duties
and responsibilities of the designated professional described in:
In England
1.
Safeguarding Children. This document is based on Working Together to Safeguard
Children: A guide to inter-agency working to safeguard and promote the welfare of
children. Department of Health et al (1999).
2.
Child Protection Responsibilities of Primary Care Trusts – A letter to Chief Executives of
Primary Care Trusts (PCTs), Shadow PCTs and Primary Care Groups (PCGs), from Jacqui
Smith, Department of Health (28 January 2002).
3.
Working Together. DfES, DoH, HO (2006). Based on Children Act 2004.
4.
Recommendations of The Victoria Climbié Inquiry – Report of an Inquiry by Lord
Laming HMSO (January 2003).
5.
Self Assessment Tool for Child Protection for Clinical Teams. Commission for Health
Improvement (2004).
♦
This includes Designated Nurse and Designated Doctor
In Scotland
1.
Protecting Children: A Shared Responsibility Guidance for Health Professionals in
Scotland.Scottish Executive (January 2000).
2.
Children (Scotland) Act 1995. London: HMSO
3.
It’s Everyone’s Job to Make Sure I’m Alright. Scottish Executive (2002) Edicburgh: The
Stationery Office
4.
Growing Support. Scottish Executive (2002) Edinburgh: The Stationery Office
5.
Getting Our Priorities Right. Scottish Executive (2003) Edinburgh: The Stationery Office
6.
The Age of Legal Capacity (Scotland) Act 1991. London: HMSO

In Wales
1.
Working Together to safeguard and promote the welfare of children - a guide to
`interagency working.National Assembly for Wales (2000) London: HMSO
2.
Carlile Review. Too Serious A Thing. National Assembly for Wales (2002) Cardiff: NAW
3.
Response to the Victoria Climbie Inquiry Welsh Assembly Government (2003) Cardiff:
WAG
4.
Safeguarding Children: Working together for positive outcomes. Welsh Assembly
Government (2003) Cardiff: WAG
5.
All Wales Child Protection Procedures. Welsh Assembly Government (2004) Cardiff :WAG
Person Specification
Have enhanced CRB check.
The designated nurse in child protection should:
1.
Hold a senior level post.The local role would be subject to the usual Job Evaluation process.
It is the normal expectation that it would be at a senior level within the Band 8 range.
2.
Have completed specific training in the care of babies or children and be registered on either
Part 1 of the NMC register as a registered children’s nurse, Part 2 as a registered midwife or
Part 3 as a Specialist Community Public Health Nurse having completed a specific programme
with a child and family focus.
3.
Have completed specific post-registration training at Masters level in child protection studies
or equivalent.
4.
Have considerable experience in caring for babies/children and currently practising in the
field of child protection. Such nurses should have an awareness and/or experience in forensic
matters.
5.
Should have proven negotiating and leadership skills.
6.
Have enhanced Criminal Records Bureau/Disclosure check.

The designated doctor in child protection should:
1.
Hold senior consultant status or equivalent, in a Trust hosting children’s services.
2.
Have undergone higher professional training in paediatrics.
3.
Have substantial clinical experience as a consultant in the field of child protection and
substantial experience of the law applying to children and in the court process.
4.
Still be clinically active in the field of child protection as part of their clinical commitments.
5.
Should have good negotiating and leadership skills.
Duties
1.
Work closely with other Designated and Named Professionals in supporting all activities
necessary to ensure that the Trusts within the Strategic Health Authority remit meet their
responsibilities in safeguarding children.
2.
Be responsible to and accountable within the managerial framework of their employing trust.
3.
Inter-agency Responsibilities
a)
Be a member of the relevant LSCB (Local Safeguarding Children Board) or
negotiate an appropriate deputy.
b)
Usually serve on one or more LSCB sub-committees, particularly those
concerned with health professionals, policy and strategy, governance/improvement
training and serious case reviews.
c)
Advise other statutory and voluntary agencies (particularly social services and police)
on health matters relevant to safeguarding children (to include policy as well as
individual case difficulties).
d)
Liase with local education providers to ensure appropriate child protection content
within pre-registration/undergraduate/postgraduate training programmes.
4.
Advisory Role
a)
Advise the Chief Executive of the StHA, PCT and all other Trusts on questions of
planning and strategy with regard to safeguarding children (including ensuring
performance indicators are in place where child protection is concerned)
b)
Advise and input into practice guidance development and policies for all those working
within Health and ensure that they are appropriately audited.
c)
Advise the Strategic Health Authority via a health representatives’ group on deficiencies
and vulnerable able areas across the area.
d)
Ensure that expert health advice on child protection is available to other agencies.
e)
Ensure expert advice is available on policy and procedures and on day to day
management of children and families, to all specialties of health (including, but not limited
to, GPs, A and E, orthopaedics, maternity services, gynaecology, child and adult psychiatry).

f)
Advise on appropriate training for all health personnel.
g)
Advise on the need for an appropriate service for children who may have experience of all
forms of child abuse and neglect, including Child Sexual Abuse and the taking of forensic
specimens.
5.
Co-ordination and communication
a)
Will liase with other designated professionals for child protection and decide with him/
her an appropriate division of responsibilities.
b)
Will liase with, advise and support the named professionals within the relevant trust, `
health district(s), and acute hospital trusts.
c)
Will liase with any other designated professionals working within the area covered by
the strategic health authority.
d)
Will either convene the local health advisory group for Child Protection or attend it and
support its activities. This group should include, as well as the designated professionals,
the named professionals for each constituent trust and representatives from midwifery
services [including the Named Midwife for Child Protection], child and family
psychiatry, psychology and general practice.
e)
Liase with SHA child protection lead.
6.
Policy and procedures
a)
Will be responsible with other Designated Professionals for ensuring that the medical/
nursing components of LSCB procedures are updated at appropriate intervals and for
ensuring that each provider Trust has policies and procedures in keeping with local LSCB
procedures .
b)
The designated professional in conjunction with other designated professionals should be
advising that all policies, procedures and training and audit are in place within all privately
funded establishments as well as Foundation Hospitals, Walk-In Centres, dentists’ surgeries
and pharmacies for example.
7.
Training responsibilities
It is the responsibility of the employer to identify training needs through appraisal, supervision
and audit.
a)
Will advise (together with others, e.g. other designated and named professionals) on training
needs and delivery in child protection for nurses, health visitors, midwives, paediatricians,
GPs, other doctors and health personnel in regular contact with children and families, (e.g.

dentists, opticians). Also to ensure appropriate training is in place for adult services where
the impact of illness may seriously compromise parenting ability.
b)
Will play an active part in the planning of multi-agency training through LSCB structures.
8.
Monitoring
a)
Advise employers on the implementation of an effective system of audit to monitor agreed
local child protection policies and procedures.
b)
Should advise on audit and monitoring the quality, acceptability and effectiveness of training.
c)
In conjunction with other Designated Professionals advise on clinical governance and
standards for Named professionals for child protection.
d)
Where a serious case review is required, the designated professional will either participate
in it or supervise and advise the health professionals involved (there may need to be an
agreed sharing of personnel between trusts in order to provide independent views in serious
case reviews).
e)
Advise the Chief Executive of the Trust Board (via designated personnel i.e. Medical Director
or Nurse Director or children’s lead) in their responsibilities to ensure that the performance
indicators in relation to child protection are met.
Supervision
9.
Advising on the need for appropriate child protection case focused supervision at all levels
within the health service. Designated Professionals should seek their own supervision.
10.
Personal Development
The designated professional will attend relevant regional and national continuing professional
development activities in order to maintain up-to-date skills in the area. This includes meeting
professional organisation requirements as a minimum in addition to specific training related to
specialist activities
11.
Appraisal
The Designated Professional must be appraised on an annual basis*. Reference must be made
to someone with specialist knowledge on child protection in order to ensure the appraisal of the
child protection role is appropriate. Appraisal of the Designated Professional should be under
taken by the Director of Public Health with the PCT or via an equivalent arrangement at the
Strategic Health Authority.
* For nurses, midwives, health visitors and relevant health staff reference should be made to the
NHS Knowledge and Skills Framework

12.
Accountability
Designated professionals should be performance managed in relation to their designated
functions, at the level of Board Level Director who has executive responsibility for
safeguarding children as part of their portfolio of responsibilities.
a)
The Designated Nurse is accountable to the employing bodies, i.e.
England:
Chief Executive of the employing Trust/StHA
Scotland:
Chief Executive of the NHS Health Board
Wales:
Chief Executive of the NHS Health Board
Northern Ireland:
Chief Executive of the NHS Health Board
b)
The Director of Public Health within the organisation with primary responsibility for
children’s services will relate directly to and supervise the designated professionals.
13. Authority
The Designated Professional should have the authority to carry out all the above duties on
behalf of the employing trusts, and be supported in so doing by others (e.g. doctors, nurses,
administration).
14. Resources required for post
Designated and named professional roles should always be explicitly defined in job descriptions,
and sufficient time and funding should be allowed to fulfil their child safeguarding responsibilities
effectively.
The Employing Body should:
a) There should be a designated doctor and designated nurse for every PCT.
b) The amount of time required to undertake the tasks in the role description, will depend on
the size and needs of the population, the number of staff, the number of trusts covered by
the LSCB and the degree of development of local safeguarding structures process and
function*. For large NHS organisations which may have a number of sites, a team
approach can enhance the ability to provide 24 hour advice and provide mutual support for
those carrying out the designated and named professional role.
c) Supply dedicated and effective secretarial support for the designated professional.
d) At the time of a serious case review the Designated Professional must be relieved of some
of their duties.

e) Should ensure that adequate resources are available able to deliver training, and at times of
additional work e.g. serious case review.
f) Should ensure there is safeguarding focused supervision and support for the individual. This is
an acknowledgement of the stressful nature of this work.
*Further work will be undertaken by professional bodies to clarify and quantify the time
requirements for the individual’s undertaking these roles.
The need for protected time is being affirmed in both the revised guidance on Working Together
to Safeguard Children. “PCTs should ensure establishment levels of designated and named
professionals are proportionate to the resident populations following any mergers, and the
complexity of provider arrangements…… a team approach can enhance the ability to provide 24
hour advice and provide mutual support for those carrying out the designated and named
professional roles” (Para 32), and in Standard 5 of the National Service Framework for Children,
Young People and Maternity Services – where Primary Care Trusts (PCTs) need to demonstrate
that they are meeting their responsibilities by “ensuring that funding is available to enable the
named and designated professionals to fulfil their roles and responsibilities effectively” (Para 5.2)

Appendix A: National Workforce Competences
National Workforce Competences are referenced to both their source, e.g. National Occupational Standards
for Drugs and Alcohol (DANOS), and their reference within this source, e.g. DANOS BC4.The
abbreviations used for different sources of competences are shown below.
With three exceptions all of the National Workforce Competences listed on the following tables can be
accessed from the Skills for Health website at www.skillsforhealth.org.uk/frameworks.php#frameworks.
Where competences have been imported from other sectors, a health framework reference is provided to
facilitate access to the relevant competence from the Skills for Health website.
National Workforce Competences CJ E202 (pages 2 & 3) and Police 2J3 (page 8) were developed by
Skills for Justice. Details of these competences can be accessed from www.skillsforjustice.net/nos/
home.htm.
ENTO L1 (pages 6 & 7) is available able at:
www.ukstandards.co.uk/Find_Occupational_ Standards.aspx
in the Learning and Development suite of standards.
Key:
CS
National Workforce Competences for Children’s Services
CJ
National Occupational Standards for Community Justice
DANOS
National Occupational Standards for Drugs and Alcohol
ENTO
Employment NTO – National Occupational Standards for Leaning and Development
HI
National Occupational Standards for Health Informatics
HSC
National Occupational Standards for Health and Social Care
MSC
Management Standards Centre – National Occupational Standards for Management and
Leadership
PH
National Occupational Standards for the Practice of Public Health
Police
National Occupational Standards for Policing and Law Enforcement
31
Safeguarding Children and Young People: Roles and Competences for Health Care Staff
April 2006
References
1
Childhood Matters: a report of the National Commission into the prevention of child
abuse. National Commission of Inquiry into the Prevention of Child Abuse (1996)London:
The Stationery Office.
2
The Victoria Climbie Inquiry: report of an inquiry by Lord Laming. (2003) London: The
Stationery Office
3
The Victoria Climbie Inquiry Report. Sixth Report of session 2002-03. House of
Commons Health Committee (2003) London: The Stationery Office
4
Safeguarding Children: The second joint Chief Inspectors’ report on arrangements to
safeguard children. Commission for Social Care Inspection, HM Inspectorate of Court
Administration, The Healthcare Commission, HM Inspectorate of Constabulary, HM
Inspectorate of Probation, HM Inspectorate of Prisons, HM Crown Prosecution Service
Inspectorate and the Office for Standards in Education (2005)
www.safeguardingchildren.org.uk
5.
The Role of Primary Care in the Protection of Children from Abuse and Neglect. Position
Paper for the Royal College of General Practitioners. October 2002. www.rcgp.org
6.
Keep Me Safe The RCGP strategy for child protection www.rcgp.org.uk/corporate/ position/
childprotectionstrategy.pdf
7.
The National Service Framework for Children, Young People and Maternity Services
(NSF) http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/ChildrenServices/
ChildrenServicesInformation/fs/en
8.
Model Job Description. Named Doctor for Child Protection March 2005 http://www.
rcpch.ac.uk/publications/recent_publications/Named_doctor_JD.pdf
9
Guidelines for the appointment of General Practitioner with a Special Interest in the Delivery of
Clinical Services. Child Protection. April 2003 http://www.dh.gov.uk/assetRoot/04/06/82/22/
04068222.pdf
10.
Every Child Matters. DfES/DH (2004) London: The Stationery Office
11.
It’s Everyone’s Job to Make Sure I’m Alright. Scottish Executive 2002 Edinburgh: The
Stationery Office
12.
Working Together. DfES, DoH, HO (2006) based on Children Act 2004.http://www.
everychildmatters.gov.uk/_files/CCE39E361D6AD840F7EAC9DA47A3D2C8.pdf
13.
Self Assessment Tool for Child Protection for Clinical Teams Commission for Health
Improvement (2004).
14.
Common core of skills and knowledge for the Children’s Workforce. DfES, December 2004
http://www.dfes.gov.uk/commoncore/back.shtml
32
Safeguarding Children and Young People: Roles and Competences for Health Care Staff
April 2006
15.
Child Protection Responsibilities of Primary Care Trusts. A letter to Chief Executives of
Primary Care Trusts (PCTs), Shadow PCTs and Primary Care Groups (PCGs), from Jacqui Smith,
Department of Health, 28 January 2002.
16.
What To Do If You’re Worried a Child is Being Abused. Department of Health (2003) London:
Department of Health Publications www.doh.gov.uk/safeguardingchildren/index.htm
17.
Working Together to Safeguard Children: A guide to inter-agency working to safeguard and
promote the welfare of children. Department of Health (1999) London: Stationery Office.
18.
Protecting Children, A Shared Responsibility: Guidance on Inter-agency co-operation. The
Scottish Office (1998) Edinburgh: Stationery Office
19.
Safeguarding Children in Whom Illness is Fabricated or Induced. Department of Health (2002)
London: Stationery Office
20.
Safeguarding children involved in prostitution: supplementary guidance to Working Together to
Safeguard Children. Department of Health (2000) London: Department of Health.
21.
Protecting children and young people: Framework for Standards. Scottish Executive (2004) ,
Edinburgh: Stationery Office
22.
Too Serious a Thing – The Carlisle Review – The Review of Safeguards for Children and
Young People Treated and Cared for by the NHS in Wales. National Assembly for Wales
(2002)
23.
National Service Framework for Children in Wales (2005)
Co-operating to safeguard Children, Department of Health, Social Services and Public Safety
24.
(2003) Belfast, DHSSPS Children (Northern Ireland) Order (1995)
25.
Regional Child Protection Policies and Procedures Department of Health, Social Services &
Public Safety (2005) Department of Health, Social Services & Public Safety (2004)
26.
Protection of Children & Vulnerable Adults (NI) Order (2003)
27.
Working Together to safeguard and promote the welfare of children - a guide to
interagency working National Assembly for Wales (2000) London: HMSO
28.
Response to the Victoria Climbie Inquiry Welsh Assembly Government (2003) Cardiff, WAG
29.
Safeguarding Children: Working together for positive outcomes Welsh Assembly
Government (2003) Cardiff, WAG
30.
All Wales Child Protection Procedures Welsh Assembly Government (2004) Cardiff WAG
Additional references:
31. The New GMS Contract 2003 (annex B, section 20) http://www.bma.org.uk/ap.nsf/Content/
investing gp
32. Summary Report of the Independent Health Review into the death of Lauren Wright. Norfolk Health
Authority March 2002. http://www.nscha.nhs.uk/scripts/default.asp?site_id=117&id=5327
33. Child Protection Performance Indicator 2004/5 Health Care Commission
34. Standards for Better Health DH 2004 http://www.dh.gov.uk/assetRoot/04/08/66/66/04086666.pdf