Safeguarding is the single highest-stakes professionalism domain in UK medicine. It sits at the intersection of clinical care, the law, ethics, and patient safety — and it is one of the most heavily weighted areas in the MSRA SJT.

In this comprehensive deep dive, you will learn the exact UK-legal, GMC-aligned safeguarding framework that allows you to act rapidly, lawfully, and defensibly when the pressure is at its highest.

This episode brings together:
✅ The GMC duty to act on suspicion, not proof
✅ Children Act 1989 thresholds — Section 17 vs Section 47
✅ Care Act 2014 Section 42 for adult safeguarding
✅ The five-step universal safeguarding pathway
✅ How to override confidentiality lawfully and safely
✅ What “minimum necessary information” really means
✅ Making Safeguarding Personal (MSP) and adult autonomy
✅ The six safeguarding principles under the Care Act
✅ High-risk red flags including non-fatal strangulation
✅ Correct use of MASH, LADO, MARAC & Adult Social Care
✅ How to create court-safe documentation with verbatim quotes
✅ The most dangerous MSRA SJT safeguarding traps

You will also master:
• The SAFE HOME domestic abuseDA mnemonic
• The DORS referral-route framework
• The four core safeguard patterns the SJT repeatedly tests

This episode is essential for:
• MSRA SJT candidates
• Foundation Doctors & GP Trainees
• Emergency, GP, Paediatric & Community clinicians
• Any doctor responsible for safeguarding in the NHS

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

00:00 — Why safeguarding is the highest-stakes MSRA SJT topic
01:42 — High-tension disclosure scenario: child begging for secrecy
02:21 — The single core safeguarding rule
03:13 — GMC duty to disclose for safety
04:13 — Acting on suspicion, not proof
05:22 — Lawful information sharing & minimum necessary rule
06:25 — Child safeguarding law: Children Act 1989
06:49 — Section 47: significant harm threshold
07:04 — Section 17: child in need & cumulative harm
08:03 — When S17 escalates into S47
09:02 — Adult safeguarding: Care Act 2014 Section 42
09:48 — The six Care Act safeguarding principles
10:23 — Making Safeguarding Personal (MSP) in practice
10:59 — Capacity vs protection in adult cases
11:26 — The universal five-step safeguarding pathway
11:42 — Step 1: Immediate safety & 999 triggers
12:48 — Non-fatal strangulation as a homicide predictor
13:26 — Step 2: See alone, assess, explain confidentiality limits
15:01 — Step 3: Senior escalation & same-day statutory referral
16:13 — MASH, LADO, MARAC & Adult Social Care pathways
16:59 — Step 4: Lawful and secure information sharing
17:40 — Step 5: Court-safe documentation & planning
18:13 — SAFE HOME mnemonic for domestic abuse
19:04 — DORS framework for referral routes
19:53 — Pattern 1: Bruising in pre-mobile infant
21:11 — Pattern 2: Allegation against a professional (LADO)
22:03 — Pattern 3: High-risk domestic abuse
23:10 — Pattern 4: Adult self-neglect & hoarding
24:05 — The five most dangerous safeguarding traps
24:58 — Three absolute safeguarding rules for the MSRA
25:22 — Final professional take-home message