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GP Safeguarding Practice Liaison Contact Details

To contact your GP Practice Liaison Lead please see Safeguarding - Practice Liaison Contact Details.

Contact a Named/Designated Professional

Children and Families Help Desk

Tel: 01452 426565 (8am – 5pm)

01452 614194 Emergency Duty Team - Out of hours (5pm - 8am Mon-Fri/weekends)

Email: childrenshelpdesk@gloucestershire.gov.uk




Contact Details

Dr Imelda Bennett

Designated Doctor, Safeguarding Children

NHS Gloucestershire Clinical Commissioning Group

Tel: 0300 422 5702

Mobile : 07711 202548

Annette Blackstock

Named Nurse, Safeguarding Adults and Children

NHS Gloucestershire Clinical Commissioning Group

Tel: 0300 421 1561

Mobile: 07766 496777

Dr Katy McIntosh Named GP, Safeguarding Adults and Children NHS Gloucestershire Clinical Commissioning Group

Tel: 07825 078998

Email: katy.mcintosh1@nhs.net

Dr Penny West

Named Doctor, Safeguarding Children

Gloucestershire Care Services NHS Trust

Email: penelope.west@nhs.net

Dr Sara Motion

Named Doctor

Gloucestershire Hospitals NHS Foundation Trust

Tel: 0300 422 5701

Vivien Mortimore

Named Nurse, Safeguarding Children

Gloucestershire Hospitals NHS Foundation Trust

Tel: 0300 422 5528

Rosemary Richards

Named Doctor

2gether NHS Foundation Trust

Tel: 01452 894699 / 01242 634406

Mobile: 07789862532

Alison Feher

Head of Safeguarding

2gether NHS Foundation Trust

Tel: 01452 894699

Mobile: 07789862532

Or speak to the Acute Paediatric Consultant on call via GHNHSFT - Tel: 0300 422 2222

Please follow the links below to Concerns About A Child Leaflets:

Contact details for adjoining counties can be found here.

Children's Safeguarding

Safeguarding is about more than child protection:

Child protection is specifically about protecting children and young people from suspected abuse and neglect. Safeguarding is much wider than that. It includes everything an organisation can do to keep children and young people safe, including minimising the risk of harm and accidents and taking action to tackle safety concerns.

Safeguarding is also about being able to respond quickly and appropriately to concerns or allegations brought to the organisation, which means having the right policies and procedures in place to deal with difficult situations if they arise.

Effective safeguarding of children can only be achieved by putting children at the centre of the system, and by every individual and agency playing their full part, working together to meet the needs of our most vulnerable children.

The links below provide further details and links to resources supporting safeguarding of children in Gloucestershire.  However if you have immediate concerns regarding a child or children please contact The Children's Helpdesk below:

If you have concerns about the immediate safety of the child or you believe a serious criminal offence has been committed contact the Police at any time on 101 or in an emergency ring 999.

How to make a referral


Contact the Children’s Helpdesk if you feel that:

  • A child needs protection against suffering harm, neglect or abuse.
  • A family is under stress. Support and advice can be offered to help families get support.
  • A child is seriously ill or disabled. An assessment of the child's and families needs can identify support needed.

Tel: 01452 426565 (8am-5pm)

01452 614194 Emergency Duty Team- Out of hours (5pm-8am Mon-Fri/weekends)

Email: childrenshelpdesk@gloucestershire.gov.uk

If there is an immediate risk of harm or you are working with a child who has disclosed abuse, contact the Children's Helpdesk:

If you have concerns about the immediate safety of the child or you believe a serious criminal offence has been committed contact the Police at any time on 101 or in an emergency ring 999.

Referals must be confirmed in writing within 48 hours, but ideally as soon as possible using the referral form available here.

Guidance on completion of the Multi Agency Service referral form can be found on the Gloucestershire Safeguarding Children's Board website or via the link here.

On completion of the form. be clear as to your concerns and what you hope to expect from this referral - is this child protection?

A Single Consent Form (or an equivalent) will need to be completed when submitting:

  • a referral to the Children's Helpdesk using the Multi Agency Service Referral Form (MARF)
  • an Early Help Request for Service form

Once you have contacted the Children’s Helpdesk with a concern about a child, this will be referred to the Gloucestershire Multi Agency Safeguarding Hub (MASH).

MASH is made up of agencies in Gloucestershire with a responsibility to protect children and vulnerable adults.  This includes;

  • Gloucestershire County Council Children Services
  • Gloucestershire County Council Education Services
  • Gloucestershire Police
  • Youth Support Service
  • Gloucestershire health community

When referrals are received via existing safeguarding referral routes the MASH will allow agencies to share all the available and relevant information that they hold in order to make a decision as to how best to investigate and offer support.

The concept is designed to ensure a robust decision is made at the earliest stage, to help streamline the routes for referral and notifications of concern, and act as a centre for all new referrals regarding adults and children’s safeguarding.  The MASH concept supports recommendations made in numerous Serious Case Reviews about the need to improve information sharing between agencies and Lord Laming’s report ‘The Protection of Children in England. A progress report’ (HMSO, March 2009).

It is important that you make your referral as soon as you have decided that this is the best course of action.

Please ensure the correct Multi Agency Service referral form has been completed and submitted to the address shown on the form. 

At times we cannot understand why the referral has not been accepted by Social Care. Gloucestershire County Council have provided threshold guidance as to their assessment of referrals . See the Gloucestershire Guidance for Levels of Intervention document here.

Review your referral against this threshold document, and if you are still concerned in relation to the safety of a child, you need to escalate your concern. See the GSCB Escalation policyhere.

New Single Consent Form

From 11th September 2017, Gloucestershire County Councul (GCC) children's services teams and staff will begin using a new Single Consent Form when working with children, young people and families.


In the majority of cases of working with children and families, their consent is needed to share information with other professionals and to ensure timely access to the right services and support.The current method of securing consent is inconsistent and many referrals made to children's services do not have informed consent from families. Often, this delays them accessing the services and support that they need.

To address this issue, a new Single Consent Form has been introduced that is intended for use by all practitioners working with children, young people and families when they wish to share information with the County Council and its partners. The Single Consent Form (or an equivalent) will need to be completed whem submitting:

  • a referral to the Children's Helpdesk using the Multi-Agency Service Request Form (MARF)
  • an early Help Request for Service form

Please remember if you think a child or young person is at immediate risk of significant harm, contact the children's Helpdesk on 01452 426565. See the GSCB leaflet for guidance on responding to concerns about a child.


A new 'Sharing your information' leaflet has also been produced for use alongside the new Single Consent Form by GCC children services' teams and staff. This explains to children and families how Gloucestershire County Council shares their information, when and why. The new leaflet meets Gloucestershire County Council's information sharing responsibilities. Partner organisations should continue to use their own method (e.g. leaflet, letter etc.) to advise children and families they are working with how their information will be shared to meet their own data protection requirements.

Gloucestershire County Council's new Single Consent Form and Sharing your information leaflet can be found on:

If you have any questions about the use of these documents, please contact your Gloucestershire County Council colleague or the Children and Families Helpdesk.



Documentation of Injuries and Tabling of Concerns- Body Maps

Please complete the following to assist with the referral;

Midwife GP Patient Summary Record Request

Please follow the resource link below to the Midwife GP Patient Summary Record Request policy and request form.

Who has Parental Responsibility?

If the parents of a child are married when the child is born, or if they’ve jointly adopted a child, both have parental responsibility.  They both keep parental responsibility if they later divorce.

  • jointly registering the birth of the child with the mother (from 1 December 2003)
  • getting a parental responsibility agreement with the mother
  • getting a parental responsibility order from a court

For Children in Care, parental responsibility remains with the natural parents not the Foster Carers, unless there is a Court Order where parents and Social Care have joint parental responsibility.  For Children in Care who attend the your Practice, Foster Carers should provide a “Delegation of Consent” form.

We would recommend the Delegation of Consent form is scanned into your computer systems as it will provide consent for future contacts with the child.

Domestic Abuse and MARAC

Children living in an environment of domestic abuse are experiencing emotional abuse. 50% of children will also be physically abused within the next two years.

If you are concerned about a child in this environment, consider:

  • Discussing your concern with Social Care
  • Providing the victim with information for potential support

For further information about the Gloucestershire Domestic Abuse Support Service please contact www.gdass.org.uk to make an online referral or call  0845 602 9035.

Professionals number: 01452 726561

Please use this number to ensure that any victims wanting support have a better chance of getting a response on the help desk.


Multi-Agency Risk Assessment Conference (MARAC)

The risk to children living in an environment exposed to adults who have been identified as high level domestic abusers, will be assessed in a MARAC.  Practices will receive the information as to the outcome of the conference.  This will be scanned into all relevant children and adults notes with an appropriate alert assigned to the case files.  Paper copies of the report should then be shredded.  If further details are required, please contact those in attendance at the conference highlighted on the minutes.  Please see the Domestic Abuse, Stalking, Harassment and Honour Based Violence (DASH) risk assessment form here.


Honour based violence, Forced marriage and Female genital mutilation

The monitoring form (please see resource link below) is for Honour based violence, forced Marriage and Female Genital Mutilation. No action is taken on receipt of these forms, because they are not referral forms. Should staff identify any concerns they should report formally to the police (particularly when considering mandatory reporting of FGM), or refer, where appropriate, to support services or social care. The monitoring form can be completed and sent to Sophie.Jarrett@gloucestershire.pnn.police.uk to assist in data collection to understand the prevalence of these issues in the county.

End FGM Campaign Animations-'The Words Don't Come'

These short animated films have been developed to create awareness around the health and physiological consequences of FGM and cut through much of the inaccurate and misleading information circulating in the public sphere about FGM.

Gloucestershire Domestic Abuse and Sexual Violence (DASV) Briefing Sheet- Winter 2016-2017

Please follow the resource link below to the Gloucestershire Domestic Abuse and Sexual Violence (DASV) Winter 2016-2017 briefing.

Gloucestershire Anti-Slavery Partnership (GASP)

Please follow the links below for Gloucestershire's Anti-slavery Partnership (GASP) resources;

The Home Office have also provided Criminal Exploitation of Children and Vulnerable Adults guidance aimed at frontline staff who work with children, young people and potentially vulnerable adults

Multi-agency Public Protection Arrangements (MAPPA)

Please follow the links below to the following MAPPA resources:

Child Sexual Exploitation

A nationwide Inquiry by the Office of the Children's Commissioner has found that 2,409 children and young people were confirmed victims of child sexual exploitation in gangs or groups in the 14 month period from August 2010 to October 2011.

  • going missing for periods of time or regularly coming home late;
  • regularly missing school or education or not taking part in education;
  • appearing with unexplained gifts or new possessions;
  • associating with other young people involved in exploitation;
  • having older boyfriends or girlfriends;
  • suffering from sexually transmitted infections;
  • mood swings or changes in emotional wellbeing;
  • drug and alcohol misuse; and
  • displaying inappropriate sexualised behaviour.

Practitioners should also be aware that many children and young people who are victims of sexual exploitation do not recognise themselves as such.

The screening tool and Gloucestershire's multi-agency protocol for safeguarding children at risk of CSE can be accessed here.

Please follow the resource link below to view the NHS England Child Sexual Exploitation advice for Healthcare Staff: A pocket guide to provide practical information to healthcare staff to safeguard children and young people.

The Home Office have also provided Criminal Exploitation of Children and Vulnerable Adults guidance aimed at frontline staff who work with children, young people and potentially vulnerable adults.

Gloucestershire Safeguarding Children Board

The Gloucestershire Safeguarding Childrens Board has a website which has a range of information for those working in the fields of health and social care. These are policies, guidance, details of key legislation and, most importantly, what to do if they suspect someone may be being abused.

Follow the resource button below to take you to the site.

It is recommended that all GPs keep up to date with current issues. To sign up for GSCB alerts please complete your details here.

Serious Case Review/Child Death

Serious Case Reviews are mandatory processes and GP contribution to them as part of information gathering is essential. For further guidance, please visit the GMC website.

Working together to safeguard children(2015) recommend that Local Safeguarding Children Boards (LSCBs) should maintain a local learning and improvement framework which is shared across local organisations who work with children and families.

Reviews should be conducted regularly, not only on those cases which meet statutory requirements but also on other cases which can provide valuable lessons about how organisations are working together to safeguard and promote the welfare of children.

The different types of review include:

  • Serious Case Review - where abuse or neglect is believed to be a factor (statutory requirement)
  • Child Death Review - a review of all child deaths up to the age of 18 (statutory requirement)
  • review of a child protection incident which falls below the threshold for an SCR; and
  • review or audit of practice in one or more agencies.

A national panel of independent experts on Serious Case Reviews will advise LSCBs about the initiation and publication of SCRs.

The Working Together guidance states that a Serious Case Review should always be carried out where abuse or neglect is known or suspected and either the child has died (including suspected suicide) or if a child has been seriously harmed and there are concerns about how agencies have worked together. The Serious Case Review sub group of the local LSCB considers all new cases and make a recommendation as to whether a SCR is required to the Chair of the LSCB.Final reports of SCRs findings must be published on the LSCB's website for a minimum of 12 months. The reports should provide a sound analysis of what happened in the case, and why, and what needs to happen in order to reduce the risk of recurrence; be written in plain English and in a way that can be easily understood by professionals and the public alike; and be suitable for publication without needing to be amended or redacted.

Lessons from previous serious case reviews can be found on the Gloucestershire Safeguarding Children Board's website. 

Please see also  'Sharing the Lessons and Reducing the Risk'

The Child Death Review process is designed to help provide the appropriate support to families and schools, to gain information about why and how children die.  More information can be found on the Gloucestershire Safeguarding Children Board's website, here.

The Office for Standards in Education, Children's Services and Skills (Ofsted) regulates and inspects to achieve excellence in the care of children and young people, and in education and skills for learners of all ages.


What Safeguarding training is required for your Practice?

Everyone in your Practice requires some basic Safeguarding knowledge. The level of training required has been dictated by the Royal Colleges and professional bodies, who have jointly published the updated Safeguarding Children and Young People: roles and competencies for health care staff. The document describes levels of competences and model role descriptions for named and designated professionals.

For all clinical and non-clinical staff (all new staff must complete this training)

For all medical and clinical staff who have any contact with parents, guardians, children and young people

Access to this training is via the kwango website at www.kwango.com.  Please email mary.coupe@nhs.net to request a username/password.

  1. Type the username and password you have been given into the logon boxes
  2. You will be taken straight to the 'launch page' for your e-learning course
  3. Press the 'Launch' button and the course will begin

You are required to undertake a half day course for revision and update of previous child protection training, in order to ensure their knowledge reflects current practice and research in order to be able to respond appropriately.

All medical and senior clinical staff who work regularly with children, young people and infants have to demonstrate six hours level 3 training over three years including a Multi Agency element.

It is recommended that newly trained staff attend a full day Multi Agency Safeguarding Children course.  This can be accessed via the GSCB training department here. Courses run at Sandford Education Centre and Redwood House (Gloucestershire Hospitals NHS Foundation Trust) are specifically targeted for clinicians.

Staff Already in Post

Those with previous experience a combination of multi and single agency training will fulfil requirements.

An example of how to maintain your training

  • half day GSCB Multi Agency Safeguarding Children course (3 hours) once every three years

  • one hour annual update (this can be provided in-house by the Practice Safeguarding Liaison GP delivering a Level 3 approved course).

We recommend that each practice records the training (single agency and multi agency) completed by each member of staff and that individuals record their training programmes on their portfolios should the CQC require evidence to confirm standards are met.

Other resources for training can be found on the RCGP website, RCPCH website and e-learning for health.

The Gloucestershire Safeguarding Board training strategy can be accessed here.

Allegations Management

A series of documents to be used in managing allegations can be found via the GSCB website here.

  • Behaved in a way that has harmed or may have harmed a child
  • Possibly committed a criminal offence against, or related to, a child
  • Behaved towards a child or children in a way that indicates s/he is unsuitable to work with children or in a way indicates s/he would pose a risk of harm if working regularly or closely with children
Whistleblowing in Primary Care- NHS England Guidance



In response to Sir Robert Francis' Freedom to Speak Up report and his recommendation to review primary care separately, NHS England has published specific guidance for colleagues in general practice, optometry, community pharmacies and dental practices. This follows a consultation with staff working in primary care. As of 1 April 2016, primary care staff can raise concerns directly with NHS England. The guidance sets out who can raise a concern, the process for raising a concern, how the concern will be investigated and what will be done with the findings of the investigation.

Please follow the resource link below to the full document.

Safer Recruitment



  • Advertisements-adverts should include reference to your work place commitment to safeguarding and Criminal Records Bureau (CRB) checks. (Disclosure and Barring Service (DBS) checks).
  • Interviewing- Practice Safer Recruitment techniques. See www.cwdcouncil.org.uk/safeguarding/safer-recruitment. Training is now available through the NSPCC.
  • References- If the job involves working with children, get references prior to interview for shortlisted candidates and ensure concerns are discussed. Don't accept photocopies or undated references.
  • CRBs now DBS- all staff who start a new job or have a break in service of more than 3 months, who are working or volunteering with children should have a DBS if they are in a regulated activity.
  • The new Disclosure and Barring Service came into force in 2012. Updates on progress can be found here.
  • Child Protection Policy- ensure your work place has a robust CP policy, which should be reviewed annually. All staff should know what to do if they have a concern and be familiar with the South West Child Protection Procedures. See the Gloucestershire Safeguarding Children's Board Website for further information.


Supervision & Peer Review

We currently recommend that a period of time in one of the Practice meetings is allocated to discussing Safeguarding children cases.  We recommend the Practice invites Public Health Nurses (Health Visitors and School Nurses) and Midwives to these meetings. If practices have difficulty accessing these members of staff, please discuss this with Michael Richardson Deputy Director of Nursing, Gloucestershire Care Services NHS Trust:  Tel. 0300 421 8411, Mobile 07799 656490 or email michael.richardson@glos-care.nhs.uk .

Practices may want to consider inviting their local social worker to improve Multi Agency communication.

These meetings should be minuted by the Practice Manager with anonymised details of cases as evidence of Peer Review/supervision for CQC. Individual GPs should also record their attendance at these meetings on their portfolio for appraisals/re-validation.