Safeguarding
Annual Report
2014/15
Authors:
•
Jackie Hanson, Chief Nurse
•
Jane Carwardine, Head of Safeguarding
•
Peter Chapman, Associate Head of Safeguarding / Vulnerable Adults Lead
•
Debbie Ross, Association Head of Safeguarding/Designated Nurse - Children Looked After
•
Dr Karen Massey - Named General Practitioner for Safeguarding
•
Dr Nicky Bamford - Designated Doctor
National and local issues
• Escalating workloads
• New guidance and statutory
responsibilities
• National reviews
• Change - new structures and
ways of working e.g. panLancashire
• New CQC inspection
programme
• Austerity
Safeguarding themes
• Child sexual exploitation
• Historical sex abuse
• Prevent / anti-terrorism
• Standards of care for vulnerable adults
• Standards of residential care
• Female genital mutilation
East Lancashire Challenges
• Deprivation leading to high numbers of stressors
• Forms of abuse follow national trends:
East Lancashire
Domestic abuse
Child sexual exploitation
Neglect of adults and children
Children missing from home
Poor quality of care for vulnerable adults
National context
Range of Acts/Guidance for
adults’ safeguarding
Revised guidance
Supreme Court ruling on
deprivation of liberty
HMCI, SSI, DH,
NHS England
East Lancashire challenge
Care Act 2014
CQC inspection regime
Challenge to Mental Capacity Act
Modernised inspection processes
Local context
Resource needed for adult
safeguarding processes
Strategic safeguarding team
Network approach pan-Lancashire
CSU safeguarding
service offer
Safeguarding
assurance from
all providers
Is safeguarding a
golden thread
through this CCG?
Intelligence
gathering and
triangulation
Lancashire Safeguarding Children’s Board
Priorities 2014/15
• Child neglect
• Children missing from home
• Deaths of children through suicide
• or by their own hands; and
• Child sexual exploitation.
• Merger with the adults board
Lancashire Safeguarding Children’s Board
Themes from reviews
• Assessing and responding to risk-taking behaviour by teenagers
• Children missing from home procedures and implementation
• How agencies identify and work with children with conduct disorder
• Parenting support for parents of teenagers with severe behaviour issues
• Counselling and therapeutic support for victims of child sexual exploitation
• Referral, risk assessment and information-sharing between specialist mental
health services and other professionals
• Risk associated with the onset of psychotic or mental health crisis
• How emergency settings respond to issues of domestic abuse
• Safeguarding and cross-boundary arrangements
Vulnerable adults’ safeguarding
•
Activity increasing year on year
(44.1% increase in 2013/14 compared with previous year)
•
•
Noticeable increase in alerts
from care homes
•
•
Prevent – aiming to stop adults and
children being involved in terrorism
Vulnerable children’s safeguarding
2014
May
June
July
August
Number of contacts
3671
3384
4137
3041
Number of referrals
1402
1239
1227
906
% referrals leading to no further action
37.2
35.2
26.1
13.7
District
Referral to Lancs
Social Care
CP Plans in place
Numbers of CLA
Number
Total No.
Per 10,000
No.
2,313
127
48.27
138
Fylde
950
37
27.10
Wyre
1,502
79
39.84
Preston
3,073
238
79.14
South Ribble
1,668
68
30.28
Chorley
1,587
65
28.79
West Lancashire
1,583
76
33.66
Hyndburn
2,034
71
38.23
380
6
4.98
Burnley
2,111
157
80.52
275
Pendle
1,687
94
45.74
226
Rossendale
1,183
33
21.85
99
Unallocated
100
Lancaster
88
215
195
131
198
Ribble Valley
Lancashire
43.20
England - National average
37.80*
TOTAL
20,172
1,051
1,565
•
Burnley and Pendle have a higher number of
children subject to child protection plans than
average for Lancashire and nationally.
•
Significant issue around young people as victims or
perpetrators of sexual abuse ‘Engage’ Lancashire
•
Health assessment for children looked after
•
Innovations implemented
•
Consultation with young people about
healthcare plans
•
Care leavers are a priority.
Looking forward
Children living with offenders
•
Awareness of all forms of abuse, including new and emerging
Female genital mutilation
Modern day slavery
Human trafficking
•
NICE guidance on domestic violence and abuse
•
Increasing demands
•
CCG safeguarding team restructure
•
Partnership arrangements and Boards
•
Resource needed for Lancashire Safeguarding Adults’ Board
•
Care Act implications
•
Quality of care in homes and other places where care is provided
• Safeguarding seems complex
The systems are complex
However the premise remains keep
the focus on the outcome for the
vulnerable child/adult and keep
motivated to make that difference.
Safeguarding remains everyone's
responsibility irrespective of role
and function
