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Guidance on good practice
List of ethical guidance
Protecting children and young people
Confidentiality and sharing information
Sharing information where you are concerned that a child or young person is at risk of, or is suffering, abuse or neglect
Sharing information where you are concerned that a child or young person is at risk of, or is suffering, abuse or neglect
32. You must tell an appropriate agency, such as your local authority children’s services, the NSPCC or the police, promptly if you are concerned that a child or young person is at risk of, or is suffering, abuse or neglect unless it is not in their best interests to do so (see
paragraphs 39 and 40
). You do not need to be certain that the child or young person is at risk of significant harm to take this step. If a child or young person is at risk of, or is suffering, abuse or neglect, the possible consequences of not sharing relevant information will, in the overwhelming majority of cases, outweigh any harm that sharing your concerns with an appropriate agency might cause.
33. When telling an appropriate agency about your concerns, you should provide information about both of the following:
a. the identities of the child or young person, their parents and any other person who may pose a risk to them
b. the reasons for your concerns, including information about the child’s or young person’s health, and any relevant information about their parents or carers.
34. You should ask for consent before sharing confidential information unless there is a compelling reason for not doing so. For example, because:
a. delay in sharing relevant information with an appropriate person or authority would increase the risk of harm to the child or young person
b. asking for consent may increase the risk of harm to the child, young person, you or anyone else.
35. You should ask the child or young person for consent if they have the capacity to give it. If not, you should ask a person with parental responsibility. You should also ask for consent from any adults you want to share information about. When asking for consent, you should explain why you want to share information and how it will benefit the child or young person. You should also explain all of the following:
a. what information you will share
b. who you will share it with
c. how the information will be used
d. where they can go for independent advice and support (see
Sources of independent advice and support for parents and families
for examples of organisations).
The principles of confidentiality
Sharing information without consent
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The Review of Good Medical Practice
Good Medical Practice
List of ethical guidance
Protecting children and young people
Contents
About this guidance
Principles for protecting children and young people
Identifying children and young people at risk of, or suffering, abuse or neglect
Communication and support
Working in partnership
Confidentiality and sharing information
The principles of confidentiality
Sharing information where you are concerned that a child or young person is at risk of, or is suffering, abuse or neglect
Sharing information without consent
Delay in sharing information
Following up your concerns
Minor concerns that might be part of a wider picture
Responding to requests for information
Sharing information in the healthcare team or with others providing care
Keeping records
Child protection examinations
Training and development
Doctors giving evidence in court
Appendix 1 - Assessing the capacity of a child or young person
Appendix 2 - Assessing best interests
Definitions of children, young people and parents
Other sources of information and guidance
References
Case studies
0-18 years
Accountability in Multi-disciplinary and Multi-Agency Mental Health Teams
Taking up and ending appointments
Making and using visual and audio recordings of patients
Confidentiality
Conflicts of interest
Consent guidance
End of life care
Maintaining boundaries
Research guidance
Leadership and management for all doctors (2012)
Personal beliefs and medical practice
Good practice in prescribing medicines (2008)
Good practice in prescribing and managing medicines and devices (2013)
Raising and acting on concerns about patient safety (2012)
Writing references (2012)
Reporting criminal and regulatory proceedings within and outside the UK
Duties of a doctor
Remote prescribing via telephone, fax, video-link or online
Interactive case studies
Learning materials
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A-Z of ethical guidance
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