Persistently avoid child health promotion services and treatment of the child’s episodic illnesses Have unrealistic expectations of the child Frequently complain about/to the child and may fail to provide attention or praise (high criticism/low warmth environment) Be absent or misusing substances Persistently refuse to allow access on home visits Be involved in domestic abuse should be aware of the potential risk to children when individuals, previously known or suspected to have abused children, move into the household. Recognising Physical The following are regarded as indicators of concern: An explanation which is inconsistent with an injury Several different explanations provided for an injury Unexplained delay in seeking treatment The parents/carers are uninterested or undisturbed by an accident or injury Parents are absent without good reason when their child is presented for treatment Repeated presentation of injuries (which may represent a for help” and if ignored “cry could lead to a more serious injury) Family use of different doctors and A&E departments Reluctance to give information or mention previous injuries Bruising Children can have accidental bruising, but the following must be considered as non- accidental unless is evidence or an adequate explanation provided: Any bruising to a pre-crawling or pre-walking baby Bruising in or around the mouth, particularly in small babies which may indicate force feeding Two simultaneous bruised eyes, without bruising to the forehead, (rarely accidental, though a single bruised eye can be accidental or abusive) Repeated or multiple bruising on the head or on sites unlikely to be injured accidentally Variation in colour possibly indicating injuries caused at different times The outline of an object used e.g. belt marks, hand prints or a hair brush Bruising or tears around, or behind, the earlobe/s indicating injury by pulling or twisting Bruising around the face Grasp marks on small children Bruising on the arms, buttocks and thighs may be an indicator of sexual abuse Bite Bite marks can leave clear impressions of the teeth. Human bite marks are oval or crescent shaped. Those over 3 cm in diameter are more likely to have been caused by an adult or older child. A medical opinion should be sought where there is any doubt over the origin of the bite.
Persistently avoid child health promotion services and treatment of the child’s episodic illnesses Have unrealistic expectations of the child Frequently complain about/to the child and may fail to provide attention or praise (high criticism/low warmth environment) Be absent or misusing substances Persistently refuse to allow access on home visits Be involved in domestic abuse should be aware of the potential risk to children when individuals, previously known or suspected to have abused children, move into the household. Recognising Physical The following are regarded as indicators of concern: An explanation which is inconsistent with an injury Several different explanations provided for an injury Unexplained delay in seeking treatment The parents/carers are uninterested or undisturbed by an accident or injury Parents are absent without good reason when their child is presented for treatment Repeated presentation of injuries (which may represent a “cry for help” and if ignored could lead to a more serious injury) Family use of different doctors and A&E departments Reluctance to give information or mention previous injuries Bruising Children can have accidental bruising, but the following must be considered as non- accidental unless is evidence or an adequate explanation provided: Any bruising to a pre-crawling or pre-walking baby Bruising in or around the mouth, particularly in small babies which may indicate force feeding Two simultaneous bruised eyes, without bruising to the forehead, (rarely accidental, though a single bruised eye can be accidental or abusive) Repeated or multiple bruising on the head or on sites unlikely to be injured accidentally Variation in colour possibly indicating injuries caused at different times The outline of an object used e.g. belt marks, hand prints or a hair brush Bruising or tears around, or behind, the earlobe/s indicating injury by pulling or twisting Bruising around the face Grasp marks on small children Bruising on the arms, buttocks and thighs may be an indicator of sexual abuse Bite Bite marks can leave clear impressions of the teeth. Human bite marks are oval or crescent shaped. Those over 3 cm in diameter are more likely to have been caused by an adult or older child. A medical opinion should be sought where there is any doubt over the origin of the bite.
Safeguarding-Policy-JUNE-18-final-clean-2.docx