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- Hey, Kate. - Hello, Sarah.
- Can I grab a quick word? - Yes, go ahead.
I've got some concerns about a child called Kimberley Miller.
She lives on the local estate and her parents are called Darren and Claire.
I was just wondering if we could have a talk about some of the concerns.
Yes, sure. Do you want to give me some of the details?
She's 12 months old. Her birth weight's okay.
She's only just about sitting up and finding it difficult to stand.
Her dad's saying she's started to crawl but I've yet to see it.
Okay, so tell me more about the concerns that you've got.
Aside from the physical delays, she doesn't seem to be interacting well.
Every time I've been round she's really placid.
I've even called round at different times
to try and monitor her sleep patterns and something funny is going on
because when I've asked the parents where is she,
they always say she's sleeping.
- Are all the records up to date? - Yes, they are up to date.
I always like making sure that files are kept in order
just in case somebody else has a look at it.
Are all her immunisations up to date?
Yes, they are.
But that's only because I've made repeat appointments
and I've really had to put pressure on them to attend any of the clinics.
- But they are done now? - Yes, and another thing...
When I've gone to visit Claire at the family home,
I've noticed bruises on her arms and when I've asked her about it,
she looks very embarrassed.
Another thing when I visited the family home
when Darren is present in particular,
she looks very nervous and very tense.
I can't say for sure
but I think there's some domestic violence going on
and I believe it's affecting mum and baby.
But without Claire actually telling you so,
don't you think you might be making two and two add together
- to make five? - Yes, but...
Look, it's our job to make sure Kimberley's health needs are met
and from what you're telling me,
although she's a bit of a late developer,
there's nothing of massive concern.
Yes, I take your point.
What you need to do is you need to make sure
that all the records are up to date,
make sure they come to all their immunisations and assessments
and if they don't, let me know.
You can give them some of those leaflets that we've got,
you know that healthy eating and that sort of thing.
And maybe the parents could come to one of the groups
that we're running here at the health centre.
I don't suppose they'd come, though, would they?
Unlikely.
There's not much more we can do. Just keep an eye on her.
If things deteriorate, let me know.