Safeguarding Children for Clinical Pharmacy Staff (Level 3)

UK Level 3 safeguarding children training for clinical pharmacy professionals

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Child Development, the Voice of the Child, Trauma-Informed and Anti-Racist Practice

Four children lying on grass looking at a phone

Children show harm, fear or unmet need in different ways.

The following factors can change how safeguarding concerns present and how adults interpret them:

  • Age
  • Development
  • Trauma
  • Communication style
  • Culture
  • Racism
  • Disability
  • Wider inequality

Level 3 practice is safer when clinicians consider what they observe alongside a child's age, developmental stage, experiences and any unequal treatment they may face.

A baby may show concern through injuries, growth, feeding or interactions with carers. An older child may show concern through fragments of speech, behaviour, silence or fear around particular adults.

Development also shapes what can reasonably be expected of a child. Even older adolescents need reliable adult care, supervision and medicine support, so avoid explanations that place too much responsibility on the child.

The Voice of the Child

Keeping the child's voice central means more than waiting for a clear disclosure. Notice words, silence, body language, hesitation and what changes when another person enters or leaves the room.

Good practice includes offering safe opportunities to speak, recording the child's words accurately, and adapting communication rather than letting an adult account dominate by default.

Trauma-Informed and Anti-Racist Practice

Trauma-informed practice recognises that fear, abuse, discrimination or instability can make a child appear angry, flat, avoidant or over-compliant. These responses may be adaptations, not signs that the child's account lacks credibility.

Anti-racist and equality-aware practice means avoiding assumptions about race, culture, accent, faith, migration history or family background that could distort judgements about vulnerability or risk. Use interpreters when needed and do not dismiss concerns as merely cultural difference.

Safeguarding practice is safer when clinicians interpret behaviour and risk through development, trauma, and lived experience, while actively resisting bias that could distort the child's voice or the meaning of the concern.

Scenario

You are a clinical pharmacist reviewing a 14-year-old boy with sickle cell disease after repeated urgent-care attendances for pain and missed outpatient follow-up. His aunt answers most questions, calls him "dramatic" and says he is "old enough to manage himself." She becomes impatient when you ask about regular medicines and whether he feels safe discussing things openly.

When you speak to him briefly on his own, he shrugs and says he does not like coming to hospital because people think he is exaggerating. He then says he often misses medicines because adults at home argue, nobody notices when he is running low, and he tries to stay out of the way when things get tense. He asks you not to make things worse.

What Level 3 safeguarding points should this make you think about?

 

Ask Dr. Aiden


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