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Dear All

Congratulations to Jane Appleton and all who contributed to the excellent new NICE guidance about child maltreatment. Helpfully, it makes definitive statements about when to CONSIDER child maltreatment and when to

SUSPECT it. It certainly contains awealth of information and will take some digesting. One of the things that interested me, was the list of issues considered relevant, but outside the scope of this particular guidance. I thought it read like a list of

'very important issues' that all health visitors and school nurses need to know about. It includes:

risk factors for child maltreatment, which are well recognised. Examples include:

parental or carer drug or alcohol abuse

parental or carer mental health

intra-familial violence or history of violent offending

previous child maltreatment in members of the family

known maltreatment of animals by the parent or carer

vulnerable and unsupported parents or carers

pre-existing disability in the child

protection of the unborn child

children who have died as a result of child maltreatment*

diagnostic assessment and investigations, for example X-rays

treatment and care of the child if maltreatment is suspected

how healthcare professionals should proceed once they have come to suspect maltreatment

healthcare professionals’ competency, training and behaviour, including behavioural change

and the type of healthcare professional who should think

about maltreatment

service organisation

child protection procedures

communication of suspicions to parents, carers or the child

education and information for parents, carers and

the child.

best wishes

Professor Cowley

Professor of Community Practice Development.,

Florence Nightingale School of Nursing and Midwifery

King's College London

5th Floor WBW, lin Wilkins Building

150 Stamford Street

London SE1 9NH

T: 020 7848 3030 (p.a. Caroline, 020 7848 3023)

F: 020 7848 3764

E: sarah,cowley@...

http://myprofile.cos.com/S124021COn

NB: I work part time, but aim to repond to my emails within 3 working days. If you need an urgent response, please contact my PA, number above.

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