Dr PWD Meerstadt

1
Dr PWD Meerstadt

• Interim Designated Doctor for
• Child Protection
• Interim Designated Paediatrician for
• Child Death Reviews

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COMMUNITY PAEDIATRIC SERVICE GUIDANCE REGARDING
THE MANAGEMENT OF ACUTE SEXUAL ASSAULTS AND
CHRONIC SEXUAL ABUSE IN CHILDREN/YOUNG PEOPLE
Initially, to whomever the Sexual Assault/Child
Sexual Abuse is reported this agency must report
the case to Childrens Safeguarding and Social
Care Services (CS SCS)

• Prior to the medical, check if there is to be
  police involvement and if so, whether they intend
  to do an ABE interview. If an ABE interview is
  scheduled the doctor should take a history from
  the Social Worker but NOT from the parent or from
  the child/YP such an action by the doctor could
  contaminate the evidence to be given by the
  parent/child/YP to the police
• See local protocol for guidance regarding CSA
  medicals

• NB GPs should not undertake CSA medicals
• Acute Paediatrician should not examine children
  for sexual abuse
• NB.
• Acute SA must not be referred to the QEH
• Chronic CSA is not an emergency and should not
  be referred to the QEH but should be deferred -
  to be seen by the Consultant
• Community Paediatricians
• Children seen by QEH for non-accidental injury,
  but found to be CSA also, should be managed as
  per the NAI protocol.
• The question whether all children presenting as
  NAI should also have an anogenital examination is
  undecided.