Where there are concerns that a child is suffering or at risk of suffering significant harm a referral should be made to the local authority children’s social care.
Local authorities have a duty to make enquiries under section 47 of the Children Act 1989 if they have reasonable cause to suspect that a child is suffering, or is likely to suffer, significant harm, to enable them to decide whether they should take any action to safeguard and promote the child’s welfare.
Within one working day of a referral being received, a local authority social worker should make a decision about the type of response that is required and acknowledge receipt to the referrer.
For children who are in need of immediate protection, action must be 
taken by the social worker, or the police or NSPCC if removal is 
required, as soon as possible after the referral has been made to local 
authority children’s social care.
Provides advice, support and monitoring of child safeguarding policy 
and practice within each GP practice. This person will link with their 
local named GP (see below).
Named professionals have a key role in promoting good professional 
practice within their organisation, providing advice and expertise for 
fellow professionals, and ensuring safeguarding training is in place 
within a local CCG area. This is mainly within healthcare but will also 
include advice on health matters related to safeguarding practice to 
police, children’s social services and other statutory and voluntary 
agencies. This person will link closely with GP practice leads and 
support the work of the local safeguarding children board including 
engaging health colleagues with learning lessons from local serious case
 reviews.
The term designated doctor or nurse denotes professionals with 
specific roles and responsibilities for safeguarding children, including
 the provision of strategic advice and guidance to organisational boards
 across the health community (including the local safeguarding children 
board) and the provision of leadership and support to the local named 
GPs and the named professionals in hospital and community trusts. 
In England all Clinical Commissioning Groups are required to have a 
designated doctor and designated nurse. To contact your Local Medical Committee (LMC) team click here.