Dan Poulter: some boys are 'clumsy' but others have been abused Medics will also be urged to consider whether children who repeatedly return to accident and emergency may be victims of neglect or physical abuse, especially if they have bruising, scratches and burn marks. "Most people who take their child to an A&E will take their child to the same A&E. Boys are clumsy, boisterous, they can get knocked over and have a number of injuries sometimes," he told BBC News. Staff at the moment make a judgement on those attendances. But we're dealing with some parents who potentially can behave in a very devious manner. Dr Poulter medical professionals would still require training in detecting abuse because "devious" parents often take children to different hospitals to evade detection. "All staff who work in these care settings are routinely trained," he said. "Variations in standards of training are being addressed by professional bodies for medical and social services "to make sure that the training is improved." All children who visit hospital casualty departments or out-of-hours GPs will be run through a national database to spot signs of abuse by "devious parents."