Identification of Concerns

• Determine if a safeguarding concern is present
• Think of abuse in terms of physical, emotional, sexual and neglect

Information Gathering

Gather thorough information during the consultation before discussing any potential referrals.
• Household Details: Identify who resides in the home, including names, relationships, ages, and contact details.
• Incident Details: Establish specifics about any incidents, including when, where, who was involved, and the frequency of occurrences.
• Substance Use: Inquire about the presence and use of drugs and alcohol within the household, as this can escalate risk.

Approach and Assessment

• Non-Accusatory Style: Maintain a neutral tone throughout the inquiry to encourage openness and obtain more helpful information.
• Risk Assessment: Evaluate the risks to the child, noting whether they are historical or ongoing.
• Risk Level: Assess the risk level. If there is an immediate risk to life, contact emergency services (999).

Referral Process:

Typically, inform the guardian before making a safeguarding referral unless it endangers the child and discuss it with your safeguarding lead at your GP practice if needs be.

Hypothetical Example: 15-year-old Evelyn Management Section of Consultation

“Evelyn, based on what you’ve shared, I am concerned about your safety. You mentioned that your father hits you when he is angry and drunk, often not remembering his actions, and this has caused you injury. Given the risks, we need to make a referral to Children’s Social Services for safeguarding, who can work with us and you to help you get through this rough situation you are in. Usually, we inform parents when making a referral, but we will not tell him due to your concerns about his reaction.

This referral is not about getting your father into trouble; it’s about ensuring your safety and preventing further harm to you or even to him. I respect your wishes and will inform Social Services about your wish, not to mention to your father that you saw a GP about this. They will speak to you and talk you through the next steps.

You mentioned your father only drinks heavily on Friday nights and that you want to go home. Since today is Tuesday, I will accept your wish to go home provided you agree to call 999 in any emergency Evelyn.

Additionally, I’d like to set up a code word for when we call you to ensure you can speak freely. Is that okay?” I would also like you to come and see me tomorrow after school for a face-to-face appointment so that I can examine the bruise, Evelyn, would that be ok with you ?.

The Social Services team that deals with these sorts of situations are good at it, and they will contact you to discuss the next steps and how  they  plan to approach speaking with your father.

I will ring you back this afternoon to check if you have received a call from the safeguarding team Evelyn.

Dr Sakaria Farah
PassCME Tutor