Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK
Objectives To determine any change in referral patterns and outcomes in children (0–18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years.Design Retrospective observational study, analysing routinely collected clinical data from CPME r...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e042867.full |
| _version_ | 1826896015992553472 |
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| author | Julie Taylor Nutmeg Hallett Malcolm Price Joanna Garstang Geoff Debelle Indu Anand Jane Armstrong Emily Botcher Helen Chaplin Clare Morgans Ern Ern Henna Tan Emily Tudor |
| author_facet | Julie Taylor Nutmeg Hallett Malcolm Price Joanna Garstang Geoff Debelle Indu Anand Jane Armstrong Emily Botcher Helen Chaplin Clare Morgans Ern Ern Henna Tan Emily Tudor |
| author_sort | Julie Taylor |
| collection | DOAJ |
| description | Objectives To determine any change in referral patterns and outcomes in children (0–18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years.Design Retrospective observational study, analysing routinely collected clinical data from CPME reports in a rapid response to the pandemic lockdown.Setting Birmingham Community Healthcare NHS Trust, which provides all routine CPME for Birmingham, England, population 1.1 million including 288 000 children.Participants Children aged under 18 years attending CPME during an 18-week period from late February to late June during the years 2018–2020.Main outcome measures Numbers of referrals, source of disclosure and outcomes from CPME.Results There were 78 CPME referrals in 2018, 75 in 2019 and 47 in 2020, this was a 39.7% (95% CI 12.4% to 59.0%) reduction in referrals from 2018 to 2020, and a 37.3% (95% CI 8.6% to 57.4%) reduction from 2019 to 2020. There were fewer CPME referrals initiated by school staff in 2020, 12 (26%) compared with 36 (47%) and 38 (52%) in 2018 and 2019, respectively. In all years 75.9% of children were known to social care prior to CPME, and 94% of CPME concluded that there were significant safeguarding concerns.Conclusions School closure due to COVID-19 may have harmed children as child abuse has remained hidden. There needs to be either mandatory attendance at schools in future or viable alternatives found. There may be a significant increase in safeguarding referrals when schools fully reopen as children disclose the abuse they have experienced at home. |
| first_indexed | 2024-12-22T12:51:40Z |
| format | Article |
| id | doaj.art-63780b12f2de45c78049c9142bb8f932 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-02-17T05:45:48Z |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-63780b12f2de45c78049c9142bb8f9322025-01-08T05:05:09ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-042867Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UKJulie Taylor0Nutmeg Hallett1Malcolm Price2Joanna Garstang3Geoff Debelle4Indu Anand5Jane Armstrong6Emily Botcher7Helen Chaplin8Clare Morgans9Ern Ern Henna Tan10Emily Tudor11School of Nursing and Midwifery, University of Birmingham, Birmingham, UKSchool of Nursing and Midwifery, University of Birmingham, Birmingham, UKCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK6Birmingham Community Healthcare Trust, Birmingham, UK; University of Birmingham, UK1 General Paediatrics, Birmingham Women`s and Children`s NHS Foundation Trust, Birmingham, UKBirmingham Community Healthcare NHS Trust, Birmingham, UKBirmingham Community Healthcare NHS Trust, Birmingham, UKBirmingham Community Healthcare NHS Trust, Birmingham, UKBirmingham Community Healthcare NHS Trust, Birmingham, UKBirmingham Community Healthcare NHS Trust, Birmingham, UKBirmingham Community Healthcare NHS Trust, Birmingham, UKBirmingham Community Healthcare NHS Trust, Birmingham, UKObjectives To determine any change in referral patterns and outcomes in children (0–18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years.Design Retrospective observational study, analysing routinely collected clinical data from CPME reports in a rapid response to the pandemic lockdown.Setting Birmingham Community Healthcare NHS Trust, which provides all routine CPME for Birmingham, England, population 1.1 million including 288 000 children.Participants Children aged under 18 years attending CPME during an 18-week period from late February to late June during the years 2018–2020.Main outcome measures Numbers of referrals, source of disclosure and outcomes from CPME.Results There were 78 CPME referrals in 2018, 75 in 2019 and 47 in 2020, this was a 39.7% (95% CI 12.4% to 59.0%) reduction in referrals from 2018 to 2020, and a 37.3% (95% CI 8.6% to 57.4%) reduction from 2019 to 2020. There were fewer CPME referrals initiated by school staff in 2020, 12 (26%) compared with 36 (47%) and 38 (52%) in 2018 and 2019, respectively. In all years 75.9% of children were known to social care prior to CPME, and 94% of CPME concluded that there were significant safeguarding concerns.Conclusions School closure due to COVID-19 may have harmed children as child abuse has remained hidden. There needs to be either mandatory attendance at schools in future or viable alternatives found. There may be a significant increase in safeguarding referrals when schools fully reopen as children disclose the abuse they have experienced at home.https://bmjopen.bmj.com/content/10/9/e042867.full |
| spellingShingle | Julie Taylor Nutmeg Hallett Malcolm Price Joanna Garstang Geoff Debelle Indu Anand Jane Armstrong Emily Botcher Helen Chaplin Clare Morgans Ern Ern Henna Tan Emily Tudor Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK BMJ Open |
| title | Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK |
| title_full | Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK |
| title_fullStr | Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK |
| title_full_unstemmed | Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK |
| title_short | Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK |
| title_sort | effect of covid 19 lockdown on child protection medical assessments a retrospective observational study in birmingham uk |
| url | https://bmjopen.bmj.com/content/10/9/e042867.full |
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