Child Safeguarding 101 Feedback Form

Name(Required)

First Last

Email(Required)

Professional Registration Number

Date Viewed(Required)

Please select whether you are a:(Required)

Doctor with GMC number

Midwife with NMC Pin

Nurse with NMC Pin

Paramedic with HCPC registration

Dentist with GDC number

Other

Where did you hear about this course?(Required)

FFLM Website

FFLM Member's Bulletin

Social Media

Other

I enjoyed the webinar(Required)

I would recommend this webinar to my colleagues(Required)

Please provide detail

What could be done to improve the talk?

What other subjects/topics would you find beneficial for future webinars?

What did you like about the webinar?

List three things you learned or appreciated afresh from the talk?

One(Required)

Two(Required)

Three(Required)

Please list one thing you might do differently as a result of this webinar(Required)

How does this relate to the GMC Domains

Please select one or more domains from Good Medical Practice

Domain 1: Knowledge, skills and development

Domain 2: Patients, partnership and communication

Domain 3: Colleagues, culture and safety

Domain 4: Trust and professionalism

How is this relevant to the Code?

Select one or more themes from the NMC code

Prioritise people

Practise effectively

Preserve safety

Promote professionalism & trust

How does this relate to the HCPC Standards?

Please select one or more of the Standards

How does this relate to the GDC Principles?

Please select one or more of the 9 Principles

Put patient's interests first

Communicate effectively with patients

Obtain valid consent

Maintain and protect patients' information

Have a clear and effective complaints procedure

Work with colleagues in a way that is in patients' best interests

Maintain, develop and work within your professional knowledge and skills

Raise concerns if patients are at risk

Make sure your personal behaviour maintains patients' confidence in you and the dental profession

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