Annual report of the Merton Safeguarding Children Board 2011/12 Date of publication: September 2012 www.merton.gov.uk/lscb Lead : Tony Eccleston, Independent Chair, MSCB Contact: Simon Deakin, Business Manager MSC Annual Report 2011/2012 Page 1 Contents 1. Introduction by Tony Eccleston, Independent Chair of the Merton Safeguarding Children Board ......................................................................................................................................... 4 2. Governance and accountability arrangements ...................................................................... 4 2.1 Membership of the Merton Safeguarding Children Board...............................................4 2.2 Role, function and structure of the Board and sub-groups ............................................5 2.3 Financial arrangements and budget......................................................................................5 3. How safe are children and young people in Merton? Review of the year 2011/12 – partnership reports ..................................................................................................................... 7 3.1 Data and information about safeguarding performance ..................................................7 3.2 Safeguarding in Merton.............................................................................................................7 3.2.1 Learning from Ofsted inspections ..................................................................................8 3.2.2 Section 11 audits .................................................................................................................8 3.2.3 Multi Agency audit ..............................................................................................................8 3.3 MARAC ..........................................................................................................................................8 3.4 MAPPA..........................................................................................................................................9 4.0 Review of the year 2011/12 - partners’ reports ................................................................. 10 4.1 Primary and Acute Health services .....................................................................................10 4.2 NHS Sutton & Merton – the Primary Care Trust ............................................................10 4.2.1 Epsom and St Helier University Hospitals NHS Trust ..............................................10 4.2.2 Sutton & Merton Community Services – the Royal Marsden Hospital Foundation Trust ..........................................................................................................................12 4.3 Mental Health services and CAMHS ....................................................................................13 4.3.1 The South West London & St George’s Mental Health Trust ................................ 13 4.3.2 CAMHS .................................................................................................................................14 4.4 Child Deaths – Work of the Child Death Overview Panel (CDOP) ............................... 14 4.5 Police ..........................................................................................................................................14 4.5.1 Borough Police ...................................................................................................................14 4.5.2 Child Abuse Investigation Team (CAIT) .......................................................................15 4.6 Voluntary and Community Sector .......................................................................................16 4.7 London Probation Trust.........................................................................................................16 4.8 CAFCASS – The Child and Family Court Advisory Service .........................................17 4.9 Children’s Social Care............................................................................................................17 4.10 Merton Youth Justice Service ............................................................................................. 21 4.11 Early Years ............................................................................................................................... 22 5.0 Managing improvement .................................................................................................... 23 5.1 MSCB Business Plan ...............................................................................................................23 MSC Annual Report 2011/2012 Page 2 5.2 Training and development .....................................................................................................23 5.3 Development activity ...............................................................................................................24 5.3.1 E-safety/Anti-Bullying ..........................................................................................................25 5.3.2 Culture and Faith ...................................................................................................................25 5.3.3 Domestic Violence/Abuse ...................................................................................................26 5.3.4 Private Fostering ...................................................................................................................27 6. Views of service users and providers .................................................................................. 28 6.1 Young People’s participation ................................................................................................ 28 6.3 Complaints .................................................................................................................................30 7.0 Challenges for the MSCB in 2012/13 ................................................................................ 31 7.1 Resources ...................................................................................................................................31 7.2 Quality Assurance Framework ............................................................................................... 31 7.3 Munro Review/Working Together – Children’s Social Care ..........................................32 7.4 Multi Agency Safeguarding Hub (MASH) ...........................................................................33 7.5 Early Intervention and prevention ........................................................................................33 7.6 Signs of Safety ..........................................................................................................................34 7.7 Review of CareFirst system ...................................................................................................34 7.8 Partner agencies’ challenges and priorities for 2012/13 .................................................35 7.8.1 NHS Sutton & Merton – the Primary Care Trust ......................................................35 7.8.2 Sutton & Merton Community Services – the Royal Marsden Hospital Foundation Trust ..........................................................................................................................35 7.8.3 Epsom & St Helier – Challenges and Priorities for 2012 /2013 ............................36 7.8.4 South West London & St George’s Mental Health Trust - Challenges and priorities for the future ................................................................................................................37 7.8.5 Borough Police - Challenges and priorities for the future ....................................37 7.8.6 CAIT - Challenges and priorities for the future ........................................................38 7.8.7 Voluntary and Community Sector - Challenges and priorities for the future ..38 7.8.8 London Probation Trust .................................................................................................38 7.8.9 CAFCASS - Challenges and priorities for the future ..............................................38 7.9 Culture and Faith groups........................................................................................................39 7.10 Young People’s Participation .............................................................................................. 39 8 Conclusions ......................................................................................................................... 39 Contact details ......................................................................................................................... 39 MSC Annual Report 2011/2012 Page 3 1. Introduction by Tony Eccleston, Independent Chair of the Merton Safeguarding Children Board This report shows a range of organisations working together in Merton to keep children safe. It describes progress on multi-agency initiatives and separate organisations improving their own safeguarding arrangements under the Merton Safeguarding Children Board umbrella. This is borne out by external inspection - Ofsted found all aspects of safeguarding to be good – as well as our own monitoring of services. This does not mean that we can be complacent. Far from it. The last year was one of considerable challenges of very different kinds: changes in local demographics, the impact of the summer 2011 riots, the gathering pace of the health service reorganisations and the needs for efficiencies imposed by the financial constraints. At the same time awareness of the risks to children grows – good as that is it continues to fuel the need for continuous improvement. This annual report will show progress to meet that need. There has been more attention to monitoring performance and the work to improve systems will continue. There has been a drive to share and use information better, and that should take shape in the form of a Multi-Agency safeguarding Hub in the next year. And we have continued to give priority to training and development of people both in the public and the voluntary sector because it is the knowledge, skill and alertness of everyone that counts. Tony Eccleston , Independent Chair, Merton Safeguarding Children Board 2. Governance and accountability arrangements 2.1 Membership of the Merton Safeguarding Children Board The membership of the MSCB is comprehensive and in line with the national guidance in Working Together to Safeguard Children. It represents the relevant sectors and agencies that need to be engaged. The level of attendance and engagement of the main agencies – Local Authority, Health (including designated professional and service leads along side commissioning leads) mental health, and police (both borough and child protection) is generally good. However, it had not secured the membership of lay members or a named GP by the end of the year, although efforts to achieve this are being actively progressed in 2012-13. Representation from NHS SW London was clarified with the Chief Executive during the year; there had been good representation from provider organisations but the Board needed assurance that the commissioning side was represented at senior level. Members played an active role in discussing and development and have also attended the away day and contributed to agenda setting. See Appendix 1 for details of membership. The Lead Member for Children’s Services for the London Borough of Merton is also an active participant on the Board. The Lead Member and Director of Children’s Services also provide links to MSC Annual Report 2011/2012 Page 4 the Children’s Trust Board and the Health and Wellbeing Board. See Appendix 3 for more details 2.2 Role, function and structure of the Board and sub-groups It is the job of the LSCB to ensure that children and young people are safe. It also has a role as a watchdog to ensure that there is good practice in all the local organisations that work with them. The objectives and key functions of the LSCB have followed the revised Working Together to Safeguard Children (2010). When these functions are carried out effectively they not only contribute to keeping children safe, but also underpin the achievement of all the other outcomes in the Children & Young People’s Plan. From 2010 Children’s Trust Boards (CTB) are no longer a statutory requirement, but partners in Merton took the decision to retain the CTB structure. The Director of Children’s Services and the Lead Member both sit on the Health and Well Being Board, ensuring that there is robust representation of the issues relating to children and young people. The Director of Children’s Services is also a member of the GP Commissioning Group in Merton ensuring attention and focus are targeted on safeguarding amongst the range of children’s needs. The overarching strategic plan for children’s services remains the Children & Young People Plan which was refreshed in 2011. Priorities for the ‘Stay Safe’ section are matched with those from the MSCB Business Plan. For more detail on the governance arrangements of the MSCB see Appendices 1-3. 2.3 Financial arrangements and budget The work of the MSCB is funded locally by its partners. There is no national grant, though the government sometimes supports specific projects. The MSCB budget is administered by LB Merton but ring fenced for expenditure on safeguarding children business only with end of year balances being carried forward. For full details see the statement at Appendix 4. Several partners contribute to the budget: LB Merton, NHS Sutton & Merton, Metropolitan Police, Action for Children, National Probation Service and CAFCASS. The expenditure covers the cost of administering the Boards and subgroups, with the bulk of the money supporting the substantial training programme. Business management and development work for the MSCB is funded by LB Merton’s core budgets. LSCB Budget Report Budget 2011 – 2012 Outturn Contribution From CSC £81,452 From Probation, Volunteer sector, Police and NHS £45,103 MSC Annual Report 2011/2012 Page 5 Total Income £126,555 Expenditure £77,128 Carry forward Underspend £49,427 Specialist subscription commitment funds £9,571 Total Carry forward 2012 – 2013 £58,998 MSC Annual Report 2011/2012 Page 6 3. How safe are children and young people in Merton? Review of the year 2011/12 – partnership reports 3.1 Data and information about safeguarding performance The MSCB partners have been developing a Performance Framework for the work of all agencies working in partnership to safeguard children. The framework is updated quarterly and presented to each MSCB main Board meeting. The relevance and composition of the dataset is continually under review to ensure the Board receives the fullest picture of performance and activity. See Appendix 5 for the full MSCB performance dataset and other indicators. 3.2 Safeguarding in Merton The Children’s Trust and Local Safeguarding Children Board (LSCB) are well established with good multi-agency representation at appropriate levels of seniority. Agencies share a common vision and ambition for children’s wellbeing in the borough. Clear strategic plans are in place through the Children and Young People Plan (CYPP) and MSCB Annual Business Plan. There is an increasing outcome and performance focus in these forums to ensure accountability across and between all agencies. The Ofsted Inspection report* of February 2012 gives us the most robust evaluation of our strengths as a partnership to safeguarding children in Merton: 19. Partnerships, including through the Merton Safeguarding Children Board, are well established and have been maintained through the significant changes within the health economy. Partnerships with the voluntary and community sector are outstanding. 88. Partnership working is good. The Merton Safeguarding Children Board functions effectively, and has recently carried out a comprehensive review of its performance and effectiveness. It has held the Children’s Trust to account on the review of early intervention services and there are robust debates within agencies on the board when different views emerge. The board has secured the active engagement of most members and has appropriate senior manager representation from most agencies including the chair of the Child Death Overview Panel. However, it has not yet secured the membership of lay members or a named GP, although efforts to address these matters are being actively progressed. Young people are being appropriately included in the board through strong links with the Merton Young Advisers group. Merton’s Child and Young Person Well Being Model is widely owned and the philosophy of intervening early and keeping children at home wherever possible is well embedded. As a result Merton has relatively low numbers of children in care and children subject to child protection plans. A range of family support services all contribute to the Safeguarding agenda including the Phoenix Project, Bond Road Family Support Team, Family Intervention Project, Multi-Systemic Therapy, Supporting Families Team across children’s centres, the Vulnerable Children’s Team, Jigsaw4U, and Young Carers. * Ofsted: Inspection of safeguarding and looked after children services, London Borough of Merton. Published: 24 February 2012. Inspection dates: 9 – 20 January 2012. MSC Annual Report 2011/2012 Page 7 3.2.1 Learning from Ofsted inspections The MSCB responded to the recommendations made in the Ofsted Inspection report by producing an action plan which will is being reported to the Board during 2012. Partners took immediate action where required. See Appendix 6. for the Ofsted Inspection Action Plan 3.2.2 Section 11 audits An audit of providers under Section 11 of the Children Act 2004 is required every two years and the MSCB began a refresh of the audit carried out in 2009/10 in December 2011. For more details see Appendix 7. An analysis was made in May 2012, which identified areas of weak practice and for development. This clearly indicates that these are: A: Responsibility And Accountability: Senior Officers E: Training & Professional Development H: Working With Children & Young People These will be factored into the refresh of the MSCB Business Plan in 2012. Safe Recruitment In parallel a separate self-audit of safe recruitment practice was carried out in December 2011. This found that all partners in the MSCB complied with recognised standards. 3.2.3 Multi Agency audit The Quality Assurance Subgroup of the MSCB maintains a programme of multi-agency case audits through the year to establish learning from specific cases and to commission action from other subgroups or individual agencies though an audit action plan. As an example, it was found in an audit of one family that support for vulnerable young people through the transition from primary to secondary schools in Years 6/7 can be challenging and full communication is essential. This was passed through the Policy & Practice subgroup to individual agencies and schools support services for further action, and will be followed up in 2012. See Appendix 9 for more detail on the partnership working of subgroups. 3.3 MARAC A MARAC is a meeting where information on the highest risk domestic abuse cases is shared between representatives of local police, probation, health, child protection, housing practitioners, Independent Domestic Violence Advisors (IDVAs) and other specialists from the statutory and voluntary sectors. The primary focus of the MARAC is to safeguard the adult victim. The MARAC will also make links with other agencies to safeguard children and/or manage the behaviour of the adult perpetrator. The working assumption is that no single agency or individual can see the complete picture of the life of a victim, but all may have insights that are crucial to their safety. The victim does not attend the meeting MSC Annual Report 2011/2012 Page 8 but is represented by an IDVA who speaks on their behalf. In the period from 26 April 2011 to 6 March 2012 the Merton MARAC discussed a total of 133 cases, from which 148 children were linked to the domestic violence. This was not to all 148 cases as some cases had several children. 12% of cases (16 victims) were repeat referrals to the MARAC. Of the overall case load 47 individuals came from BaME groups and three of the cases were male victims. There were no LGBT or disabled victims sent to the MARAC. The MARAC has changed to meet every four weeks rather than every six. The attendance at these meetings was good from a majority of the partners. Where attendance was not as good as hoped then this has been tackled and is improving. A CAADA audit has been conducted in 2012 and the final report is will set priorities for the future. The draft report offers suggestions as to how to improve the MARAC and some of these suggestions have already been taken on board, although some recommendations will be difficult to achieve with limited resources. 3.4 MAPPA Individuals who are known to pose a risk to others within the community may be the subject of a plan drawn up under the Multi-Agency Protection Panel Arrangements (MAPPA): a statutory set of arrangements operated by criminal justice and social care agencies that seeks to reduce the serious re-offending behaviour of sex and violent offenders to protect the public. While there has been continuous engagement with MAPPA from Social Care, this has not been reported previously to the MSCB. The Community Safety Partnership is required to be aware of MAPPA work and clients. With this in mind they are creating a new reporting and monitoring process for 2012. The Community Safety Partnership is now a member of the MSCB and will feed all relevant information into that board. The new process will be agreed amongst partners of which children's safeguarding is represented. MSC Annual Report 2011/2012 Page 9 4.0 Review of the year 2011/12 - partners’ reports Individual agencies’ contribution to safeguarding children is outlined below. 4.1 Primary and Acute Health services The Ofsted inspection assessment of health agencies was: 51. The contribution of health agencies to keeping children and young people safe is good. 65. Children and young people have good, timely access to a range of effective emotional health and well-being services. There has been significant investment in effective early intervention services and families have access to accredited parenting programmes and support in schools. Most support is accessed via the multi-agency support panel. Referrals to core CAMHS are assessed within one working day and appointments are offered promptly if appropriate. 4.2 NHS Sutton & Merton – the Primary Care Trust The Ofsted inspection found that: 52. Adequate arrangements are in place for the resourcing, line management and supervision of the named and designated professionals for NHS Sutton and Merton. Safeguarding activity in 2011/12 covered: Work on engaging GPs in child protection jointly between Children’s Social Care and the Health designated professionals for child protection. Work to address domestic violence and the effects on children and young people. Formation of the Health Safeguarding Children Executive group to oversee safeguarding. A number of ongoing formal Lessons Learned Reviews resulting from child deaths. Significant engagement with adult mental health services to address safeguarding issues within families. 4.2.1 Epsom and St Helier University Hospitals NHS Trust The Ofsted inspection assessed the arrangements at Epsom & St Helier as: 52. …outstanding, with a full complement of well resourced named safeguarding children professionals in post, supported by effective link safeguarding children roles in key areas. Statutory Requirements and Monitoring The Trust is continuing to fulfil its statutory duties in accordance with Section 11 Children Act 2004 (HM Government 2007) by meeting the Care Quality Commission (CQC) Essential Standards of Quality and Safety – Outcome 7 ‘Safeguarding People who Use Services from Abuse’; taking account of Standard 5 of the National Service Framework; ‘Working Together to Safeguard Children’ (HM Government 2010), and therefore to discharge its functions with regard to safeguarding and promoting the welfare MSC Annual Report 2011/2012 Page 10 of all children. Arrangements to Safeguard and Children and Promote their Welfare under Section 11 Children Act 2004 (Section 11 Audit) The Trust was requested to participate in MSCB Section 11 Self Assessment Audit on 22nd December 2011 which was duly completed within the timescale requested. Announced Ofsted and CQC Inspection of Safeguarding and Looked After Children Services The Trust participated in an Announced Ofsted Inspection with the London Borough of Merton in January 2012 and the London Borough of Sutton in April 2012. The judgement on standards for health was determined as good. Training Staff continue to be trained in house at the appropriate level and currently 91% of staff have received the appropriate level of training, against a training target of 80%, set by NHS London, for Level 1 training. The Safeguarding Children Committee members were tasked with encouraging increased attendance at Sutton or Merton multiagency training during 2011 to 2012, however numbers attending were low. All staff are expected to attend the appropriate level of training on an annual basis since January 2012. The Safeguarding Children Committee – Action Plan and Quality Assurance The safeguarding children committee monitored and scrutinised progress against the Safeguarding Action Plan and Audit Plan for 2011/12.Key safeguarding documents were reviewed, updated and approved. Safeguarding Supervision The Safeguarding Supervision Policy was reviewed, updated and approved. A team of safeguarding supervisors were trained in 2011 to deliver a reflective model of safeguarding supervision and work has continued embedding safeguarding supervision within maternity and paediatric areas. The Named Professionals are required to attend three monthly safeguarding supervision. Named Professionals The Trust has named professionals who lead on issues in relation to safeguarding. They are clear about their roles, have sufficient time and receive relevant support and training to undertake their roles, which includes close contact with other social and health care organisations. The Named Doctor (St. Helier) and Named Nurse have completed the Leadership for Influence at NHS London during 2010/11 and the Named Dr (EGH) and Named Midwife undertook this course during 2011/12. Allegations against members of staff There have been no reported cases of allegations against a member of staff for the period 2011/12. Service Developments Two Lead anaesthetists for Safeguarding, who are currently employed as Consultant Paediatric anaesthetists, have been identified for the Epsom and St. Helier sites. MSC Annual Report 2011/2012 Page 11 The following key achievements have been delivered during 2011/12 Quality assurance process developed to ensure that procedures are followed, as cases arise when managing allegations against staff. Completion of the majority of actions within the Trust Safeguarding Children Action Plan and Audit Plan Successful outcome following the Merton and Sutton Announced Ofsted Inspection of Safeguarding and Looked After Children Services. Collation of evidence to support compliance with CQC Outcome 7 was completed. The Training Target of 80% set by NLS London continued to be achieved throughout the period 2011/12 A monthly audit of 2 sets of case notes is undertaken by senior members of the Safeguarding Children Committee, and presented at monthly safeguarding meetings. The audit tool was issued by Merton Safeguarding Children Board and measures compliance with safeguarding processes. The outcome of this audit has demonstrated robust safeguarding processes. Annual Safeguarding Update was circulated to all staff during the period 2011/2012 to reflect the changes to Child Protection Training and any changes to policy or legislation. Work has been undertaken with HR on the implementation of WIRED an improved system being implemented for monitoring compliance with Statutory and Mandatory Child Protection Training. 4.2.2 Sutton & Merton Community Services – the Royal Marsden Hospital Foundation Trust The safeguarding team consists of the Chief Nurse who is the Board lead for Safeguarding, the Clinical Children’s Services Director who is the trust lead across hospital and community, two Named Nurses for Safeguarding Children in the community in the hospital, a Specialist Health Visitor Violence against Women and Girls, a Paediatric Liaison Health Visitor and a Safeguarding Administrator. In the community there are health visiting and school nurse team leaders who also provide Safeguarding Supervision. The Designated Nurse from NHS South West London provides the name nurses supervision, professional support and guidance. The Named Nurse role is line managed by the Clinical Children’s Services Director, who is accountable to the Chief Nurse for Safeguarding matters.. The Clinical Children’s Services Director is the Royal Marsden appointed representative on both Sutton and Merton Local Safeguarding Children’s Boards (LSCB).The Named Nurses are members of the LSCB sub committees in Sutton and Merton. The Royal Marsden Safeguarding Adults & Children Board This is chaired by the Chief Nurse and brings together senior staff and clinicians within the Royal Marsden in both children and adults. The Clinical Children’s Services Director and the Named Nurses are representatives on this Board. NHS SW London holds a Safeguarding Children’s Executive Group. This is chaired by the Chief Nurse for the health sector and has representatives for all health providers in the sector. The Chief Nurse and safeguarding lead represent the Royal Marsden on this group. Merlins - Currently Merton Public Protection Unit screen Merlin reports prior to forwarding them to health to ensure that community services receive only relevant Merlins. Merton LSCB are exploring setting up MASH (Multi-agency Safeguarding Hub) in the Autumn 2012, with Suttons MASH going live from August 2012. Health is committed to being an integral part of the MASH’s. Supervision - In line with Sutton and Merton Community Services Safeguarding Supervision Policy all community practitioners are receiving 3 monthly or termly safeguarding supervision. Data collection MSC Annual Report 2011/2012 Page 12 has been in place for 9 months to ensure that all staff receives supervision within specified timescales according to the Supervision Policy. This has just been audited in the last three months as it is now a key performance indicator. Training - Child Protection/ Safeguarding Training is a fundamental part of Royal Marsden’s duty to support staff in safeguarding and promoting the welfare of children and young people (Children Act 2004, Working Together to Safeguard Children 2006 and 2010).The Named Nurses are involved in the implementation of the child protection training programme which is in accordance to the Safeguarding Children and Young people: Roles and Competences for Health Care Staff, Intercollegiate document, September 2010. The Named Nurses currently deliver all Level 1 and 2 training for staff and participate in the LSCB multi agency training programmes (level 3). Clinical staff, who work predominantly with children are required Level 3 or 4 training, this is accessed via the LSCB training programme. Senior Nurse Training Level 3 and 4 training was delivered by InTrac in December 2011 to members of the Royal Marsden Senior Nursing and Management Team including the Chief Nurse. Audit - Audits are ongoing and continuous in this organisation. Audit of records of those children and young people subject to safeguarding plans are taking place each month as an ongoing audit with each named nurse undertaking 5 records each per month. Any concerns re the standard of record keeping and the compliance with record keeping standards is highlighted to the practitioner’s team leader for addressing with the practitioner. Audit of the recording of supervision is also taking place and of the satisfaction of the supervisees and supervisors who give and receive safeguarding supervision. 4.3 Mental Health services and CAMHS 4.3.1 The South West London & St George’s Mental Health Trust The Trust contributed to the Ofsted/CQC inspections with a rating of Good achieved in all five South West London boroughs. Children and young people have good, timely access to a range of effective emotional health and well-being services. Adult mental health shows increasing awareness of the need to identify dependent children and the importance of robust risk assessments. Good arrangements to safeguard children who visit an adult mental health ward. CAMHS offer good support to A&E and to the young people who attend. Children and young people, looked after, have good support from CAMHS Transition arrangements from CAMHS to adult services are planned effectively An effective Adolescent Outreach Team provides intensive support to young people Trust contribution to the work of the LSCB: Contribution to the development of LSCB data sets and multi agency case audits Delivery of multi agency training including impacts of alcohol and substance misuse and parental mental health. Merton and Sutton Young Carers Project AYCES launched and new staff member to be recruited. Contributing to the development of the MASH All teams now keep record of CAFs completed as part of data collection Trust Initiatives. From March 2012, a new process of recording the details of dependent children or those in regular MSC Annual Report 2011/2012 Page 13 contact with adults in the mental health services. 38 trust staff undertook CAF training and we continue to monitor CAF’s completed. Safeguarding Children part of the Governance template for all services Learning from national and sector wide SCR’s embedded in training. Development of a Trust Safeguarding dashboard. Supervision and escalation policy updated. 4.3.2 CAMHS Merton CAMHS adopted the CAPA model. A single point of access will be operational in 2012/13. This will allow referrals that do not meet the eligibility criteria directly to be forwarded to the most appropriate agency. CAMHS post established in the Supporting Families team, to enable close partnership working at the “early intervention” stage The successful TAMHS model expanded to 21 primary and one secondary schools. A CAMHS clinical psychologist now works across the Youth Offending Team and the Pupil Referral Unit. 4.4 Child Deaths – Work of the Child Death Overview Panel (CDOP) The Child Death Overview Panel covers both Merton and Sutton and reviews all child deaths in both boroughs, seeking to learn lessons and improve practice across the piece. For full details of the work of CDOP see Appendix 11. 4.5 Police 4.5.1 Borough Police Activity 2011/12 With the August Disorder and a rise in ‘serious youth violence’ and ‘knife crime’ of around 45% year on year compared to 2010-11, 2011-12 proved to be a challenging year for the MPS, as the following areas of work demonstrate. But Safeguarding Children remains a priority for the MPS: Partnership Working - Constructive working relationships and effective partnership working with other agencies in Merton ensure the welfare of children are prioritised within MARAC and MAPPA meetings. This is further enshrined within the work of the IDVA posted within the police Community Safety Unit and the One Stop Shop, both supported with MPA funding through 2011-12. Positive audit from Ofsted in this area. A number of engagement activities were undertaken between police and young people. Successes include the Growing Against Gangs and Violence programme and TKO. Public Protection Desk - Continued dedicated unit to collate and supervise pre-assessment checks, (PACs) and to investigate missing person reports. The number of PACs completed has consistently been around 300 per month of which around 95% are recorded for information and 5% are referred. The PPD investigated or supervised about 650 missing person reports involving children during 201112. Information sharing has remained good. There have been no trends or particular areas of concern. MSC Annual Report 2011/2012 Page 14 SCD5 - SCD5 Child Abuse Investigation Teams maintain responsibility for the investigation of all child abuse cases. During 2011-12 CAITs investigated 138 instances of child abuse with 37 sanction detections, (SDs) and 14 reports of child rape with 2 SDs. Year to date the number of cases has since fallen to 127 child abuse cases with 42 SDs and 5 reports of child rape with 4 SDs. Offender Management – a challenge was presented by moving custody to Sutton Borough, however continued and effective use of Triage to reduce the number of first time entrants and repeat offending. The Offender Management Panel continued to develop during 2011-12 with a focus on multi-agency approach to providing interventions for young people at risk of harm or causing harm, including gang members. As crimes which occurred during the year demonstrated, the OMP is targeting the right individuals putting in a range of interventions which included intervention work from a dedicated sergeant. The police continue to work with Operation Connect to assess the risk posed by prominent gang members both within the Borough and cross-border. Anti-Social Behaviour - New process implemented to ensure early intervention and to assess vulnerability of callers. This is managed within the new Grip and Pace Centre which holds meetings three times a day to assess and respond to emerging risk on the Borough. High risk cases involving young people are discussed at new Local Multi-Agency Problem Solving Panels, (from Sep 11) where partners are tasked to undertake problem solving activity to reduce risk and harm. 4.5.2 Child Abuse Investigation Team (CAIT) The Child Abuse Investigation Team (CAIT) at Barnes deals with all intra-familial abuse against children on three London Boroughs (Kingston, Merton, and Wandsworth). Following an extensive consultation exercise and pilot, new extended hours were introduced across the Command on 9th January 2012. The Child Abuse Investigation Command now operates cover between 8am and 6am. The new on call arrangements between 10pm and 6am operates on a Regional geographic basis offering additional support to Borough Policing thus maximising effectiveness in safeguarding children in the capitol. Over the last 12 months, SCD5 has enhanced the Child Risk Assessment Matrix (CRAM) across London to better inform decision-making. This process makes a qualitative assessment of all relevant factors relating to a child and allows appropriate and informed decision-making, and is now more comprehensively recorded on the police crime reporting data base. The number of allegations of child abuse in relation to children on the three Boroughs between 01.04.2011 and 31.03.2012 totalled 975 of which 462 were classified as crimes. This is a drop of 33 crime allegations on the same period of time last year. Of these, there has been a noticeable drop on the three Boroughs in rape allegations of 31 down to 22 this year. Other sexual offences allegations remained the same; physical assault allegations dropped from 319 to 272 offences. Neglect allegations however have notably increased across the three Boroughs - up from 80 to 101. There is no clear indication or evidence to explain this increase. Whilst the West London region as a whole has seen an increase in this crime type, this is not mirrored across the whole of London and no obvious pattern can be identified. The Barnes CAIT had a target to convert 22% of the 462 crime allegations into charges on the three MSC Annual Report 2011/2012 Page 15 Boroughs; they achieved 31% i.e., 143 investigations resulted in prosecutions. The target set for rape investigations to be charged was 42%; Barnes CAIT achieved 64% for all three Boroughs i.e., 14 rape investigations out of the 22 investigated. Both these results are a significant increase on last year’s achievement. 4.6 Voluntary and Community Sector The voluntary sector is represented on the MSCB through the Merton Voluntary Service Council (MVSC). The sector is a key partner in ensuring safeguarding policies are universally implemented. Activity Funded voluntary groups working with children and young people work to tight safeguarding requirements and all funding bodies are now looking for clear safeguarding policies. Merton Council funding conditions include completion and implementation of a safeguarding audit as part of the service specifications and MVSC works with groups to ensure they adhere to this. Ofsted’s review of safeguarding and looked after children in Merton noted the strong relationship between public and voluntary sector organisations and the rapport between Children Schools and Families and the voluntary sector was a major factor in Ofsted describing the relationship as ‘outstanding.’ During the year, eleven voluntary organisations were supported through the London Youth Quality Mark. Independent assessment for this quality accreditation includes checks for robust policies and procedures around safeguarding, health and safety, and safe recruitment. All groups, including smaller unfunded groups, are kept informed about new developments locally and nationally and about training opportunities. MVSC includes information on its website, Merton Connected, and in its weekly e-bulletins. Community Engagement Network representatives on the Children’s Trust and LSCB continue to feed in and report back on safeguarding issues for the sector. 4.7 London Probation Trust Engagement at regional level is maintained by the Director who sits on the London Safeguarding Children Board. London Probation Trust Revised its Safeguarding Policy in the latter part of 2011 with the following aims: To promote the concept and ownership of Safeguarding Children. To give renewed emphasis to child focused work. To protect children from potentially dangerous people. To achieve improved integration with MAPPA. To assist staff across all roles and functions to deal with concerns about the well being of children and respond effectively. To support staff by providing appropriate training Within the Boroughs of Merton and Sutton this Policy was launched at an LDU event in January 2012. Prior to the launch managers from both social care and LPT met to discuss implementation, and attention focused on the new referral and notification process. A sample of cases was reviewed in MSC Annual Report 2011/2012 Page 16 June 2012 to monitor the take up of the new process. Take up and recording was good, although there was some learning taken back to practitioners regarding the different types / categories of codes. A further ‘Dip Sample’ is planned for the latter part of 2012. 3. Safeguarding Probation Officer leads are designated within each of the local Probation buildings. Safeguarding leads prioritise relevant sub groups and disseminate information locally. 4.8 CAFCASS – The Child and Family Court Advisory Service Implementation of a standalone Cafcass Child Protection Policy (replacing the child protection/safeguarding elements of the existing ‘Safeguarding Framework’). Further significant improvements in the processing of police checks, largely the result of the establishment of the Cafcass Intake Team based at Coventry, which receives and processes all of our 41,778 private law cases from the courts; commissions all safeguarding checks and initially screens them. The introduction of the Cafcass/ACPO Police National Computer (PNC) partnership. Set up of private law early intervention teams across the country to ensure timely and safe completion of our Work To First Hearing, in line with the requirements of the President’s Private Law Programme. Set up of a National Improvement Service (NIS) to help support practice improvement across the country. Membership by Cafcass Legal of a working party, chaired by Mr Justice Hedley, which has produced guidance on MARACs and disclosure into court proceedings; and is currently producing guidance on Cafcass’ input to MARACs. Once the guidance is agreed and produced it will be integrated into the Cafcass Child Protection Policy. 4.9 Children’s Social Care This last year can be characterised as very busy for Children’s Social Care. Whilst overall contact and referral activity has not significantly changed the increasing complexity and seriousness of concerns alerted to the service has been a developing issue. The net effect of this has been that the numbers of children and young people subject to child protection plans increased significantly in the latter half of the year from November 2011 onwards. Total numbers subject to plan March 2012 = 173 Rate of Child Protection Plans per 10,000 population 2009/10 = 31 2010/11 = 28.5 2011/12 = 40 MSC Annual Report 2011/2012 Page 17 Our statistical neighbour average is 37 per 10,000. The annual average out turn was 28.5 per 10,000. The overall Contact and Referral activity shows that contact numbers remain stable whilst the numbers of going on to a referral have reduced. There has been a continued focus on prevention and accurate assessment and this has been supported by a decrease in the numbers of re-referrals 1495 in 2010-2011 1114 in 2011-2012 Rate of referral and assessment stable at just under 100 per month The data on contacts and referrals does not show at this stage any significant impact from changing demographics although local demographics show an increasing BME community expected to rise to 30% in Merton. 9% increase in the number of households in Merton projected from 2011–2031. There has been a 39% increase in live births from 2002-2010. Re-referrals at 15% below National level, had been 4% over. Initial Assessments in 10 days 61% Core Assessments in 35 days 54% In January 2012 Merton had it’s Announced Inspection of Safeguarding and LAC services. The inspection findings reflected a “good” judgement against all 22 of the standards reflecting continuing improvement of Merton’s services. The dip in assessment timeliness was considered to be an issue that reflected the greater focus on quality rather than the speed of the process. The stronger focus on quality has fed through to the increase in CP plans over the year. Which is shown by the following figures: 16% increase in Section 47’s 42% increase in ICPC’s The overall complexity of work has been evidenced in the ‘throughput’ of children starting and ceasing Child Protection plans. 196 became subject to a plan in 2011-2012 compared with 119 in 2010-2011. This similarly reflected in number of families – 83 compared with 63. 139 ceased being subject to a plan, compared with 125 in the previous year. 64% increase going on. 11% increase coming off. Most encouragingly a survey of service users showed that 62% of users felt that things had changed because of their involvement with children’s social care, compared to 38% in last year’s survey. The Child Protection bulge A more detailed analysis of the CP figures has revealed increases due to factors including: MSC Annual Report 2011/2012 Page 18 A doubling of family groups with three siblings subject to a plan. 33% increase in the number of families and a 30% increase in the number of children subject to plans. Three-fold increase in the number of 10 year olds subject to a plan with a focus on increases associated with Asian/British/Pakistani and Black/British/African. Physical abuse is a major feature in the BME ethnicity category. White / British ethnicity has declined in the population of children and young people subject to plans by 6%, whereas the rate of Black / British children and young people has increased by 5% and is 8% above the local demographic data No issue identified in terms of transfer in from other authorities. Although suspected as a result of changes in housing benefits. The outturn figures are based on a snapshot analysis at the end of each quarter. The age distribution is consistent with the previous year with 40% under five children subject to a Child Protection plan. In comparison to national averages fewer children remain subject to a Child Protection plan for two or more years and fewer children become subject to a Child Protection plan for a second time. CP plans second or subsequent time 8% in 2011-2012 13% in 2010-2011 CP plans 2 years plus 1% in 2011-2012 4% in 2010-2011 All CP 100% allocated to a qualified social worker. Children with disabilities remain - in common with other local authorities- under represented. Allied to this 98.9% of cases have been reviewed on time above the national average of 97%. In the face of the overall Child Protection Plan increase it is important to note the still improving performance for four weekly Child Protection visiting which at 95% is 2% up on 2010-2011. Recruitment / Learning & Development A positive campaign to recruit permanent social work staff backed up by data from the CSC Health Check has minimised vacancy rates in the Access & Assessment service and caseloads have remained reasonably stable. Strong focus on recruitment with a well supported cohort of 11 NQSW’s going through specialist commissioned support programme. Also continuing with Graduate trainee scheme and Contact/Referral screening service with one graduate completing first year and placement and 2 about to commence their first year. MSC Annual Report 2011/2012 Page 19 Agency recruitment cover for permanent frontline social work vacancies remained consistent at 20%. The number of CAF’s increased by 30% from 2010-2011 to 2011-2012 (491 to 667) with the majority being completed for priority referral rather than assessment purposes. The rate of CAF completion has risen back in line with 2009-10 data following a significant dip in 2010 with Supporting Families; Community Health and Schools all showing an increased referral rate. Number of complaints has increased to 59 in 11/12 a rise of 63%. No other agencies reported any complaints regarding child protection. See also 6.3 below. Domestic violence Public Protection Desk data – for 2011 (January 2011 till December 2011) a total of 1701 Police Merlin’s were received by Children’s Social Care, of these 359 were reports due to Domestic Violence (21%). 581 were reports of Carers Issues (34%), which is the largest presenting issue. For the first 6 months of 2012 (January 2012 till June 2012) a total for 777 Police Merlin’s were received, of these 65 were reports due to Domestic Violence (8%). 101 were reports of Relationship Conflict (13%). The largest presenting issue for this period is Abuse/Risk (38%). Local Authority Designated Officer (LADO) This oversees child protection allegations against staff members in partner organisations. The Safeguarding Service Manager for Children’s Social Care acts as the LADO. There were 22 LADO Consultations between 2011/2012 (April 2011 till March 2012). The referrals have come from a mixture of agencies which include education, health, social care and early years. The main reported incidents have been against teachers and foster carers. The majority of these allegations have been managed by the employing agencies and guidance provided by the LADO. From April 2011 to the end of March 2012 there have been 19 LADO referrals that have met threshold for senior strategy meetings. There were 14 allegations of physical abuse and five related to emotional abuse. There were two cases where alleged sexual abuse was a concern. There were two cases of multiple categories. Outcomes were varied. Of those cases subject to a detailed criminal investigation by the Police two resulted in caution/conviction Child Sexual Exploitation Children Sexual Exploitation concerns have been managed in Merton through the Promote and Protect Group and Barnados have been commissioned to support cases where urgent intervention needs to take place. See Appendix 9 for more details of this partnership group. Between 2011 and 2012 there have been 28 named victims of child sexual exploitation cases which have been known to services and intervention provided to support children and young people. Children social care jointly with the police disrupted two reported venues in the local area that had been named to hold perpetrators of abuse. MSC Annual Report 2011/2012 Page 20 Merton services have worked with a number of alleged perpetrators which were identified through a multi-agency steering group with all the main agencies including the voluntary sector. 4.10 Merton Youth Justice Service The last year for the Merton Youth Justice service has been one of review, change and consolidation. Overall, there has been a general drop in the number of children and young people within the youth justice system, even with the Summer 2011 disorders. However, within this there has been a number of Merton young people sentenced for serious offences. The caseload breakdown (14/6/12) shows an overall service caseload of 91 with: 61 young people on Community Orders 15 young people in custody 3 young people on remand to YOI 1 young person on remand to a Secure Training Centre. We have had some success with our preventing offending work, through the use of a triage system. This has led to a year-on-year drop in young people entering the youth justice system for the first time: 09/10 -188, 10/11 -144, 11/12 –111, with the first quarter of 2012/13 showing 19 young people. There has been a positive response to the HMI Case Management inspection (June 2011) that highlighted a number of areas for improvement, which resulted in a post-inspection action plan. This has been successfully implemented with a constructive staff approach to the changes which has included identifying and building on existing good practice, re-configuring the staff group along with a team office move for a more effective service delivery, and the provision of focussed training to enhance the skills of the YOT staff. As part of our prevention work, the Merton Turnaround Service is an integrated services prevention team using a ‘team around the family’ approach. With the development of the Triage process this partnership approach has had the positive effects of: 93% of those young people engaging with the services had not re-offended increased involvement of parents and schools stronger partnership ties with schools, improving behaviour in schools and community. Within our statutory Court supervision teams we have: Been successful in reducing the amount of young people sentenced to custody Improved on the increasing numbers of young people in education, training and employment (ETE) at the end of community orders; with our 16-17 year old young people numbers being the lowest NEETs in London. Successful reparation project work providing over 2,000 hours of unpaid reparation work by young people in the community each year. Developed various group activities including a young woman’s group that has achieved a higher level of attendance and completion rates. This has led to presenting our work on tackling sexual exploitation and gangs at a social care conference on fostering. MSC Annual Report 2011/2012 Page 21 We have established a multi-agency offender management panel (OMP), chaired by the police. It has been successful in reducing re-offending and reducing the risk amongst high risk young people often involved within gangs. 4.11 Early Years With a key role in prevention and early intervention Early Years services have reported the following data on inspection outcomes for safeguarding in a range of settings: 100% Children's Centre inspection graded good or outstanding for children's welfare and safeguarding 78% of al PVIS are graded as good or outstanding for staying safe 65% of all childminders are graded as good or above for staying safe – and now a key focus for 2012 - 2013 Last year Merton trained 35 childminders to work specifically with vulnerable families as part of the roll out of the two year funding for disadvantaged children. The training consisted of 10 modules, 2 of which focused specifically on working with vulnerable families and ensuring their safety and well-being. Parental Involvement - linked the Childcare Act 2006, the session focused on the role of the practitioner to involve and support vulnerable families with a focus on strategies to help when families are harder to engage. Information Sharing - highlighted the CAF and Merton's Needs Assessment Framework. It looked at the role of the lead professional and the protocols around information sharing and confidentiality Safeguarding Children - focused on the role of a practitioner is safeguarding vulnerable two year olds and understanding what to do if they had any concerns. The session also covered the child protection process and how practitioners might be involved so a small session focused on report writing. In 2011-12 there were 48 Safeguarding courses (ranging from basic awareness to safeguarding for leaders and managers) held for childcare practitioners with an average of 275 childcare practitioners attending each term. MSC Annual Report 2011/2012 Page 22 5.0 Managing improvement It is the job of the MSCB to tie all these contributions together. The next section shows how our business plan does this. 5.1 MSCB Business Plan The MSCB approved a new Business Plan in September 2010 which was intended to cover the period from 2010-14. An annual refresh was agreed by the main Board in September 2011. This set out the development and improvement work to be carried out by MSCB Business Management and partners through the Subgroups. Work plans for the Subgroups are aligned with Business Plan objectives and reported to all main Board meetings A full report on progress during 2011/12 is at Appendix 8. It brings planned activity under four headings: 1. 2. 3. 4. Governance & accountability Challenge & Improvement Workforce development / Training Engagement: communication & consultation 5.2 Training and development The MSCB continued to offer a wide range of courses for all professionals in the statutory and voluntary sectors in Merton. This is a very important part of the offer to partners. Our ‘Introduction to Child Protection’ course proved particularly popular with this being run to capacity eleven times during the year. We continued to have highly skilled trainers (including some recognised at national level) delivering our courses and this was reflected in the consistently positive evaluations (average score of 3.5 / 4). The way in which we evaluate training and its impact on practice is constantly under discussion within the training subgroup and this year Merton is one of a few London Boroughs piloting an Impact Analysis on a sample of the courses we offer. Between April 2011 and March 2012 we were able to deliver 53 of the 58 courses originally planned, with a total attendance of 817 from professionals representing a large number of agencies in the borough. MSC Annual Report 2011/2012 Page 23 MSCB Course Attendance by Agency - 2011-12 250 209 200 157 150 137 124 100 56 53 Youth Inclusion Voluntary 3 Probation 1 Private 10 Other Health - Private 3 Health Education/Early Years Statutory 9 Education Schools 1 Education Private Community & Housing (Statutory) Children's Social Care, LBM 0 1 CSF 24 Police 29 Environment & Regeneration 50 Agency e-learning During the past year we allocated over 500 licences (mostly for the Awareness Child Abuse and Neglect module -83%). However, though improved on the previous year, the completion rate was just under 35%. We are hoping that this will improve once we introduce a self- booking system (which will eliminate delay between the learner applying and being issued with a code to access the course). The available programme also continues to be advertised in the course of other training/ training related events. Annual conference The MSCB annual conference on 7th Oct had as a theme Abusive Relationships. It was attended by 96 professionals from LSCB member agencies and was very well evaluated with an average of 3.6/4. The Ofsted inspection report* notes: ‘78. The Children’s Trust provides a common induction programme which is valued by staff. The quality of training provided by the Merton Safeguarding Children Board is good, as is attendance at the multi-agency training. Specific training for targeted groups such as GPs and early years has raised awareness of child protection issues and improved safeguarding outcomes. Social workers who met with inspectors placed a high value on the quality, range and accessibility of the training offered to them, and reported that this was contributing to staff retention.’ 5.3 Development activity The MSCB carries out a range of development activities in specific areas of safeguarding which is * Ofsted: Inspection of safeguarding and looked after children services, London Borough of Merton. Published: 24 February 2012. Inspection dates: 9 – 20 January 2012. MSC Annual Report 2011/2012 Page 24 managed through working groups and other partnership arrangements under the framework of the Business Plan. For more detail on the working groups see Appendix 9. 5.3.1 E-safety/Anti-Bullying A e-safety strategy was published in February 2012 to coincide with Safer Internet Day. This was produced after extensive consultation with partners, particularly schools who are at the front line in identification of vulnerable young people. In 2012-13 the work will be aligned with that of the Merton Anti-Bullying Forum, as many of the unacceptable behaviours around e-safety are aspects of bullying. The strategy covered the following aspects of e-safety: Cyber-bullying, including sexual bullying. Safe use of social networking, e.g. Facebook, Twitter, X-Box Live, messaging etc. Pornography and violent images – accessibility and inappropriate use by young people. Grooming by strangers and known contacts, including trusted adults. Real time communications including texts, e.g. ‘sexting’, chat rooms, email, instant messaging, video chat etc. Support for parents and carers and their role and responsibilities. Support for young people, particularly the more vulnerable. Training for professionals and practitioners. Communications infrastructure – working to developing managed online environments for young people rather than blanket blocking policies. The approach focused on: Not duplicating the great range of advice and resources already available. Helping organisations to develop their own solutions. Identification of those young people potentially vulnerable. Making sure that risk is assessed and managed effectively. Recognizing that often the best people to help young people are other young people. 5.3.2 Culture and Faith Adults and families project Merton was commissioned along with a number of other London boroughs in July 2010 to begin work on the Pan London Faith & Culture Project, an ‘action-research project aiming to promote a stepchange in safeguarding London’s children living in minority ethnic, culture or faith communities or groups’, i.e. to achieve greater cultural awareness among practitioners and greater awareness of child protection issues and expectations among faith and cultural groups, particularly for those where cultural parenting or other practices may already have prompted the intervention of safeguarding services. The main project ran to December 2011, involving Merton with other London boroughs. Initially contact has been made with three community groups and ran consultation focus groups for the children, young people, parents and other adults in their local communities and for the paid or unpaid workers in the local statutory or voluntary sector to gather views on how to improve safeguarding for MSC Annual Report 2011/2012 Page 25 London’s children living in minority ethnic, culture or faith communities or groups. This work will continue into 2012/13. The outcome is to integrate the learning and best practice established into the work of the MSCB and partners through its three-year business plan and partners’ own work plans. Also to develop a training package and toolkit to ensure this practice is maintained – these were launched at the Annual conference of the London Safeguarding Children Board on 5 December 2011. Young people’s project Separately the Youth Participation Team were commissioned by the Pan London Culture & Faith Project to run a project specifically aimed at young people. The project engaged a total of nine youth organisations with an average numbers of eight in each focus group, aged 13 -19 years, in debating and understanding child protection issues with a particular focus on, culture and faith. The discussion focus groups, six were required, were facilitated by trained Young Advisors and Merton Youth Parliament members with support from Children, Schools and Family staff. The young people presented their research journey and recommendations to the Conference on 5th December 2011 with A DVD which was extremely well received. A set of recommendations was produced: To promote and have wider participation of children and young people in ‘safeguarding’ issues within statutory, voluntary and cultural organisations in LBM and youth participation networks across London. To have further borough-wide training of youth facilitators, enabling more young people to be trained to deliver training in safeguarding issues alongside professional staff to the youth population in the LBM. To develop a package of bespoke youth focused training materials with the Practice Development & Learning Officer (Children Social Care). To have more in-depth studies of faith and culture youth groups within the LBM which will support professionals understanding safeguarding children and young people from their perspective. To provide a series of borough-wide workshops, leading to a borough ‘Safeguarding Children’ conference for young people led by young people, during 2012/2013. To consider developing preventative work aimed at primary school children To improve and enhance the links between the youth and adult services, exploring future preventive measures which may support young people who may be faced with/facing ‘safeguarding children’ issues. This work will now be mainstreamed into the Youth Participation Team’s work plan for 2012/13. 5.3.3 Domestic Violence/Abuse MSC Annual Report 2011/2012 Page 26 Work continued on developing practice guidance, initially prompted by the work done to complete the Laming Review Action Plan in 2010. The project is led by the Designated Nurse for Child Protection from NHS Sutton & Merton and covers both Merton and Sutton boroughs. It focuses on the effect on children and young people in families, as much as the adult victims or perpetrators. Guidance to front line staff and other practitioners on identifying and responding to domestic abuse was identified by the Laming Review Working Group as not consistent across the range of providers. The understanding of what domestic violence is, its effect on children and families and what can be done varies from agency to agency, particularly those where families may present with DV but are not in the front line of care services, e.g. nurseries, libraries. The project team input into a Pan-London bid to the European Daphne III fund, led by Barnardos to develop this work in March 2012. If successful its will fund practice guidance and other support materials as well as increased training provision. It is anticipated that this will lead to a better-coordinated Pan-London approach to domestic abuse affecting children, perhaps including a specific network group. 5.3.4 Private Fostering Private fostering support continued to be of good quality. The Ofsted inspection made the following finding: ‘29. A strong culture of safeguarding children and young people permeates the work of teams that are held to account by the Merton Safeguarding Children Board. Processes for the monitoring of private fostering arrangements are good. Young people are visited at the required frequency and there is good awareness of their safeguarding needs.’* *Ofsted: Inspection of safeguarding and looked after children services, London Borough of Merton Inspection dates: 9 – 20 January 2012 Reporting inspector: Carolyn Adcock HMI Age group: All Published: 24 February 2012 MSC Annual Report 2011/2012 Page 27 6. Views of service users and providers 6.1 Young People’s participation While the Section 11 audits identified participation strongly as an area for development (see 4.2.2 above), the Pan-London Safeguarding Children Culture & Faith Project, funded by the London Safeguarding Board did, however, prove to be a real success in involving young people in their own safeguarding. This project engaged young people age, 13 -19 years, from youth organisations in Merton, in debating and understanding child protection issues with a particular focus on impact of culture and faith. See 5.3.2 above for more details. The discussions were conducted in youth focus groups facilitated by two trained young advisers and/or Merton Youth Parliament members who were supported by the London Borough of Merton, Children Schools and Families, Participation team. The conclusions and findings from the young people’s project were presented in a DVD by several of them at the London Safeguarding Conference on the 5th December 2011. Their DVD described their research journey, what the young people learned and their future recommendations. The Participation team and young people will be implementing some of these recommendations during 2012/13. 6.2 Service users There were a number of areas where the views of young people and families on their safeguarding or experience of social care/support services were canvassed. The summary evaluation below highlights the key issues expressed by children, young people and families about safeguarding issues and support services. See Appendix 10 for more details. Using children’s social care services: Families who were contacted by social workers in response to a concern about their child’s safety were, in general, satisfied with support they received. However, the following issues were highlighted for improvement: Families should always be given clear information about: The assessment process, including what will happen after the assessment, and when. How to contact the social worker and any changes to appointments made. The role of the social worker and the extent of their remit, as well as when it is necessary to engage other services. The reasons for social care involvement, and the necessity of intervention. A joined up approach to domestic violence services to provide support for victims and perpetrators. Ensure an appropriate range of support services so that users can engage with what they are offered, and feel that it makes a difference to their family. MSC Annual Report 2011/2012 Page 28 Assessments must be shared with the service user before completion to enable feedback, and a final copy sent to the user. Using non-statutory children’s support services: The high level of positive response from users of the Phoenix Project showed that families respond well to an intensive, tailored service. Users felt listened to and respected, and the majority felt that the service made a difference to their family. Jigsaw4U suggested that the success of its Young Runaways project was based on the following factors: Young people engaged with the project as it was seen as independent and non-statutory. The flexible intervention model was based on the child’s needs, allowing them to work through their issues at their pace. Young people felt that the workers were passionate about the work and were clearly committed to the young person’s well being. The Reconstruct Advocacy Service good practice summaries illustrate that children and young people need and value the service, as it enables them to fully participate in their reviews. Young people’s insights into safeguarding issues: The Young Advisors’ Faith, Culture and Safeguarding Project highlighted the diverse views of young people about substance misuse, domestic violence and mental health. The following messages stand out from their project. Young people felt that they were generally knowledgeable about drugs and alcohol and got their information informally. Young people of faith in the focus groups were more likely to say that using drugs and alcohol is not acceptable. Young people lacked knowledge about mental health issues, sometimes confusing them with physical disabilities, and appeared to feel that there was social stigma surrounding mental health. Some young people said that domestic violence was the fault of the victim rather than perpetrator, and there was a lack of understanding of domestic violence as an issue across a range of relationships. There was little knowledge about where to go for help or support. Children and young people needed better access to education, information and advice about these three issues, which may best be delivered via schools through formal lessons, and peer education and support. Responses from Catch 22 show that young people need clear and honest explanations about drugs and alcohol, their effects and side effects. They learn well from open, honest discussions about this issue. This approach can prevent substance misuse, and reduce it in those who use drugs and alcohol. The research from the Institute of Community Cohesion research illustrated a number of safeguarding issues: There are some instances of sexual exploitation of vulnerable young women by young men. This shows the need for identification and work with young women who may be at risk, and young men who are potential offenders. A number of young people from African and African Caribbean backgrounds said that the strict MSC Annual Report 2011/2012 Page 29 parenting styles within their culture can be counterproductive. Conversely Asian young people said that a strict parenting style can be effective in maintaining obedience. Community tensions identified in the research included tensions between young people from the Amadiyya Muslim and Sunni Muslim communities, problems with Tamil and African Caribbean gangs, and some negative treatment of Gypsy and Roma children. Bullying and discrimination Bullying was a prominent concern for respondents to the Young Residents’ Survey, and 52% of respondents to the Anti- bullying Survey said they had been bullied to some extent. 85% of respondents to the latter survey also felt that their school’s strategies to tackle bullying were successful. However, the research indicates that there needed to be an increase in opportunities for children to tell an adult at home or at school that they have been or were being bullied. 6.3 Complaints Social Care complaints follow a statutory process, and serve to highlight areas of concern in safeguarding. There were 65 complaints for Social Care and Youth Inclusion in 2011/12, with a further 37 made through MPs and Councillors. Around 90% were responded to within the timeframe, averaging at 10 days. Longer responses were caused by non-availability of the relevant staff or the complexity of the issues involved. There were no prominent trends highlighted in Children’s Social Care complaints as they covered different issues including: Core Assessments, request for a change in social worker, fostering placement, private fostering arrangements, social worker attitude, lack of contact or information with allocated Social Workers and not following actions agreed. MSC Annual Report 2011/2012 Page 30 7.0 Challenges for the MSCB in 2012/13 The MSCB Business Plan will be refreshed in September 2012 to reflect the rapidly changing environment for safeguarding children which has arisen from the Munro Review of Child Protection and accelerating change in delivery of public services. The principal challenges are set out below. 7.1 Resources The work of the LSCBs has been recognised both by the Munro Review and the Government as vital to ensuring the safety of children and continuing to improve child protection. Yet it has had no national core funding. It is therefore vital that local partners continue to provide funds as they have done in recent years, notwithstanding the financial pressures faced by all organisations. 7.2 Quality Assurance Framework A QA Framework for the MSCB is being developed during 2012-13. It is designed to ensure the quality of multi agency working on child protection and safeguarding by bringing together all the work done to oversee, scrutinising it and ensuring that any learning is understood and fed into improvement and development work for multi-agency working and for individual agencies. This will create a programme of continuous improvement. Framework mechanisms Mechanisms for the QA Framework incorporate five strands of scrutiny: Organisational standards – how well the organisation incorporates safeguarding children into its priorities and activities. Practice/Operational standards – the quality of multi agency case working and practice to safeguarding children. Performance data and information – the data and intelligence which gives a picture and narrative of performance. A risk register – identification of the major risks to safeguarding and for the MSCB. Participation and engagement of service users and children and young people – ensuring that the voice and opinion of service uses and young people on their own safeguarding is heard by the MSCB and partner agencies. Assessment tools Mechanisms to achieve this include audit tools; external inspections and reviews including Ofsted and peer reviews; performance data and intelligence; risk assessment models, and consultation and participation techniques to gain user engagement. Software tools to improve audit, including Section 11 audits, will be used as available. Learning and improvement Learning and improvement will be driven by the QA Subgroup by overseeing quality assurance activity and commissioning actions from other subgroups and parts as required. This will act as a continuous MSC Annual Report 2011/2012 Page 31 improvement cycle of assessment and development. Recommendations for action will be carried out by the QA Subgroup itself or passed on to the appropriate agency, subgroup or working group, e.g. Policy & Practice, Training, and incorporated into those groups’ work plans. Governance structure The QA Subgroup will act as the hub of activity receiving reports from partner agencies, MSCB business management and other subgroups and maintaining an action plan and register of activity which it commissions. Reporting: Forward Plan for Quality Assurance Subgroup and the MSCB main board meetings Reporting will be to the main MSCB board six-monthly – in January and June. The QA Subgroup will continue to meet six-weekly. This will be integrated in to the MSCB Forward Plan schedule. 7.3 Munro Review/Working Together – Children’s Social Care Professor Eileen Munro published her final report on her review of child protection and safeguarding during the year and the Government accepted her recommendations in full. A number of key messages flowed from the report including the need to replace the focus of timescales and process with a greater commitment to quality in assessments that reflects a stronger relationship between the social worker and the families they are supporting. Professor Munro recommended a review of the plethora of regulation and guidance that in her view complicated the essential ‘helping’ task of social workers and she also commended the Government to embrace a ‘systems’ approach to the review of Serious Cases under the framework developed by SCIE. In Merton we have established a Munro Working Group to consult on proposals to review and restructure children’s social care services in order to deliver a single ‘continuous assessment’ approach that also links to our local development of a MASH and supports the implementation of the new Assessed and Supported Year in Employment programme. Working Together to Safeguard Children – statutory guidance As already noted the Munro review recommended a wholesale review of the published guidance and regulation that sought to guide and inform professional practice. The principle of simplifying all associated guidance has been applied to the publication ‘Working Together’ and the Government entered in to consultation on the extensive reduction of the guidance from 700 to 70 pages over the course of Summer 2012. Merton LSCB has sought the wide ranging views of all it’s partner agencies in compiling a thorough response to the proposed amendments to ‘Working Together’ and this has been submitted to the DfE in time for the 4th September 2012 deadline. Concerns were expressed by partners on a wide range of themes, which echo comments made by London LSCB Chairs and others. These include: Lack of overall clarity. MSC Annual Report 2011/2012 Page 32 Partner roles - obligations and expectations for non social care partners are not robust enough. Changes in the health economy, particularly the role of the new clinical commissioning groups Lack of reference to children with particular vulnerabilities, e.g., disabled children. Safeguarding for specific circumstances, e.g. Female Genital Mutilation, forced marriage, Domestic Abuse. 7.4 Multi Agency Safeguarding Hub (MASH) The MASH is a vital priority for MSCB partners in 2012-13. It co-locates safeguarding agencies and their data into a secure assessment, research, and referral unit for notifications of vulnerable children. By providing a fire walled facility, each partner can exercise the tension between privacy and sharing information for safety. This will identify unknown risk by building up a full picture on the child of concern and their family, and is seen as a key tool in building stronger partnership work to identify vulnerable children at an early stage and put in place protective strategies to keep them safe from harm. Elsewhere the MASH method is reported to have resulted in more effective and earlier identification of vulnerable children. It has reduced the number of different professionals being involved, while keeping the most appropriate professional to deliver interventions to meet the needs identified in any particular case. It has the potential to avoid unnecessary duplication and visits, and simplified processes. The Director of Children’s Services holds overall responsibility for the quality of children’s safeguarding activity delivered within the MASH, but individual partner organisations retain responsibility for their own safeguarding activity and processes which may be present and delivered within the MASH environment. The MASH will be delivered under the governance of the local authority but clearly has reference to both the Children’s Trust and the Local Safeguarding Children Board. This work will be developed alongside the new structures for Early Help – see below 7.5. 7.5 Early Intervention and prevention Merton has a strong legacy of early intervention and prevention delivery and there is an increasing evidence base (International, National and Local) that demonstrates that Early Intervention both works and is cost effective. However, the announcement of significant reductions in public spending from 2010/11 coupled with a continued rise in birth rate in Merton has led to an inevitable overall reduction in service provision. These powerful drivers prompted a fundamental review of our Early Intervention and Prevention model and delivery and the development of a new Early Intervention and Prevention Strategy. Future Early Intervention and Prevention Services will need to be better targeted to those children young people and families considered in most need, and at most risk, and in areas where the greatest impact can be made. During 2012-13 work will begin, to implement this second Early Intervention and Prevention Strategy that introduces a simplified 3-level well being model, namely Universal, Enhanced and Specialist. The strategy recognises that many of our universal services are already providing additional and targeted support to those children; young people and families identified as requiring this. The enhanced level will be delivered by two age-related enhanced services (funded through existing in-house services) through a casework model, with practitioners undertaking coordination of a multi-agency common and shared family’ assessment and care planning, direct work and brokerage to commissioned services. MSC Annual Report 2011/2012 Page 33 Early Intervention delivery will be supported through new ‘family’ assessment tools, that enables practitioners to reflect the complexities within families and plan holistic support to meet the needs of the whole family. All of this work focuses on supporting families to help themselves, in order to improve outcomes for children and young people, whilst safely avoiding wherever possible more intrusive, high cost interventions. 7.6 Signs of Safety There has been agreement and action to adopt a broad ‘Signs of Safety’ approach in Merton from September 2011.This was supported by the recent Ofsted inspection findings in January 2012 following the Announced Inspection of Safeguarding and Looked After children’s services as a driver to end the practice of ‘formulaic child protection plans’. ‘Signs of Safety’ represents a new opportunity to establish a culture aimed at more effectively working with families in a way they can easily understand. The approach can be adopted service wide but has usually been expanded from an initial focus on child protection planning. The introduction of a ‘Signs of Safety’ approach across all agencies working with children, young people, and young families requires a shift in practice culture away from an exclusively historically based deficit focus, towards a more balanced future focused approach to families; a new balance between identifying strengths and capacities alongside dangers and risk. A number of projects, workshops and training events have been commissioned to support a process of culture and practice transformation. The work was scoped in February 2012 and began at a multiagency planning event which took place in March 2012. For the Conference process there has been a focus on the Safeguarding Service and commissioned training for the chairs and record takers so they feel confident and prepared to start running the child protection conferences in a significantly new facilitative format in line with the key principles of Signs of Safety. Since May 2012 there has been a number of workshops and training events that has been provided to the Safeguarding Team along side other multi-agency professionals to support staff in the change process. The training has been evaluated and the staff report positively on their improved awareness about the approach itself and the value of investing in this approach and style of intervention for the longer term benefit of children and their families. Further briefings are planned for the relevant social work teams and the child protection report format has been adapted to better capture the balance of risks and strengths ahead of full adoption by mid October 2012. 7.7 Review of CareFirst system CareFirst is the online data system for Social Care. The CareFirst project is addressing concerns raised following a report into the use of CareFirst across Adults and Children’s Social Care. Whilst CareFirst was working reasonably well with Adult Social Care, the implementation in Children’s had gone stale, forms and processes needed to be updated to fit better and make better use of the newer parts of CareFirst. MSC Annual Report 2011/2012 Page 34 The report also felt the organisation as a whole had no ownership of CareFirst. This has been rectified and CareFirst is now well embedded into the management structure of Adults and Children’s Social Care. A project has been running for the past 18 months to simplify some of the procedures for teams. The Care planning process is now fully embedded in CareFirst. The next phase will focus on the Children in Need process and will be including Munro reforms alongside the new Strengthening Families approach to Child Protection Conferences. During 2012/13 a decision will be made if CareFirst needs to be replaced with a new generation product with features such as single recording for families embedded in the product, as well as expanding the remit to include Youth Justice, Early Years etc on a single case management system. 7.8 Partner agencies’ challenges and priorities for 2012/13 7.8.1 NHS Sutton & Merton – the Primary Care Trust Managing the transition to clinical commissioning groups (CCGs) is the major challenge and priority for primary care services. The Merton CCG is due to take over responsibility in April 2013, but transition processes are in place from October 2012, although the PCT remains accountable until the end of March 2013. This will test the governance and accountability structure with the challenges of the wider safeguarding agenda. With the increasing prevalence of non NHS Health providers and/or alternative providers there is an growing challenge to engage around safeguarding issues. Training, including for commissioning is a major challenge in these circumstances, and individuals and organisations need to be trained at the right level. The development of the MASH may increase the caseload for Children In Need within primary care services. Looked After Children will have their initial health assessments audited this year. The CDOP-SPOC role within transition needs clarification and development The PCT has found it difficult to recruit a Named GP for Child Protection – this was noted in the Ofsted inspection in January 2012 – and there are capacity issues from this including the need to support independent providers. Potential changes to the Working Together to Safeguarding Children statutory guidance have to be monitored and assessed to avoid weakening the existing safeguarding framework. 7.8.2 Sutton & Merton Community Services – the Royal Marsden Hospital Foundation Trust Safeguarding Supervisors Safeguarding supervisors have a safeguarding supervision role. They are available to offer child protection advice and provide 1-2-1 safeguarding supervision to their respective teams in accordance MSC Annual Report 2011/2012 Page 35 to the Services Safeguarding Supervision Policy. It has becoming evident that the demands of the combined management/child protection supervision role can at times be conflicting. Some Safeguarding Supervisors have reported this conflict of interest, when prioritising child protection work over their line management responsibilities. A review of their roles has taken place and a new structure of a safeguarding team with specialist nurses concentrating on all aspects of safeguarding will be put in place during 2012 – 2013. This will allow outcome focussed supervision and analysis of the monitoring of risks for the child/ family/young person and the development of action plans for support Training for supervisors and appropriate supervision for them is a priority for 2012-2013 and further auditing the supervision given in order to improve outcomes for the children, young people and their families and to improve practice and to improve supervision. The commissioners have put in place a CQUIN for 20122013 for community services is to address and improve supervision across all children’s health professionals with a target for supervision rates. MASH Health is committed to being an integral part of the MASH’s. The Safeguarding Children’s Executive group has proposed that Royal Marsden Community services should be the lead health professionals on both borough MASHs and such proposed ot the Clinical commissioning groups that this work be funded appropriately. Domestic Violence The prevalence of domestic abuse has highlighted the need for further training of health care staff in this area which has lead to the commissioning of mandatory domestic abuse training for practitioners. This has now been introduced into the Education and Development Department Training Programme and is being delivered in 2012-2013. 7.8.3 Epsom & St Helier – Challenges and Priorities for 2012 /2013 To maintain the training target of 80% set by NHS London ensuring that staff attend the appropriate level of child protection training commensurate with their roles and responsibilities and are up to date with child protection training and attend an annual basis. Work with IT to implement a system for flagging and tagging vulnerable children and adults throughout The Trust, particularly within adult and paediatric ED, who are known to the Multiagency Risk Assessment Forum (MARAC) who have been identified where high levels of risk exist due to domestic abuse, in order to safeguarding children and families accessing services within the Trust. Annual Safeguarding Update to be circulated to all staff during the period 2012 to 2013 to reflect any changes to policy or legislation. To continue monitoring progress within the Safeguarding Action and complete the Audit Plan for 2012/13. Work with HR to introduce a programme of on-line Level 2 Child Protection training to compliment face to face training and provide flexibility for staff to access and achieve completion of statutory and mandatory CP training annually. To continue to ensure evidence is recorded centrally to support CQC Outcome 7. Work is currently underway to identify how the Trust can ensure appropriate attendance and provision of reports, from key professionals, at Child Protection Conference and quality assure the processes in order to assure the Trust Board of the number of invitations received, percentage attendance, submission of a conference report and the quality of conference reports. MSC Annual Report 2011/2012 Page 36 7.8.4 South West London & St George’s Mental Health Trust - Challenges and priorities for the future Completion of the improvement plan arising from Ofsted & CQC recommendations in January 2012. Improve the percentage of service users who have the Safeguarding children form completed. Review access to trust levels 2 and 3 Safeguarding Children’s training and target staff that are overdue. Improve access and contribution to multi agency training offered by the LSCB. Contribute to further development of multi agency themed case audits. Contribute to the national review of the Safeguarding statutory guidance and the implementation of the recommendations from the Munro review. Embedding awareness of and including Domestic Abuse into Core Assessments. Re-aligning safeguarding children leads in the new adult community teams. CAMHS staff trust-wide to move to three yearly CRB checks. Ensure that learning from cross borough and national SCR’s is embedded in training and staff development. 7.8.5 Borough Police - Challenges and priorities for the future MPS change programme The MPS is currently engaged in the design of a new policing model. Details are yet to be published but the change programme should result in an enhanced operating model for Boroughs with greater emphasis on Neighbourhood and Borough Policing. Consultation with partners will be undertaken as the programme is launched. The change programme will also provide clarity around numbers and funding arrangements for Safer Schools Officers. Stop and Search The ‘Stop It’ programme has been launched by the Commissioner to improve the effectiveness of stop and search and also to improve public confidence. This has already resulted in a more considered approach to the use of stop and search including a dramatic reduction in the use of s.60 and powers related to terrorism. In June 2011 there were 873 people stopped and searched in Merton. In June 2012 this number dropped to 479. As the second highest percentages of people searched are between 10 and 17 years-old, (27%), this should result in a positive outcome for young people’s perceptions of the police. Youth Violence and Gangs Remains a priority and a key challenge for the police and partners. It also links into serious youth violence and knife crime. Police supported and co-wrote a partnership youth violence and knife crime action which will be delivered throughout 2012-13 with a focus on education, prevention and enforcement. Police enforcement activity has and will continue to include a number of targeted days of action to detect and disrupt gang activity. This has already reaped dividends with a 19% reduction in robbery, a 43% reduction in knife crime. Work continues on cross-border issues surrounding Tamil Gangs and emerging gang issues on the Tooting borders. The Borough will be implementing a Gangs Exit Strategy linked into the proven ‘Enough is Enough’ gangs strategy. MSC Annual Report 2011/2012 Page 37 7.8.6 CAIT - Challenges and priorities for the future The overall challenge for the future is to maintain our total commitment to the safety and welfare of children in Merton Borough, and working together with our statutory and voluntary partners. A significant future challenge will be the effect on the CAIT after the Olympics of the fiscal restrictions that the whole organisation faces. As part of the MPS change programme and financial savings requirement, the Barnes Child Abuse Investigation Team will be moving location to Jubilee House in Putney in the next 12 to 18 months. This will enhance the Teams response as the location is nearer to the Borough, and upgraded ABE facilities will be included in the plans. The targets for performance remain a priority, with an additional focus on the speedy arrest of named suspects. The CAIT also remains committed to their targets for attendance at Initial Case Conferences (100%) and attendance at Review Case Conferences (50%), together with a robust approach to the care of victims and ensuring that they are kept up to date with the progress of their investigations. 7.8.7 Voluntary and Community Sector - Challenges and priorities for the future Groups will continue to be supported in these activities and there will be a strong focus on maintaining and further developing partnership work. In particular, work will be done to involve the sector in the development of the new Multi Agency Safeguarding Hub and the Transforming Families initiative. 7.8.8 London Probation Trust HMIP (Probation Inspectorate) has identified weaknesses regarding Probation staff undertaking home visits on Child Protection cases. Part of the LDU business plan is to conduct a home visit on all new CP cases from August 2012. This initiative has also coincided with a Health and Safety review of home visits within LPT. Progress will be monitored over forthcoming months. The LPT will be resourcing MASH with one Probation Officer for one day per week. This resourcing is in place locally. LPT IT databases are being opened up to partner agencies and co-located to promote the sharing of information. Each month within the LDU a sample of cases are reviewed. This process is called LEARN, the objective is to explore the quality of risk assessment and risk management. Child Protection is very much on the agenda and both strengths and areas for development are shared with the practitioner and their line manager. 7.8.9 CAFCASS - Challenges and priorities for the future Implementation of the Cafcass Operating Framework Implementation of the Family Justice Review Work with ACPO and ADCS to review protocols MSC Annual Report 2011/2012 Page 38 7.9 Culture and Faith groups Responding to the rapidly changing demographic pattern in Merton is a real challenge for all organisations in Merton and a critical duty for the MSCB. The MSCB will be adding to the progress achieved through the pan-London Culture & Faith Project in 2011-12. Work will continue on both engaging with families and young people directly. In addition a small group will come together to align the culture and faith work being done by the local authority and then by partners. A report will be made to the Board in March 2013 to consider progress as part of the Quality Assurance Framework structure. 7.10 Young People’s Participation Young people’s participation is emerging as an area for development, which will be reflected in the next version of the MSCB Business Plan in 2012. The Pan-London Safeguarding Children Culture & Faith Project, funded by the London Safeguarding Board did, however, prove to be a real success in involving young people in their own safeguarding. The conclusions and findings from the young people’s project were presented in a DVD by several of them at the London Safeguarding Conference on the 5th December 2011. Their DVD described their research journey, what the young people learned and their future recommendations. The Participation team and young people will be implementing some of these recommendations during 2012-13, and mainstreaming the activity as part of their core business. 8 Conclusions One of the dominant themes in this report is of learning from review and applying the lessons to future practice. Essential to this is widening the scope of awareness-raising activity and following up with good and timely information sharing. All ideas about how to improve further are valued and if you have comments, queries or suggestions about these services please contact the LSCB. Contact details Merton Safeguarding Children Board 4th Floor, Civic Centre London Road Morden SM4 5DX Tel: 020 8545 4866 Email: mertonlscb@merton.gov.uk MSC Annual Report 2011/2012 Page 39