Areas of good practice
Type of safeguarding concern (child, adult or both) clearly identified.
100%
Category of concern documented (physical, sexual, emotional, neglect, financial, domestic abuse, exploitation, self-neglect, mental-health-related or other).
100%
Safeguarding concern clearly documented in the clinical record.
96.7%
Multidisciplinary discussion / safeguarding huddle documented.
90%
Priority gaps
Discharge safety plan documented where relevant. (target ≥ 90%)
53.3%
Communication with GP / community teams / school nurse / health visitor documented. (target ≥ 85%)
60%
Making Safeguarding Personal principles applied (adult). (target ≥ 90%)
64.7%
Household / dependants / siblings considered and documented where relevant. (target ≥ 90%)
66.7%
Consent and information sharing discussed and documented. (target ≥ 90%)
68.3%
Information-sharing rationale documented (Caldicott / vital interests). (target ≥ 90%)
68.3%
Concern documented within the locally agreed timeframe of identification. (target ≥ 95%)
70%
Outcome of safeguarding action documented and closed out. (target ≥ 90%)
70%
Mental Capacity Assessment completed where relevant (adult). (target ≥ 90%)
70.6%
Capacity documented with rationale where MCA required. (target ≥ 90%)
70.6%
Notification documented with time, date and named person. (target ≥ 90%)
71.7%
Referral documented with reference number or acknowledgement. (target ≥ 90%)
72.5%
Child Protection Plan / Child in Need status checked (child). (target ≥ 90%)
73.3%
Physical findings documented objectively (body maps where appropriate). (target ≥ 90%)
78.3%
Immediate safety plan documented where risk identified. (target ≥ 95%)
80%
Chronology of events documented factually and objectively. (target ≥ 90%)
81.7%
Follow-up / reassessment plan documented. (target ≥ 90%)
81.7%
Patient / child voice documented in their own words where possible. (target ≥ 90%)
83.3%
Named safeguarding lead / named doctor / named nurse notified. (target ≥ 95%)
83.3%
Risk assessment completed and documented. (target ≥ 95%)
85%
External referral to Local Authority / MASH made where indicated. (target ≥ 95%)
91.7%
Any escalation or safety concern actioned appropriately and in a timely manner. (target ≥ 100%)
91.7%
User commentary
Editable interpretation for reports and governance meetings.
Governance & safety implications
Any immediate safeguarding, child protection, adult at risk, domestic abuse, exploitation or serious harm concern identified during this audit must be escalated through the named safeguarding professional and statutory pathways in real time. This tool does not replace local escalation processes.