Competences and training

In Wales, The National Safeguarding Team (NHS Wales) is part of Public Health Wales comprising of designated nurses, doctors and a GP lead. They support the seven health boards (HBs) and three NHS trusts in Wales.

Public Health Wales has an internal safeguarding team, as do all the other HBs and trusts, which include lead safeguarding professionals. The HBs and Velindre NHS Trust also have named doctors. In Wales LSCBs have becone the six regional safeguarding children boards (There are also currently six regional adult safeguarding boards and in some areas there are plans to merge to become adult and children boards). 

Levels of Training Required:

  • Level 1: All staff working in healthcare services
  • Level 2: All non-clinical  and clinical staff who have any contact (however small) with children, young people and/or parents/carers or any adult who may pose a risk to children
  • Level 3: Clinical staff working with children, young people and/or their parents/carers and/or any adult who could pose a risk to children and who could potentially contribute to assessing, planning, intervening and/or evaluating the needs of a child or young person and/or parenting capacity (regardless of whether there have been previously identified child protection/safeguarding concerns or not)
  • Level 4: Specialist Roles - Named professionals
  • Level 5: Specialist Roles - Designated professionals

children 4

All people working in the NHS are required to meet competences at level 1 and most doctors are required to achieve level 2 or 3. The ICD has a comprehensive list of what level is required for specific roles.

Level 3 is split into those professionals required to meet core competences and those who are also required to meet specialist knowledge and skills. This is explained more fully in the document.

All of the ICD levels have been updated recently and are different to the levels that have previously been used.


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