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Safeguarding Children and Young People (0-18 years)
Six Month Report April – September 2015
Presented By:
Tracy Luckett Director of Nursing and Allied Health Professions
Author:
Tracey Foster Named Nurse for Child Protection and Safeguarding Children & Young People
Purpose:
To report to the Trust Board on progress against the delivery of the safeguarding children’s agenda in the Trust in line with national guidance
Report to Board of Directors:
28th January 2016
Previously considered:
Safeguarding Children Group (15th January 2016)
Action for Board:
For information √
For consideration
For decision
ITEM 6(b)
Safeguarding Children Six Month Report April – September 2015 Page 2 of 20
Executive summary: This report provides the Trust Board an overview of the activity undertaken and progress against a number of specific elements of the Safeguarding Children’s agenda within Moorfields Hospital NHS Foundation Trust around during the first 6 months of reporting year 2015 – 2016 It sets out details on the key developments and progress both internally and with external partners.
Related Trust Objective: Improving patient safety and satisfaction.
Risk and Assurance: Maintaining effective safeguarding arrangements increases the safety of our patients and the quality of the services we provide, supporting the achievement of objective.
Legal implications / regulatory requirements: Safeguarding Children is governed by a range of legal and regulatory requirements including: ‘Working Together to Safeguard Children (2015)’ which sets out how organisations and individuals should work together to safeguard and promote the welfare of children and young people in accordance with the Children Act 1989 and the Children Act 2004 including the duties set out under Section 11; the Care Quality Commission Regulation 13 on safeguarding service users from abuse and improper treatment; and ‘Getting the Right Start’, the National Service Framework for Children Standard for Hospital Services (Standard 7).
Actions for the Trust Board: This report updates the Trust Board on progress following the 2014- 2015 Annual Safeguarding Children Board Report and is brought to the Board for information prior to dissemination to Islington CCG and Islington Safeguarding Children Board. The Board is asked to receive this six month report as assurance that the Trust is continuing to maintain effective systems and processes to safeguard children.
Safeguarding Children Six Month Report April – September 2015 Page 3 of 20
Section
Content
Page
1.
a) Introduction b) Key messages and quality assurance c) Key achievements during April – September 2015 d) Challenges and Issues e) Priorities for October 2015 – March 2016 f) Child Protection / Safeguarding Children Personnel
4 4 5 5 6 7
2.
Safeguarding Children Activity Graphs April –September 2015
7
3.
Vulnerable Groups of Children and Young People
12
4.
Clinical Governance, Monitoring, Audit and Performance
13
5.
Clinical Policies, Procedures and Guidance
13
6.
National Practice Documents and Statutory Legislation
14
7.
Key Performance Indicators, Metrics and Reporting
14
8.
Partnership and Representation
15
9.
Serious Case Reviews (SCRs)
15
10.
Supervision and Support
15
11.
Training
16
12.
Summary
17
Appendix 1: Glossary of Terms and Abbreviations
18
Appendix 2: References
19
Safeguarding Children Six Month Report April – September 2015 Page 4 of 20
1. Introduction
“Safeguarding and promoting the welfare of children is defined as protecting children from maltreatment and abuse preventing impairment of children’s
health or development, ensuring that children are growing up in circumstances consistent with the provision of safe and effective care”.
(Working Together to Safeguard Children, 2015)
“Child protection is a subset of safeguarding and promoting the welfare of children. It refers to the activity that is undertaken to protect children who are
suffering, or likely to suffer, significant harm under the categories of emotional abuse, neglect, physical abuse and sexual abuse”.
(Children Act 1989 and 2004). This is the six monthly report to the Board concerning safeguarding children and young people and child protection arrangements within Moorfields NHS Foundation Trust between April 01st and September 30th 2015. The report sets out the developments that have been introduced locally and nationally during the past six months. It also sets out current issues and areas of risk for the trust. Safeguarding children & young people remains a high profile agenda locally, nationally and internationally. The philosophy that ‘safeguarding children and child protection is everyone’s business’ (Laming 2003) underpins our strategy to involve trust staff at every level in this important endeavour.
a) Key messages and quality assurance for the Board
This paper demonstrates that:
The trust has systems, policies and processes to safeguard and promote the welfare of children and young people which are constantly reviewed to ensure that they comply with national and local guidance.
Risks which are identified are being managed and monitored by the Safeguarding Children Group.
A safeguarding children and young people work plan is in place and is regularly monitored by the Safeguarding Children Group. Progress against the work plan has been made achieved during this reporting period.
During this reporting period there has been a total of 11 Section 17 Child In Need referrals made to Children’s Social Care; no Section 47 Child Protection referrals and a total of 25 incidents reported internally with involved effective liaison and referral to early intervention and universal health services.
Training compliance for safeguarding children (Level 1, 2 and 3) has remained above the target 80% compliance during this period. Level 4 specialist safeguarding children training for the named safeguarding professionals was at 50% throughout this period due to waiting for course availability.
Safeguarding Children Six Month Report April – September 2015 Page 5 of 20
The report highlights key themes identified during this reporting period which include the level of violence used in physical assaults having increased.
There have been no Serious Incidents declared involving child protection/safeguarding children that involve the trust and no complaints during the reporting period with a safeguarding feature.
The Safeguarding Children and Young People Annual Report 2014 – 2015 was presented to the Clinical Quality Review (CQR) Group in August 2015.
Effective partnership working arrangements are in place with key agencies including the Islington Safeguarding Children Board and relevant subgroups.
The safeguarding children and adult agenda across the organisation continues to be strengthened through the recognition that children and adults do not exist in isolation and the agenda is immense and responsibilities broad and far reaching
b) Key achievements during April to September 2015
The “Four Steps to Safeguarding” developed trust wide to enable staff to take 4 steps in the safeguarding of children, young people and adults.
Continued awareness of safeguarding children issues with trust staff raising enquiries from all disciplines, front line practitioners and staff who have no direct contact with children and/or adult patients.
Effective liaison by trust staff with universal services e.g. health visitors, school nurses, and general practitioners identifying the safeguarding agenda of early intervention by appropriate services.
The Child Behind the Adult Agenda has been further recognised in the accident & emergency setting with the identification of Young (Child) Carers in an adult patient.
Completion of bi-annual Section 11 Self-Assessment Audit submitted to Islington Safeguarding Children Board with improvement plan in progress set against the 8 standards.
Female Genital Mutilation (FGM) Quarterly Standard Reporting commenced as part of NHS Contract.
NICE Guideline 31 Meeting the Heath Needs of Looked After Children Annual Reporting Standard completed as part of Quality and Safety reporting.
Commenced Safeguarding Children Staff Supervision Quarterly Metrics Indicator Reporting as part of Islington CCG Key Performance Indicators for Safeguarding children.
Safeguarding Snippets In house Quarterly Newsletter developed.
Intranet Safeguarding Children Site developed further.
Safeguarding Risk Register was established.
Safeguarding Children Liaison Form was developed to replace the child protection concern forms and strengthen the wider safeguarding agenda.
c) Challenges and Issues
As a tertiary specialist centre, the trust covers a wide geographical area requiring networking with numerous external agencies and staff which creates a challenge in accessing appropriate resources for children and their families,
Safeguarding Children Six Month Report April – September 2015 Page 6 of 20
as well as understanding the different way in which social care services work in different areas/regions.
The ambulatory model for paediatrics and accident and emergency settings reduces the time window of opportunity for safeguarding children issues and child abuse concerns to be recognised and identified combined with high outpatient attendances which increases risk.
Audits and reports of safeguarding children arrangements, activity and compliance continues to increase for example:
Female Genital Mutilation prevalence data reporting to HSCIC.
Female Genital Mutilation reporting to the police.
Response to investigations and recommendations for practice.
The recognition of child protection and safeguarding concerns within the 16 – 18 year olds has highlighted a gap in safeguarding provision which has been placed on the Safeguarding Risk Register. Children under the age of 16 years who attend adult A&E have their healthcare records scrutinised following attendance in line with Laming (2003) recommendations and Standards for Children and Young People in Emergency Care Settings Intercollegiate Document (2012) – the same process should be applied to the young people (16-18y) attending A&E. Consideration must also be given as to how this process can be implemented in the walk in / urgent care service at St Georges and Croydon Hospital with regard to all attendees under the age of 18 years.
d) Priorities for October 2015 – March 2016
Ensure safeguarding children procedures and processes are reviewed and robust.
To achieve key priorities set by Islington Safeguarding Children Board to improve outcomes for children and young people including sexual exploitation, radicalisation, the impact of parental mental ill health, private fostering, promoting resilience and the management of allegations against staff who work with children.
Continue to develop the domestic abuse/violence agenda across the trust.
Commence Female Genital Mutilation prevalence data reporting.
Embed the PREVENT Agenda into safeguarding arrangements within the trust.
Respond to Myles Bradbury investigation report and recommendations.
Develop a trust internet Safeguarding Children Page in line with CQC requirements.
Develop a Safeguarding Champions Model across the trust.
Strengthen the non-attendance at appointments process and procedure across all services in relation to children and young people.
Respond to queries raised by City of London Children’s Social Care (CSC) in relation to the numbers of children attending Moorfields and the low numbers of children being referred to CSC.
To review the resource requirements within the safeguarding service to include additional safeguarding personnel and designated administrative input.
Safeguarding Children Six Month Report April – September 2015 Page 7 of 20
e) Child Protection and Safeguarding Children Personnel
Executive Board Lead
Director of Nursing
Tracy Luckett
Named Nurse
Named Nurse
Tracey Foster
1.0 WTE
Named Doctor
Consultant Paediatrician and Named Doctor
Dr Dionysios Alexandrou
0.5 (PA) for safeguarding = 2 hours/week
2. Safeguarding Children Activity Graphs April – September 2015
In Quarter 1 and Quarter 2 2015 a total of 92 safeguarding children enquiries and concerns have been brought to the attention of the Named Nurse for Child Protection; during Quarter 1 (Q1 = 53) and Quarter 2 (Q2 = 39). Queries have been raised both internally to the trust and from external agencies where children or young people are patients of Moorfields. A breakdown of the queries and concerns are provided in Table 2.1 on page 8. For the same reporting period in year 2014 – 2015, 77 safeguarding children enquiries and concerns were reported. This increase is attributed to;
Trust staff having greater awareness and understanding of their safeguarding children and young people roles and responsibilities.
The formal recognition of the Child Behind the Adult Agenda – where the patient of the trust is an adult with dependent children.
Staff engagement with undertaking mandatory safeguarding children training.
The development of the Safeguarding Snippets Internal Newsletter and further development of the Safeguarding Children Intranet site which promotes the agenda and staff’s understanding.
Staff from all disciplines, including front line practitioners and staff who have no direct contact with children and or adult patients are raising queries. Safeguarding children activity is reported quarterly to the Safeguarding Children Group and Islington CCG.
Safeguarding Children Six Month Report April – September 2015 Page 8 of 20
Table 2.1: Queries to Named Nurse Child Protection
*Other Examples include:
Advice regarding the activation of safeguarding alerts on the trust’s Patient Administration System
Child brought to A&E with non-legal guardian and disclosed mother was in prison
Child attended A&E appropriately however parents disclosed an historic near suffocation incident
Accidental eye injuries to children and young people
Parent leaving a 5 year old unaccompanied in outpatients (satellite unit)
** Assessment by children’s social care – no concerns. School where injury took place required advice/support regarding the management of ophthalmic related injuries.
25
17
11 10
7 7
3 2 2
1 1 1 1 1 1 1 1
0
5
10
15
20
25
30
Queries to Named Nurse Q1 & Q2 April to September 2015
Total Number ofQueries = 92
Safeguarding Children Six Month Report April – September 2015 Page 9 of 20
Prior to consulting, staff have made enquiries with the named nurse for child protection for additional advice in their role in providing clinical expertise in one case of shaken baby syndrome and in one case of a non-accidental injury (NAI) at the hosts trusts where MEH has Satellite Units. Table 2.2: Safeguarding Children Queries Per Moorfields Site
*Other includes services / professionals external to the trust raising a query include:
Children’s Social Care
Community Paediatricians
Health Visitors
Looked After Children Health Teams
Police
School Nursing Services
Visual impairment Teachers
75
6
1 3
7
0
10
20
30
40
50
60
70
80
City Road Croydon Northwick Park St Georges *Other
Safeguarding Children Queries being raised per Moorfields Sites during Q1 and Q2
April to September 2015
Safeguarding Children Six Month Report April – September 2015 Page 10 of 20
Table 2.3: Referrals to Children’s Social Care
During Q1 and Q2 there have been no Section 47 Child Protection Referrals to Children’s Social Care from the trust. During this reporting period there has been a total of 11 Section 17 Child In Need referrals made to Children’s Social Care; this reflects the proactive safeguarding children agenda of recognition of early intervention and greater understanding by staff, supported by the named child protection professionals, of children’s social care thresholds for intervention. The identification of children residing in households where adult patients disclose domestic abuse and violence remains a core safeguarding business of the trust. The identification of children as Young (Child) Carers in an adult patient at Moorfields has also demonstrated further engagement of staff with the Child Behind the Adult Agenda. This is significant as legislation changed in April 2015 to formally recognise young carers who are the prime carer for a parent as Children in Need (under Section 17 of the Children’s Act) and enabling them to receive an assessment by Children’s Social Care to ensure appropriate and relevant support is provided to the child and family.
0 0
7
4
0
1
2
3
4
5
6
7
8
Section 47 ChildProtection Referrals
(Children aspatients)
Section 47 ChildProtection Referrals
(Children of adultpatients)
Section 17 Child InNeed Referrals
(Children aspatients)
Section 17 Child InNeed Referrals
(Children of adultpatients)
Referrals to Children's Social Care Q1 and Q2 April to September 2015
Safeguarding Children Six Month Report April – September 2015 Page 11 of 20
There has been effective liaison by trust staff with universal services e.g. health visitors, school nurses, general practitioners and looked after children health teams and referrals to appropriate early intervention services identifying the proactive element of the safeguarding children agenda. Table 2.4: Reasons for referrals to Children’s Social Care
The level of violence used in physical assaults appears to have increased during this reporting period. These include 2 assaults involving acid being thrown over the victims face and another where an unknown substance was thrown over a child’s face who had a prosthetic leg following treatment for cancer and was unable to run away from the assailants. Another child has lost the sight in one eye following an assault involving the use of a metal golf club. All these cases were referred to children’s social care by the initial health care provider prior to referral to Moorfields. Notably assault by association appears to also have increased where the victim has been targeted due to another family member being involved with, for example, gang activity, the victim has been the target of mistaken identity or the victim is not a member of a gang but attends the same school as a gang member.
2
1
2
1
3
2
Reasons For Referrals To Children's Social Care Q1 and Q2 April to September 2015
Domestic Abuse
Physical Assault
Non-attendance toappointments
Traumatic Eye Injury
Parental behaviours
Young (Child) Carers
Safeguarding Children Six Month Report April – September 2015 Page 12 of 20
In the four assault cases above there was no evidence that any of the victims were members of a gang, involved in criminal or risk taking behaviour or had been excluded from education. 3. Vulnerable Groups Of Children and Young People The trust is committed to safeguarding and promoting the welfare of vulnerable groups of children and young people as defined by the Islington Safeguarding Children Board priorities 2015 – 2016 and new statutory safeguarding responsibilities including:
Children at risk of extremism and radicalisation
Children at risk of Female Genital Mutilation
Looked After Children (LAC) The recognition of vulnerable groups of children in contact with the trust has been strengthened including:
Commencement of reporting against the NICE Quality Standard 31 Meeting the Heath Needs of Looked After Children.
Effective liaison between trust staff and community looked after children health teams.
Queries being raised with the trusts named child protection professionals in children who are already known to children’s social care.
Raising awareness of Female Genital Mutilation through the Safeguarding Children Intranet Page and in domestic abuse awareness training.
Embedding the Prevent Agenda, extremism and radicalisation into safeguarding responsibilities and duties.
Using scenario based learning in Level 2 face to face safeguarding children training.
Safeguarding Children Six Month Report April – September 2015 Page 13 of 20
4. Clinical Governance, Monitoring, Audit and Performance during Q1 and Q2 a) Clinical Quality Review Group
The Safeguarding Children and Young People Annual report 2014 – 2015 was presented at the Clinical Quality Review (CQR) Group in August 2015.
b) MEH Safeguarding Children Group
The Safeguarding Children Group continues to meet bi-monthly and is well attended by clinical and managerial staff from across the trust and the designated professional for Safeguarding Children from Islington CCG who provides scrutiny and challenge. The group reviews all safeguarding referrals and discusses safeguarding activity within the trust across all sites including incidents and any complaints reported with a safeguarding feature. The group also monitors progress against the objectives within the work plan.
c) Incident Reporting:
All disclosures of abuse made by children, young people or parents/carers to MEH staff, all referrals to children’s social care and concerns of a safeguarding nature are entered on the trust’s Ulysses Incident Reporting System. All entries made on Ulyssess are reviewed by the trust Named Nurse for Child Protection.
36 incidents in total have been recorded on Ulysses during Q1 and Q2 and highlight a variety of safeguarding children related issues including 11 children referred to children’s social care. No disclosures of child abuse were made or identified during this reporting period.
0
2
4
6
8
10
12
14
16
Children on ChildProtection Plan
Children on a Child InNeed Plan
Looked After Children
Queries raised in children already known to Children's Social Care
Q1 and Q2 April to September 2015
Safeguarding Children Six Month Report April – September 2015 Page 14 of 20
Anonymised reports are discussed at the Safeguarding Children Group Meeting with no worrying trends or omissions of care identified during this reporting period.
d) Safeguarding Children Trust Internet Declaration:
In accordance with CQC (2009) requirements the declaration was updated on 24.08.2015 following the annual report to the Trust Board. This declaration also provides the public with a statement of Moorfields Eye Hospital’s commitment to Safeguarding Children and Young People.
e) Serious Incidents (SI’s):
There have been no SI’s involving child protection/safeguarding children that involve the trust during Q1 or Q2.
5. Clinical Policies, Procedures and Guidance
During Q1 and Q2 the following was developed:
Version 4 of the Trust Safeguarding Children and Young People (0-18y) and Child Protection Policy and Procedures was approved and ratified in September 2015.
Two new safeguarding children related policies were developed and approved and ratified in November 2015:
Managing Individuals Who May Pose A Risk of Harm To Children and/or Adults Policy and Procedure
Safeguarding Children Conflict Resolution Escalation Policy and Procedure
Standard Operating Procedure for Scrutiny of Out of Hours Paediatric Notes was developed and is awaiting final approval by the trust Clinical Audit and Effectiveness Committee (CAEC).
Safeguarding Children sections have been written for the following trust Policies:
Complaints Policy
Missing Patients Policy
Patient Letter and Standards of Practice Policy
Visitors Policy
6. National Practice Documents and Statutory Legislation
Updated legislation included:
Female Genital Mutilation (FGM) Risk and Safeguarding Guidance for Professionals (2015) explaining the new legislative requirements under the Serious Crime Act 2015, including the trust’s mandatory reporting around FGM.
London Child Protection Procedures (2015).
What to do if you’re concerned a child is being abused (2015).
Working Together to Safeguard Children (2015).
Safeguarding Children Six Month Report April – September 2015 Page 15 of 20
7. Key Performance Indicators, Metrics and Reporting
Safeguarding Children reporting continued during Q1 and Q2 with the following completed and submitted:
CQUIN Report on Domestic Violence/Abuse with a 400k financial reward.
Quality and Safety Report Q4 and Q1 Safeguarding Children Section.
Islington CCG Quarterly Key Performance Indicators/Metrics.
Islington Safeguarding Children Board Delivery of Priorities 2014 – 2015 Report.
Islington Safeguarding Children Board (ISCB) Annual Training Audit.
Islington Safeguarding Children Board (ISCB) Annual Training Brief.
Section 11 bi-annual Self-Assessment Audit completed and submitted to Islington Safeguarding Children Board with improvement plan in progress set against the 8 Section 11 standards.
Additional reporting requirements for Safeguarding Children commenced from April 2015 including:
Female Genital Mutilation (FGM) Quarterly Standard Reporting.
Female Genital Mutilation Prevalence Data Reporting.
National Institute for Clinical Excellence (NICE) Guideline 31 Meeting the Heath Needs of Looked After Children Annual Standard Reporting.
Safeguarding Children Staff Supervision Quarterly Metrics Indicator Reporting.
8. Partnership and Representation
The trust is committed to partnership working and has good working relationships with partner agencies.
a) Islington Safeguarding Children Board participation and membership
The Director of Nursing represents the trust on the Executive Board of the Islington Safeguarding Children Board and ensures that the trust fulfils its responsibilities in line with Section 11 requirements
The Named Nurse attends the Policy & Practice and Training & Professional Practice Subgroups.
Information is cascaded to the trust Safeguarding Children Group.
b) Membership of and participation in other groups
The Named Nurse and Doctor attend the Islington Borough Named and Designated Network Meetings.
The Named Nurse attends the London Named Nurse Network Meetings.
c) Meetings with a safeguarding children focus
Safeguarding Children is included as a standing item for discussion at the Paediatric Service Meeting, Paediatric Accident & Emergency Meeting and the Clinical Governance Meeting.
Safeguarding Children Six Month Report April – September 2015 Page 16 of 20
MEH staff undertake effective liaison with local services, convene meetings to address the concerns and attend specific safeguarding children meetings external to the trust for example children in need meetings and child protection conferences. Staff including clinicians, ocular prosthetics and optometrists provide ophthalmic specialist information into any meeting with a safeguarding focus as required/requested.
During the reporting period is has been noted by staff that children’s social care are in greater contact with the trust informing them of children as patients of MEH who have social care involvement.
9. Serious Case Reviews (SCR): Islington Safeguarding Children Board (ISCB) convened three Serious Case Reviews (SCR) and the trust was involved in providing information. MEH had had historical contact with a parent in one case, the child and parent in another and in the third case following the diagnosis of child abuse MEH were involved for their clinical expertise and opinion regarding injury to the babies’ eyes. The publication of the final reports and any multi-agency recommendations are pending.
10. Supervision and Support
The named child protection professionals continue to receive safeguarding children supervision from the designated child protection professionals.
Safeguarding Children Staff Supervision Quarterly Metrics Indicator Reporting commenced in April 2015.
11. Training Training continues to be delivered on a rolling 3-year cycle with staff identified as requiring each level of training, content and frequency as stipulated by the Intercollegiate Document Safeguarding Children and Young People: Roles and Competencies for Health Care Staff (2014). The trust also endorses the Competency Still Matters: Safeguarding Children Training For All Employees and Volunteers. A Guide For the Responsibilities of All Organisations (2014). The trust is committed to achieving its target of 80% compliance – as set by NHS England (2013) and Islington CCG in training Levels 1 – 3 and 100% in Level 4. a) Number of staff up to date with training (as at 30.09.2015)
Figures take into account staff turnover and are provided by the Learning and Development Department and set against a compliance of 80% as stipulated by Islington CCG and NHS England:
Quarter 1
Quarter 2
Safeguarding Children Six Month Report April – September 2015 Page 17 of 20
*100% compliance for Level 4 is set against 2 members of MEH staff only who are required to undertake this Level, the Named Nurse and Named Doctor For Child Protection
Level 1 is required for all staff working in a health care setting irrespective of role or responsibility.
Level 2 is required by all staff working with children/young people and/or parents/carers. This includes the 16 to 18 year olds in adult services and the dependent children of adult patients.
Level 3 is required by all staff who work predominantly with children/young people and their parents/carers. Staff working with a mixed case load of children and adults are expected to work towards attainment of Level 3 competencies.
Level 4 is required for all staff working in a specialist safeguarding children role and within the trust this applies to two members of staff.
Level 1 and Level 2 training is delivered in-house through face to face training. All new starters to the trust undertake an Induction Programme which includes face to face safeguarding training delivered by the named child protection professionals.
Level 3 training is accessed and delivered through face to face training provided by Islington SCB external to the trust.
Level 4 training for the named child protection professionals is undertaken through a modular learning approach.
Compliance continues to be monitored by the trust Mandatory Training Group and the Safeguarding Children Group.
The Named Nurse delivered a Safeguarding Children Session at the Inaugural MEH Paediatric Ophthalmic Training Day which attracted participants from within MEH and other trusts.
The Named Nurse delivered training within Kings College University Safeguarding Children Module.
Domestic Violence Awareness and Mental Capacity Act Training have been introduced.
b) Domestic Violence/Abuse Awareness Training
The identification of children residing in households where adult patients disclose domestic violence/abuse remains a core safeguarding business of the trust and reflects MEH’s commitment to the Child Behind The Adult Agenda. The trust has signed up to the Department Of Health Domestic Violence Pledge.
Safeguarding Children
01/05/15
04/06/15
10/07/15 07/08/15 04/09/15 02/010/15 Target
Level 1 81% 83% 83% 83% 84% 83% 80%
Level 2 92% 92% 92% 92% 91% 89% 80%
Level 3 88% 88% 86% 85% 88% 88% 80%
*Level 4 50% 50% 50% 50% 50% 50% 100%
Safeguarding Children Six Month Report April – September 2015 Page 18 of 20
c) Mental Capacity Act (MCA) Training MCA training has been established within the trust and become mandatory training for clinicians and staff who undertake consent duties. MCA applies to individuals aged 16 years and over and the principles of the act also need to be applied when clinicians are seeking consent from parents/carers for children aged 16 years and under. MCA training forms part of the Safeguarding Children Section 11 Audit Action Plan following completion of the audit to Islington Safeguarding Children Board in 2015.
12. Summary This report outlines the work that has been carried out in relation to Safeguarding Children across the trust from the 1 April 2015 – 30 September 2015 (Quarter 1 and Quarter 2 of the year 2015-2016) and demonstrates the breadth of activity and the variation of safeguarding issues for the children and young people who access or have contact with Moorfields services. The Board is asked to note this report
Total Number of Staff undergoing training in reporting period
Total number of staff trained since January 2015
32 148
Total Number of Staff trained in reporting period Q3
Total number of staff trained in trust at as 30.09.2015
72 160
Safeguarding Children Six Month Report April – September 2015 Page 19 of 20
Glossary of Terms and Abbreviations
A&E Accident and Emergency.
CCG Clinical Commissioning Group
CPP Child Protection Plan - Formerly the Child Protection Register.
CQC Care Quality Commission.
CQRG Clinical Quality Review Group.
CSC Children’s Social Care.
FGM Female Genital Mutilation – also known as female circumcision or female cutting. The removal of part or all of the external female genitalia for non-medical reasons.
HSCIC Health and Social Care Information Centre
ISCB Islington Safeguarding Children Board.
Looked After Child (LAC)
Child who is in the care of the local authority children’s social services residing with a foster carer or in a residential foster care home.
MEH Moorfields Eye Hospital.
NHS National Health Service
NICE National Institute for Clinical Excellence
NSF National Service Framework
RCPCH Royal College of Paediatrics and Child Health
Section 11
A formal audit tool completed bi-annually by the trust as part of the function of the Local Safeguarding Children Board to monitor and evaluate what is done by board partners, ensuring the trust is fulfilling statutory obligations about safeguarding and promoting the welfare of children.
Section 17 Child in Need Referral and Assessment.
Section 47 Child Protection Referral and Investigation.
Prevent Is a cross-Government policy that forms one of the four strands of CONTEST: the United Kingdom’s Strategy for Counter Terrorism. Prevent includes the anti-radicalisation of vulnerable adults and children to stop them becoming terrorists or supporting terrorism.
Serious Case Review (SCR)
A multiagency review initiated by the local safeguarding children board to establish if lessons are to be learned including identifying good practice about the way in which local professionals and organisations worked individually and together to safeguard and promote the welfare of children.
SGC Safeguarding Children.
SI’s Serious Incident/s.
Young Carers
Young carers are children and young people under the age of 18 years who take on practical and/or emotional caring responsibilities that would normally be expected of an adult. The young carer may be responsible for a parent and/or a sibling.
Safeguarding Children Six Month Report April – September 2015 Page 20 of 20
References
Care Quality Commission (2009) Safeguarding Children: A review of arrangements in the NHS for safeguarding children. London: CQC. http://www.cqc.org.uk/sites/default/files/documents/safeguarding_children_review.pdf
Care Quality Commission Regulation 13 Safeguarding service users from abuse and improper treatment. http://www.cqc.org.uk/content/regulation-13-safeguarding-service-users-abuse-and-improper-treatment#legislation-links
Children Act (1989). London. HM Stationery Office (HMSO). http://www.legislation.gov.uk/ukpga/1989/41/contents
Children Act (2004). London. HM Stationery Office (HMSO). http://www.legislation.gov.uk/ukpga/2004/31/contents
Getting the right start: National Service Framework (NSF) for Children, Young People and Maternity Services: Standard for hospital services (2003). http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4067251.pdf
Independent investigation into governance arrangements in the paediatric haematology and oncology service at Cambridge University Hospitals NHS Foundation Trust following the Myles Bradbury case (2015). London: Verita http://www.verita.net/wp-content/uploads/2015/10/CUH-final-191015-report.pdf
London Safeguarding Children Board (2014) Competency Still Matters: Safeguarding Children Training For All Employees and Volunteers. A Guide For the Responsibilities of All Organisations. http://www.londonscb.gov.uk/training_subgroup/
National Service Framework (NSF) for Children, Young People and Maternity Services: Core Standards (2004). https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/199952/National_Service_Framework_for_Children_Young_People_and_Maternity_Services_-_Core_Standards.pdf
Royal College of Paediatrics and Child Health (2014) Intercollegiate Document Safeguarding Children and Young People: roles and competencies for health care staff. London: RCPCH. http://www.rcn.org.uk/data/assets/pdffile/0004/359482/REVISEDSafeguarding031210.pdf
Working Together to Safeguard Children (2015) A Guide to Interagency Working to safeguard and promote the welfare of children. London: Department for Children, Schools and Families (DCSF). https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/419595/Working_Together_to_Safeguard_Children.pdf
