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Pre-birth Safeguarding

When supporting prospective parents through antenatal care, professionals should be alert to any concerns regarding parents' capacity to care for their baby. Where any concerns arise, professionals must take action. Midwives complete a Midwifery Safeguarding Assessment which may result in an Early Help Assessment Plan or a referral to the Integrated Referral Hub. Other professionals, or anyone with concerns, can also make a referral to the Integrated Referral Hub

Like any safeguarding concern, referrals regarding pre-birth concerns should be made without delay. The earlier the assessment, the more opportunity to build positive relationships with parents and offer effective support and guidance ahead of the birth. 

Download the flowcharts below to aid decision-making. 

Resources & Support

Direction Decision Chance Opportunity In

Multi-agency Pre-birth Safeguarding Flowchart

Use this flowchart to understand the referral process and to aid your decision-making when supporting expectant families.


Named Midwife, Safeguarding

For more information and support at King's College Hospital NHS Foundation Trust, please contact Cheri Barry, Named Midwife, Safeguarding

Baby's Clutch

Local Learning Review: Baby N

Download and reflect on the learning from our Local Review of the partnership's response to Baby N.

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Pre-birth Assessment  Flowchart

This flowchart is for midwifery teams at Guy's & St Thomas' and King's College Hospitals. It aims to support midwives in carrying out pre-birth assessments. 

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Children's Social Care

For more support from Children's Social Care, please contact Ismenia Ribeiro, Team Manager from the Child & Family Assessment Team


Named Midwife, Safeguarding Children

For more information and support at Guy's & St Thomas' NHS Foundation Trust, please contact Bernadette Gibbings, Named Midwife, Safeguarding Children

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Non-accidental injury in babies

Download the national Child Safeguarding Practice Review Panel's review of safeguarding children under 1 from non-accidental injury caused by male carers. September 2021. 

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