Presentation on theme: "Working Together To Safeguard Children"— Presentation transcript:
1Working Together To Safeguard Children NHS Waltham Forest Clinical Commissioning GroupGoverning Body Training
2Key Roles and Responsibilities of NHS Waltham Forest CCG Governing Body (Section 11 of the Children Act 2004, NHS Accountability Framework 2013).ResponsibilityTo ensure that there is a clear line of accountability for the commissioning and/or provision of services designed to safeguard and promote the welfare of children.
3Accountability and Child Protection Chief Executives are responsible forensuring the Health contribution to Child Protection is discharged effectively.Safeguarding is located in the Quality and Governance Nurse Directorate.
4The Legislative Foundation Children Act 2004In response to Victoria Climbie Public InquiryArrangements to ‘Safeguard and Protect Welfare’ – by ALL agenciesDuty to protectLSCBs instead of ACPC (statutory membership held to account).Human Rights Act 1998Article 2 and Right to life, Right not to be tortured or sufferdegrading treatmentArticle 8 – Right to private and family lifeDomestic Violence LegislationSits slightly Outside of Adult Protection as in ‘No Secrets’Impacts on children – risk to children must be consideredDVHR are statutory (Safeguarding SCR - DVHR)Sexual Offences Act 2003Age of consent 16 for SI (hetero and homosexual relationships)Children of 12 (under 13) cannot consent to SI = statutory rape
5TWO KEY DOCUMENTS PUBLISHED MARCH 2013 Safeguarding Vulnerable People in the Reformed NHSWorking Together toSafeguard Children
6Why does this matter? IMPACT Messages from Research2 children per week are killed by deliberate harm in EnglandNeglect is common and a threat to health and wellbeingAbuse in childhood is associated with poorer physical and or mental health, elevated delinquent behaviour and risk takingSeverely maltreated children 11 – 17 are 6.4 times more likely to have suicide ideation and 4.6 times more likely to self-harm that non abused peers (18–24 years 3.9 times more likely)Poor parenting capacity (what is learned - attachment and empathetic development) can creates an inter-generational abuse cycleSafeguarding profile changes over time.Children are the future!IMPACT ON SOCIETY / SERVICES / ECONOMY IS ENORMOUSIMPACT ON NHS SERVICES AND FUNDING?
9& How do you know its good? General EvidenceMeetings / meeting schedules - attendanceFormal reports / Annual ReportsAudits /CQC Inspections/ Sec11Work-plans,Action plans,Dashboards,Risk registers and data etcCultural Evidence360 degree staff surveys about how safeguarding is looking?Do they feel they can share and participate?Ask LSCB Chair how you are doing?Ask the populationAsk the childThe way it is and the way it isperceived to be? That is the Question?
10Political Hot Spots Cross Government – DFE and HO work-streams Child Sexual Abuse & Sexual Exploitation (Rotherham)DA and DVHRTroubled FamiliesGun and Gang CrimeFemale Genital MutilationRadicalisation (Prevent)NeglectSector Integration and InnovationEngagement in MASHCall to action HV and School Nursing / Early helpLSCB and SAB engagement and developmentCan hold NHS to account (can’t direct)SEC 11 audits / SCR
12Leadership, Accountability and Assurance for NHS Organisations Internal assurance processes and Board accountabilityLocal Safeguarding Children Boards (LSCBs)Safeguarding Adults Boards (SABs)The draft Care and Support Bill proposes putting SABs on a stronger, statutory footing. It is intended that CCGs will become statutory members of SABs.Health and Wellbeing Boards (HWBs) have overall strategic responsibility for assessing local health and wellbeing needs in the Joint Strategic Needs Assessment and agreeing Joint Health and Wellbeing Strategies for each local authority area.External regulation and inspection– CQC and MonitorLocally developed peer review and assurance processesEffective commissioning, procurement and contract monitoring.
13Safeguarding Vulnerable People in the Reformed NHS England, through the leadership of the Chief Nursing Officer:Ensures that NHS Waltham Forest meets its specific safeguarding duties in relation to the services that it directly commissions (e.g. primary care, specialised services)Leads policy for NHS safeguarding, including defining improvement in safeguarding practice and outcomesLeads, in conjunction with Regional Directors of Nursing, assurance and peer review processes for both CCGs and directly commissioned services.Provides specialist safeguarding advice to the NHSLeads a system where there is a culture that supports staff in raising concerns regarding safeguarding issues.Leads a system where there is a culture that supports staff in raising concerns regarding safeguarding issues
14Clinical Commissioning Groups CCGs need to assure themselves that the organisations from which theycommission services have the following safeguarding arrangements in place:Safeguarding training for staff in order to recognise and report safeguarding issuesA clear line of accountability for safeguarding, properly reflected in the CCG governance arrangementsArrangements to co-operate with local authorities in the operation of LSCBs, SABs and Health and Wellbeing BoardsEffective arrangements for information-sharingThe expertise of designated doctors and nurses for safeguarding children and for looked after children and a designated paediatrician for unexpected deaths in childhoodA safeguarding adults lead and a lead for the Mental Capacity Act, supported by the relevant policies and training.Monitoring and quality assurance of all services commissioned occurs through CQRM, SI panels, QA visits, Dash boards (KPIs).
15Directly commissioned services All providers of health services are required to be registered with the CareQuality Commission (CQC). In order to be registered, providers must ensurethat those who use the services are safeguarded and that staff are suitablyskilled and supported. This includes private healthcare providersNamed professionals.Named GPsGP practices should have a lead for safeguarding, who should work closelywith named GPs and designated professionals.
16The 6Cs - Strengthening Safeguarding Practice Incorporating compassion in Safeguarding Practice, the national strategy for nurses, midwives and care staffCompassionCompetenceCommunicationCourageCommitmentWorkingTogether toSafeguardChildren isour business
17Co-commissioning in primary care CCG will look to take back some of primary care commissioning, including but not exclusively;Contract management of extended GP servicesEducation and trainingComplaints managementDevelopment of new servicesRevising existing contractswhich will include safeguarding of children
18The Voice of the Child and Vulnerable Adult / Adult at Risk Securing the voice of the child young person and vulnerable adult to inform safeguarding arrangements within Waltham Forest CCG needs accelerated progress and must be managed as a priority area for the CCG.Further work is required to ensure that outcome measures and quality of experience are included within the safeguarding performance reportingThe CCG are co – working with the Local Authority to progress this essential facet of CCG objectives.
19The voice of the child, young person and vulnerable adult •Vision, strategy, leadership and capacity to improve•Governance, accountability and risk management•Quality improvement, learning and workforce development•Efficient/effective use of safeguarding resources to meet current requirements and future challenges operationally
20Vision, strategy, leadership and capacity to improve d)Strengthen the connections between adult safeguarding and domestic abuse by identifying some of the organisational developments which can support best practice in this area.e)Ensure that the strategic approach for safeguarding commissioning reflects the recently revised definition of domestic abuse to include so called ‘honour based’ violence, female genital mutilation and forced marriage.
28Governance National The Francis Public Inquiry The Review of Winterbourne ViewChild sex abuse scandal’s Rochdale and OxfordThe Investigations following SavilleThe Death of Baby Peter and the Munro reviewMurder of Daniel PelkaRotherham inquiryLocalChild KKCTGFTMKChild F