Safeguarding, sexual assault and child sexual abuse including sexual exploitation

Abstract

It is the statutory duty of all healthcare professionals to safeguard vulnerable adults and children from harm. Sexual assault and abuse affect many people, and signs of historical, current and potential abuse have varied presentations in clinical settings. Appropriate management requires collaborative working with multidisciplinary teams to provide a holistic, trauma-informed approach, considering both the physical and psychological needs of patients. It is important to understand the law relating to sexual activity in children and young people, and be able to assess whether individuals have the mental capacity to consent to sexual activity. Vigilance for the subtle signs of child sexual exploitation or those at risk is vital, and should trigger safeguarding procedures when concerns are raised.