This guideline covers the signs of possible child maltreatment in children and young people aged under 18 years. It aims to raise awareness and help health professionals who are not child protection specialists to identify the features of physical, sexual and emotional abuse, neglect and fabricated or induced illness.
NICE has is also producing a guideline on child abuse and neglect.
This guideline includes recommendations on:
- physical features
- clinical presentations
- neglect by failure of provision and failure of supervision
- emotional and behavioural states and behavioural disorders or abnormalities
- parent–child interaction
Who is it for?
- Healthcare professionals
NICE has also produced information for the public on this topic.
Is this guideline up to date?
We checked this guideline in February 2014. We identified no majorstudies that will affect the recommendations in the next 3–5 years.
Next review: To be scheduled
Guideline development process
This guideline was previously called when to suspect child maltreatment.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.