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Working in safeguarding: the consultant paediatrician

Consultant paediatrician Andrew Rowland talks to Erin Dean about his passion for protecting the rights of children Manchester based consultant paediatrician Andrew Rowland specialises in child protection, an area he would never have imagined working in as a young doctor. “I was recycling my student notes recently,” he says. “There were ring binders full of paper, and I found only two pages of notes on safeguarding. We just weren’t really taught about child protection, refugee health, or the needs of looked after children.” Doctors need to be aware of the often hidden difficulties that their patients may face, says Rowland, who works for Manchester University NHS Foundation Trust and Manchester Local Care Organisation. “All doctors will care for someone at some point who has been a refugee or who has been abused,” Rowland says. They need to consider this in the care they give. Rowland has a portfolio career. One of his roles sees him working in the community, undertaki

Inside the patient and family activated critical care hotline that s a model for Martha s rule

Campaigners have called for the Royal Berkshire’s Call 4 Concern system to be used as the basis for guaranteeing a patient’s right to a second opinion. Erin Dean meets the doctors, nurses, and patients involved in its implementation, as well as its founder On every bedside locker at the Royal Berkshire Hospital is a sticker bearing a phone number for the Call 4 Concern service. This information, also on banners and posters around the corridors of the Reading hospital, urges patients or family members to call for help if they are worried about a patient’s changing condition. One call triggers an independent clinical review. Call 4 Concern launched at the Royal Berkshire in 2009. The service is available around the clock seven days a week and is provided by the nurses on the critical care outreach (CCO) team. Other hospitals have since implemented this or similar approaches. Soon, the notices, which advise relatives first to speak to a ward nurse or doctor before calling, could

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