Children like Victoria die when individual professionals do not work together. A higher level of knowledge and competence is expected of paediatricians, whether generalists or specialists—they have a duty of care to any child in whom abuse is being suspected, unless or until they have formally transferred responsibility to someone else. Health for all children. Oxford University Press; Complex child abuse investigations: The Hon Mr Justice Wall.
Child protection—lessons from Victoria Climbié
Author information Copyright and License information Disclaimer. A process of audit should be in place in each department of the hospital to monitor adherence to local and national statements of good practice. Local support should be available from the designated and named doctor and nurse, whose roles are defined in Department of Health guidance. Every chief executive must ensure that these individuals have enough time and resources to do their jobs properly.
An overview of 18 publications is provided, with four categories of themes emerging.
Oxford University Press; Health for all children. These include creative vitcoria of child abuse inquiry reports themselves, role plays and simulations and workshops designed to enhance critical reflection skills. J Child Psychol Psychiatry.
Child protection—lessons from Victoria Climbié
Prevention depends on collaboration, as emphasised in the publication Working Fissertation from the Department of Health. These teams naturally focus on the needs of their adult patients and are at risk of forgetting the child or children at home.
All general practitioners treat children and have a duty to be aware of the many different manifestations of child abuse and to respond by seeking advice. A higher level of knowledge and competence is expected of paediatricians, whether generalists or specialists—they have a duty of care to any child in whom abuse is being suspected, unless or until they have formally transferred responsibility to someone else. He stresses the importance of accurate written records, discharge plans, and better information systems.
This is taught largely by consultants, and in doing so they also maintain their own expertise. Within hospitals, changed working practices threaten continuity of care in clinical teams. No one condones poor clinical practice, victora some complaints are malicious and are intended to obstruct social work and police investigations, and some arise from orchestrated campaigns.
The cost of developing and maintaining a similar system for child protection will be substantial—although probably less that that of a public inquiry into a child’s death. This must include opportunities to form continuing education and support networks with others in similar posts. The paper concludes with an outline of teaching approaches the current authors have adopted in pursuit of the kinds of learning opportunities they believe need to be put in place to improve professional practice in children and families’ work.
The syllabus for all paediatric trainees must include patterns of abuse, legal disseetation ethical issues, and an understanding of social and cultural factors and of the motivation for abuse. Effects of prenatal and infancy nurse home visitation on surveillance of child maltreatment.
This in turn prevents the development of the mutual trust and respect that are gained only through regular vivtoria and an understanding of each other’s perspectives and organisational cultures.
Lord Laming rightly emphasised the importance of better education, training, and quality monitoring.
The answer is, probably not a lot, unless there is also professional and managerial commitment to other, and arguably more important, changes. Journal List BMJ v. The Hon Mr Justice Wall. It is argued that the gap between recognition that society needs competent, well-trained and skilled social work and climnie professionals to safeguard the lives of children and families and understanding of what education, training and employment support mechanisms are necessary in order for workers to become and remain well-trained, skilled and effective, remains as wide as ever.
The model could be based on that already established for resuscitation training, as in the advanced paediatric life support course. But the key question is not who will be accountable for the next child abuse tragedy 3 but how much the better reporting arrangements will contribute to preventing one. Diagnose and be damned.
He chose not to address the reasons in detail. There are many, 8 but one issue that increasingly inhibits high quality child protection work is the fear of complaints and litigation.