Justice For Families

NICE draft consultation "When to suspect child maltreatment"

http://www.bmj.com/cgi/content/extract/ ... 27_2/a2279

Published BMJ 28 October 2008, doi:10.1136/bmj.a2279

Letters
Patterns of skeletal fractures in child abuse
"Unexplained" fractures

(The first 150 words of the full text of this article are available to those who do not have access to full BMJ material.)

James R Le Fanu, general practitioner 1, Rosemary Neary 2, Denise Bartlett 2

1 Mawbey Brough Health Centre, London SW8 2UD, 2 Eaton Foundation, Wisbech, Cambs PE14 8TP


BMJ Rapid Responses to this letter are available in full at:

http://www.bmj.com/cgi/eletters/337/oct27_2/a2279

includes this response in relation to NICE Guideline draft consultation

When to suspect child maltreatment 17 December 2008

Theo Fenton,
Consultant Paediatrician
Mayday University Hospital, Croydon
Send response to journal:
Re: When to suspect child maltreatment

Yesterday, the National Institute for Health & Clinical Excellence (NICE) posted draft guidelines "When to suspect child maltreatment" on it website (see here). They are out for consultation until 10 February. The Guideline Development Group members agree that "A prospective comparative study of fractures in physical abuse, conditions leading to bone fragility and those resulting from accidental trauma to encompass a study of metaphyseal fractures specifically is needed because the existing evidence base does not fully account for differential diagnosis of fractures in the infant and toddler age group" (page 47 of the full guideline, and page 29 of the NICE guidline).

Competing interests: None declared

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URL for NICE draft guideline consultation:

http://www.nice.org.uk/guidance/index.j ... er&o=42741


Suzy

How can we check out if an expert really does have a degree in MMB to practise I ask simply because; I would not want to be on a table with the expert witness operating in surgical after the report I got.

Some of these Psychiatrists have got a degree in surgery , imagine if they ever come out of Expert witness and go back as locums in hospitals. There will be trail of carnage in the hospitals like that in the closed courts.
As we all know from past experience ,you do not have a disease or medical problem you have hypochodria or stomatoise disorder.
Lighter label of MSBP .
After being psychiatrically abused for court in North Harrow by a Dr Claire Sturge ,who has moved to South harrow now just for the record. Alexander Social + Health Centre.

This EW said I did not have ...... I was rushed in after a consultation at the hospital.My GP did not refer me when he should have done. I listened carefully to the consultant. Instead he writes prior to my arrival to a specialist she has a stomatoise disorder rubber stamped for all the multi-agency professionals to see.
With a past history of chronic Ulcerative Colitis this is not helpful.
I had urgent surgery within the week on the findings the reason stated was quality of life.

People do not fall for this in closed court.