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Child-protection medical assessments: the need for a uniform service model
  1. Samiran Ray1,
  2. Verina Costolli2,
  3. Meng Tan3
  1. 1Paediatric Intensive Care, Great Ormond Street Hospital for Sick Children, London, UK
  2. 2Department of Paediatrics, Newham University Hospital, London, UK
  3. 3Child Health Department, Newham Primary Care Trust, London, UK
  1. Correspondence to Dr Samiran Ray, Paediatric Intensive Care Unit, Great Ormond Street Hospital for Sick Children, London WC1N 3JH, UK; samiranray{at}

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Recent high-profile child-protection failings in Haringey, Birmingham and Doncaster, and the subsequent investigation from Lord Laming, have highlighted the need for close interagency collaboration in safeguarding of children.12 This is amply evident from the original article from Kirk et al.3 The authors showed that 67% of the medical assessments of children with alleged physical abuse revealed findings diagnostic or supportive of the allegations. Notably, however, all child-protection referrals were screened through the process of an interagency referral discussion. This resulted in only 19% of all referrals to proceed to a medical assessment.

We conducted a similar service evaluation …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.