Safeguarding Children and Adults at Risk Level 2 for Dental Nurses (Level 2)

Recognising abuse and neglect, responding to disclosures, using safeguarding routes, recording concerns, sharing information, and speaking up in dental practice

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Safeguarding Level 2 and the Dental Nurse Role

Hands surrounding wooden people figures

Level 2 safeguarding focuses on recognising possible harm and knowing how to respond. It does not require a dental nurse to prove abuse, investigate a family, or manage a complex case alone.

In dental settings concerns can be subtle: a child who is unusually fearful, an adult who cannot speak for themselves, a carer answering every question, a patient who repeatedly misses urgent care, or a receptionist hearing a worrying remark. Your role is to notice, take the concern seriously, record accurately, and refer it to the appropriate person or service.

Safeguarding includes children and young people under 18, and adults who may be at risk because of care or support needs, disability, age, illness, mental health, coercion, dependence, or circumstances that reduce their ability to protect themselves. Older terms such as "vulnerable adult" still appear in some guidance; "adult at risk" is generally the preferred term.

  • Look for patterns as well as single worrying incidents.
  • Know your practice safeguarding lead and deputy route.
  • Follow local safeguarding procedures rather than relying on informal judgement.
  • Act immediately if someone is in immediate danger.
  • Ask for advice if you are unsure.

A safeguarding concern does not need to be proved before it is shared through the proper route.

NHS Safeguarding

Video: 14m 28s · Creator: NHSECKCS. YouTube Standard Licence.

This NHS safeguarding video shows how concerns about children and adults can emerge from small details rather than direct disclosure. It covers professional curiosity, waiting-room observations, unexplained injuries, neglect, abuse, and the need to share concerns with the correct safeguarding route. For dental nurses, observations from reception, chairside support, and patient contact help build the wider safeguarding picture.

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Scenario

A dental nurse covering reception hears an adult sharply tell a child, "If you say anything in there, you know what will happen." The child is quiet in the surgery and avoids eye contact. No injury is visible.

What should the dental nurse do?

 

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