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Paediatric safeguarding simulation (PaSS) training: a novel approach to teaching child protection
  1. Anna Woodman,
  2. Phil J Peacock,
  3. Rebecca E Holman,
  4. James E Hambidge,
  5. Joanne Smith,
  6. Janet King
  1. Department of Paediatrics, Great Western Hospitals NHS Foundation Trust, Swindon, UK
  1. Correspondence to Dr Phil J Peacock, Great Western Hospital, Swindon, SN3 6BB, UK; phil.peacock{at}bristol.ac.uk

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Introduction

Child safeguarding is the responsibility of all healthcare professionals and in the UK, ‘Level 3 Safeguarding Children’ is a national requirement for clinical staff working with children, young people, their parents or carers.1 These professionals have a key role in identifying, assessing and reporting safeguarding concerns. This report describes the development and delivery of a new simulation programme, within a UK District General Hospital, to help increase staff confidence in managing child safeguarding in the clinical environment.

Serious case reviews following safeguarding incidents in the UK have demonstrated that opportunities are often missed by front-line healthcare professionals during routine clinical encounters.2 Similar concerns have been raised in other countries, including the USA, Canada and Australia.3–5 Safeguarding concerns may arise in a number of healthcare settings: a child may present to hospital or their general practitioner with injuries or a medical emergency, during routine appointments, or during an encounter with a family member. It is important that healthcare professionals are trained in recognising and confidently managing these unexpected safeguarding presentations.

In the UK, safeguarding is currently largely taught in an e-learning format with higher level training involving more face-to-face time in lecture/seminar sessions. These methods are useful for teaching the knowledge required, but are not as well suited to the affective elements and communication skills which are essential to effectively manage safeguarding cases. There is some evidence that simulation …

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