Even when incidents happen outside of your organisation, you have a responsibility to take action to protect the children and young people involved. Reading around the topic of safeguarding is invaluable to develop both knowledge and competence. Authoritative practice, a buzzword in contemporary child protection working, means having high expectations of all parties (i.e. } !1AQa"q2#BR$3br /Type /XObject << These. << You know that Aisha is a vulnerable child seeking attention and you are concerned she may be a victim of sexual exploitation. /Resources 40 0 R << Your organisation needs to consider what risks children might be exposed to at your venue and take steps to mitigate those risks. /CropBox [0.0 0.0 595.32 841.92] /Rotate 0 /Rotate 0 Health visitors work with families and local communities to improve No: 923 6593 07 | Registered in the UK: 6428976. Accessibility As soon as you have concerns that a child may come to harm you should contact the DSL. 27 0 obj Any organisation that works with children or young people should have clear and detailed procedures in place for reporting child protection concerns. 8600 Rockville Pike There should be procedures in place for you to escalate concerns about behaviour from members of other organisations using the space. They wonder if they should wait and see if the girl says anything to them about her fathers behaviour. Children who have experienced abuse or who are living in challenging circumstances need support. Scenario 5: Betty could be experiencing physical abuse (she has bruises) and psychological abuse (embarrassed and uncomfortable). As you leave work later that day you see Aisha kissing someone who looks at least 18 years old. These are not true case studies; they are fictional scenarios, but they are intended to help make the topic clearer. /Tabs /S /Annots [] Sharon is a qualified counsellor. /K 35 0 R /Group 81 0 R << Children and young people under 18 who are worried that a sexual image or video of them may have been shared online can use Childline and IWFs. xWK59N\e-ZJ'HK>\Dem4KC#{e'/9a]7sb*>{ _vi[;_~wOs/_9xG$:YS84i|i4[Z'ni ~@FZA",0s>ne|):giLcfGywdO2BwOcH? 52ht!YXc2D*t`E^{#)z`6HPnDAI>y"K@'Q=2Ag&}\MJs9J\G 4V!3'U9 xIN P&)FEo-i He seems very hungry and thirsty, too. >> Our example scenarios demonstrate just how complicated some issues can be. /Parent 2 0 R By : 1990; Hygiene; Midwife, Health Visitor & Community Nurse. asking them to share their safeguarding and child protection policy with you and checking it is adequate, sharing your organisations safeguarding and child protection policy with the group and asking them to sign an agreement stating they will comply with it, making sure groups have carried out risk assessments. %PDF-1.3 28 0 obj /CropBox [0.0 0.0 595.32 841.92] Login / Register . /CropBox [0.0 0.0 595.32 841.92] Join here. /Contents 38 0 R Its an important part of creating a safe and positive environment in your organisation and keeping children safe. Make a note of what happened in as much detail as possible. Our Safeguarding awareness course will help adults recognise and respond to signs of abuse and neglect. FOIA But do you know what to do when faced with safeguarding issues? /Type /Annot Select a topic to find the most up to date, practical information and resources produced by our experts to support you in your professional life. /CS /DeviceRGB /Resources 92 0 R Make accurate and detailed notes about any concerns you have for a child and share these with your nominated child protection lead. In support of Health Visiting Week (#HVWeek), and with todays theme being around Safeguarding, a blog by one of our Fellows, Dr Catherine Powell,Safeguarding and Child Protection Consultant. If youre self-employed in England, Northern Ireland or Wales, you can: The Disclosure and Barring Service (DBS) provides information about criminal records checks in England and Wales (DBS 2020)1. endobj Every organisation that works with or comes into contact with children will have different needs for safeguarding and child protection. /CropBox [0.0 0.0 595.32 841.92] 8 0 obj /Rect [96 300.6 300.9 314.4] Prevention is, of course, key. Ensure there are enough adults to supervise the children involved in the event or trip. << To learn more about the types of cookies this website uses, see our Cookie Policy. << J Adv Nurs. /CropBox [0.0 0.0 595.32 841.92] Adults should sleep in separate, nearby facilities. Make sure they have someone to talk to and let them know they can contact Childline for free, confidential support at any time. Addressing children and young peoples needs early can help protect them from harm. Older guest Elsie lives in her own home but requires regular help and support, which is being provided by care givers. You can ensure groups are keeping children safe by: You will also need to set out procedures in case anything goes wrong, for example if a child gets lost and goes to the wrong room, or if someone notices a member of another group behaving inappropriately around children. What are Safeguarding Issues? A young chap in his 30s has recently moved in. This has the potential to be a safeguarding issue. /Kids [3 0 R 7 0 R 8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R /Parent 2 0 R Two volunteers at a local art group for children notice a father shouting at his 8-year-old daughter when he comes to collect her. << /CropBox [0.0 0.0 595.32 841.92] Ensure the young person knows they can stop the one-to-one contact at any time and make sure they know how to complain or get help if they need it. Because Aishas boyfriend drives a car you know that he is at least 17 years old, though you suspect hes older. << A local builder has offered to carry out maintenance checks and small repairs to a community centre on a voluntary basis. Guide to Alternative Milk: Food Safety, Nutritional Benefits & A Good Brew! /MediaBox [0.0 0.0 595.32 841.92] You also notice that although it is a very hot summer and Beth wore dresses a few weeks ago, she has recently been consistently wearing clothes that cover her whole body. /Resources 114 0 R /Filter /FlateDecode /Contents 50 0 R Below are a few scenarios to help you recognise the signs of abuse. /Tabs /S He doesnt want the girl to stop trusting him because he said something when she asked him not to. He lives with his wife and when he is in our tea parties his wife has an opportunity to go out and spend time with her friends. 19 0 obj /Annots [100 0 R 101 0 R 102 0 R 103 0 R] Children and young people who have been involved in sexting will need your help and support. /Resources 55 0 R Mr. Jones is one of your regular tea party guests and he has recently had a diagnosis of dementia. Health visitors' work in child protection is important, and part of a continuum of public health activity including universal preventative work, identifying and working with vulnerable children . Following are some possible types of abuse that the older people may have experienced in the above scenarios: Scenario 1: Cathy could be experiencing neglect, domestic abuse (controlling behaviour), psychological abuse (belittling, lack of confidence) and possibly financial abuse (not all the money is being spent on food). Bookshelf /Tabs /S 556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278 Her favourite article is Guide to Alternative Milk: Food Safety, Nutritional Benefits & A Good Brew! . Report the image to the site or network hosting it. You should have your own safeguarding and child protection policy and make sure you know what to do if you have a safeguarding concern. 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 You should also let parents know the itinerary. Introduction to safeguarding. 13 0 obj The small body of research evidence in this area is discussed, current policy drivers examined and obstacles to good safeguarding practice described. >> How to Create a Behaviour Support Plan: Free Template. You can then contact your coordinator or Re-engage contact (depending upon role) and together, That they have been abused or neglected before, That they are under stress due to poor income or housing poverty, That they are experiencing mental health issues, That they are in an environment where there is domestic abuse, That they are an older person who has care and support needs. Early Years. Reflective safeguarding training is the 'golden thread' that links together all aspects of keeping people safe in residential settings. Unauthorized use of these marks is strictly prohibited. /ParentTree 34 0 R Dont start to investigate or ask detailed or probing questions. /Contents 33 0 R This service offers free, confidential advice and support to anyone concerned about how safeguarding concerns are dealt with. The centre holds a range of activities for children and young people throughout the day. /StructParents 31 She says that when she tried to approach James to ask why he had suddenly broken off all contact with the group, he got very annoyed and angry. Download our introductory guide for help and advice. endobj For safeguarding training, resources and consultancy. [bTG;U cyMnRZ(AAh4 |l7 r|[ o +h%~]oKKEQE]QE]QE](,0(Qd0=(QdaFQd0=(,QEs0(QE]QE]QE]QE]QE]=wwg b6c P`ZQN(J*^OE;KC8 Rj(E}S&LJ\ These codes should be easily available to staff and volunteers, children and parents and carers. This is the case even if they are parents of some of the children in the group. In Scotland, you will need a Protecting Vulnerable Groups (PVG) check if you are undertaking regulated work. The small body of research evidence in this area is discussed, current policy drivers examined and obstacles to good safeguarding practice described. Betty is one of the older people attending the activity-based groups. endobj It is against the law for a person aged 18 or over to have any sexual contact with someone under 18 if the older person holds a position of trust. discuss with school nurse or health visitor parental mental health or substance abuse ability of the carers to parent [disability, physical or intellectual] . stream << This is coupled with the fact that Beth is standing out wearing what is considered winter uniform in hot temperatures when a few weeks before she was wearing summer dresses. /Type /Page 2 0 obj Keep a record of the fact you were alone with a child or young person, recording the reason you were alone and describing what happened. You must be able to identify the warning signs that could indicate a childs welfare is at risk. 2) If a child is seriously ill or injured. >> >> 2004 Sep;47(6):656-63. doi: 10.1111/j.1365-2648.2004.03154.x. This might include talking to the person involved and helping them change their behaviour, or making a child protection referral to the local authority. /Tabs /S /Parent 2 0 R The volunteers have heard that other parents are worried about the child and saying the father often appears to be quite angry. /OpenAction [3 0 R /XYZ null null 0] In all the scenarios action must be taken. The upstairs flat is regularly being rented out. /Type /Page In the letter, they acknowledged that there had been increases in safeguarding concerns, domestic abuse, child and maternal mental health problems as well as lost . Report your concerns to the DSL as soon as possible, as doing so may protect a child from serious harm. >> /Contents 74 0 R This needs to be both recognised and celebrated. endobj /Group 72 0 R Health visitors just weigh babies. A Buddhist organisation regularly runs nature days for children in the summer with a range of activities. Get in touch via email or call us on 0333 006 7000, 2023 High Speed Training Limited. Everyone in the organisation should sign them and understand the consequences for breaching the code. /Producer (BCL easyPDF 4.30 \(0408\)) /MediaBox [0.0 0.0 595.32 841.92] Record what the person tells you in their words avoiding paraphrasing. << >> /ModDate (D:20190501091805+01'00') You can access High Speed Trainings online courses, including Introduction to Safeguarding (Level 1), Advanced Safeguarding (Level 2) and Designated Safeguarding Lead (Level 3). /Tabs /S You should have procedures in place setting out how the organisation will respond to allegations against staff and volunteers. /Contents 41 0 R For the last couple of weeks, Beth has been much quieter and withdrawn. Tell them that the information will be treated seriously. Never promise a child or young person you will keep something confidential. Your organisation should have clear procedures in place that outline what staff and volunteers should do if they have any concerns about a childs safety and welfare, whether this comes from a child telling you something or noticing the signs of abuse or harm. << A wilderness skills group takes an annual camping trip with about 100 children aged 10-18, including two children with learning disabilities. > Read about supervision and adult to child ratios. Students accessing health visiting programmes must: Be a registered nurse or midwife. Recognising and sharing concerns quickly with the appropriate people is important. Anybody who might come into contact with children or young people should go through safer recruitment practices. /ModDate (D:20060405095936-07'00') /CropBox [0.0 0.0 595.32 841.92] /Group 39 0 R > Find out more about what level of child protection training your staff and volunteers need. If you hire out a space on your premises to other organisations you have a responsibility to make sure they are taking the right steps to keep children safe. > Read more about vetting, disclosure and barring checks. endobj The builder plans to drop in when he has time in his schedule so cant always give notice as to when he will be at the centre. >> /Annots [] becomes . /CreationDate (D:20060405095936-07'00') tearful . Membership of the iHV is open to anyone working in the area of health visiting. 10 0 obj Health visitors' work in child protection is important, and part of a continuum of public health activity including universal preventative work, identifying and working with vulnerable children and their families, and protecting children from abuse and neglect. > Find out more about how regularly staff and volunteers need to complete child protection training. We we are the fastest growing professional network for health visitors worldwide. /Contents 56 0 R There are several measures you should put in place when working alone with a child or young person to make sure you are both protected. . /Contents 47 0 R /Rotate 0 /CropBox [0.0 0.0 595.32 841.92] This should include courses with safeguarding training qualifications, depending on the level needed. National Library of Medicine Call us on 0116 234 7246 Make sure you know who the nominated child protection lead is in the organisation you are hiring from. /Length 1281 /Group 48 0 R This includes acting to prevent neglect, harm or abuse of these individuals. JFIF C ! /Parent 2 0 R Staff and volunteers should never add, follow or interact with children in their organisation on any personal social media accounts. Bethesda, MD 20894, Web Policies /StructParents 37 Safeguarding is a sensitive subject area and in the case of a disclosure conversation with a child or young person, you'll need to maintain control over your emotions. The boy tells his coach that he sent an explicit photo of himself to his 16-year-old boyfriend. /StructParents 8 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 You need to immediately refer the child to hospital and inform the children's social care team. Children and young people must be supported and their views and wishes considered. /Annots [30 0 R 31 0 R] /MediaBox [0.0 0.0 595.32 841.92] Even if a child asks you not to share what they have told you, you must report it if it means you are promoting their welfare. /Rect [239.6 49.3 355.8 63.1] When somebody works or volunteers with children you should follow safer recruitment practices. /Annots [107 0 R 108 0 R 109 0 R 110 0 R 111 0 R] Children who have experienced abuse need support. The childs age, ability and development stage and the location of the bathroom should be taken into consideration. /Type /StructTreeRoot Our range of over 180 online courses are fully accredited, trusted by more than 2 million learners and ideal for training you and your team. /Group 42 0 R Company Number (07869142) Registered Office: 7 Bell Yard, London, WC2A 2JR. /MediaBox [0.0 0.0 595.32 841.92] Our cookies are enabled by default, but you can turn them off by going into "Manage Cookies" and selecting "I do not consent". Examples of safeguarding issues include bullying, radicalisation, sexual exploitation, grooming, allegations against staff, incidents of self-harm, forced marriage, and FGM. Discover the professional benefits of becoming a member today! Criminal record checks when you apply for a role. /Group 120 0 R /Subtype /Link >> You can use the consent form to get emergency contact information and check any medical conditions, allergies, disabilities or other vulnerabilities of the children or young people. /Tabs /S You notice how he has recently become more vocal and has seemingly gained confidence in class. Make sure they know they have someone to talk to and tell them they can contact Childline at any time for help and support. The advice, support, signposting and information-giving that health visitors routinely provide to all new families will have an impact on reducing the risks to infants and young children. This paper briefly outlines health visitors' work with children and families, reiterating the profession's track record in safeguarding and protecting children work and discussing how important the health visitor role is and how eroded it has become. /Rotate 0 Registered charity in England and Wales (216401), Scotland (SC037717) and Jersey (384). But do assure them that the safeguarding team will work with them to support and seek their desired outcome. An official website of the United States government. >> $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? /Rotate 0 You should inform the child and their parents or carers before you start that you might not be able to keep information confidential if you need to take steps to protect them. Disclosure and Barring Service (DBS) (2020). /Rotate 0 Would you like email updates of new search results? Before Unable to load your collection due to an error, Unable to load your delegates due to an error. /Resources 52 0 R /Marked true Exploring the support mechanisms health visitors use in safeguarding and child protection practice. /Type /Page << /Group 32 0 R The technical storage or access that is used exclusively for statistical purposes. /Resources 76 0 R Get consent from a parent or carer if the child is under 16. >> /A 130 0 R You should also make sure you comply with the safeguarding policies and procedures of the organisation you are renting space from. > Find out how professionals use Gillick competency and Fraser guidelines to decide whether a child is mature enough to make decisions about things that affect them. /Resources 82 0 R If there is little or no benefit to the children from sharing information with the school then it would be inappropriate to do so without the mother's consent. /Count 23 Your duty to protect children extends beyond the education setting, such as at home. /CropBox [0.0 0.0 595.32 841.92] 25 0 obj Membership of the iHV is open to anyone working in the area of health visiting. .(ZTD8t{OI cO |ga gO ??i O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,Q 1 J4 O]4F+7C )4o %?Yvk cO 9e=;Kb?i G A? Sh`,QY4 OC )4r{XwF)? Others help us to improve your experience and to understand how people use the site. >> When going to the toilet, younger children should be supervised by an adult of the same gender who has had the appropriate checks. If you believe a child to be at risk of immediate danger, you must call the police on 999. /Group 105 0 R Any concern about someones behaviour with children and young people should be reported following your organisation's procedures. /Annots [] As part of the learning, and with an emphasis on practice improvement, participants in the programme deliberated key messages for health visiting practice arising from their analyses of contemporary serious case review reports. /Tabs /S /Height 185 15.1 Myth. /Annots [] James is a popular student and is part of a large friendship group. vBJuewr QqzUJu:_|C%3## ~'3z)NRJ{~>5{q$g2qHLW~&\bRDW1x>Cp}(biT|lJm_DZ)*0eP`0'8^N),RG+$myr"0 cq ^xGZ\.P@ aV)'rUIEq`x S-.MG@x" {FV A#r]inehfUR2zeF ()F]. Welcome to the Hub, the company blog from High Speed Training. Call us on 0808 800 5000 We need your consent to use marketing cookies. Try to find out a bit more about whats happened, including who sent the image and who has seen it. endobj << endobj It's best practice never to work with children under 16 without parental or carer consent. You must know how to respond to this type of information so that you can get the child the help they need. Theyre concerned this might be emotional abuse but they dont want to report it in case they have misunderstood due to the language barrier. He lives in his own home and has a good pension to live comfortably. /XObject << /Tabs /S > Find out more about safeguarding children who come from Black, Asian or minoritised communities. Although hes a very kind person and helps her with gardening and carrying her shopping from her car to her flat, or pops in for a coffee and chat, he regularly asks for money. and transmitted securely. endobj Some of the groups are open to the public and operate on a drop-in basis, so they dont know in advance who is attending. eCollection 2015. 2008 Apr;20(3):14-7. doi: 10.7748/paed2008.04.20.3.14.c6515. Every year around 700,000 babies are born in the UK and it is essential that each and every one has the best chance of a healthy and productive life. > Read more about the role of the nominated child protection lead, > Listen to our podcast about nominated child protection leads, > Find out about the safeguarding roles and responsibilities of school staff. The definition of safeguarding provided in statutory guidance embraces our core values of prevention, provision of safe and effective care, and in enabling all children to have the best possible outcomes. /Resources 37 0 R 15.2 Fact. See our **Parenting Through Coronavirus (COVID-19)** page for useful links and resources to maintain the health and wellbeing of all families. >> Safeguarding means protecting people's human rights, health and general wellbeing. If you are working one-to-one with someone under 18 you need to have clear safeguarding and child protection policies and procedures to ensure both of you are protected. /Annots [] /Annots [] They spend a lot of time worrying about the things they are now not seeing and therefore not picking up - perhaps a safeguarding issue or a child who has a developmental delay. % /StructTreeRoot 4 0 R 8 0 obj The offer of early help is essential to ensure issues are addressed in /Rotate 0 /Tabs /S This includes unsupervised activities such as providing advice and guidance on wellbeing. > Find out more about protecting children from online abuse, > See our example online safety policy and agreement. Information for childcare providers and schools, Safeguarding and welfare for childcare providers, Free childcare places for eligible two year olds, Training and development for Childcare providers and Schools, Early Years Welfare and Child Protection Review, Safeguarding and Welfare guidance and templates, Early Education Funding and the Provider Portal. endobj Provide as much detail as possible, including dates. 9 0 obj The Imam is pleased that the helper is getting young people more engaged but he has heard some of the children talk about her Facebook page and saying that she has messaged them privately and commented on their posts. We are the fastest growing professional network for health visitors. You may find it helpful to add these scenarios to your bank of safeguarding training resources. If youre carrying out certain types of work with children you need to undergo criminal records checks. In this article, we're going to go through three examples of safeguarding scenarios, looking at three different types of abuse, neglect or harm, which are the main issues safeguarding is designed to prevent. Child protection and public health: nurses' responsibilities. The notion of working together reflects an open and honest relationship with parents, as well as the partnership with other professionals and agencies that are involved in keeping children safe and well. And the iHV supports health visitors to do just that! Listen to what the person is saying and reassure them that you believe them and at Re-engage we take this seriously. Munro is part of a drive to improve the effectiveness of safeguarding/ child protection systems . His children are all living far away in other countries but regularly keep in touch with him. official website and that any information you provide is encrypted We all have a responsibility to protect children from harm. /CropBox [0.0 0.0 595.32 841.92] /StructParents 13 Concerns should only be shared with the nominated leads and not spread more widely. endobj To learn more about the types of cookies this website uses, see our Cookie Policy. /Resources 67 0 R Safeguarding and child protection are core activities of health visiting and health visitors are well-placed to undertake this role. She used to have them every afternoon with a cup of tea. /StructParents 21 Author: Publisher: ISBN: Category : Hygiene Languages : en > Learn more about managing allegations of abuse, > Learn more about preventing abuse by someone in a position of trust or authority. xU8^JTzH J&{Z^6|HhjR:oU:8}KjD#. /CreationDate (D:20210318003917Z') Your training should have taught you to recognise the potential warning signs of all safeguarding concerns. The iHV has subsequently published the top twenty messages as Practice Guidance[1]. /Parent 2 0 R Although you have not directly heard James making these types of comments yourself, you must take Jennys claim seriously. > Learn more about sharing information and consent, > Learn more about assessing a childs competency to give consent. The coach of a community football club notices that a 15-year-old is unhappy and asks what has happened. /Contents 126 0 R the behaviour and abilities of your group, what the child said or did that gave you cause for concern (if the child made a verbal disclosure, write down their exact words). There is a growing body of evidence that links childhood adversity, including maltreatment, with poor health and wellbeing across the lifespan. HHS Vulnerability Disclosure, Help You should check that any groups using your venue have followed safer recruitment procedures. endobj In fact, since her niece took the responsibility of doing the weekly shopping, she barely has enough food at home, and she feels hungry most of the time. /Type /Annot /Tabs /S /CropBox [0.0 0.0 595.32 841.92] The service offers 4 levels of support depending on need, 5 universal reviews at key points in a child's life and 6 high impact areas where health visitors make the biggest difference. /Annots [86 0 R 87 0 R 88 0 R 89 0 R] > Learn more about writing child protection policies and procedures, > View our introductory child protection courses, > Find out more about child protection training requirements for your organisation. Your organisation should have an anti-bullying policy which sets out how you will respond to incidents of bullying. << The most important thing to remember is to report any suspicions you have, even if you arent certain. /Group 51 0 R Child welfare and well-being is a priority and fast responses and early intervention are critical to outcomes. Behavioural concerns have been raised in the past. << /Type /Page << /Resources 106 0 R Other excellent resources include: Safeguarding Children and Young People: Roles and Competencies for Healthcare Staff (2019) Safeguarding adults means everyone working together to prevent abuse and neglect, while taking into account each person's views, wishes, feelings and beliefs. This could include checking the people in your organisation are safe to work with children, and putting rules in place to make sure children are properly supervised by the groups that use your venue. /MediaBox [0.0 0.0 595.32 841.92] The safeguarding and protection of children is core feature of health visitors' work within this progressive universal model (Department of Health, 2012). For safeguarding training, resources and consultancy >> 32 0 obj Cathy shared that she pays for the weekly shopping and is happy to do that. You need to assess the risks of the service youre providing and make sure that you have appropriate measures in place to work safely and responsibly. /Font 128 0 R /StructParents 15 /Subtype /Link To be aware of the safeguarding knowledge and skills expected of health visitors To learn how experiential theatrical techniques can enhance learning for health visitors To generate ideas for your own theatrical learning scenarios The person you report to will decide how best to respond.

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safeguarding scenarios for health visitors

safeguarding scenarios for health visitors