What it covers
What safeguarding children means in a GP practice, who counts as a child, and why the child's welfare comes first. The signs of physical, emotional and sexual abuse and neglect, children who are not brought to appointments, and harm from outside the home, online, domestic abuse, FGM and forced marriage. What to do the same day when a child tells you something, who to tell, how to write it down, and when information is shared without a parent's consent.
Who it is for
Everyone in a GP practice, including volunteers. The RCGP places reception and administration at Level 1; the intercollegiate document and the CQC expect Level 2 where the role brings any contact with children or parents. Follow your practice policy.
By the end you will be able to
- Say what safeguarding children means, who counts as a child, and where your part ends.
- Recognise signs of physical, emotional and sexual abuse and neglect, including children not brought.
- Recognise exploitation, online harm, domestic abuse, FGM and forced marriage as harm to children.
- Know which children face greater risk, and how parents' problems can affect a child.
- Respond when a child tells you something, act the same day, and record their words.
- Know when information is shared without consent, how to escalate, and the laws behind it.
Modules
- Your part in keeping children safe
- Recognising abuse and neglect
- Harm outside the home and online
- When a child tells you
- Sharing, escalating and speaking up
Reception managers, care navigators, HCAs and practice managers need Level 2; GPs, nurses and pharmacists need Level 3.
Content mapped to the learning outcomes of the Core Skills Training Framework (England) v1.1: Safeguarding Children, Level 1. Law named: Children Act 1989 and Children Act 2004; Working Together to Safeguard Children 2026.
Sources
- Core Skills Training Framework (England) Statutory/Mandatory Subject Guide v1.1, June 2021 (Skills for Health), Safeguarding Children (Version 3): Key Learning Outcomes, Level 1, and refresher every 3 years (archived copy)
- Intercollegiate document (November 2025) Safeguarding children and young people and children and young people in care: competencies for health care staff, Level 1 job roles (administrative staff and receptionists may span levels 1 and 2) and competencies (RCPCH hosted)
- Intercollegiate document (November 2025), Level 2 competencies: job roles, including reception staff (RCPCH hosted)
- Safeguarding Children and Young People: Roles and Competencies for Healthcare Staff, Intercollegiate Document, fourth edition, January 2019 (archived copy, Level 1 section and footnote on GP reception and practice managers)
- Level 1 safeguarding training and standards, RCGP safeguarding standards for general practice: reception, administrative and secretarial staff and volunteers, with their managers at Level 2 (Royal College of General Practitioners, 1 October 2024)
- Level 2 safeguarding training and standards, RCGP safeguarding standards for general practice: practice managers, care navigators, reception managers and HCAs (Royal College of General Practitioners, 1 October 2024)
- Level 3 safeguarding training and standards, RCGP safeguarding standards for general practice: GPs, practice nurses, pharmacists and other clinical roles (Royal College of General Practitioners, 1 October 2024)
- GP mythbuster 33: Safeguarding children (Care Quality Commission, updated 25 April 2024)
- Working together to safeguard children 2026: a guide to multi-agency working (Department for Education, March 2026; replaces the 2023 edition): definitions, paragraphs 12 to 14, 19, 29 to 33, information sharing myths, paragraphs 163 to 165, 259, 272 to 280 and the glossary
- Working together to safeguard children 2026: summary of changes (Department for Education, 18 March 2026)
- Information sharing duty: statutory guidance for safeguarding organisations and their practitioners, section 16LA Children Act 2004, in force from 30 September 2026; paragraphs 4 to 13, limitation: detriment to the child; who the guidance applies to, including GPs (Department for Education, updated 10 September 2026)
- Children Act 2004, section 16LA: duty to share information, including subsection (3), the detriment exception, and subsection (7), no breach of confidence (inserted by the Children's Wellbeing and Schools Act 2026)
- What to do if you're worried a child is being abused: advice for practitioners (HM Government, March 2015)
- Child maltreatment: when to suspect maltreatment in under 18s, NICE clinical guideline CG89, recommendations 1.1.1 to 1.1.6, 1.2.1 (pregnancy under 13) and 1.3.10 to 1.3.12 (last updated 3 December 2025)
- Children in need, reporting year 2025: children on child protection plans at 31 March 2025 by initial category of abuse, neglect 50% and emotional abuse 37% (Department for Education, published 30 October 2025)
- Children Act 1989, section 1: welfare of the child
- Children Act 1989, section 17: children in need
- Children Act 1989, section 31(9): meaning of harm
- Children Act 1989, section 46: police protection
- Children Act 1989, section 47: local authority's duty to investigate
- Children Act 1989, section 105: interpretation (child, relative)
- Children Act 2004, section 11: arrangements to safeguard and promote welfare
- Children and Social Work Act 2017, section 16: local arrangements for safeguarding (safeguarding partners, Children Act 2004 section 16E)
- Sexual Offences Act 2003, section 5: rape of a child under 13 (consent irrelevant)
- Sexual Offences Act 2003, section 9: sexual activity with a child (under 16, or under 13 with no reasonable belief defence)
- Protection of Children Act 1978, section 1: indecent photographs of children
- Criminal Justice Act 1988, section 160: possession of indecent photograph of child
- Domestic Abuse Act 2021, section 3: children as victims of domestic abuse
- Female Genital Mutilation Act 2003, section 5B: duty to notify police
- Mandatory reporting of female genital mutilation: procedural information (Home Office)
- Multi-agency statutory guidance on female genital mutilation: risk and indicator annex (Home Office)
- Anti-social Behaviour, Crime and Policing Act 2014, section 121: offence of forced marriage, including subsection (3A), any conduct to cause a child to marry
- Forced marriage guidance (Foreign, Commonwealth and Development Office and Home Office, updated 7 March 2023)
- Multi-agency statutory guidance for dealing with forced marriage and practice guidelines ('one chance' rule)
- Children Act 1989: private fostering, statutory guidance paragraph 2.6 (Department for Education and Skills, 2005)
- Children Act 1989, section 66: privately fostered children (under 16, or 18 if disabled; 28 days or more, or intended)
- 0-18 years guidance: principles of confidentiality (General Medical Council)
- 0-18 years guidance: sexual activity, sharing information about under-13s and abusive relationships (General Medical Council)
- Modern slavery: how to identify and support victims, statutory guidance, Annex A indicators of child victims (Home Office)
- Prevent duty guidance: England and Wales (Home Office)
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, regulation 13: safeguarding service users from abuse and improper treatment
- Care Quality Commission (Registration) Regulations 2009, regulation 18(2)(e): notification of abuse or allegation of abuse in relation to a service user
- ACT Early: spot the signs (Counter Terrorism Policing)
- Childline (NSPCC)
- NSPCC Helpline
- Whistleblowing for employees (GOV.UK)
- Report a concern if you are a member of staff (Care Quality Commission, updated 9 June 2023)
GPAtlas is not accredited, verified or endorsed by Skills for Health or NHS England. Acceptance of this training is at the discretion of your employer, who remains responsible for confirming it meets local requirements. Your employer may require more frequent refreshers than the guidance period; the practice's own policy applies. Some pictures and films in our courses, and the film narration, are made with AI tools. We check every one for accuracy before we publish it.