1. Safeguarding Annual Report 2014/15 Authors: Jackie Hanson, Chief Nurse Jane Carwardine, Head of Safeguarding Peter Chapman, Associate Head of Safeguarding / Vulnerable Adults Lead Debbie Ross, Association Head of Safeguarding/Designated Nurse - Children Looked After Dr Karen Massey - Named General Practitioner for Safeguarding Dr Nicky Bamford - Designated Doctor

2. Escalating workloads New guidance and statutory responsibilities National reviews Change - new structures and ways of working e.g. pan- Lancashire New CQC inspection programme Austerity National and local issues

3. Child sexual exploitation Historical sex abuse Prevent / anti-terrorism Standards of care for vulnerable adults Standards of residential care Female genital mutilation Safeguarding themes

4. Deprivation leading to high numbers of stressors Forms of abuse follow national trends:  Domestic abuse  Child sexual exploitation  Neglect of adults and children  Children missing from home  Poor quality of care for vulnerable adults East Lancashire Challenges East Lancashire

5. East Lancashire challenge National context Revised guidance Range of Acts/Guidance for adults’ safeguarding Care Act 2014 Challenge to Mental Capacity Act Supreme Court ruling on deprivation of liberty CQC inspection regime Modernised inspection processes HMCI, SSI, DH, NHS England

6. CSU safeguarding service offer Local context Network approach pan-Lancashire Resource needed for adult safeguarding processes Strategic safeguarding team Safeguarding assurance from all providers Intelligence gathering and triangulation Is safeguarding a golden thread through this CCG?

7. Lancashire Safeguarding Children’s Board Priorities 2014/15 Child neglect Children missing from home Deaths of children through suicide or by their own hands; and Child sexual exploitation. Merger with the adults board

8. Themes from reviews Assessing and responding to risk-taking behaviour by teenagers Children missing from home procedures and implementation How agencies identify and work with children with conduct disorder Parenting support for parents of teenagers with severe behaviour issues Counselling and therapeutic support for victims of child sexual exploitation Referral, risk assessment and information-sharing between specialist mental health services and other professionals Risk associated with the onset of psychotic or mental health crisis How emergency settings respond to issues of domestic abuse Safeguarding and cross-boundary arrangements Lancashire Safeguarding Children’s Board

9. Vulnerable adults’ safeguarding Activity increasing year on year (44.1% increase in 2013/14 compared with previous year) Noticeable increase in alerts from care homes Prevent – aiming to stop adults and children being involved in terrorism

10. Burnley and Pendle have a higher number of children subject to child protection plans than average for Lancashire and nationally. Significant issue around young people as victims or perpetrators of sexual abuse ‘Engage’ Lancashire Vulnerable children’s safeguarding 2014MayJuneJulyAugust Number of contacts3671338441373041 Number of referrals140212391227906 % referrals leading to no further action37.235.226.113.7 Health assessment for children looked after Innovations implemented Consultation with young people about healthcare plans Care leavers are a priority. District Referral to Lancs Social Care CP Plans in placeNumbers of CLA NumberTotal No.Per 10,000No. Lancaster2,31312748.27138 Fylde9503727.10 88 Wyre1,5027939.84 Preston3,07323879.14215 South Ribble1,6686830.28 195 Chorley1,5876528.79 West Lancashire1,5837633.66131 Hyndburn2,0347138.23 198 Ribble Valley38064.98 Burnley2,11115780.52275 Pendle1,6879445.74226 Rossendale1,1833321.8599 Unallocated100 Lancashire43.20 England - National average37.80* TOTAL20,1721,0511,565

11. Children living with offenders Awareness of all forms of abuse, including new and emerging  Female genital mutilation  Modern day slavery  Human trafficking NICE guidance on domestic violence and abuse Increasing demands CCG safeguarding team restructure Partnership arrangements and Boards Resource needed for Lancashire Safeguarding Adults’ Board Care Act implications Quality of care in homes and other places where care is provided Looking forward

12. Safeguarding seems complex  The systems are complex  However the premise remains keep the focus on the outcome for the vulnerable child/adult and keep motivated to make that difference.  Safeguarding remains everyone's responsibility irrespective of role and function