Right Services, Right Time: Meeting Children’s Needs
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MASH
Birmingham
Multi-Agency
Safeguarding
Hub
Right Services, Right Time: Meeting Children’s Needs
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Roadshow 15th July 2014
Agenda
Welcome
Introduction- Garry Billing
MASH Safe System and Process- Howard Woolfenden
Family Support and Safeguarding Hubs- Karen Pearson
Q and A
Feedback
Right Services, Right Time: Meeting Children’s Needs
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Introduction
Garry Billing
Assistant Director, Safeguarding
People Directorate
Birmingham City Council
Right Services, Right Time: Meeting Children’s Needs
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MASH- It’s Simple
Partners M EET and share info together
They will A SSESS the Risks
They will S IGN up to Action
Make it H APPEN Now
Right Services, Right Time: Meeting Children’s Needs
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It’s About
We’ve got to all stick together
Children count on us to be there for them
Reassure them
Drive that open road, leave the past
behind us
We need to Reach for the stars on behalf
of children!
Right Services, Right Time: Meeting Children’s Needs
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Video Presentation
Right Services, Right Time: Meeting Children’s Needs
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Birmingham MASH
Multi Agency Safeguarding Hub
Howard Woolfenden
Assistant Director, Integrated Services & Care
Right Services, Right Time: Meeting Children’s Needs
MASH – A New Front Door
• One Front Door Service – Providing Multi-Agency
Screening Teams for referrals to Social Care and to
Early Help Services
• Increased capacity with dedicated focus on Domestic
Abuse and CSE
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Concept
•
•
•
•
Sharing more information.
Undertaking Early Risk Assessment
A ‘whole family’ approach to safeguarding
Enhanced data sharing and analysis to join up the
information available about a family to support
and/or intervene to protect the vulnerable
• Creating a confidential environment where
proportionality necessity & justification allow
information to be released to operational staff
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What Munro Said
• Social Care are overwhelmed searching through
referrals, their ability to provide effective help to the
most serious cases is reduced
• Co-ordination of services is important to maximise
efficiency
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What Ofsted Said
•
•
•
•
Unsafe
No professional relationship
Delay due to information gathering
Threshold and identification of risk
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Essential Elements
•
•
•
•
•
•
Information Sharing
Confidential Environment
Escalation Process
De-escalation process
Trust & Confidence
Professional Judgement/Consensus
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MASH Connectivity – Right
Services Right Time
• The key determination in this is that MASH is there to
respond to ALL Additional Needs and Complex/Significant
Needs as described in ‘Right Services Right Time’.
• If MASH is to provide a consistent and professional response
to children with these needs it is imperative all concerns are
screened through the MASH.
• If after screening and information sharing the risks are deescalated, the MASH will refer on to Hubs.
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Right Services, Right Time: Meeting Children’s Needs
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Right Services, Right Time: Meeting Children’s Needs
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Case Studies
Case Study 1
Police officers attend a house where they find a four-year old child.
RED
AMBER
GREEN
The child is dirty and unkempt, still wearing nappies. There is little or no food
in the house, animal faeces on the floor and plug sockets that are not safely
wired in. There is clear evidence of a considerable amount of alcohol being
drunk and/or the parent/carer is under the influence
The child is dirty and dressed in clothes too small for them. They appear to
have delayed speech and have no bed clothes on their bed. There are
several records of domestic violence incidents between parents/carers and
calls to the police
The child is dirty and dressed in old clothes. They appear to have delayed
speech and a limited number of toys. There are no other concerns apart
from parents are going through a divorce
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Case Studies
Case Study 2
John joined year 7 and made a good start, settling in well into his Tutor Group and
quickly forming a cohesive friendship group. Towards the middle of the Autumn Term
John starts to exhibit more concerning behaviours; arriving late, answering staff back,
truanting some lessons, and spending more time alone.
RED
AMBER
GREEN
John’s attendance is not improving, and his behaviour deteriorates further.
He is involved in a number of fights with other pupils, and the school is made
aware that the Police have been on call out to the property due to a
domestic violence incident. John makes a disclosure to his Mentor at school
that his father has been drinking heavily over the past weeks, and becomes
violent towards his mother when drunk.
The school is aware of escalating anti-social behaviour, police concerns and
housing issues. John often comes to school in dirty clothes, and appears
alienated from his friends. The school and other partners try to work with
the family, but the parents withdraw consent for CAF approach.
The Home School Liaison Officer meets with the family and it is clear that
other family members are becoming increasingly stressed, however they
consent to work with professionals.
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Case Studies
Case Study 3
A health visitor visits mother at home for a primary visit. The mother has 3 older children and
a baby who is 10 days old. Mother appears tired and very anxious. Baby is dressed
appropriately however the room appears cold.
RED
AMBER
GREEN
The baby is not gaining weight, nappies are not changed regularly and the
child is not achieving their milestones. There are various adults in the
property. The mother is in a lot of debt and is about to be evicted. The
mother is not accessing the GP for her medication. Older siblings are
unkempt and often appear hungry. No lunch or snacks are provided in
school.
The older siblings within the family are not attending school regularly. The
baby has not gained weight. There is a lot of clutter in the home and the
children appear unkempt. Mother is struggling to cope.
The mother consents to support from the health visitor, offering an
Edinburgh Postnatal Depression Scale (EPDS) discussion, and arranging a
further home visit to see the baby and offer support to the mother. Health
Visitor could discuss findings with the GP or midwife.
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Case Studies
Case Study 4
A 6yr old child is referred to early help as she was not attending her out patient appointments
for her asthma. There was a recent A&E attendance for an asthma attack via the ambulance.
RED
AMBER
GREEN
Parents are abusing alcohol, there is financial difficulties/rent arrears. There
is an increase in A&E attendances with the 6 year old. Ambulance staff
reported parents are under the influence of alcohol. House conditions are
very poor, smoky environment. There are other unknown adults at the
property visiting the house in the early hours of the morning. The 6 year old
attendance at school is poor - below 60%.
There is continued failure to take the child to her health appointments.
School health is unable to engage with mother regarding developing a care
plan. There are no inhalers in school. Family are not collecting or renewing
prescriptions. School are unable to get hold of mother when the child is
symptomatic in school. The school nurse has carried out a home visit and is
concerned with the poor home conditions, cold/damp.
The family GP refers the child onto a paediatrician, the child attend an
asthma clinic at the GP surgery. The school nurse works with the family and
school to develop a care plan – the family are cooperative.
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The BSCB flow chart
shows how the
‘Right Services
Right Time’ system
links together.
Once the decision has
been made that the
needs are ADDITIONAL or
COMPLEX/SIGNIFCANT
the MASH process
commences.
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The MASH To Be Process
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The MASH
To Be
Process –
Entrance to
MASH
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MASH RAG rating sample
Red
Strategy discussion/Strategy meeting
COMPLEX /SIGNIFICANT NEEDS:
Requiring a specialist response where the child is suffering or at risk of suffering
significant harm or impairment
Amber
CYPF Assessment/CIN
ADDITIONAL NEEDS:
Requiring a coordinated response bringing agencies together to support the child and
family
Green
FCAF/CIN
UNIVERSAL PLUS:
Requiring a response from within a universal setting and/or signposting to other
support means
UNIVERSAL NEEDS: All children have a right to a range of services – professionals will
assess families to make sure that their general needs are met
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What does it mean?
• Professional Consultation
• No change to the telephone number (0121 303
1888)
• Contact details essential
• Call first
• Email confirming call
• BETTER QUALITY REFERRALS (MARF/CAF related to
Right Services, Right Time thresholds)
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MASH Success Criteria
A full performance framework is being produced for MASH which will
include the following measures to evaluate what difference is being
made:
• Children are better protected from harm and risk is minimised;
• Faster, more co-ordinated and consistent responses to safeguarding
concerns about vulnerable children;
• An improved ‘journey’ for the child with a greater emphasis on
early intervention and better informed services being provided at
the right time;
• An understanding of potential vulnerability, enabling more
preventative action to be taken, dealing with cases before they
escalate;
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MASH Success Criteria
• Closer partnership working with clearer accountability, more
effective use of resources, better planning and delivery and less
duplication of effort;
• Changes in RAG rating during the journey of the child through the
MASH which will highlight that information sharing has brought
added value;
• A reduction in the number of children inappropriately accessing
costly services from social care, the Police, Health and others;
• A reduction in the number of inappropriate and repeat referrals;
• All referrers will have access to a professional consultation service.
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Making a good referral: Checklist
1)
2)
3)
4)
5)
Have I included all of the child/young person/family details available to me?
Have I provided my contact details?
Have I made it clear why I am making this referral now?
If I have immediate concerns, have I stated whether the child is currently safe?
Have I included all the information available to me about the relevant health professionals
working with the family?
6) Have I included details of education specialists working with the family?
7) Do I have information about any other relevant professionals/organisations/voluntary
sector groups working with the family?
8) Do I have information about any involvement from the police/youth justice system?
9) Have I included detailed information relating to my particular field?
10) Have I included information on how I obtained information and reached my concerns?
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What next?
Email: MASH@birmingham.gov.uk
Website: http://www.lscbbirmingham.org.uk/index.php/birmingham-multi-agencysafeguarding-hub-mash
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Family Support and Safeguarding
Hubs
Karen Pearson
Interim Assistant Director Early Help and Integration
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What is an Integrated Hub?
• The Hub is the local point of contact and delivery of children’s
social care services (Family Support and Safeguarding) and
supports the development of integrated service delivery with
partners across the area
• The Hub enables co-location of services and brings together a
wider virtual team to provide a Team Around the Family
Approach
• The Hub provides local expert help and support for our
partners through professional conversations and supports
access to Early Help, Targeted and specialist services
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Integration
• Team Around the Family (TAF) panels to provide advice and support
to practitioners from all services areas that enables integrated
working as part of Early Help and Intervention and enables swift
access to specialist services as required
• Hub Implementation Meetings (HIMs) that provide a platform for
developing local strategy around integrated working
• An online integrated Working Manual that supports a shared
philosophy and ways of working for consistency across the city –
ensuring every child receives the right services ate the right time
wherever they live
• Multi agency training programme – to support a consistent
approach, methodology and service delivery
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Hubs & MASH
• There is a direct link between MASH and the Hubs
• MASH will process safeguarding concerns and will allocate cases
based on need:
– To the Bridge
– To the Hub Safeguarding Teams
– To the Hub Family Support Teams
– To the Early Help and Brokerage Service leading to TAF
• At each stage if there is a new safeguarding concern there is a
direct route back to MASH
• A Hubs process map is being developed to show the routes
between MASH and the Hubs – both escalating and de-escalating
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Hubs & MASH Process Map
Right Services, Right Time: Meeting Children’s Needs
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Ask
The Panel !
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Video Close
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Feedback
Please!
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Right Services, Right Time: Meeting Children’s Needs