Annual Report April 2014 - March 2015 Supplementary Information - Single Agency Contributions www.wakefield.gov.uk 1 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution The Mid Yorkshire Hospitals NHS Trust Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? The Mid Yorkshire Hospitals NHS Trust Information for Wakefield District Safeguarding Children Board The Mid Yorkshire Hospitals NHS Trust (MYHT) consistently seeks to meet its statutory responsibilities to safeguard children and young people in line with Section 11 of the Children Act 2004. Safeguarding is inherent to all services delivered by the Trust and the work of the safeguarding team supports frontline practitioners in the delivery of those services. Safeguarding Children Training The Mid Yorkshire Hospitals NHS Trust demonstrates a continued commitment to the delivery of safeguarding training which is considered mandatory for all staff. The level of training practitioners are required to attend is defined by their professional role and is in line with the Intercollegiate Document, Safeguarding Children: roles and responsibilities for health care staff revised March 2014. This empowers frontline practitioners to be confident and competent in managing safeguarding concerns. Numbers of staff trained and details of the training delivered within MYHT are outlined in the table below 1 Training Safeguarding children Level 2 Classroom session Target Group Annual target (%) All staff working with adults who may be parents or carers – every 3 years 85% Safeguarding children Level 3 training All staff who work predominantly with children and families – every 3 years Integrated Safeguarding Level 1 training (induction, workbook and refresh) All Trust staff – every 3 years. Safeguarding children Level 2 e-learning option Numbers trained 2013/14 1090 Numbers trained 2014/15 Compliance at 31/03/15 1207 81% 259 332 85% 284 288 89% 95% 1456 1282 100% The Trust is fortunate to have excellent training facilities and in November 2014 welcomed colleagues both from within the Trust and from partner agencies to a Symposium on Trafficking and Child Sexual Exploitation. This event was coordinated by the safeguarding children team and facilitated access to local and national experts in this field. The event, held in the Lecture Theatre at Pinderfields Hospital, received very positive evaluation. A further Symposium event was held in March 2015 to promote new developments in multi-agency working in Wakefield, specifically the ‘Signs of Safety’ programme. Named professionals from the MYHT Safeguarding Team have been instrumental in the development and facilitation of multi-agency training events in relation to the relaunch of the ‘Bruising, Burns and Scalds Protocol’ in Wakefield. These events, facilitated in partnership with Police and Children’s Social Care colleagues and delivered across the children’s workforce, have received excellent feedback. Voice of the Child Working Together to Safeguard Children and Young People (2015) states clearly that for services to be effective, a child centred approach is essential and this should be underpinned by a clear understanding of the needs and views of children. Recommendations from a Safeguarding Peer Review conducted during 2014 identified the need for MYHT to develop a two year plan to ensure that future service provision for children and young people reflects the Voice of the Child. The safeguarding team have initiated a two year action plan and it is anticipated that this will continue to develop and evolve and progressively respond to the changing 2 landscape framing the delivery of healthcare services. The Trust Safeguarding Group provides the conduit and high level monitoring function to ensure that the Trust Board remains focused on key issues in relation to the Voice of the Child. It is recognised that MYHT is undergoing a process of reconfiguration and transformation and this was reflected in the CQC Inspection Report (November 2014). Children’s Services were identified as having a strategy and vision for future service provision and the report provides clear evidence of consultation with children and families. Evidence to date will be used as the cornerstone underpinning ongoing service developments for children with the ethos being, as identified in one area inspected, ‘You Said, We Did’. The Trust is actively engaged in supporting the utilisation of the Friends and Family test and has an agreed plan to implement a staged approach to capturing the views of children across all children’s services. In August 2014 the Trust participated in an in-patient survey where the views of children in relation to the care they received were sought. Responses were requested directly from children over the age of 7 years. Further agreement has been secured for the Picker Institute to undertake an additional patient experience survey in relation to the Paediatric Emergency Departments. The Safeguarding Team is working collaboratively with key partner agencies in relation to the development of new safeguarding initiatives from Early Help to Child Protection and actively supporting the implementation of Wakefield’s ‘Signs of Safety’ strategy and Kirklees Single Assessment process. Inherent to the delivery of these initiatives is the requirement for practitioners to actively consider and respond to the Voice of the Child. Serious Case Reviews In November 2014 MYHT hosted a ‘One Year On’ challenge event in relation to the 19 recommendations and 67 individual actions identified from the four serious case reviews in Wakefield between 2012 and 2013. The Wakefield and District Safeguarding Children Board (WDSCB) sought assurance that learning identified from the reviews has not only been embedded into practice but is making a difference to improving outcomes for children. This event offered an opportunity for key frontline practitioners to showcase their service and the Trust received positive formal feedback from Edwina Harrison, Independent Chair of the Board. The Safeguarding Team has continued to provide an organisational steer but progress and sustainability of individual recommendations is directly attributable to the continued commitment of individual service leads. One of the key initiatives identified as making a significant contribution to improving outcomes for children has been the development of the dedicated children’s fracture clinic. Edwina Harrison, Independent Chair of the Safeguarding Board accepted an invitation to visit the service and the orthopaedic team hosted the visit which proved to be very successful and provides a clear mechanism for demonstrating improved outcomes for children. Ongoing work in relation to recommendations from a Wakefield Learning Lessons 3 Review has focused predominantly around the revised Bruising Burns and Scalds Protocol in Non Ambulant Babies and the delivery of training events across the children’s workforce. The opportunity to deliver briefing events, facilitated by a multiagency team to audiences across the span of children’s services in Wakefield, has proved widely successful and has set a precedent for the facilitation of future training events. Management of Safeguarding Incidents The Safeguarding Children team receive reports of suspected safeguarding incidents in relation to children via the DATIX reporting system, and respond to individual reports on a case by case basis. Analysis of the information provided in the report is returned directly to the reporter via the integrated feedback mechanism or, where appropriate, through direct contact with the reporter. Where practitioners have identified a safeguarding concern meeting the threshold for statutory intervention by Children’s Social Care there is a procedural requirement to make a written referral. The safeguarding team have developed a secure database and log all referrals received. This provides a mechanism for quality assurance of referrals and easy access to data for audit purposes. MYHT, as an NHS provider, also has a responsibility to identify and report incidents meeting the criteria for safeguarding serious incidents where there is prima facia evidence that abuse or neglect have contributed to a permanent impairment to health. The Safeguarding Team notified Wakefield Clinical Commissioning Group (CCG) of a safeguarding serious incident in January 2015 in relation to a seven week old baby who had sustained multiple injuries prior to admission to hospital. Named professionals are currently conducting a formal review of the case and learning identified will, where required, support necessary changes to practice. Domestic Abuse The named midwife/domestic abuse lead for pregnant women receives referrals from the police relating to pregnant women who have been subject to domestic abuse. Midwives within the Trust also notify the named midwife when a pregnant woman has disclosed she is subject to domestic violence. The number of domestic abuse referrals for pregnant women to the Safeguarding Team has once again risen and the graph below demonstrates a year on year increase in domestic abuse referrals for pregnant women. 4 Number of domestic abuse referrals for pregnant women 500 390 400 313 256 300 200 100 12 33 90 100 149 138 160 0 Jan – Dec Jan – Dec Jan – Dec Jan – Dec Jan – Dec Jan – Dec Jan – Dec Jan – Jan - Dec Jan to 2005 2006 2007 2008 2009 2010 2011 Dec 2012 2013 Dec 2014 The MYHT community services receive referrals from the police relating to victims where children live in the household. On receipt of these referrals the Named Midwife/the Named Nurse for community service ensures that all practitioners who are supporting the family are aware of the potential of violent incidents within the home and where appropriate makes an entry on electronic records (Euroking and SystmOne). The practitioner will then instigate a support package to the victim and undertake a risk assessment relating to children in the home. This risk assessment may instigate a referral to Children’s Social Care by the practitioner where the threshold criteria are met. The MYHT maintains active representation on Wakefield MARAC (Multi Agency Risk Assessment Conference) for domestic abuse victims. Female Genital Mutilation (FGM) In autumn 2014, to fulfil requirements from the Department of Health FGM Prevention Programme, the Safeguarding Team began collecting mandatory anonymised FGM data to submit to the Health and Social Care Information Centre (HSCIC) on a monthly basis. This practice continues but, with effect from April 2015, the dataset is now enhanced and contains more detailed information regarding FGM victims who have been identified during the delivery of healthcare by MYHT. To date twenty one victims have been identified (seventeen adults and four children). The Safeguarding Team has developed a comprehensive FGM Policy to inform frontline clinical practice across the organisation; the policy addresses both safeguarding and clinical care issues relating to FGM. The policy is currently progressing through the final stages of formal ratification. In the interim, the Safeguarding Team have provided practical advice and support to clinical staff regarding the appropriate management of FGM cases based upon current national DH and NHS multi-agency guidance. Furthermore, this guidance and information, with particular regard to risk assessment, mandatory reporting and recording, has been shared with staff via the Trust Safeguarding website, All User Bulletin, Patient Safety Bulletin, Safeguarding Newsletter and Safeguarding Children Champion’s Group. 5 Safeguarding Supervision Current Trust policy requires that safeguarding supervision is accessed every three months by all staff working with children and families (MYHT Supervision Policy 2015). The Safeguarding Team successfully commissioned the delivery of a bespoke package of training to an additional 10 practitioners in June 2014 to prepare them to deliver supervision using the NSPCC safeguarding supervision model. A further three half day study sessions were delivered in July 2014 by Named Nurses, Safeguarding Children to the existing cohort of supervisors to enhance and refresh their skills. These sessions were well received and have evolved into an ongoing programme of supervisor forums which are co-ordinated on a quarterly basis. Policy compliance is regularly reported to the Trust Safeguarding Group however the responsibility for monitoring lies with the Integrated Care Division. There have been some reported dips in compliance which were compounded by reporting anomalies which have subsequently been resolved and current compliance stands at 94%. 6 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution NHS England Yorkshire & the Humber Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? The overall responsibilities of NHS England in relation to safeguarding NHS England was established on 1 April 2013 and has an assurance role for local health systems and directly commissions some services. NHS England has worked with Clinical Commissioning Groups to ensure their commissioned providers take all reasonable steps to reduce serious incidents. NHS England provides assurance that the local health system, including Clinical Commissioning Groups (CCGs) and designated professionals, are working effectively to safeguard and promote the welfare of children and adults at risk (Safeguarding Vulnerable People Accountability and Assurance Framework, NHS England 2015). This role includes ensuring that CCGs are working with their directly commissioned providers to improve services as a result of learning from safeguarding incidents. These services include acute, community, mental health and ambulance care. NHS England responsibilities in relation to direct commissioned services NHS England is responsible for driving up the quality of safeguarding in its directly commissioned services and for holding these providers to account for their responses to serious safeguarding incidents, ensuring that safeguarding practice and processes are optimal within these services. In Yorkshire and Humber, this includes all GP practices, dental practices, pharmacies, optometrists, health and justice services and the following public health services: National immunisation programmes National screening programmes Public health services for offenders in custody Sexual assault referral centres Public health services for children aged 0-5 years (including health visiting, family nurse partnerships and much of the healthy child programme) Child health information systems 7 From April 2015 onwards, NHS England will commence a programme of transferring responsibility for GP practices (and eventually all other primary care providers) to CCG’s with delegated powers of co-commissioning. NHS England has worked in partnership with local Safeguarding Boards to ensure that the NHS contribution is fit for purpose and that there is no un-necessary duplication of requests for safeguarding reviews to be undertaken. NHS England also has its own assurance processes in place concerning NHS safeguarding reviews, learning and improvements. Sharing learning from safeguarding reports In order to continuously improve local health services, NHS England has responsibility for sharing learning from safeguarding serious incidents across Yorkshire and the Humber and more widely, making sure that improvements are made across the local NHS, not just within the services where the incident occurred. The NHS England West Yorkshire Safeguarding Forum has met on a quarterly basis throughout 2014-15 to facilitate this. Learning has also been shared across GP practices via quarterly Safeguarding Newsletters. Training programme for general practice Designated safeguarding professionals are jointly accountable to Clinical Commissioning Groups and NHS England. They have overseen the provision of level 3 training for primary care medical services. Training sessions have been provided on a locality basis rather than to individual practices. The main source of training for other primary care independent contractors has been via e-learning training packages. Assurance of safeguarding practice NHS England Yorkshire and the Humber have provided assurance templates for CCGs to feedback on the assurance of safeguarding practice from providers the CCGs commission e.g. acute trusts, community and mental health trusts and also assurance from CCGs themselves. NHS England Yorkshire and the Humber have developed safeguarding standards and aspirations for GP practices to benchmark themselves against. These standards will be reviewed and updated annually and incorporate learning from recent serious case reviews within Yorkshire and the Humber. Standard Operating Procedure: Safeguarding Incidents In order to establish a strong governance framework surrounding safeguarding incidents NHS England Yorkshire and the Humber have developed a Standard Operating Procedure: Safeguarding Incidents. This describes communication processes regarding these incidents and sets out NHS England’s role and responsibilities in quality assuring review reports, signing off reports and ensuring improvement actions are implemented. It clarifies the interface between NHS England Yorkshire and the Humber and the West Yorkshire designated safeguarding professionals who are hosted by CCGs yet have a dotted line of accountability to us and work closely with us to enable us to deliver our statutory duties in relation to safeguarding incidents. 8 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution NHS Wakefield Clinical Commissioning Group (CCG) Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Governance NHS Wakefield CCG has continued with its strong commitment to the safeguarding agenda with an Executive lead on the CCG governing body and the Head of safeguarding, both of whom attend the WDSCB. In addition the CCG representative acts as Deputy Chair to the WDSCB. The CCG Governing Body received the CCG Safeguarding Children Annual Report and the annual report into the Health of Looked after Children in September 2014. The Chair of WDSCB also attended to Governing body to present the WDSCB annual report. Following this, NHS Wakefield CCG agreed an increase in the financial contribution to WDSCB to ensure the work of the Board can be achieved; this will come into effect during 2015-2016. The CCG also receives regular safeguarding children reports through its governance processes. NHS Wakefield CCG has continued with its support to the WDSCB strategic and operational functions by attending, and chairing board activities such as the Audit sub-committee, the Multi-Agency Case File Audits (MACFA) and on going Serious Case Review Challenge sessions. Communication The CCG intranet - Skyline, introduced in 2014, which is available to CCG staff and GP practices, has a safeguarding page with access to information, Safeguarding Policies and Procedures and useful links. This will continue to be developed in 2015-2016. The CCG has continued through the year to provide information to Primary Care through 9 newsletters and briefings on topics including Private Fostering, Good Communication and Child Sexual Exploitation. Training and education The CCG provides bespoke training to General Practice at Locality Target sessions. This year approximately 300 GPs and Nurse Practitioners have received training on a range of topics including Child Sexual Exploitation, Domestic Abuse and its Impact on Children, and Learning from Serious Case Reviews. The CCG also ensures that GPs in training receive appropriate training at levels 2 and 3 during their training. Multi-Agency Working The CCG has continued to support the work of the Multi-Agency Safeguarding Hub (MASH) through the year, and has plans to ensure that this commitment will continue in 2015/16. 10 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution Public Health Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Anna Middlemiss, Consultant in Public Health, Strategy and Specialist Support Team I am the Chair of the Child Death Overview Panel (CDOP) and a member of the Local Safeguarding Children Board. Analysis of data that we have access to on the health of children in the District helps us to know how we may improve health and prevent deaths. This year we designed a survey to conduct in schools which covers issues such as mental wellbeing, bullying and problem solving. This approach combined with routinely available data allows us to better understand the safeguarding needs of local children. Smoking is one of the biggest issues in Wakefield District and contributes to poor outcomes both for children who smoke and for babies who are born to smokers. Two thirds of smokers start before the age of 18 and therefore public health in Wakefield commissions a full NHS stop smoking service and implements interventions such as smoke- free play parks. This year the public health team has prioritised reducing maternal smoking which has resulted in a reduction in maternal smoking rates for the first time in many years. This year we have also recommissioned sexual health services across the District. This has provided us with an integrated sexual health service with an emphasis on sex and relationships education. We have also prioritised identifying and preventing child sexual exploitation within this service. Obesity has negative outcomes for children both physically and mentally. It also increases the risk of still birth and infant mortality. This year the public health team have piloted a number of approaches to family based healthy weight programmes including on-line support and approaches aimed at emotional eating. 11 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution Local Medical Council Representative Dr Paul Glover Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Local Medical Council Representative DR Paul Glover Dr Paul Glover is the Named GP for Safeguarding Children, Wakefield Clinical Commissioning Group (CCG). He is a part time General Practitioner (GP) and also a member of the Local Medical Committee. In addition he is recently taken over the post of Named GP Safeguarding Children for Calderdale CCG, and is a GP Appraiser. This year work has continued on maintaining the improved communications between GP’s and their attached Health Visitor Teams. The recent switch of responsibility for the commissioning of the Health Visitor and School Nurse services means that this is an area that will need to be reviewed in the next financial year. As reported last year, whilst things are considerably better, a minority of Practices still need some help in ensuring this arrangement is working effectively. Recently the Health Visitor and School Nurse Services have been provided with an emergency telephone number should they require to speak to a GP urgently. Anecdotal reports from both sides indicate that arrangements remain better than they were 3 years ago. The Multi-Agency Service Hub (MASH), which was described in detail in last year’s Annual Report, continues to work well, with all sides having the confidence to share important Safeguarding information. Again this is a significant improvement on 3 years ago. Dr Glover has continued to maintain regular communications with GP Safeguarding Leads in all Wakefield Practices which includes sending a regular newsletter/update on topical issues. Dr Glover’s link with Calderdale means that issues and ideas for good practice are now 12 shared across a much larger geographical area. This year has seen the inauguration of Early Intervention Hubs and Practices in all 7 GP Networks have been active in this process, which should go further in improving communications between all those involved in the care of children and their families. Towards the end of this year work started on ensuring that all children moving into the area are notified to the appropriate Health Visitor or School Nurse team, as this has previously been less than 100%, and Dr Glover is also working to try and increase the identification and reporting of Private Fostering arrangements, which is are area currently being looked at by the Local Authority. This work will continue into the next year. 13 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution The Mid Yorkshire Hospitals NHS Trust Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? West Yorkshire Police - Supt Karen Gayles The past 12 months has been extremely positive in regards to developments in the safeguarding department. The Multi Agency Safeguarding Hub (MASH) has now been live for over 12 months and it continues to provide a true partnership approach to share information relating to child safeguarding concerns. It has been visited by both the HMIC and the College of Policing who are extremely impressed with the team, the success it has achieved and the dedication of the staff concerned. Likewise the Joint Investigation Team (JIT) and the out of hours Emergency Duty Team (EDT) being located at Havertop lane Police station continue to strengthen the working relationship with the Police and Local authority. Moving forward we continue to see significant demand placed upon the safeguarding teams regarding emerging issues such as honour based violence, female genital mutilation and forced marriage. These are now part of the West Yorkshire Police priorities moving forward. The Community Safety Partnership has commissioned a partnership group to ensure that we focus on understanding and dealing with these complex issues. There has been extensive training regarding this for police and partners. With the significant concerns regarding child sexual exploitation, West Yorkshire police has increased the number of investigators including 2 police staff investigators funded by the Police and Crime Commissioner who are working with the partnership reviewing legacy cases. Over the past 12 months there has been extensive CSE training to Wakefield District High schools and Junior schools for teachers and education professionals to be able to recognise the potential signs of CSE. Children within the District continue to be involved in regular inputs by Police, Barnados and other other partners to make them aware of healthy relationships and concerns regarding internet relating potential perpetrators. Working with the licensing department, local taxis, hotels and other businesses to make them aware of the risks of CSE. 14 Overall a very productive 12 months whereby the West Yorkshire Police and partners continue to work exceptionally hard and are committed to safeguarding the children in our District. 15 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution National Probation Service Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Probation The National Probation Service came into existence in June 2014 as a result of the dissolution of the 35 Probation Trusts nationally, and the creation of a national public sector organisation for Probation focussing on Courts and offenders who pose a risk of harm to the public, alongside a number of Community Rehabilitation Companies across the country. These non public sector agencies provide a range of interventions for offenders subject to statutory supervision and supervise low and medium risk offenders. The National Probation Service undertakes assessments of risk in respect of offenders appearing before the courts and when discretionary release from prison on Parole Licence is being considered. Some of these offenders have been convicted of sexual offences against children and are offenders who may pose a risk to other children in the future. Our role is to assess and manage that risk with multi agency partners. In addition, our contact with all offenders under our supervision requires us to be mindful of the impact of the offending behaviour on children. This includes being alert to risks that may exist and sharing information with relevant agencies and contributing to their assessment and any necessary intervention. It also requires us to be aware of the impact on children of having a parent who offends - especially when this results in a custodial sentence. Research indicates that this experience can significantly impair the future wellbeing of these children. The other core area of involvement for the National Probation Service in respect of Safeguarding Children is our direct involvement, through the secondment of probation practitioners, with the local Youth Offending Team. The work of the National Probation Service is not new - having previously been undertaken by Probation Trusts. The creation of a national organisation, however, is still very new. The primary focus for the past 12 months has been on the organisational changes that have taken place, and the development of new processes in order to interface with the local Community Rehabilitation Company. The initial phase of separation into the new organisations has been effected, and now we are working to build a National Probation Service that is fit for purpose into the future. Despite these challenges, we have been able to further extend our oversight of convicted sex offenders in the community by collaborating with the Police and Circles of Support Yorkshire and Humberside to introduce this service into the local area. The National Probation Service locally has provided a qualified practitioner to recruit and train local volunteers, who form a 'circle' of support around a 16 convicted offender to minimise the risk of re-offending. as well as to provide a means of greater oversight that allows signs of any increase in risk to be picked up and addressed. The demands of organisational change have required us to prioritise our input. In respect of the Board our main focus has been responding to the greater awareness of Child Sexual Exploitation, and the current potential risks to young people of radicalisation into extremism. We have been working with national colleagues to anticipate what the increasing knowledge of the profile of CSE perpetrators tells us about the most effective means to supervise those convicted of such offences. In addition we have been reviewing the information our front line staff need to remain alert to young people vulnerable to radicalisation, as well as in the supervision of those convicted under counter terrorist legislation, to incorporate an awareness of any potential impact on their wider family and children. 17 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution Community Rehabilitation Company Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Community Rehabilitation Company West Yorkshire Community Rehabilitation Company is a relatively new organisation being established in June 2014. In essence it is part of what had been previously WY Probation Trust and the contract to run the organisation was awarded to Purple Futures early in 2015, Purple Futures being and Interserve Led company. The main focus for WYCRC is the management of individuals who have offended and have either been given a community disposal or a custodial sentence. The significant difference is the WYCRC will concentrate particularly on offenders assessed as Low and Medium risk of committing acts of serious harm. However, this does include many individuals who lead extremely chaotic lifestyles and who frequently offend. The role of WYCRC in terms of safeguarding has not altered from that of the WV Probation Trust. Many of the individuals under our supervision have children or reside with children and as such part of our assessment requires a focus on their safety. Our staff undertake necessary training and there are clear processes in place to share information with the sole aim of preventing harm to children Having only been in post since April 2015 my personal contributions have thus far been limited. However, I have previously been a member of the board whilst undertaking a different role within WY Probation Trust. My main role will be two fold. One will be to provide information to the board and assurances as to the role WYCRC will take. Secondly to provide information to operational staff within my organisation to better equips them in safeguarding. Finally, I will undertake to challenge the board so as to remain focused that all the activities they undertake have the sole purpose of enhancing the safety of children within the area. All assessments made on individuals the WYCRC come into contact with have a distinct element referring to children. This is a mandatory piece of work and is undertaken without exception. This in itself often leads to referrals for further information and hence enables inter agency information sharing which is clearly crucial in protecting children. In addition, there are examples where information has been gathered in alternative settings for instance a community payback work site 18 which has lead to referrals to children and young people’s services. Although action is not always required this does indicate a resilience on the part of all staff within the WYCRC to have children safety at the centre of the work. Clearly a splitting of one organisation into two has impacts on operations. Notwithstanding in terms of safeguarding the processes for all staff have fundamentally remained un altered. Furthermore there is now a requirement for my organisation to work with all prisoners serving twelve months or less. This is a new requirement of the Offender Rehabilitation Act which came into force in early 2015. This could be viewed as a significant positive step for the safeguarding of children as a greater number of individuals will now be subject to statutory supervision which had previously not been the case. 19 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution Spectrum Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Spectrum. Spectrum is a community enterprise that works to provide specialist support across a range of services. It provides a range of nursing , GP and pharmacy input across 13 prisons; substance misuse services across Wakefield and North Yorkshire and arrange of Integrated Sexual Health Services in Wakefield and Barnsley We support families in complex and vulnerable situations working predominantly with the adult our service offer is to the children and we commit to their wellbeing and safeguarding in conjunction with other professionals However our work in sexual health services includes a more targeted offer to children and young people .Our offer to young people and adults in sexual health services is to provide a wide range of treatment and diagnostics but to treat as a whole and to ensure they are safeguarded as adults , children or young people in transition. We are trained in and have processes for Child Sexual Exploitation, Female Genital Mutilation, human trafficking , sexual co-coercion and we provide a unique training programme to school with regards relationship and sexual education. This recently won a sexual health award when modified for use in prison We provide and access a range of training for all services and are committed to the work of the safeguarding board and the opportunities’ it presents. As a small company we still undertake the Section 11 audit to assure the safeguarding board and Spectrum Board that we are have the right policies , process and monitoring in place to provide a high standard of safeguarding to those who use our services. 20 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution South West Yorkshire Partnership Foundation Trust Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Response in relation to information required for the LSCB Annual report: As per the requirement for all agencies to ensure that we meet or obligatory duties set out in Working Together to Safeguard Children 2015, and demonstrate that as an organisation we have met our duties under Section 11 of the Children Act 2004, South West Yorkshire Partnership Foundation Trust would like to submit the following responses to the questions posed: 1. Please outline the role of your agency in safeguarding children As a statutory organisation, the role of SWYPFT under section 11 of the Children Act 1989 and Children Act 2004 is to safeguard and promote the welfare of children. This includes protecting children and young people from abuse and neglect through early identification and intervention. The organisation provides mental health services to children and young people in Wakefield through its CAMHS provision, tier 1 to 3. The early Intervention in Psychosis Service also provides interventions to children from the age of 14 years with suspected first episode psychosis. This client group are particularly vulnerable due to the nature of the presenting difficulty. Although SWYPFT is primarily an adult focussed organisation, consideration of the 21 welfare and safety of children is paramount to the services we provide. 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? The safeguarding children training (level 1, 2 and 3) have been updated to capture the changes within Wakefield Local Authority and National directives. PREVENT and CSE training has been a priority within CAMHS and Early Intervention in Psychosis teams. Specific training days have been delivered in March, May and June 2015. All communications from the Board have disseminated at appropriate meetings within the organisation. All information relevant for the workforce has been communicated through the Trust Communication team, the link professional forums, safeguarding children intranet pages and within service team meetings. All actions from the Board, including Serious Case Review action plans have been assigned and completed within the set timeframe. A review has taken place of the safeguarding children board sub-groups to ensure that there is appropriate representation, which can be challenged and offer challenge from the organisation. A performance data set has been identified through liaison with Assistant Director of Nursing, Safeguarding Children Named Nurse, CAMHS and the performance management team. The safeguarding children team have assisted with a multi-agency audit for Wakefield Safeguarding Children Board and organised a future event for October 2015, which will be facilitated by the organisation. The Named Nurse has worked closely with the Designated Nurse for Safeguarding children and other health agencies to ensure the workforce is prepared for Ofsted and CQC. Cases have been identified, evidence has been gathered and evidence base practice literature has been disseminated. The safeguarding children team supported the CSE National Awareness day in March 2015 and the National Nurses day in May 2015. The safeguarding children team also introduced a ‘duty’ system in March 2015 to ensure that the workforce receive a timely and consistent response for safeguarding children advice. 22 Safeguarding children supervision is being delivered by the safeguarding children team within CAMHS and Early intervention in Psychosis. 3. What difference has it made to the lives of children and young people? The training, supervision and advice provided by the safeguarding children team has ensured that the organisation has a skilled workforce to consider the welfare of children and young people and respond appropriately in a timely manner. As an organisation capturing the voice of the child and young person is a priority, this is captured through ‘friends and family’ questionnaires and within Wakefield CAMHS the voice of the child is captured through a ‘Young People’s Participation Group’. The voice of the child influences service delivery. The safeguarding children team have two ‘Signs of Safety’ champions to cascade the model through the workforce and to support staff involved in the process to ensure the best outcomes for children and their family. This has also been supported by Mark Stonell who has delivered a presentation to the safeguarding children link professionals’ forum. Awareness of the model has also been communicated through the Trust Intranet. The organisation has a robust recruitment and selection process which is values based and includes the recruitment of volunteers. The safeguarding team meet quarterly with HR to review and discuss any staffing concerns/ investigations and allegations to ensure that the welfare of children and young people are considered. 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Strategic leadership responsibility is provided by two Assistant Directors of Nursing, Clinical Governance and Safety who hold child or adult safeguarding within their respective portfolio. The Executive Director for Nursing, Clinical governance and safety is the overall safeguarding lead, supported by the Deputy Director for Nursing. SWYPFT have increased its capacity within the Safeguarding Team to meet local demands and improve our ability to safeguard children. There are now 2 Named Nurses with responsibility to Safeguard Children who are supported by 4 Specialist Advisors. Within 23 Adult Safeguarding SWYPFT have increase capacity by recruiting a Specialist Advisor to support the lead for Adult Safeguarding. 24 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution Voluntary and Community Sector Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Voluntary and Community Sector Voluntary and community sector organisations across the District continue to deliver a range of services to children, young people, families and communities, operating at all levels of the continuum of need. Wakefield Young Lives network ensures all agencies affiliated to the network are made aware of their responsibilities in relation to safeguarding children and are kept up to date with policy and service developments. In January 2015 the VCS Safeguarding Reference Group was re-launched to strengthen communication between the Board and the wider sector and to further develop VCS representation on the various subcommittees and working groups of the Board. The sector has also keen to play its part in assuring itself and the Board that organisations are equipped to respond to appropriately to the issue of child sexual exploitation. Plans are in place to deliver a workshop in the autumn of 2015, focusing on child sexual exploitation and in particular to raise awareness of and increase confidence in using the CSE risk assessment tool, the appropriate referral pathways including MAACSE and are able to participate in the audit and review of historic cases. The Reference Group will also support Wakefield Young Lives in the development of an audit tool linked to the Section 11 process, but designed to be useable and applicable to smaller voluntary and community sector organisations. In addition to direct service delivery, VCS organisations contribute to the work of the Board, either in relation to their individual specialist expertise or as representatives of the wider voluntary sector on behalf of the Young Lives Network. This includes representation at Board level and the Learning and Development, Audit, and Performance Subcommittees. Barnardo’s staff are also involved in the work of the CSE, Missing and Trafficking strategy 25 and the Signs of Safety Steering Group. Barnardo’s Assistant Director Janice Hawkes, the VCS representative on the Board, chairs the Learning and Development Subcommittee. Wakefield Young Lives continues to deliver safeguarding awareness training to voluntary and community sector groups. Young Lives Safeguarding Trainers forum continues to support the VCS sector with basic Safeguarding Training, working collaboratively with Jane McGill to ensure that the training is relevant and up to date. Currently all trainers are receiving briefings and training linked to Sings of Safety. Further training and events are planned for the sector around the issue of CSE, adolescent to parents violence and signs of safety. Examples of individual VCS organisations’ contributions to the work of the WDSCB include: St George’s St George’s Community Centre continues to work in a preventative way to support vulnerable children. In the last year our four nurseries have provided interventions to support a range of families subject to CP, CAF, several staff have received training to lead on the caf. The Youth Café operates twice per week and supports many young children, due to the strong working relationship between our Youth team and partners we have been successful especially with interventions regarding CSE. CRI CRI in partnership with Spectrum delivered the Impact of Substance Misuse on Children for the Safeguarding Board. We also provide monthly safeguarding briefings to Pinderfields Hospital staff. CRI works in a preventative way to support vulnerable children through the procedures and policies of Wakefield Safeguarding Children’s Board and through our internal safeguarding systems. The manager of CRI is the Designated Safeguarding Lead and has responsibility to ensure that cases on CRI Safeguarding Register are reviewed weekly. We are represented on the CSE and Missing work stream and attend the CSE operational group. We have supported young people and families subject to CP, CAF and all staff have received training on using the CAF. The CRI workers seconded into the YOT operate under the safeguarding policies and deliver substance misuse interventions in the line with safeguarding policy to young people subject to voluntary and statutory orders. We have identified a CSE Champion within the service who will complete the CEOP Ambassador training is responsible for updating the team with developments in practice and policy. Barnardo’s Turnaround Barnardo’s work with partner agencies to develop and deliver a robust response to child sexual exploitation has continued throughout 2014/15. Since February 2012 Barnardo’s Turnaround service has been working in Wakefield to offer a specialist service to the district around Child Sexual Exploitation. The first progressive step was working with West Yorkshire Police to develop a localised operational response which culminated in the initiation of a dedicated CSE Team. Working as co-located partners since June 2012 Barnardo’s and West Yorkshire Police have been able to offer a wide range of input to the district. For Barnardo’s this has included (and is not exhaustive): Awareness raising assemblies to thousands of children across the High Schools / 26 Academies Direct work and intervention with those young people identified at risk of CSE Advice / given to the ‘management’ of young people involved in investigation Awareness raising sessions across the professional community Targeted information sessions for parents Training inputs for the Local Authority and West Yorkshire Police amongst others, Support and development of partner agencies’ work in supporting young people at risk of CSE Advice giving / consultation and ‘up-skilling’ of partner-agency colleagues On March 18th 2015 Barnardo’s was proud to link in with the work of the Safeguarding Children’s Board to promote National CSE Awareness Day and interfaced with the public to give insight into this abhorrent crime. On that day at the National Working Group Conference, Kevin Robinson of Barnardo’s Turnaround was presented with an ‘Unsung Hero’ award which underlines the hard work and dedication given to supporting young people, and developing people’s understanding of child sexual exploitation. Barnardo’s work is continuing and much of the above will go on into 2015. Planned developments for 2015/16 will include work to raise awareness of CSE within the ‘NightTime Economy’, the provision of therapeutic support based around creative arts to young victims of CSE and provision of specialist support and expertise for young people involved in giving evidence in CSE related prosecutions. Barnardo’s CAPS Barnardo’s Children’s Advocacy and Participation Service has trained and supported young people to participate in the Board’s Section 11 interview panel and has supported a wider young people’s consultation event on how young people wish to be involved in the work of the Safeguarding Board. Young people have also been trained and supported to co-deliver multi-agency core group training and to raise awareness of the profile of the voice of the child in the process. Impact of organisational /financial changes As providers of commissioned services, VCS organisations within the District have been impacted by statutory partners’ need to make financial savings and by the reduction in opportunities to access external funding opportunities. This, alongside changes to the way the District delivers its early help offer has resulted in the loss of several services that have been delivered in Wakefield for many years (including: Barnardo’s Young Families Family Support Service, the Barnardo’s Get Started Service, Barnardo’s Wakefield Young Carers Service, Homestart and the Star Bereavement Service) leading to concerns across the sector regarding the diminishing of capacity to respond to families at an early stage in order to safeguard children. 27 Wakefield District Safeguarding Children Board Annual Report 2014 – 2015 Single Agency Contribution Youth Offending Team (YOT) and LSCB Edwina Harrison (Independent Chair) asked each agency to consider the following four questions when reviewing single agency safeguarding practice during 20142015: 1. Please outline the role of your agency in safeguarding children 2. What have you done as a result of being part of the LSCB in respect of safeguarding children? 3. What difference has it made to the lives of children and young people? 4. Have there been any organisational/financial changes which have impacted on your ability to safeguard children? Stephen Crofts, Service Manager, Wakefield Youth Offending Team and LSCB member The Youth Offending Team (YOT) has continued to develop its staff and systems in order to improve our ability to safeguard and promote positive outcomes for children, young people and their families, in line with our core values. A summary of the key developments and continuation of effective practice is detailed below: Learning and improvement: - In June 2014 the YOT was subjected to a full joint inspection led by HM Inspectorate of Prisons (HMIP). The repot of the inspectorate was really positive and found that ‘work relating to safeguarding was good, with strong links with Children’s Services’, and that young people in the community and in custody ‘were well served by the YOT’. The YOT is now working towards in action plan in order to learn from the findings and continue its improvement in practice. - During 2014/2015, the YOT has received further recognition from the LSCB that the implementation of its actions, in relation to learning from Serious Case Reviews, has continued to improve practice in safeguarding young people and families. - Multi-agency safeguarding and risk management panels have continued to support practitioners who manage the young people who are most at risk of being harmed or causing serious harm to others. Panels are held monthly and supported by colleagues from social care, police, health, victim support and probation. 28 - Staff and volunteers are required to undertake safeguarding training every three years, and the required level of safeguarding training is now detailed on all job specifications. All practitioners at the YOT completed comprehensive safeguarding assessment and planning training in 2014 which, as the HMIP inspection found, has made a positive impact on the quality of assessments and plans. - Youth Support Services’ Stakeholder Events continue to run four times per year and a number of workshops have been delivered to staff and volunteers from across the service that focus on ‘themed’ aspects of safeguarding including preventing CSE, supporting young people with speech language and communication issues, working with young people who display Harmful Sexual Behaviours and e-Safety. In February 2015, the YOT delivered a presentation to staff on how services in Wakefield have developed as a result of learning from local and national Serious Case Reviews. This was delivered in response to findings of the HMIP inspection in 2014 who found that ‘case managers were not able to identify the key lessons for the YOT from recent Serious Case Reviews’. - The service takes a proactive approach to reducing the risk of Child Sexual Exploitation both within its service and in partnership with the district. In March 2015 we contributed to the LSCBs response to National CSE Awareness day, and continue to be a key stakeholder in the MAACSE panel. The YOT chairs the Youth Support Services Child Sexual Exploitation Forum which enables practitioners to share best practice, resources, training and guidance around addressing risky behaviours and preventing CSE. The forum has core membership from partner agencies including the police, health, social care, education and the voluntary sector. Each meeting has a themed discussion on specific aspects of learning such as working with boys, supporting families and internet safety. - The Youth Support Services’ Safeguarding Young People forum consists of colleagues from partner agencies including Youth Work Team, Early Help Hubs, health and voluntary sector. The forum meets bi-monthly to discuss policy, practice, guidance and training needs as well as providing a mechanism for conducting thematic audit activity. Learning from the forum is disseminated by representatives to their individual teams. - The YOT is a member of South and West Yorkshire Resettlement Consortium which is working to improve outcomes for young people in the secure estate, who are some of the most vulnerable young people in the district. The Consortium ensures that YOTs develop and share good practice across the 7 pathways of resettlement and track the cohort of young people who are in custody with strengthened oversight on how their vulnerabilities are managed. Delivering tailored interventions: - Practitioner forums are held every six weeks; the purpose of each forum is to enable discussions around practice issues, identify emerging themes/patterns and the 29 development of resources to safeguard young people and families across the district. - We are working in partnership with West Yorkshire Police to deliver the Prevent Agenda, specifically the Channel ‘Bronze’ and ‘Silver’ groups designed to provide early identification of young people who are at risk of involvement in radicalisation. Interventions are then delivered to build resilience in vulnerable young people and reduce the risk of further involvement in extremism. - Continuation of the multi-agency ‘Do it Different’ (DiD) group, currently held three times per year, to address teen to parent violence; this involves running a 12 week programme of work to parents and young people. Future delivery of DiD programmes will be managed by the Early Help Hubs allowing the programme available to more people locally. - Practitioners continue to develop gender specific interventions that address the varying complexities that accompany both boys and girls in the criminal justice system. Programmes are built on evidence based interventions such as ‘Escape the Trap ‘and seek to reduce risk and build longer term resilience in young people by enabling them to make positive, informed choices. - Family Support is now available in the courts; this is delivered by the YOT Supporting Families practitioners and aims to provide advice and guidance to parents and carers of young people who present to the courts. The service has been well received by the Magistrates and HMIP inspectorate found it was a valuable resource for families. - All victims of crime are offered an intervention through the YOT Victim Liaison Officers. This can include an offer of a restorative intervention, plus referral to services for additional support where required. Developing partnerships: - We were pleased to see that HMIP inspection (October 2014)found that the YOT had ‘good structural links with key partners’ and are ‘well regarded by their partners and seen as proactive, innovative and productive’. The YOT continues to build effective partnerships with its colleagues from a range of agencies in order to safeguard young people. - In addition to its statutory contributors, the YOT have seconded staff from the Think Family Team who, in partnership with colleagues from YOT, has delivered a number of positive outcomes for families where young people are involved in the criminal justice system. We also have a Speech and Language Therapist supporting young people with communication needs, and a Remand Social Worker whose role involves linking to the Looked After Children’s Team where young people are at risk of entering custody. - The YOT has acquired a remand foster placement where young people at risk of custody can be placed in supportive accommodation as an alternative to being held 30 in custody. - Our Restorative Justice team have supported the council Looked After Children’s homes and Private Care Providers by delivering bespoke RJ training with the staff, enabling the facilitation of restorative interventions in the home. So far, 112 staff have been trained in the use of RJ, and 12 volunteers recruited to undertake direct work in the homes. The RJ team have worked with staff in the homes to avoid, where appropriate, the need for police involvement, therefore reducing the number of young people entering the criminal justice system. - We have working agreements in place with all our partners including Safeguarding Family Support Services, health, CRI, education, and the police, and we have core membership at a number of multi-agency safeguarding arrangements such as: - LSCB Audit Subcommittee LSCB Learning & Development Subcommittee LSCB Policy & Procedure Subcommittee MAACSE MAPPA (Multi-Agency Public Protection Arrangements) CSE and Missing Strategic group 31 a) Board reflections At a Board meeting in May 2014, the Board members were invited to spend some time reflecting on last year and thinking about what they would like to do differently next year. They were posed an overarching question and three specific questions to answer: So, we have done all this activity overall. Are children safer than they were last year and what do we need to do next? • What has worked well that the WDSCB should/needs to keep doing for future success? • What will be the challenges/opportunities for an even better response next year? • What else/what more can the Safeguarding Children Board do to meet the challenges/opportunities? The Board members were also invited to think about the potential impact on children for each of these questions. The themes arising from this reflection and discussion forum are summarised as follows: 139429 Designed and produced by Wakefield Council, Communications 09/15 1. What has worked well that the WDSCB should/needs to keep doing for future success? • Serious Case Review Challenge events. • Multi Agency Safeguarding Hub (MASH). • The way the Board operates/is made up - e.g. openness and culture of participation, stable membership, sub-group arrangements and themed agendas. • How the Board members are empowered/facilitated to do their jobs - e.g. through training, board development days, self-assessment day, links with the Safeguarding Adults Board (WDSAB) and other agencies and being kept up-to- 2