Safeguarding services for GPs in Camden Deborah Hodes Designated Doctor for Safeguarding Camden

Safeguarding services for GPsin Camden

Deborah Hodes

Designated Doctor for Safeguarding

Camden

Safeguarding services for GPs

• Service/organisation

• Service provision

How common are these conditions?In numbers per 1000

• Child protection plan 5• Looked after children 5• Child in need 51• Cerebral palsy 1• Fetal alcohol syndrome 2• Severe learning disability 3.7• Sensorineural hearing loss 1-2• Down syndrome 0.5

WHO

Camden CCG Safeguarding Team

5

Executive Lead for Safeguarding Children

Designated Doctor Safeguarding

Director of Quality& Clinical Effectiveness

Designated Nurse LAC

Designated Nurse Safeguarding GP Lead for Safeguarding

Designated Doctor CDOP

CCC Board

Designated Doctor LAC

Camden Safeguarding Children Board

6

CSCB Quality AssuranceSub -group

Camden Safeguarding Children Board

CSCB NHS Safeguarding Committee

CSCB Learning & Development Sub -group

CSCB CP Support & Challenge Panel

CSCB Serious Case Review Panel

CSCB ChildDeath OverviewPanel

CSCB E- Safety Group

CSCB CP Complaints Panel

CSCB Community Engagement Group

CSCB Safer RecruitmentGroup

Trust safeguarding teams

• Named paediatricians

• Named nurses

• Named midwife

• Named GP

• Named mental health – children & adult

Safeguarding concerns/suspicion or allegation of maltreatment

Is the child acutely sick, in pain, bleeding or has “medical”

problems?

Yes No

Will the child be at immediate risk of abuse when he/she leaves the

surgery?

No

Mon- Fri 9-5Discuss with

Child Protection Team Hotline

Tel. 020 3317 2412•Refer for

assessment to the Safeguarding Children Clinic

Child Protection Team, Crowndale

H.C59 Crowndale Road,

London NW1 1TUFax 0203 317 2412

Not Sure

Mon-Fri 9-5Discuss with

On –call community teamChild Protection Team Hotline

Named doctorTel. 020 3317 2412

•GP Lead Claire Taylor07736070327 [email protected]

•Designated Nurse Jackie Dyer07768886258

•Designated Doctor Deborah Hodes 07789930764

• Out of Hours•Duty Social Worker Team

On call Paediatric Registrar at acute trust

Yes

Mon - Fri 9 -5Refer to

MASHTel. 020 7974

6600Tel 020 7974

4094

Out of hours 020 7974 4444Or dial 999 in emergency

NB. All referrals to be followed

in writing within 48hrs

Contact the on-call Paediatric RegistrarUniversity College HospitalTel. 08451 555 000

Whittington HospitalTel. 020 7272 3070

Royal Free HospitalTel. 020 7794 0500

You see a child and suspect abuse or neglect

Child Protection Guidelines for General Practitioners in Camden

mailto:[email protected]


problems?

Yes No


surgery?

No



Tel. 020 3317 2412•Refer for





Not Sure









Yes


MASHTel. 020 7974

6600Tel 020 7974

4094










Is the child acutely sick, in pain, bleeding or has “medical” problems?

• Phone and refer to paediatrician nearest hospital

• MASH

• Police


problems?

Yes No


surgery?

No



Tel. 020 3317 2412•Refer for





Not Sure









Yes


MASHTel. 020 7974

6600Tel 020 7974

4094










Will the child be at immediate risk of abuse when he/she leaves the surgery?

YES

• Ring MASH – duty social worker


problems?

Yes No


surgery?

No



Tel. 020 3317 2412•Refer for





Not Sure









Yes


Duty Social Worker Team Contact eitherTel. 020 7974

6600 (North Team)

Tel 020 7974 4094 (South Team)


NB. All referrals to be followed in

writing within 48hrs








NOT SURE

• D/W - Named doctor/nurse for SG - Hotline

• D/W duty social worker

• Consider referral to OPD – community or

UCLH tertiary SG or FGM clinic

[email protected] for paediatric OPD

• Refer to MASH for social work



problems?

Yes No


surgery?

No



Tel. 020 3317 2412•Refer for





Not Sure









Yes


MASHTel. 020 7974

6600Tel 020 7974

4094











NO

• D/W colleagues in surgery/social worker/named doctor/nurse

• Refer for paediatric assessment at Crowndale health – consultant led for concerns re non urgent child abuse and neglect

Safeguarding services for GPs

Other organisations you link in with and how is information shared?

Camden’s Multi-Agency Safeguarding Hub MASH

December 2012

• MASH is a multi-agency process which facilitates sharing information in order to safeguard children.

• Safe quick multi-agency information shared safely and quickly to safeguard children.

• Information shared, informs decisions, ensure safeguarding activity & intervention are timely, proportionate & necessary.

Agencies: Camden MASH• Some collocated SWs• Police Officers• MASH Liaison Health Visitor • Housing • Probation• Camden Safety Net • Youth Offending Service• UCLH• Royal Free• 24 GP Practices • CRI Substance Misuse Services • Children’s Society Missing Children Interviews

All agencies above have signed the MASH Information Sharing Agreement.

Camden MASH activity

MASH manager reviews:•Police Merlin’s (these referrals made by the police of children under age of 18 where there are concerns about their safety and welfare)•e-CAF Referrals (electronic Common Assessment Framework Tool Form) •Emergency Duty Team Reports•All telephone calls re concerns about a child/family


Does the case meets the MASH criteria using a Rag Rating System?

If yes:Before the MASH Team review each case the Social Care Team contact the parents to obtain consent.

Red and Amber

Camden’s MASHRed – High Risk (To be dealt with within 4 hours)• Immediate and serious safeguarding concerns requiring

action • Information package completed within four hours• Police and children social care teams to be told immediately

with research to follow.Amber - Medium risk (To be dealt with within 24 hours)• Significant concerns however no immediate action required• However a S.47 enquiry is likely• Information package completed within 24 hours• Awaiting and or outstanding checks to be made clear on the

child’s case file (in case notes section)


Does the case meets the MASH criteria using a Rag Rating System?

If lower level of need:i.e. case does not reach the threshold for safeguarding, but an identified need, so reeferral to the Early Help Team, who identify the appropriate service for support.

Green and Blue

Camden’s MASH

Green – Low Risk (To be dealt with within 3 days)• Concerns about a child's wellbeing however it is felt

that this could be managed under S.17 Children Act 1989. MASH product to be completed within three working days.

Blue – Signpost onto Early Help as there is no identified need for FSSW

Camden’s MASH

MASH Update Reports September 2013 demonstrated in December 2012 – August 2013

•1702 referrals to Social Care 502 (29.5%) of these were reviewed by the MASH Team 10% drop in repeat referrals to social care

Questions

Documents

Safeguarding services for GPs in Camden Deborah Hodes Designated Doctor for Safeguarding Camden