Lightning Learning: Non-Accidental Injury

““Safeguarding and promoting the welfare of children is the responsibility of EVERY member of staff in the NHS.””

— advice is based on local guidelines & procedures

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STOP!

Why is it important to consider NAI in paediatric patients?

It is estimated that 1 in 14 children in the UK have been physically abused (NSPCC).

It is the responsibility of EVERY member of NHS staff to safeguard and promote the welfare of children…

1. Recognise the signs of abuse

2. Respond using the traffic light system (see “LEARN” section)*

3. Refer to the appropriate speciality or service

4. Responsibility to act on all concerns

LOOK

Suspect implausible, inadequate or inconsistent explanations

Inspect physical features of injury, such as:

• Shape & pattern of bruising, bites, lacerations, thermal injury

• Age and quantity of fracture(s)

Escalate to the most senior staff in your area. This will likely be the Doctor/Nurse in Charge + paediatric team

Consider:

• Intracranial injury without accidental major trauma

• Retinal haemorrhage

• Genital infections/injury, pregnancy

• Consider your local safeguarding protocols/team

LEARN

• NICE: Child Maltreatment – When to Suspect Maltreatment in Under 18’s
• UHL: Safeguarding Children Policy – Traffic Light System (local)
• NSPCC: National Society for the Prevention of Cruelty to Children
• RCPCH: Child Protection Portal