Title:
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Safeguarding children in primary care : an exploration of general practitioner and health visitor understanding and role
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Safeguarding is one way the United Kingdom Government fulfils its commitment to keep children
safe in the spirit of the United Nations Convention on the Rights of the Child (1989). Safeguarding
includes a wide range of preventive activities including child protection (Devaney & Spratt, 2008).
With primary care health professionals having issues identifying and reporting child protection
concerns to social services, plus a paucity of safeguarding research studies (Cowley.et aI, 2013),
and the relationship between safeguarding and child protection never being defined (Hall &
Williams, 2008), this thesis explores understanding of the term 'safeguarding children' and the
safeguarding role of two professions considered vital to safeguarding children: General
Practitioners and Health Visitors (HM Government, 2013). With public health approaches
increasingly advocated to address child maltreatment (for example, CDC, 2006) the thesis
discusses the implications of findings for safeguarding children, policy and practice within a public
health approach in Northern Ireland. With a pragmatic worldview the study used a sequential
exploratory design. Phase one of the study used the focus group method; phase two used the mixed
mode survey method. Overall results illustrate different professional understandings of
safeguarding and difficulties identifying a range of safeguarding concerns. While results indicate
some support for the promise of a public health approach many requirements remain outstanding
if children are to be safeguarded and protected in the way aspired to by Northern Ireland's current
safeguarding policy.
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