1..13 Hospital Procedures


1. Introduction

1.1 The following procedures have been developed from the recommendations into the death of Victoria Climbié.

2. Scope

2.1 These procedures apply whenever there are child protection concerns about a child admitted to hospital.

3. Where Abuse and/or Neglect is either Definite or Appears to be likely


Where abuse and/or neglect is either definite or appears to be likely the following should be noted:

  • The admission dataset should include the child's name, age, the full address and names of both caregivers (where there are two), the GP, Health Visitor and the name of the child's school if the child is of school age.  If the child does not have a GP this must be organised before discharge;
  • The doctor or nurse must inquire about previous admissions to hospital.  Other hospitals might need to be contacted if the child has been admitted elsewhere;
  • The child should have a full and fully documented physical examination within the first 24 hours of admission;
  • If the child is old enough they should be asked to contribute to the history and if there are language issues, these will need to be addressed;
  • If there are any diagnostic disagreements these need to be resolved and the conclusions documented;
  • The medical records should be comprehensive and include entries from nursing staff/therapists/dieticians, etc. A record must be kept of all discussions;
  • When a telephone referral to Children's Social Care is made it must be confirmed in writing by the referrer within 48 hours;
  • The child's consultant should make the decision about discharge;
  • A discharge planning meeting is essential;
  • The Primary Health Care Team need to be informed prior to discharge and appropriate follow up must be organised;
  • For further information the College "Companion" is available on the hospital and CCG intranet accessed via the Safeguarding Children section.
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