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Mbeledogu et al1 demonstrate a reduction in unintentional poisonings in children in England, yet highlight the protracted social disparities among these children. This resonates with our exploration of over 20 000 paediatric safety incidents from primary care in England and Wales where the ‘Inverse Care Law’ features prominently.2 These reports include: looked-after children, immigrants, travellers, parents with addiction problems and those belonging to other disadvantaged groups. Data mining identified over 500 reports involving these groups and 33 reports involving homeless children or families. Such a reporting system has not previously been used to assess unsafe care in socially deprived groups.
Thematic analysis of free-text in reports involving homeless children was undertaken and five overarching failures were identified (see table 1). Some disclosure failures resulted in …
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