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Abuse alert system for hospitals 
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Legend

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An online system to identify children who may be in danger of abuse or neglect is being developed for use in hospitals across England.

The £9m Child Protection Information System will alert doctors and nurses in accident and emergency departments if children are known to be at risk or had urgent treatment at other hospitals.

It will be rolled out from 2015.

Ministers say abuse will be identified earlier. Labour criticised the delay in replacing a database shelved in 2010.

The government has said tragedies that followed missed warnings, such as the cases of Peter Connelly or Victoria Climbie, might be avoided if a common database was shared.

Under the new system, children arriving at a hospital accident and emergency or urgent care centre will be checked on the NHS computer system.

That will clarify whether the youngster is on the register for children considered to be at risk, or in council care.

The system is also intended to make it easier for doctors and nurses to see if patients had other emergency admissions elsewhere in the country.

Ministers say by giving professionals the wider picture, abuse can be identified earlier.

Health minister Dan Poulter said the scheme should give professionals "the best tools for the job".

"Up until now, it has been hard for frontline healthcare professionals to know if a child is already listed as being at risk or if children have been repeatedly seen in different emergency departments or urgent care centres with suspicious injuries or complaints, which may indicate abuse," he said.

"Providing instant access to that information means vulnerable and abused children will be identified much more quickly - which will save lives."

Dr Simon Eccles, a consultant in emergency medicine at Homerton Hospital in London who helped set up the scheme, said innocent parents or carers would not come under suspicion.

He told BBC Radio 4's Today Programme: "It's quite straightforward I hope, most of the time, to ascertain whether this is just a child who is beautifully looked after but tends to play rough, or this is a child who is not ever being watched when they play and tend to hurt themselves."

Dr Eccles said that if a member of the clinical team - a nurse, doctor or paediatrician - made a judgement call and believes a child could be at risk, they could each escalate it "up the ladder", which could ultimately result in a visit to the home.


http://www.bbc.co.uk/news/uk-20846317

Click the link for more... It's amazing it hasn't been done before. I'd hate to be making the judgement call :shock:

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Thu Dec 27, 2012 3:17 pm
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A thoughts come to mind.

Abused children tend to have multiple A&E attendances because they're more likely to be seen by a different doctor each time and hence each "incident" eg a bruise, a fracture etc is viewed as a separate incidence. A GP would (or should) pick something like this up earlier. A&E systems tend to have a record of attendances in the last twelve months, or the five most recent attendances which helps pick up people who attend all the time.

Because of A&E attendances now being logged, people will often visit to other hospitals out of the system. For example, three hospitals within the same trust will often run the same systems so the same information can be seen. Consequently if a person attends hospital 3, their attendances at hospitals 1 and 2 will be known about. If they move to another trust, the hospitals will not have any information about their attendances at hospitals 1,2 and 3.

National cross-cover will help with abused children who are moved around but at the same time, may increase the risk to children because they are likely to not be brought when they should be. At least if they present to an out-of-area hospital, they will receive medical treatment.

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"Time and again when we have seen children killed as a result of abuse or neglect, we have seen that professionals have seen it as their responsibility to alert someone else to the problem rather than taking action themselves," she said.

Not sure what they want us to do. If I suspect a child may be being abused, I will liaise with the child protection lead for the area and/or social services. If I feel the child is at high-risk, I call the police. I cannot take the child. I cannot harm the abusive carer unless in self defence and only at minimal force.

I suspect, as much of this kind of thing (eg revalidation), is started with the best of hopes but will fail abysmally because it can be circumvented or manipulated in some way, or that it is there to merely "tick the box".

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Thu Dec 27, 2012 4:19 pm
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Yes but when I was young I had dozens of A&E visits, my parents would have been accused of child abuse when they were never anywhere near me when the accident happened.

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Thu Dec 27, 2012 6:33 pm
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That is a worry. Given the current media and political trend of slating anybody who misses signs of child abuse, how often will the innocent be branded?

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Thu Dec 27, 2012 6:52 pm
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Amnesia10 wrote:
Yes but when I was young I had dozens of A&E visits, my parents would have been accused of child abuse when they were never anywhere near me when the accident happened.

I think it counts as child abuse if you let your child play unattended. That's why they have closed all the play grounds.

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Thu Dec 27, 2012 8:50 pm
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JJW009 wrote:
Amnesia10 wrote:
Yes but when I was young I had dozens of A&E visits, my parents would have been accused of child abuse when they were never anywhere near me when the accident happened.

I think it counts as child abuse if you let your child play unattended. That's why they have closed all the play grounds.

That might be an aside, closing them makes it easier to sell to developers. Though kids not being able to play alone does not teach them independence.

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Fri Dec 28, 2012 5:56 am
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I think JJ was being subtly ironic at you.


Fri Dec 28, 2012 9:38 am
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ShockWaffle wrote:
I think JJ was being subtly ironic at you.

:oops:

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Fri Dec 28, 2012 9:51 am
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