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Many children and young people do not receive the care, nurture, and protection that they need and deserve from adults in their household or wider community. They may suffer abuse or neglect, collectively termed maltreatment, or they are vulnerable due to their difficult circumstances at home.Based on self- and parent-reports, between 4–10% of children and young people 80% of which is attributable to parents or parent-figures.1,2 Far greater numbers of children can be considered ‘vulnerable’, living in very difficult household circumstances or with compromised parenting. Household surveys in England suggest more than one in five children live with an adult who misuses drugs or alcohol or who has a mental health problem.3We recently published a report that challenged policy makers’ perceptions about the role that general practice can play in the safeguarding of these children, young people, and their families.4 The findings from this overview of policy, practice, and research were positive: GPs in the UK already know about many maltreated and vulnerable children and young people, and we found examples of a range of GP responses to these children and their families. A better model of child safeguarding across general practice needs two things: While we do not have accurate estimates of the numbers of maltreated and vulnerable children identified by general practice each year in the UK, we do have evidence about how often these concerns are recorded. In a sample of almost 77 000 children, 0.8% had …

Child maltreatment: time to rethink the role of general practice