Abstract
Abstract All practitioners in the health service have clearly described roles and responsibilities with regard to the protection of children from harm and the improvement of their welfare. This article will focus on the parts played by the two tiers of leading clinical responsibility. These posts are required by statutory guidance and their expertise is thereby available across the health economy, and influential within child safeguarding partnerships. Nearly all failures of child safeguarding involve failures of communication between partners. The health service is the largest and most complex institution for colleagues in social care, the police and education to deal with. It also has a language and culture that is well established and that is growing and developing all the time. It is vital that this hurdle to communication is not forgotten, and for health practitioners of all standards to bear that in mind when communicating with partners.
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