Safeguarding Children for GP Receptionists and Care Navigators (Level 2)

Level 2 child safeguarding for first contact, families, disclosures, recording and escalation in general practice

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Responding to disclosures from children, parents or carers

GP receptionist speaking with two children at desk

A disclosure can be direct, partial or accidental. A child may make a brief remark at the desk. A young person might ask for help but refuse to give details on the phone. A parent, sibling, friend or professional may share a concern about a child. The safest response is to listen calmly, avoid promising confidentiality, record facts accurately and escalate without delay.

People often test whether it is safe to say more. They may downplay what they said, laugh it off or ask you not to tell anyone. A calm, non-judgemental response helps the person feel heard without turning the reception interaction into an investigation.

Dealing with a direct disclosure | Safeguarding information for tutors

Video: 1m 46s · Creator: NSPCC Learning. YouTube Standard Licence.

This NSPCC Learning video shows how to respond when a child or young person tells an adult about abuse or another serious worry. It stresses careful listening, recognising the trust involved, and making clear that support is available.

Do not promise that everything will be fine, and do not promise confidentiality. Use open questions, reassure the child that they did the right thing in telling you, state that abuse is never the child's fault, and take what is said seriously.

Record the information accurately and report it to the nominated child protection lead, local child protection services or the NSPCC as appropriate. Prompt action matters because a delayed or poor response can discourage the child from seeking help again and may harm trust in adults.

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Safe first response

  • Listen and acknowledge: use calm wording such as, "I am glad you told me" or "I need to get the right person to help."
  • Do not promise secrecy: explain that you may need to tell someone who can help keep them safe.
  • Do not ask leading questions: avoid suggesting answers or pressing for details.
  • Check immediate danger only if needed: use the local process and escalate urgent risk immediately.
  • Protect privacy: avoid discussing the disclosure at the open desk or in front of the person who may be part of the concern.

What not to do

Do not ask a child to repeat the disclosure to multiple staff members. Do not challenge the alleged abuser. Do not tell the child that everything will definitely be fine. Do not ask the child why they did not say something sooner. These responses can increase distress, contaminate information or create further risk.

When an adult returns or interrupts

If a child or young person says something worrying and an adult returns, keep calm. Do not repeat the disclosure in front of them. Use a neutral explanation if needed and escalate discreetly. The safeguarding lead or clinician can decide the safest next step.

Scenario

A child at the desk says, "Mum's boyfriend hurts me when she is out." The adult returns from the toilet and asks what the child said.

What should you do?

If a child tells you something worrying, your job is to hear it safely and pass it on, not to investigate it.

 

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