In safeguarding, choosing the wrong referral route — or delaying by even hours — can place patients at serious risk and expose you to major professional consequences. Yet confusion around MASH, LADO, MARAC and MAPPA remains one of the most common causes of MSRA SJT errors.

This episode gives you a clear, operational, exam-safe framework to instantly identify the correct multi-agency “door”, share information lawfully, and document defensibly under pressure.

You’ll master:
✅ Why multi-agency safeguarding exists (no single service ever has the full picture)
✅ The concept of organisational memory and why ad-hoc emails always lose marks
✅ MASH as the single front door for new child safeguarding concerns
✅ LADO for any allegation against a professional in a position of trust
✅ The one-working-day rule for notifying LADO
✅ MARAC for high-risk domestic abuse only
✅ The role of the DASH risk assessment in triggering MARAC
✅ MAPPA for managing violent and sexual offenders in the community
✅ When clinicians contribute information rather than lead MAPPA
✅ The FIRST–NEXT–LAST escalation sequence
✅ The DOORS mnemonic for flawless high-scoring actions
✅ Lawful breach of confidentiality to prevent serious harm
✅ Common exam traps that cause automatic mark loss
✅ High-yield model phrases that demonstrate senior-level understanding

This episode is essential for:
• MSRA SJT candidates
• Foundation Doctors and GP Trainees
• Emergency, medical and paediatric clinicians
• Anyone responsible for raising safeguarding concerns in the NHS

📎 More MSRA resources to accompany this episode:
https://passthemsra.com

00:00 — Scenario: witnessing inappropriate behaviour by a colleague
01:25 — The single safeguarding takeaway: right door, lawful sharing, documentation
02:06 — Why multi-agency safeguarding exists
02:48 — Organisational memory & formal escalation
03:38 — The four safeguarding “doors” framework
03:48 — MASH: the front door for new child safeguarding concerns
04:29 — LADO: allegations against professionals in positions of trust
05:06 — The one-working-day LADO notification rule
05:19 — MARAC: high-risk domestic abuse only
05:35 — DASH risk assessment as the MARAC trigger
06:06 — MAPPA: managing violent & sexual offenders
06:40 — The FIRST–NEXT–LAST safeguarding sequence
07:32 — The DOORS mnemonic (Determine, Obtain, Offer, Refer, Summarise)
08:02 — Lawful information sharing & documentation protection
09:01 — Mixed-risk scenario: adult DA + children — which door first?
09:39 — High-risk exam traps that lose marks instantly
10:29 — Model phrases for MARAC and LADO referrals
11:09 — The three golden safeguarding rules
12:10 — Why documentation is often the most critical safeguard