- Welcome to the Institute's new Internet
- Stem cell technique offers new potential to treat blindness
- 20 percent of adult obesity might be caused by infant nutrition
- Study to reduce birth defects
- Beta thalassaemia gene therapy success
- Genetic link with human male infertility identified
- New research into Congenital Toxoplasmosis endorses UK health guidance for pregnant women
- ICH Poster Competition and Open Day
- Is 'breast only' for first six months best?
- Six months of exclusive breast feeding: how good is the evidence?
- Major new programme to tackle childhood obesity launched
- Study shows that early detection of Severe Combined Immunodeficiency would save lives
- £28 Million boost to understand child health
- The impact of sex selection and abortion in China, India and South Korea
- Regenerative medicine success for muscles
- New study examines early-onset eating disorders in under-13s
- International 50-year mortality trends in children and young people reveal an inadequate response to the health problems and causes of death in adolescents, particularly young men
- Apples, oranges and jam – the tasty way to keep kidney disease at bay
- Scientists prove heart has built-in repair mechanism: Exciting breakthrough towards mending broken hearts
- Fight for Sight awards £1 million for retinal disease research
- New Policy Research Unit in the Health of Children, Young People and Families
- UCLB and NCYPE announce a commercialisation agreement with Special Products Limited for Epistatus®
- Molecular scalpel hope for Duchenne muscular dystrophy
- Eating disorders linked to fertility problems and negative feelings towards pregnancy
- Science: From Cradle to Grave
- £36 million boost for children's health research
- Gene therapy success for children born without functioning immune system
- ICH Open Day 2011
- Under 16s make up less than one per cent of NHS patient surveys
- Mitochondria genes and cardiomyopathy
- Child Health Research PhD Studentships 2012-13
- Tate Liverpool exhibition inspires pioneering science games
- No consistent decrease in child maltreatment despite years of policy initiatives designed to achieve it
- New approach on bone marrow transplant infections
- Genetic testing for antibiotic related deafness
- Great Ormond Street Hospital Children’s Charity announces plans to build a Centre for Children’s Rare Disease Research
- Gene therapy shows clinical effect in third immune disease
- Clean delivery kits linked to substantial reduction in neonatal deaths in South Asia, study shows
- Genetic variant inherited from the mother significantly increases birth weight
- Not enough is known about prescription drug use in pregnancy, say experts
- Improving access to education and employment and reducing the risk of transport-related injury are among the best ways to improve adolescent health
- Research reveals association between red hair gene and rare birthmarks
- Five new UCL fellows of Academy of Medical Sciences
- Surgery boost for children with drug-resistant epilepsy.
- Professor of economics and deputy director appointed to the new UK Birth Cohort Study
- First example of a heritable abnormality affecting semantic cognition found
- New Director of the UCL Institute of Child Health
- New approach to recording suspected child abuse in patient records
- Amniotic fluid yields alternatives to embryonic stem cells
- ICH OPEN DAY AND POSTER COMPETITION
- Europe’s first research centre to battle birth defects
- New cause of thyroid hormone deficiency discovered
- £10 million boost for Centre for Children’s Rare Disease Research
- EU awards grant to develop new drug for Duchenne muscular dystrophy
- New research centre for teenagers with arthritis
- Major study shows steep decline in figure for diagnosed epilepsy
- Obesity leads to vitamin D deficiency
- Researchers find gene responsible for rare condition that can lead to melanomas
- ICH research highlights unmet needs of children and young people with cancer and challenges public policy
- Amniotic fluid stem cells repair gut damage
- Developmental delays identified in children with prolonged seizures
- Number of people in UK diagnosed with eating disorders is increasing
- New method strips lungs of old cells in three hours
- Overall child deaths due to injuries are down in the UK
- Aug 13
- Prestigious NIHR Research Professorship awarded to Professor Persis Amrolia
New approach to recording suspected child abuse in patient records
4 July 2012
abuse is outlined in a paper published in this month’s issue of the British Journal of General Practice. The method was developed based on a survey of 11 GP surgeries, led by the UCL Institute of Child Health (ICH) together with the Royal College of General Practitioners (RCGP) and the University of Surrey.
The study, funded by the Healthcare Quality Improvement Partnership, looked at how GPs currently record their concerns in patients’ electronic records, and the potential problems they face. GPs were interviewed over the phone and in workshops and their views were used to help develop a simplified approach to coding. This approach is currently being piloted in the 11 practices.
All health professionals have a statutory responsibility to protect children from abuse and neglect. GPs are well placed to identify, monitor, and respond to maltreatment. However, they may be reluctant to clearly state their concerns in records for fear of: causing further problems for the child or the family; of damaging their ability to work with and support the family; or of coming up against legal barriers.
The study found that GPs recorded maltreatment-related codes during 2009-2010, across the 11 surgeries for every eight children per thousand children registered for a year. Rates were higher in children under five, but did not differ significantly between the sexes. Rates varied from 2.8 per 1,000 children per year to 31 per 1,000 children per year in practices in areas of greatest deprivation.
Professor Ruth Gilbert, UCL ICH, says: “Children under five see their GP on average five times a year. As GPs often see several family members, they can spot signs such as parental depression or addiction that put children at risk. However, GPs are often ambivalent about ‘labelling’ the child or family, and may use indirect or euphemistic terms. We don’t have a full picture of how often GPs in England actually report suspected cases to child protection services, but this is likely to be a minority of the estimated four per cent of children in the UK experiencing abuse or neglect each year.”
Dr Imran Rafi from the Clinical Innovation and Research Centre at the RCGP, says: “A wide variety of codes and terms are used in electronic records, which supports the argument for standardisation. We recommend the use of a single code ‘child is cause for concern’ as a simple way to flag concerns whenever child maltreatment is ‘considered’, as stated in the NICE guidance. We have developed a systematic approach to reporting concerns with guidance that is simple, feasible, and easy to remember.”
The paper recommends further controlled trials to evaluate whether improved recording of maltreatment concerns leads to better outcomes for children and their families.
The study was carried out by University College London, Royal College of General Practitioners, and University of Surrey.
For further information, please contact Jenny Gimpel at the GOSH-ICH Press Office on 020 7239 3178, email email@example.com.
Page last modified on 04 jul 12 10:35