The unseen child and safeguarding: 'Did not attend' guidelines in the NHS

Archives of Disease in Childhood
L AraiHelen Roberts

Abstract

Organisations in England's National Health Service (NHS) are required to have 'did not attend' (DNA) guidelines to help deal with the 'unseen child'. To map DNA and associated guidelines in paediatric services, examine differences in safeguarding response and advice in the guidelines and explore the experience of guideline users. A mapping approach was used to locate current DNA guidelines on English NHS organisations' websites. Analysis of the guidelines was supplemented with qualitative data from those who produce, monitor or use them. Fewer than 8% of English NHS organisations had up-to-date guidelines in the public domain, though a further 41% stated that they had a DNA/similar policy in place or had an out-of-date guideline on their website. Advice to healthcare providers about the steps to take when a child DNAs fell into five categories: reflection and review; direct interaction with the family; indirect interaction with the family; liaison with internal colleagues; and external referral. Interviews with eight individuals led to the identification of four themes. The management of information flows was central to the effective management of DNA. Respondents also reported seeking support and advice from others. While all ...Continue Reading

References

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Oct 19, 2013·Child: Care, Health and Development·L AraiH Roberts
Mar 4, 2014·Social Science & Medicine·Trisha GreenhalghDeborah Swinglehurst

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Citations

May 7, 2016·Archives of Disease in Childhood·Jane AppletonLindsey Coombes
Oct 4, 2016·Archives of Disease in Childhood·Annie Theodore, Vengudi Sankar
Jun 21, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Lydia Rm FrenchJulian Hamilton-Shield
Jan 23, 2019·Journal of Public Health·Jenny WoodmanRuth Gilbert
Nov 13, 2019·Journal of Paediatrics and Child Health·Carey-Ann Christie-JohnstonHarriet Hiscock
Sep 23, 2019·European Child & Adolescent Psychiatry·Julian Edbrooke-ChildsAndy Whale
Sep 2, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jeremy Gibson, Jenny Evennett

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