Child Protection and Sexual Health Tuesday 28 November 2006 Wrexham Medical Institute, Technology Park Centre, Croesnewydd Road, Wrexham Conference Pack Contents: Welcome and Introduction Programme Synopses of presentations and workshops Speaker/Facilitator biographies Evaluation Form Delegate List Child Protection and Sexual Health Welcome to the second national conference of the re-launched All-Wales Sexual Health Network (SHN) – we’re delighted that you are able to join us for what promises to be a lively and useful day. Confidentiality, children’s rights and sexual health services are the focus of this conference. The production of the All Wales Child Protection Procedures Review Group Guidance and the publication of Safeguarding Children: Working Together under the Children Act 2004 provides a significant and timely opportunity to look at the latest guidance and understand its practical implications for professionals working in frontline services. With presentations from Welsh Assembly Government, Children in Wales and the involvement of professionals from health, police, children’s services and education, this conference is essential for all sexual health professionals and others who face the daily challenges and dilemmas of delivering sexual health information and services to under-16s. The day will combine plenary sessions with break-out sessions, and plenty of opportunity for questions, discussion and networking with colleagues. We hope you enjoy the conference! Best wishes, The All-Wales Sexual Health Network Team at fpa and the Wales Centre for Health Welcome and Introduction We’ve put together what we believe will be a varied and relevant programme for today, and you’ll find more information about this in the rest of the pack. If you have any questions at all please don’t hesitate to ask one of our members of staff, who will be visible to direct you and answer any questions throughout the conference. The Sexual Health Network is all about you, our members, so we do hope you are able to join in today’s discussions fully and that you benefit from sharing information and networking with colleagues throughout the day. Child Protection and Sexual Health Information about the SHN The All Wales Sexual Health Network was set up in 2000 as part of the action plan to implement the Strategic Framework for Promoting Sexual Health in Wales. It is intended to provide a discussion forum for a range of agencies involved in promoting better sexual health, and to be a means of promoting best practice and increasing public understanding of sexual health issues. In October 2005, the Welsh Assembly Government awarded a three-year contract for the management of the Network to a partnership between fpa and the Wales Centre for Health. The All Wales Sexual Health Network has already made an important contribution to sexual health in Wales and we believe that we can secure further benefits and developments by working collaboratively in the management of the Network and bringing together our organisations’ respective expertise and resources. The Partners Welcome and Introduction fpa is the UK’s leading sexual health charity working to improve the sexual health and reproductive rights of all people throughout the UK. We run a comprehensive information service and produce a variety of publications to support professionals and the public. We also run training courses for professionals, provide community-based projects, and campaign for improvements to sexual health services. In Wales, our community projects include the RUBY project for young women across Merthyr, the Jiwsi project for vulnerable young people in North Wales and the recently-launched Speak easy programme for parents in Cardiff and the surrounding areas. The Wales Centre for Health (WCfH) is an Assembly sponsored public body established 18 months ago. The WCfH approaches issues in a new way and: • advocates on public health issues • engages with the public and their communities and advises on their concerns • speaks independently on health, free from corporate or economic interest • operates in an open and transparent manner. Child Protection and Sexual Health The WCfH has statutory responsibilities which are defined in the Health (Wales) Act 2003. These include the development and maintenance of arrangements for making information about matters related to the protection and improvement of health in Wales available to the public, undertaking and commissioning research in such matters and the provision and development of training. The WCfH and the fpa jointly manage the All Wales Sexual Health Network on behalf of the Welsh Assembly Government. A multi disciplinary Board has been established which contributes to the future direction of the Network. The WCfH and fpa are collaborating together on the development of a Promising Practices database which will include examples of good practice from inside and outside Wales and these will be available to all Network members. Welcome and Introduction Child Protection and Sexual Health 9:00– 10:00 Registration Tea and coffee 10:00 Conference Starts Welcome, housekeeping, overview of the day 10:15 Sexual Offences Act and its implications for practice Mike Burns, Head of Children’s Safeguards Team, WAG 10:45 Number Room Topic Break-out sessions 1 2 Lecture theatre Room 1 Health services: Learning What would you difficulties: do? When child Training and protection supporting arises from staff working client visiting with sexual sexual health health and services child protection Dr Olwen Sarah Williams Andrews Facilitator 3 Room 2 Schools: A whole school approach to sexual health, PSE and child protection 4 Room 3 Looked after children: Sexual health, child protection and looked after children Pat Tobin Alison Owen Break-out sessions wrap-up 12:15 Lunch 13:15 Children and young people’s rights: implication for child protection and sexual health services Mike Lewis, Policy Director, Children in Wales 13:45 The new All Wales Child Protection Procedures Review Group guidance and how it works (panel involvement and Q&A) Chair Dr Carys Graham With representatives from education, children’s services and the police 15:00 Close Programme 11:45 Child Protection and Sexual Health Sexual Offences Act and its implications for practice Mike Burns, Head of Children’s Safeguards Team, Welsh Assembly Government Synopsis not available at time of print. Copies of presentation slides provided in delegate pack. Children and Young People’s Rights Mike Lewis, Policy Director, Children in Wales Synopsis not available at time of print. The new All Wales Child Protection Procedures Review Group guidance and how it works The panel will present and discuss the proposed new Sexually Active Young People protocol developed on an All Wales basis by the All Wales Child Protection Procedures Review Group. The protocol has been developed in consultation with sexual health professionals and Version 12 of the protocol has recently been out for a formal consultation. The protocol is a response to the Bichard Report and the requirements of the Sexual Offences Act 2003. Dr Graham will present the protocol, followed by a panel discussion. Presentations Child Protection and Sexual Health 1. Health services: What would you do? When child protection arises from client visiting sexual health services Initial discussions will focus on a recent survey regarding attendance at sexual health services, particularly GU services. The group will then be subdivided into 4 groups in order to work through scenarios and their outcomes. Room: Lecture theatre Facilitator: Dr Olwen Williams 2. Learning difficulties: Training and supporting staff working with sexual health and child protection Room: Room 1 Facilitator: Sarah Andrews Sarah will present the findings of her recent research study on using health promotion approaches to prevent sexually harmful behaviour in children and young people with learning disabilities. She will then go on to address issues and concerns brought by workshop participants, especially clarifying legal issues on sexual behaviour, child protection and learning disability; appropriate content for staff policy and guidance documents; and effective staff training and support. 3. Schools: A whole school approach to sexual health, PSE and child protection Room: Room 2 Facilitator: Pat Tobin The session will be divided into 3 main aspects: child protection in schools; sex and relationship education in schools; and sexual exploitation awareness programme. 4. Workshops Looked after children: Sexual health, child protection and looked after children Room: Room 3 Facilitator: Alison Owen The breakout session can facilitate a discussion, with the use of case study/scenario, about the following concepts parental / corporate responsibility; ‘child protection or looked after’; accessing specialist services; sexual exploitation; and current legislation. Child Protection and Sexual Health Dr Caroline Scherf Consultant in Sexual & Reproductive Health, Cardiff & Vale NHS Trust Dr Scherf graduated in Berlin, Germany. Caroline completed higher training in Obs & Gynae (2004), clinical work in West Africa (1997-99), MD in Cardiff (2002; Epidemiology of Human Papilloma Virus in rural Gambia). Special interests include reproductive health in developing countries (Genital Mutilation, prevention of cervical cancer, maternal health) and unplanned Pregnancy Management. Dr Scherf has been Consultant in Sexual & Reproductive Health at Cardiff & Vale NHS Trust since October 2004. Mike Burns Children’s Health and Social Services, WAG Mike is a career civil servant. He joined the Ministry of Technology, London, in 1969, moved to Wales (Department of Industry) in 1972, joined the Welsh Office in 1976 and subsequently the National Assembly for Wales in 1999. Since joining the Assembly, Mike has worked on child protection, adoption and fostering. Dr Olwen Williams Consultant in GU Medicine, North East Wales NHS Trust Dr Williams works in the field of medicine that deals primarily with sexually transmitted infection, HIV and AIDS. She has a special interest in dealing with child sexual abuse and adolescent sexual health and has published a chapter in a textbook on the subject. Dr Williams has additionally published several papers on a variety of topics within the field. Speaker/Facilitator Biographies Current major projects include membership of the UK Project Group for the implementation of the Safeguarding Vulnerable Groups Act 2006; project lead for implementation of the Wales clauses of the Safeguarding Vulnerable Groups Act 2006; implementation in Wales of the safeguarding provisions of the Children Act 2004; implementation of the recommendations of "Keeping Us Safe", the report of the Safeguarding Vulnerable Children Review; and the review of Local Safeguarding Children Boards in Wales. Child Protection and Sexual Health In 1999, Dr Williams was a member of the Sexual Health Strategic Steering Group set up for the National Assembly for Wales to look at sexual health provision. Subsequently, she became a member of the Welsh Assembly Government’s Sexual Health Monitoring Group and assisted in the review of sexual health services in Wales as the Royal College of Physicians Speciality Representative for service in Wales. In January 2006, Dr Williams became the Programme Director for Training in Genitourinary Medicine and Chair of the Specialist Training Committee. In November 2000, Dr Williams was awarded the title ‘Welsh Woman of the Year’ for her work in the field of sexual health and HIV. In addition, in April 2003, Dr Williams joined the Broadcasting Council for Wales as a lay advisor to the BBC and she has been Chair of the NSPCC Full Stop Executive Board since February 2005. Speaker/Facilitator Biographies Dr Williams was awarded an OBE in the Queen’s Birthday Honours list 2005, for services to Medicine in Wales. Sarah Andrews Director, Passion Training and Consultancy Sarah is Director of Passion Training and Consultancy and has over twenty years experience in the field of sexual health promotion. She has provided training for staff, written policies and undertaken consultancy for a range of agencies, speaks regularly at conferences and is co-author of Learning disabilities, sex & the law - a practical guide (fpa 2005). She has just completed a Masters in Public Health with the help of a Wales Centre for Health fellowship award. Although recently appointed to a post with the National Public Health Service for Wales, Sarah is here today in her capacity as an independent trainer/consultant. Pat Tobin Child Protection Co-ordinator, Bridgend County Borough Council Pat has a background in Education of 18 years, mainly in the Education Welfare Service. Latterly, Pat undertook training in Counselling to enhance her role in working with children and families. As a practitioner, she has had many years experience of Child Protection which gave her the insight and enthusiasm to take on the role of Child Protection Co-ordinator. Child Protection and Sexual Health Pat’s long working relationship with other agencies and schools in Bridgend allowed her to consolidate those contacts, especially in the delivery of CP awareness training to school staff and other staff in the Directorate who work with children. Pat was involved in the steering group for Sexual exploitation established in 2003. Due to her involvement in that group, Pat was a lead in establishing Bridgend County Borough Council’s awareness programme to comprehensives with the School Police Liaison Officers. This programme is now in its 3rd year and only runs in Bridgend. As well as her role as an advisor, Pat has been a member of the Bridgend ACPC, South Wales Forum and its sub-groups, All Wales Child Protection Procedures group and its Editorial group. Alison Owen Specialist Nurse, Looked After Children and Care Leavers, Flintshire County Council With a background in health visiting and school nursing, Alison has worked within Flintshire Children's Services as the Specialist Nurse for Looked After Children & Care Leavers for over 4 years. A member of the Safeguarding Children Team within the North East Wales NHS Trust, Alison has recently completed a MSc dissertation exploring workers’ perceptions and experiences of multi-agency working. Mike Lewis Biography not available at time of print. Dr Carys Graham Designated Doctor Child Protection, NPHS Dr Carys Graham is a Consultant Community Paediatrician, employed by the National Public Health Service for Wales as the Designated Doctor Child Protection for North Wales. She has worked in Community Paediatrics since 1974, becoming a Consultant and Designated Doctor in 1996. Speaker/Facilitator Biographies Working with what is recognised as one of the most socially excluded groups presents many challenges, in particular how we protect vulnerable young people who are no longer part of the child protection system. Child Protection and Sexual Health Dr Graham was the Chair of the All Wales Child Protection Procedures Review Group until November 2006 and leads the editorial group on the complete revision of the procedures. She was a member of the Safeguarding Vulnerable Children Review Group, which produced the report "Keeping us Safe" in 2006. Dr Graham was awarded the OBE in the 2003 New Year Honours list, with the citation “for services to child protection”. DI Pam Kelly Detective Inspector, Dyfed Powys Police Biography not available at time of print. Speaker/Facilitator Biographies Bob Maclaren Head of Service, Wrexham County Borough Council Biography not available at time of print. Child Protection and Sexual Health 1. How would you rate the conference overall? Please tick one box below Very useful Useful Average Not very useful Not at all useful Comments............................................................................................ .................................................................................................... 2. How would you rate the presentations? Very useful Useful Average Not very useful Not at all useful Comments............................................................................................ .................................................................................................... 3. Which breakout session did you attend? Health services: What would you do? When child protection arises from client visiting sexual health services Learning difficulties: Training and supporting staff working with sexual health and child protection Schools: A whole school approach to sexual health, PSE and child protection Looked after children: Sexual health, child protection and looked after children 4. How would you rate the breakout session you attended? Very useful Useful Average Not very useful Not at all useful Comments............................................................................................ .................................................................................................... 5. How would you rate the conference facilities (venue, catering etc)? Very useful Useful Average Not very useful Not at all useful Comments............................................................................................ .................................................................................................... What was the most interesting/useful part of the day? 7. What could have made the conference better? 8. What topics would you like covered in future Network conferences? Evaluation Form 6. Child Protection and Sexual Health Name Staff Nurse C E Facilitator Childline Supervisor Head of Young People Inclusion Nurse Practitioner C.A.S.H School Nurse Public Health Practitioner LAC, Conwy Organisation MAYP - Powys Youth Service North East Wales NHS Trust Flintshire Youth and Community Service Conwy and Denbighshire NHS Trust Anglesey County Council Plas Menai Surgery GU Medicine Relate National Public Health Service for Wales Torfaen County Borough Council MAYP - Powys Youth Service North East Wales NHS Trust Rhondda Cynon Taff County Borough Council North East Wales NHS Trust GUM Welsh School of Pharmacy NSPCC Childline Wrexham County Borough Council Pontypridd and Rhondda NHS Trust North East Wales NHS Trust Conwy and Denbighshire NHS Trust Delegate List Ian Abbot Dr Helen Bailey Bev Baines Dr Sarah Bayliss Angela Bennett Dr Clare Carolan Kelly Carter Angie Ceen Jacquie Charles Cath Cleaves Helen Coleby Dr Annwen Collins V. Louise Cook Dr Molly Cullen Emma Louise Davies Mair Davies Deborah Davis Donna Dickenson Sinead Doran-Hughes Melissa Duckett Janet Duddle Job Title Youth Information Worker Staff Grade GU Physician Sex and Relationships Worker Staff Grade Education Welfare GP Staff Nurse Psychosexual Therapist Senior Public Health Practitioner Youth Development Worker Youth Information Worker Clinical Assistant Detached Team Co-ordinator Child Protection and Sexual Health Name Mrs Lynne Edgerton Liz Edwards Sian Edwards Angharad Edwards Edith Edwards Becky Ennion Anna Louise Evans Nicola Evans Vicky Ford Jacky Fray Corinne Fry Lecturer Healthcare Development Executive Cynghorydd Iechyd Pobl Ifanc School Nurse Family Planning Nurse Science Adviser Ward Sister Specialist Health Adviser Psychosexual Therapist Psychosexual Therapist Sexual Health Service Improvements Manager Project Jiwsi Co-ordinator School Nurse Sex and Relationships Education Specialist Named Doctor Child Protection Conwy Specialist Nurse Youth Offending Service Project Jiwsi Officer School Sister GP Swyddog Cefnogi Cynllun Ysgolion Iach Organisation University of Wales, Bangor Organon UK Ymddiriedolaeth GIG Conwy and Dinbych Blaenau Ffestiniog Memorial Hospital Conwy and Denbighshire NHS Trust Wrexham Local Education Authority Ceredigion and Mid Wales NHS Trust YOT Relate Relate National Public Health Service for Wales fpa North East Wales NHS Trust Swansea Public Health Team Conwy and Denbighshire NHS Trust North East Wales NHS Trust fpa North East Wales NHS Trust Plas Menai Surgery National Public Health Service for Wales Delegate List Mel Gadd Karen Gittins Fiona Gordon Dr Lindsay Groves Dawn Hainey Joseph Hinchcliffe Diane Hudson-Jones Dr Catherine Hughes Ann Hughes Job Title Child Protection and Sexual Health Name Diana Hughes-Morris Anne Humphries Alwen Ingledew Dr Kirt Jain Christine Jenkins Diane John Wendy Jones Linda Jones Linda Jones Caroline Jones Rachel Jones Organisation Conwy and Denbighshire NHS Trust Info Shop - WCBC Youth Service Conwy and Denbighshire NHS Trust Conwy and Denbighshire NHS Trust National Public Health Service for Wales Board of Community Health Councils for Wales Family Planning Ceredigion Conwy and Denbighshire NHS Trust Gwent NHS Trust Torfaen Local Health Board Ceredigion and Mid Wales NHS Trust North West Wales NHS Trust Anglesey County Council Community Youth Service North West Wales NHS Trust North East Wales NHS Trust Youth Service/BCBC Delegate List Judith Jones Sandra Jones Sharon Jones Penny Keen Lowri Kendrick Nia Krijnen Jacqueline Lawrence Nicola Lewis Job Title Young Person's Health Advisor Joint Manager Senior Nurse Safeguarding Children Consultant F.P Gwynedd Healthy Schools Support Worker Chair of Monmouthshire Community Health Council Family Planning Clinic Nurse Team Leader C.A.S.H Services Public Health Practitioner Sexual Health Co-ordinator Acting Torfaen C-Card & EHC Scheme Project Worker Staff Nurse School Nurse Youth Access Co-ordinator School Nurse Youth Worker Sister Children's OPD School Sister Manager - Changing Tracks Project Child Protection and Sexual Health Job Title Specialist Nurse Sexual Health GP Young Person's Health Advisor Deputy Senior Nurse Safeguarding Children Sexual Health/Contraception Nurse Clinic Lead Staff Grade Specialist Nurse CLA Family Planning Nurse Senior Youth and Community Worker Project Jiwsi Officer Family Planning Nurse Principal Health Promotion Specialist Senior Public Health Practitioner Strategy Officer for Children and Young People GP & School Medical Officer Young Person's Health Advisor Sexual Health Adviser GP Partner Clinical Psychologist School Nurse Organisation Conwy and Denbighshire NHS Trust St Andrew's Surgery Colwyn Bay Clinic Conwy and Denbighshire NHS Trust North East Wales NHS Trust GU Medicine North East Wales NHS Trust North East Wales NHS Trust North West Wales NHS Trust Flintshire Youth and Community Service fpa Conwy and Denbighshire NHS Trust National Public Health Service for Wales Gwynedd Local Public Health Team Wrexham Local Health Board Chirk Surgery School Nursing Cardiff and Vale NHS Trust Beech House Surgery Bro Morgannwg NHS Trust North East Wales NHS Trust Delegate List Name Eirawen Lewis Dr Rhiannon Llewellyn Bethan Lloyd Catherine Mason Janet Matthias Julia Maynard Dr Sarah McAndrew Judith Moore Georgina Morris Kath Orme Sandra Peters Carol Phillips Eryl Powell Judith Roberts Angela Roberts Dr Jane Roberts Jo Roberts Janine Roderick Dr Ceri Salusbury Dr Tricia Skuse Ceri Slawson Child Protection and Sexual Health Senior Nurse Sexual Health Educator Nurse Co-ordinator Young Person's Health Advisor GP School Nurse Clinical Lead Family Planning Nurse Ann Unitt Senior Health Promotion Specialist Sharon Vine Martine Vout Alexandra Waters Senior Nurse Youth Worker (Co-ordinator) Youth and Sexual Health Adviser Brenda Wickham Young Person's Substance Misuse Damaris Williams Meryl Williams Co-ordinator Family Planning Nurse Community Sister Child and Adolescent Learning Disabilities Mandy Williams-Jones Job Title Organisation Cardiff and Vale NHS Trust Gwent Healthcare NHS Trust Conwy and Denbighshire NHS Trust Conwy and Denbighshire NHS Trust Shotton Lane Surgery North East Wales NHS Trust Conwy and Denbighshire NHS Trust Vale of Glamorgan Local Public Health Team North Glamorgan NHS Trust Info Shop Swansea Public Health Team Treatment Worker (Youth Offending Team) MAYP - Powys Youth Service Conwy and Denbighshire NHS Trust Delegate List Name Sandra Smith Kate Smith Elaine Stafford Nia Stevenson Dr Hendrick Stiggelbout Lesley Taylor Rachel Tewkesbury