Maternity SafeguardingGP PresentationFriday 19/06/2015

Structure of Safeguarding Team

Named Midwife for Safeguarding•Reports to: Named Nurse & Inpatient Matron

Specialist Teams•Kaleidoscope – Offer a Case loading service to women with mental health diagnoses or complex social histories and young people of 18 and under•LANDS – Liaison Antenatal Drug Service. A joint clinic with CRI to support women with drug and alcohol dependencies

Maternity Safeguarding Trigger List

Currently/ Previously known to Social Care

Substance or Alcohol misuse Mental Illness

Domestic abuse PND/Depression CONI (Care of next Infant)/Older child with special needs

Other children not living with Mother Disability (Physical or Learning) FGM Police involvement resulting in custodial sentence

Recent Migrant No Recourse to Public Funds

Previous Concealed pregnancy Other – Any other event which YOU think could put her or her unborn at risk

 

Maternity Safeguarding Meeting• Referral received and RAG rated by Named Midwife• Allocated a date to be discussed depending on RAG rating• Copy send to Safeguarding Advisor to filter to appropriate Health Visitor, copy sent

to GP• Agenda sent to attendee’s of meeting • Meeting held every Friday morning from 09.30 – 11.00• Chaired by Named Midwife, attended by Safeguarding advisor, specialist teams,

IDVA, Neonatal Unit, Children's Social Care, Targeted Family Support, Children’s Centres, Perinatal Mental Health Nurse, CASH Nurse, Housing Officer

• Cases reviewed and discussed, information shared and plans created• Maternity Safeguarding Report written, copy in main file and copy sent to GP

Safeguarding Supervision

The Department of Health: Working Together to Safeguard Children (2013) defines supervision as:

An accountable process which supports assures and develops the knowledge, skills and values of an individual, group or team. The purpose is to improve the quality

of their work to achieve agreed outcomes.

Strengthening Families Model

• This model is used in Social Work across all out local Boroughs.

• Focuses on what is going well.• Empowers people self identify

where they need help.• People decide how best that

support can be delivered.• Apply the same principles to

Supervision.

Maternity Safeguarding Action Cards

• Safeguarding Trigger List• Domestic abuse• Mental Illness• Substance or Alcohol misuse• Currently/ Previously known to Social Care• Other children not living with Mother• PND/Depression• FGM• Disability (Physical or Learning)• CONI (Care of next Infant)/Older child with special

needs• Recent Migrant• None English language speaker• No Recourse to Public Funds• Late Booking (after 24 weeks)• Previous Concealed pregnancy• None engagement with antenatal care• Repeat antenatal admissions without Obstetric

reason• Other – Any other event which YOU think could

put her or• her unborn at risk

• If you IDENTIFY any of these risks, at Booking or during a woman’s pregnancy then you must ACT.

• Be Curious – Get as much relevant information as possible – what support does the woman want to help her deal

• with the situation? What is life going to be like for the newborn or other children?

• Educate – Give brief advice and signpost to services available such as Children’s Centres. Ask for consent to share the

• information within the multi-agency safeguarding team.

• Share – Share with the Safeguarding Team via Maternity Safeguarding Notification. Consider whether a CAF or

• Interagency Referral to Children’s Social Care is necessary.

• Document – Record in the hand held notes (if safe to do so), or the main notes and the electronic system what actions

• you have taken, and what follow up needs to happen..

• Review – Next time you see her, ask how things are. Has the situation improved? Is there anyone else who might

• be able to help?

Example Training Slide:How to action your Safeguarding concerns• Discuss your intentions and reasons for your concern with Mum. Highlight how

engagement with services can benefit her and her baby. Document if she is reluctant .

• Fill out a Maternity Safeguarding Form – the case will be RAG rated according to the level of risk, and discussed at the weekly safeguarding meeting within 8 weeks of receipt.

• If you think the case meets the threshold for Social Services Intervention then complete a referral (CAF in Lewisham, IAR in Greenwich, MARK in Bexley). If you are not sure, please discuss the case with your Team Leader or the Named Midwife for Safeguarding.

• Document all actions taken in the Main Notes.

Safeguarding LeadsNamed Lead Safeguarding Children Lynn Torpey 0203 049 1205Named Nurse Safeguarding Children Clare Hunter 0208 836 5370Named Doctor Safeguarding Dr William Barry Via switchboardNamed Doctor Safeguarding Dr Sian Morgan 0208138 1588Named Midwife Safeguarding Anne Farrell (QEH) 0208 836 5838

Tricia Lyall (QMS) 0208 308 3091Aine Gallagher (UHL) 020 8333 3000 ext: 8818Lydia Higham (UHL – Wednesdays only) 020 8333 3000 ext: 8818

Safeguarding Advisors: Consultation and Advice Line (CAL) 0786 784 3532 Mon-Fri 09.00-17.00UHL Paediatric Registrar: On Call Bleep 4501SLAM Trust Advice: Nicola Jenkin: 020 3049 1293 or Dr Wiseman: 020 7138 1591 (if neither available then Advice Pager on 0765 915 2233 during working hours Mon-Fri 9-5).Lewisham Council - Out of hours Duty Desk: 0208 314 6000

Thank You