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GP example: Reliable systems, processes and practices
Key question: safe?
S3: Are there reliable systems, processes and practices in place to keep people safe and safeguarded from abuse?
Training staff in safeguarding for BME patients
An urban practice with over 3,000 registered patients serving a predominantly BME (black and minority ethnic) community.
All staff at this practice had received relevant training about safeguarding that was specific to their role, and the safeguarding lead and GP were trained to a higher level. As well as the safeguarding training, all staff attended awareness training in domestic violence and female genital mutilation (FGM).
Staff were also trained in communication skills regarding the correct language to use if they needed to discuss FGM with patients, and they were aware of cultural differences and attitudes. Staff were aware of the need to be alert about adults travelling abroad with children during holidays. There was a system for reporting suspected cases of FGM and the practice received information from the local trust about the prevalence of cases found within the hospital setting. We saw that safeguarding was an agenda item for the regular clinical and practice meetings.
This is outstanding because the practice has taken additional locally appropriate measures to ensure that staff identify safeguarding issues correctly and discuss them sensitively.
Safeguarding training and procedures
A practice with approximately 15,700 patients operating from two sites in an affluent urban/suburban area.
The practice’s safeguarding lead was active in ensuring that children were kept safe. A comprehensive library of safeguarding information had been developed that was available to all staff on the practice’s intranet, including local safeguarding newsletters, case conference reports, guidance on female genital mutilation, and safeguarding templates. Safeguarding policies and protocols were detailed and appropriately tailored to the practice.
There was a robust system of recording keeping, including responding to requests for safeguarding information and ensuring that all staff were up to date with safeguarding training. The practice had recently hosted a training event that included discussing lessons learned from serious case reviews in the area and presentations from representatives of the multi-agency safeguarding hub, regional sexualised behaviour service and police.
The practice had carried out a detailed audit of the quality of coding of safeguarded children in case notes, which identified areas for improvement. There had also been active follow-up of children on child protection plans who had not attended immunisation appointments.
- Last updated:
- 10 August 2017