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National Collaborating Centre for Women's and Children's Health (UK). When To Suspect Child Maltreatment. London: RCOG Press; 2009 Jul. (NICE Clinical Guidelines, No. 89.)

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  • July 2019: Definition of multi-agency safeguarding arrangements added and section 4 of 'Using this guidance' amended by NICE to include arrangements. Recommendations 1.1.18 and 1.1.19 updated to reflect wording used in Royal College of Paediatrics and Child Health purple book. October 2017: Since publication of this guideline, NICE has produced a guideline on child abuse and neglect. Recommendations relevant to both health and social care practitioners appear in this guideline and the child abuse and neglect guideline. Clinical features (including physical injuries) are covered in this guideline. Recommendations 1.3.2, 1.3.3, 1.3.4, 1.3.10, 1.3.12, 1.4.1, 1.4.2, 1.4.3, 1.4.4, 1.4.5, 1.4.12, 1.4.13, 1.5.1, 1.5.2, 1.5.3, 1.5.4 and 1.5.5 have had minor edits in line with NICE's child abuse and neglect guideline. Recommendation 1.3.6 has had a link added to the NICE guideline on faltering growth. Recommendation 1.4.8 has been updated with information on Prader-Willi syndrome. 2013: The recommendation which states "Be aware that sexual intercourse with a child younger than 13 years is unlawful and therefore pregnancy in such a child means the child has been maltreated" (pages 8 and 55) should be accompanied by a footnote which states the following: "Under the sexual Offences Act 2003, any sexual intercourse with a girl younger than 13 years is unlawful and will be charged as rape. It is illegal for children aged 13-15 years to have sexual intercourse. However, The Crown Prosecution Service guidance instructs that children of these age groups involved in consensual experimentation should not be prosecuted."

July 2019: Definition of multi-agency safeguarding arrangements added and section 4 of 'Using this guidance' amended by NICE to include arrangements. Recommendations 1.1.18 and 1.1.19 updated to reflect wording used in Royal College of Paediatrics and Child Health purple book. October 2017: Since publication of this guideline, NICE has produced a guideline on child abuse and neglect. Recommendations relevant to both health and social care practitioners appear in this guideline and the child abuse and neglect guideline. Clinical features (including physical injuries) are covered in this guideline. Recommendations 1.3.2, 1.3.3, 1.3.4, 1.3.10, 1.3.12, 1.4.1, 1.4.2, 1.4.3, 1.4.4, 1.4.5, 1.4.12, 1.4.13, 1.5.1, 1.5.2, 1.5.3, 1.5.4 and 1.5.5 have had minor edits in line with NICE's child abuse and neglect guideline. Recommendation 1.3.6 has had a link added to the NICE guideline on faltering growth. Recommendation 1.4.8 has been updated with information on Prader-Willi syndrome. 2013: The recommendation which states "Be aware that sexual intercourse with a child younger than 13 years is unlawful and therefore pregnancy in such a child means the child has been maltreated" (pages 8 and 55) should be accompanied by a footnote which states the following: "Under the sexual Offences Act 2003, any sexual intercourse with a girl younger than 13 years is unlawful and will be charged as rape. It is illegal for children aged 13-15 years to have sexual intercourse. However, The Crown Prosecution Service guidance instructs that children of these age groups involved in consensual experimentation should not be prosecuted."

Cover of When To Suspect Child Maltreatment

When To Suspect Child Maltreatment.

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Appendix ADeclarations of interest

GDG memberInterest
Jane AppletonNon-personal pecuniary interest
October 2003–June 2007, post-doctoral research fellowship funded through the Health Foundation Consortium for Healthcare Research on ‘Safeguarding Children, the Management and Organisation of Child Protection Responsibilities in Primary Care’.
Personal non-pecuniary interest
Has previously conducted research on how health visitors identify vulnerable families. This work has been published in peer-reviewed journals.
Co-Editor of Child Abuse Review.
National Executive Committee Member of BASPCAN.
Professional Editor of Community Practitioner.
Tricia BrennanPersonal non-pecuniary interest
Member of the child protection special interest group of the Royal College of Paediatrics and Child Health (RCPCH).
Geoff DebellePersonal pecuniary interest
Payment received from the Legal Aid Commission for independent, expert medico-legal reports for Family and Criminal Court proceedings. This is work undertaken outside of NHS time.
Personal non-pecuniary interest
Paediatric Advisor appointed by the GMC.
Fellow of the Royal College of Paediatrics and Child Health (RCPCH).
National Executive Committee Member of BASPCAN and CPSIG.
Member of Birmingham Safeguarding Children Board.
Member of ISPCAN (International Society for the Prevention of Child Abuse and Neglect).
Has prepared consultation documents on safeguarding for RCPCH and mentored a Designated Senior Doctor in a London trust.
Susan DunstallNo interests declared.
Danya GlaserPersonal non-pecuniary interest
President/immediate past president of the International Society for the Prevention of Child Abuse and Neglect, research on emotional abuse and neglect and publication on child abuse and neglect in Lancet 2008.
Andrea GoddardNo interests declared.
Kathryn GutteridgePersonal non-pecuniary interest
Council member of the Royal College of Midwives.
Christine HabgoodPersonal pecuniary interest
Shares to the value of £70 in South East Health Holdings Ltd, the local provider of out-of-hours primary care.
Personal non-pecuniary interest
Has previously sat on East Sussex and Brighton and Hove Area Child Protection Committees. Currently lectures annually on child protection matters at Brighton and Sussex Medical School where she holds the post of Honorary Clinical Tutor.
Chris HobbsPersonal non-pecuniary interest
Has publications in the area, most recently a publication on child abuse and neglect in Lancet 2008. A member of CPSIG, BASPCAN, ISPCAN.
Involved in research within the NHS into the physical signs of sexual abuse in children.
Elizabeth HughesNo interests declared.
Alison KempNo interests declared.
Anne LiveseyNo interests declared.
David LuceyNo interests declared.
Rosemary NearyNo interests declared.
Annmarie ReevesPersonal non-pecuniary interest
A Senior Practitioner/Social Worker for Milton Keynes Council, Referral and Assessment Team. Undertakes assessments and Section 47 investigations with regard to children in need and children in need of protection.
Peter SaundersNo interests declared.
Anubha SinhaNo interests declared.
David VickersaNo interests declared.
a

Stood down in April 2008 because of work commitments, and replaced by Geoff Debelle.

Copyright © 2009, National Collaborating Centre for Women's and Children's Health.

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The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

Bookshelf ID: NBK57161
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