A British Medical Journal Journal article (below) points out the confusion in doctors duties regarding child protection. In Britain the welfare of the child is place highly only when a decision is governed by the Children Act statute, which has created an atmosphere of increased complaints against paediatricians. Doctors may be avoiding work related to abuse because of this.
As a guardian ad Litem in the U.S., I often found the medical professionals unresponsive to the violence and dysfunction responsible for the condition of the child before them.
In the U.S. there is an organization trying to change that; The Academy on Violence and Abuse, www.avahealth.org is working diligently to better educate the medical profession about the signs of abuse and how to respond effectively.