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Child Health Promotion May 2014 Safeguarding Children Allison Waddell Workforce Development Officer Calderdale Safeguarding Children Board Julie Warburton.

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Presentation on theme: "Child Health Promotion May 2014 Safeguarding Children Allison Waddell Workforce Development Officer Calderdale Safeguarding Children Board Julie Warburton."— Presentation transcript:

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3 Child Health Promotion May 2014 Safeguarding Children Allison Waddell Workforce Development Officer Calderdale Safeguarding Children Board Julie Warburton Named Nurse- Safeguarding Calderdale and Huddersfield Foundation Trust

4 The Legal Framework Children’s Act 1989/2004 – Duty to safeguard and promote the welfare of children The welfare of the child is the paramount consideration Parents never lose parental responsibility for their child (unless their child is adopted) The child’s wishes should be taken into consideration (Gillick principle-Fraser competency) Every Child Matter Agenda states that all children deserve the opportunity to achieve their potential Private Fostering arrangements 3

5 Sarah’s story 4

6 Aims of safeguarding Ensuring that children grow up in an environment which provides safe and effective care to give them the best chance of entering adulthood successfully (Working Together 2013)

7 What's Acceptable? 6

8 Children killed every year as a result of abuse Live with known domestic abuse in the home Parents have mental health problems Parents have problematic drug use Live with parents thought to misuse alcohol 11 million children in England Facts & figures

9 Continuum of Need and Response in Calderdale

10 The Common Assessment Framework Eileen Munroe (Working Together 2013) – Early Help – providing help as soon as a problem emerges Relies on local agencies to work together to: – identify children and families who would benefit from early help; – undertake an assessment of the need for early help; – provide targeted services to address needs of child and family which focuses on activity to significantly improve the outcomes for the child

11 The Common Assessment Framework Requires parental consent to refer. Intended to support families so that problems don’t escalate.

12 Concept of Child in Need ( S17. Children Act 1989) “he is unlikely to achieve or maintain, or to have the opportunity of achieving or maintaining, a reasonable standard of health or development without the provision for him of services by a local authority. Or “his health or development is likely to be significantly impaired, or further impaired without the provision for him of such services. Or A disabled child

13 Significant Harm Significant Harm is any Physical, Sexual, or Emotional Abuse, Neglect, accident or injury that is sufficiently serious to adversely affect progress and enjoyment of life. Harm is defined as the ill treatment or impairment of health and development. There are no absolute criteria on which to rely when judging what constitutes significant harm. Sometimes a single violent episode may constitute significant harm but more often it is an accumulation of significant events, both acute and longstanding, which interrupt, damage or change the child’s development. (CSCB procedures)

14 Significant harm - consider The nature of harm in terms of maltreatment or failure to provide adequate care The impact on the child’s health & development The child’s development within the context of their family & wider environment

15 Significant harm - consider Any special needs such as medical condition, communication impairment or disability, that may affect the child's development & care within the family The capacity of parents to meet adequately the child’s needs; and The wider & environmental family context

16 Toxic trio Substance misuse, mental ill health and domestic violence may co-exist agencies should understand that this may increase the risk of harm to children.

17 Child Protection Provisions Part 5 of Children Act 1989 Section 47Local Authority Duty To Investigate Grounds:Local Authority has reasonable cause to suspect that a child who lives in area is suffering or likely to suffer from significant harm. Duty:The Authority shall make, or cause to be made, such enquiries as they consider necessary to enable them to decide whether they should take any action to safeguard or promote the child’s welfare.

18 Characteristics of the Child 36% < 1 year old, 29% 1-5 years old 65% < 5 years old Adolescents -15% suicide Health needs i.e. prematurity, disability Invisible i.e. large family, assumption that they were being seen by someone else Emotionally rejected

19 Characteristics of the Family Hard to help, chaotic, overwhelmed Frequent moves Isolated Domestic abuse 63% Mental health problems 58% Substance misuse 42% All three ‘Toxic trio’ 22%

20 Continued Young parents Parental learning disability Poor living conditions Presence/role of men in households Disguised compliance

21 Characteristics of the Professionals Lack of ‘respectful uncertainty’, or ‘healthy scepticism’ Fixed views Low expectations/accommodation Start again syndrome Men ‘off the radar’/focus on mum Lack of child focus Poor communication/ joint working Threshold wrangles

22 What to do if you’re not sure Observe and record your findings Check against your NICE guidelines, information booklet Contact your local NHS Safeguarding team for advice. Contact your local Children’s Social Care team to discuss the referral.

23 4 key principles for making assessments Focus on the child Recognise that the adult’s management of their own life is a good indicator of their ability to look after a child The best predictor of future behaviour is past behaviour Information from more than one source is better than information from one. (Forrester 2004)

24 What to do if you believe a child has been abused Observe and record your findings Contact your local Children’s Social Care team Advise the parents of your actions unless safety or a criminal investigation would be jeapordised Out of hours contact EDT In an emergency contact the Police

25 Information Sharing Welfare of the child is paramount Children’s Act 1989 (section 1.1) Crime and Disorder Act 1998 (section 115) gives public and statutory bodies the power to disclose information to prevent crime and disorder HM government (2008)Information sharing guidance for practitioners & managers

26 7 golden rules for information sharing 1.Remember that Data Protection Act is not a barrier to sharing information 2.Be open & honest from the outset re why, what & with whom sharing 3.Seek advice if in doubt 4.Share with consent where appropriate 5.Consider safety & well being 6.Necessary, proportionate, relevant, accurate, timely & secure 7.Keep a record of decision & rationale for sharing

27 Serious Case Reviews When a child dies and abuse or neglect is known or suspected a SCR will be undertaken SCR’s will also be considered if: a child suffers serious injury through suspected abuse or neglect a child has been subject to serious sexual abuse a child has been killed by a parent with a mental illness the case gives rise to concerns about interagency working The purpose of the review is to identify lessons to be learned. It is not an inquiry into how the child died or who is responsible, that remains a matter for the Coroners and criminal courts. 26

28 Effective Information Sharing Updating Assessments Effective Inter-agency Collaboration Understanding roles & responsibilities

29 LSCB KSCB CSCB Responsibilities Policies/Procedures Planning services Monitoring effectiveness of safeguarding Training SCR’s Child death review panels Safety and welfare of children who are privately fostered 28

30 Key Messages The welfare of the child is paramount Safeguarding the welfare of all children is a collaborative, multi agency activity It’s everybody’s responsibility If you are concerned, and unsure how to proceed, ASK!! Ensure that you know where to go for advice

31 Never ever do Nothing Remember: Your information may only be part of the puzzle, but it may be crucial to completing the whole picture Education Police Care Services Housing Public Health CHILD Your Information Family Education Housing The Public Police GP Social Care Voluntary sector Health Visitor School Nurse Midwife Acute Health Staff Mental Health


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