Safeguarding children and adults
Safeguarding Children and Young People: Roles and Competencies for Healthcare Staff v4 (RCN, Intercollegiate document, January 2019)
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This document, which runs to over 100 pages, describes in detail the indicative minimum knowledge, skills and competencies for all health care workers.
Core competencies, knowledge and skills at level 3 – page 28
Additional knowledge, skills and competencies required for:
GPs should also ensure their staff are trained to the level appropriate for their roles.
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This RCGP paper tries to clarify some points raised by the intercollegiate document, especially about the quantity of refresher training expected.
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Protecting children and young people: The responsibilities of all doctors (GMC, updated 25 May 2018)
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This GMC guidance refers to the training requirements document (above).
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Initial training for A GP
If you have not yet attained level 3 you must do so within a year.
GPs need to complete the equivalent of a minimum of 16 hours education, training and learning related to safeguarding/child protection to core level 3 standard plus specific additional knowledge, skills and competencies relevant to general practice.
GPs need to complete the equivalent of a minimum of 16 hours education, training and learning related to safeguarding/child protection to core level 3 standard plus specific additional knowledge, skills and competencies relevant to general practice.
Refresher training for A gP
There are lists of knowledge, skills and competencies to core level 3 standard plus further lists for the specific roles of GP and for GP practice lead.
To cover both these lists GPs should be able to demonstrate refresher education, training and learning equivalent to a minimum of 12 hours over each three year period.
For GP practice leads in child safeguarding the minimum is 16 hours over each three year period.
Training at level 3 will include the training required at level 1 and 2 and will negate the need to undertake refresher training at levels 1 and 2 in addition to level 3.
To cover both these lists GPs should be able to demonstrate refresher education, training and learning equivalent to a minimum of 12 hours over each three year period.
For GP practice leads in child safeguarding the minimum is 16 hours over each three year period.
Training at level 3 will include the training required at level 1 and 2 and will negate the need to undertake refresher training at levels 1 and 2 in addition to level 3.
What kind of training?
Training, education and learning opportunities should be multi-disciplinary with some inter-agency input desirable, and delivered internally and externally.
It should include:
This should be appropriate to General Practice.
Practices should consider encompassing safeguarding/child protection learning within:
It should include:
- personal reflection
- scenario-based discussion
- drawing on case studies
- serious case reviews
- lessons from research and audit.
This should be appropriate to General Practice.
Practices should consider encompassing safeguarding/child protection learning within:
- regular multi-professional and/or multi-agency staff meetings
- vulnerable child and family meetings
- clinical updating
- clinical audit
- reviews of critical incidents and significant unexpected events
- peer discussions.
Recording the learning
The intercollegiate document includes templates to help record your learning.
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Education, training and learning activity log (to be completed following each individual learning activity)
Safeguarding children structured reflective template (January 2019) Safeguarding learning outcomes log (January 2019) |
This spreadsheet enables users to record their learning for both child and adult safeguarding training, and keeps running totals automatically.
It can be saved then uploaded into your portfolio tool. Designed and provided free by Dr Howlett. |
Training resources
On-line training is available free from e-Learning for Healthcare
Training courses are run in each area:
The Royal College of General Practitioners has an impressive range of resources including downloadable tools to help practices and GPs which are freely available to all.
Domestic abuse (marac)
This page contains resources for general practitioners who come into contact with victims of domestic abuse.
It explains the Marac process and how you can share information to keep victims of domestic abuse and their families safe. |
Is this a GMC requirement?
In their guidance the GMC says (para 71):
"You must develop and maintain the knowledge and skills to protect children and young people at a level that is appropriate to your role.
Information about the level of child protection training that is needed for different roles, and how often doctors should receive that training, is provided in Safeguarding children and young people: roles and competences for health care staff."
"You must develop and maintain the knowledge and skills to protect children and young people at a level that is appropriate to your role.
Information about the level of child protection training that is needed for different roles, and how often doctors should receive that training, is provided in Safeguarding children and young people: roles and competences for health care staff."
Safeguarding adults
Adult Safeguarding: Roles and Competencies for Health Care Staff v1 (RCN, Intercollegiate document, August 2018)
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This document, which runs to 44 pages, describes in detail the indicative minimum knowledge, skills and competencies for all health care workers.
It advises, "Adult safeguarding competences should be reviewed annually as part of staff appraisal in conjunction with individual learning and development plans and three-yearly refresher training." GPs should also ensure their staff are trained to the level appropriate for their roles.
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Initial training for a GP
If you have not yet attained level 3 you must do so within a year.
GPs need to complete the equivalent of a minimum of 8 hours education, training and learning related to adult safeguarding to core level 3 standard.
It is acknowledged that many health practitioners will need equivalent child and young person’s safeguarding training and that there are many areas of overlap.
This can be taken into consideration when documenting the training undertaken.
GPs need to complete the equivalent of a minimum of 8 hours education, training and learning related to adult safeguarding to core level 3 standard.
It is acknowledged that many health practitioners will need equivalent child and young person’s safeguarding training and that there are many areas of overlap.
This can be taken into consideration when documenting the training undertaken.
Refresher training for a GP
Over a three-year period, professionals at level 3 should receive refresher training equivalent to a minimum of eight hours.
It is acknowledged that many health practitioners will need equivalent child and young person’s safeguarding training and that there are many areas of overlap.
This can be taken into consideration when documenting the training undertaken.
Training at level 3 will include the training required at level 1 and 2 and will negate the need
to undertake refresher training at levels 1 and 2 in addition to level 3.
It is acknowledged that many health practitioners will need equivalent child and young person’s safeguarding training and that there are many areas of overlap.
This can be taken into consideration when documenting the training undertaken.
Training at level 3 will include the training required at level 1 and 2 and will negate the need
to undertake refresher training at levels 1 and 2 in addition to level 3.
What kind of training?
Training, education and learning opportunities should be multidisciplinary and inter-agency and should be appropriate to general practice.
It should be delivered in a manner which encourages personal reflection and may include:
Practices should consider encompassing adult safeguarding learning within:
While e-learning is important it should not be the only form of learning undertaken.
Face to face adult safeguarding education and training at all levels should form no less 50% of the content.
It should be delivered in a manner which encourages personal reflection and may include:
- scenario based discussion,
- drawing on case studies,
- serious case reviews,
- lessons from research and audit
Practices should consider encompassing adult safeguarding learning within:
- regular multi-professional and/or multi-agency staff meetings,
- continuous professional development activities,
- clinical updating,
- clinical audit,
- reviews of critical incidents
- significant unexpected events,
- peer discussions.
While e-learning is important it should not be the only form of learning undertaken.
Face to face adult safeguarding education and training at all levels should form no less 50% of the content.
Domestic abuse (marac)
This page contains resources for general practitioners who come into contact with victims of domestic abuse.
It explains the Marac process and how you can share information to keep victims of domestic abuse and their families safe. |