child safeguarding protocol in emis web jez mccole, gp, gleadless medical centre, sheffield...
TRANSCRIPT
![Page 1: Child Safeguarding Protocol In EMIS Web Jez McCole, GP, Gleadless Medical Centre, Sheffield @jezmccole](https://reader038.vdocuments.us/reader038/viewer/2022102722/551802ac550346d5568b5237/html5/thumbnails/1.jpg)
Child Safeguarding
ProtocolIn EMIS Web
Jez McCole, GP, Gleadless Medical Centre, Sheffield
@jezmccole
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The ProblemLack of awareness of Safeguarding issues
Common to most busy surgeries
What is already in the busy record?
What was the point of coding it?Coding is more than just about QOF
Bringing the electronic medical record to life
Highlighted during our Three Minute Surgery
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Theme 2 - Everything is ok
This theme demonstrated how professionals didn’t recognise the safeguarding issues or vulnerabilities that existed. There were 2 main reasons for this:
1. Normal for Community. In 3 cases professionals felt that the children were one of a ‘number of children like this’ in the community:
‘There are lots of other families like this in their practice area so this family would not have stood out. This is of concern…
because of the clear level of risk that there was in this family.’ (2011)
2. Misplaced Optimism. There was evidence (in 8 cases) of professionals working with an overoptimistic view of the situation. The most common reason was that they didn’t question, recognise, know or collate the family history or vulnerabilities that exist.
‘Assessments failed to consider the historical information regarding this couple. Agencies failed to consider the multiple
risk factors’ (2011)
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Theme 3 - Assessment, Assessment, Assessment
1. An Assessment Mindset is seeing every encounter with a family as an opportunity to re-evaluate the situation. The lack of this was an issue in 6 cases.
2. Silo Thinking. In 6 cases professionals viewed situations in isolation, were task focused and ‘episodic’. This also highlighted where professionals didn’t consider the possible impact of the parents mental health on their parenting.
3. Downgrading of risk (4 recent cases). In these professionals closed cases when there was no evidence of any new information to inform this decision.
4. Recognition of risk by universal services. 3 cases highlighted that although universal services had contact with a family, they didn’t recognise the circumstances the children were living in.
5. Communication and information sharing was an issue in 10 reviews.
This highlights the importance of assessment and the difficulties that arise when this isn’t thoroughly completed.
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Three Minute Surgery
N = 40+
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Our AimsWhen any record is loaded
To present the Child Protection Status of the patient
To inform the user about Safeguarding procedures
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Protocol Overview – The finished product
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Protocol Ingredients
A coded record
Concepts
Connectors
Protocol Alerts (‘Zap box’)
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A (well) Coded Record
Agree your codes
Used on the record of the child
[13Iv] Child is the subject of a Child Protection Plan
[13Iw] Child has been removed from a plan [13IO]
[13IS] Child is a Child in Need
[13IT] Child is no longer a Child in Need
Used on the record of a parent/guardian
[13Iy] Family member subject of a Child Protection Plan
[13Iz] Family member removed from a Child Protection Plan
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THE CONCEPTS
The engines of the protocol
Interrogate the record
Change the direction of flow based on what they find
Written in the Concept Manager
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Creating a Concept 1
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Creating a Concept 2
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Create a Protocol
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Build the Protocol
Starts as a blank canvas
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Add a pre-prepared Concept
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Protocol Flow – Child currently on a plan
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Protocol Alerts - ‘Zap’
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Protocol Alerts
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Safeguarding Template
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Safeguarding Template
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Protocol Overview – Child currently on a plan
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Protocol Overview – Child no longer on a Plan
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Concept & AlertNo Longer on a
Plan
Concept
Alert
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Protocol Overview – The finished product
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…and finally!
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Program the trigger
Thank you
Update Record
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Examples of other Gleadless Protocols
& ReportsLabel printing
Helicobacter eradication
eGFR African ethnicity adjuster
Metformin & Low eGFR warning
Arrhythmia check
Amiodarone Safety
QRISK checker
Folic Acid prescribing by risk factors
Diabetes reports
DMARD max med review 3months preventer
Diabetes Hypoglycaemia Risk
Driving on Hypoglycaemics
District nurse case load management Protocols
Mental Health Care Planner
Cannabis Support Alert