October 2017: Since publication of this guideline, NICE has produced a guideline on child abuse and neglect. Recommendations relevant to both health and social care practitioners appear in this guideline and the child abuse and neglect guideline. Clinical features (including physical injuries) are covered in this guideline. Recommendations 1.3.2, 1.3.3, 1.3.4, 1.3.10, 1.3.12, 1.4.1, 1.4.2, 1.4.3, 1.4.4, 1.4.5, 1.4.12, 1.4.13, 1.5.1, 1.5.2, 1.5.3, 1.5.4 and 1.5.5 have had minor edits in line with NICE's child abuse and neglect guideline. Recommendation 1.3.6 has had a link added to the NICE guideline on faltering growth. Recommendation 1.4.8 has been updated with information on Prader–Willi syndrome.
February 2016: The guideline title has been changed to 'Child maltreatment: when to suspect maltreatment in under 18s'.
January 2014: Recommendation 1.2.1 footnote 6 has been further amended to ensure it accurately reflects Crown Prosecution Service guidance.
Recommendation 1.2.2 has been clarified by adding a footnote reflecting Crown Prosecution Service guidance.
This guidance was update in December 2009 to correct a factual inaccuracy in recommendation 1.2.13.
The following recommendation was changed from:
Consider child maltreatment if a child has poor school attendance that the parents or carers know about that has no justification on health, including mental health, grounds and formally approved home education is not being provided.
Consider child maltreatment if a child has poor school attendance that the parents or carers know about that has no justification on health, including mental health, grounds and home education is not being provided.
Minor change since publication
July 2019: Definition of multi-agency safeguarding arrangements added and section 4 of 'Using this guidance' amended to include arrangements. Recommendations 1.1.18 and 1.1.19 updated to reflect wording used in Royal College of Paediatrics and Child Health purple book.