1. Named GP for Safeguarding Adults and Children
A Health Perspective
Dr Ali Robins
Named GP for Safeguarding Adults and Children

2. Disabled child………….. When to be concerned… What to do with concerns…
Why do we sometimes get it wrong… 2

3. OR …………………..

4. A child or young person with a disability …………

5. Children and young people with….

6. Abuse…….. 3.8 times more likely to experience physical abuse
3.1 times more likely to experience sexual abuse
3.9 times more likely to experience emotional abuse
3.8 times more likely to suffer neglect.
(DofE 2009; Sullivan and Knutson,2000)

7. Compared with non-disabled peers
Lower educational attainment
Poorer access to health services
Poorer health outcomes
More difficult transition to adulthood
Treasury/DfES Policy Review of Children and Young People (2007)

8. Home and school…….
Poverty
Bullying
Excluded (70% SEN )

9. Legislation and guidance
Adoption and Children Act 2002
The Children Act 1989
The Children Act 2004
The Protection of Children Act 1999
The Human Rights Act 1998
The United Nations Convention on the Rights of the Child The Data Protection Act 1998 (UK wide)
Framework for the Assessment of Children in Need & their Families
Sexual Offences Act 2003
NICE CG89 Child Maltreatment Guidance
Working Together to Safeguard Children 2013
CQC
4 LSCB Policies and Procedures

10. CLINICAL EFFECTIVENESS
SAFEGUARDING
CLINICAL EFFECTIVENESS
RESPECT AND DIGNITY
QUALITY & GOVERNANCE
PATIENT EXPERIENCE
PREVENTION
PATIENT SAFETY

12. Failure to meet child’s basic needs, allowing to be exposed to danger
Types of Abuse
PHYSICAL
EMOTIONAL
NEGLECT
SEXUAL
Hitting, shaking, throwing, burning, suffocating, poisoning, including factitious or induced illness
Child made to feel worthless, afraid, unloved, inadequate, developmentally inappropriate expectations imposed
Failure to meet child’s basic needs, allowing to be exposed to danger
Forcing/enticing child to take part in sexual activities, may involve physical contact, or production of pornographic material 12

13. Risk Factors Not offered same protection – not believed
Poor education – body /sex
Isolated – physically, and socially
More likely to spend time in care – vulnerable to abuse
Limited mobility and ability to communicate
Require help with personal / intimate care
Subject to inequality of power
Browne K, Davis C, Stratton P, (Eds) “Safeguarding children” NSPCC 2000

14. Any Questions?