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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7308 p79
17 July 2004

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Guidance for managing child abuse does not exist

Currently, no professional guidelines exist for pharmacists to help them manage cases of suspected child abuse, although the Royal Pharmaceutical Society may decide to develop some.

Leaders in pharmacy education are also looking at whether training programmes around the issue should be developed following the inquiry report in January last year into the death of eight-year-old Victoria Climbie, which highlighted serious failings in all the main child protection services.

Some community pharmacists are already given advice by their primary care trust about how to identify abuse and what steps to take if their suspicions are aroused. This is given as part of their training in offering emergency hormonal contraception.

Head of practice at the Society Sue Kilby said: “We are aware that the Society is getting queries from pharmacists asking for advice about how to manage the issue of child abuse and I think it is something we ought to be looking at.”

The lack of any official guidance was highlighted to The Journal by Steve Brown, pharmaceutical adviser at Avon, Gloucestershire and Wiltshire Strategic Health Authority. He realised the absence after the StHA was pulling together professional advice for allied health professionals in light of the Climbie inquiry.

Mr Brown said: “So far as I am aware nothing at all exists for pharmacists. My concern is that with the introduction of supplementary prescribing, suspected child abuse could become more of an issue for community pharmacists because of their closer contact with patients.”

He said he was aware that the Centre for Pharmacy Postgraduate Education is currently considering the need for an education programme for dealing with child abuse. The Scottish equivalent, the Scottish Centre for Post Qualification Pharmaceutical Education, said it would consider designing a training programme if the need was identified by pharmaceutical advisers.

Assistant director Arlene Brailey said: “I think if we were given guidance by the professional body [Royal Pharmaceutical Society] or some of the chief pharmaceutical advisers to raise awareness of child abuse then we would address the issue.”

A National Pharmaceutical Association spokeswoman said that the NPA would take concerns raised by community pharmacists seriously and do all it could to help. She drew attention to Department of Health advice (HSC2003/7) published in May 2003 that offers child protection guidance for health and social care professionals.

The circular called, “What to do if you are worried about a child being abused”, advises any health professional to refer any concerns to social services and to follow up any worries they have in writing to social services within 48-hours of the original referral.

The Society said that any pharmacist who is worried that a patient or customer was the subject of child abuse should contact their local area child protection committee.

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