This paper discusses child abuse in England. The bruises on Clara's upper arms are indicative of something serious (HMO 2001) that the health visitor, if she, indeed, has been seeing her for two and a half years, should have noted or anticipated. The account given is so scanty that the general information can hardly be gleaned. The other family members should have been asked or accounted for, even if the health visitor does not know the family very well. The barest family statistics could still have been obtained. Once the information is obtained, then a treatment plan must be made to determine the best methods to keep the child in the home if possible.
