St John the Baptist Church

Safeguarding Report - Confidential

This form is to be used to submit safeguarding reports for St John the Baptist Church, Clarendon Park, relating to children and/or vulnerable persons.

Details of the St Johns Safeguarding leads can be found here.

If you wish to speak to the Diocesan Safeguarding Team, or to someone outside the church, their contact details are available here.

If you have concerns about the immediate safety of someone please don’t delay in ringing the Police  on 999 or Children or Adult Services:

  • Leicester City Children and Adults Services (incl. out of hours for Children’s Services) – 0116 454 1004
  • Leicester City and Leicestershire Adult Services out of hours – 0116 255 1606
  • Leicestershire Children’s Service (incl. out of hours) – 0116 305 0005
  • Leicestershire Adult Services (daytime) – 0116 305 0004

Once completed this form is kept strictly confidential and is only normally available to the Vicar and Parish Safeguarding officer. Where necessary it may be made available to other agencies/authorities, Diocese safeguarding officers & other staff/clergy. This will only be the case where required.


Details of Person Completing this Form

You will receive a confirmation of your submission via email

In case we need to contact you about this report


Details of the person affected

If known, this should be completed

If known

If known, this should be completed


Details of the incident

Please use this section to describe the incident in as much detail as possible using only facts.

Please include dates, times and locations of any meetings where this information was disclosed.

Please include dates & times where applicable, if this has happened over more than one occasion, please detail this.

Please include dates, times & locations of when this was first reported to you/how you first became aware of this. If this is something you have directly witnessed, please state that.

Please include as many facts as possible about what has happened, please don't include opinions.

Please include details of who you have referred this to, such as the diocesan safeguarding advisor, vicar, social services or police etc.

Please include names addresses and telephone numbers where relevant.

Please detail anything else that you believe to be helpful or important.


Declaration

I have completed this form and provided information that is factual and does not contain my own views or opinions on the matter.