1 Understand when and why legacy Serious Case Reviews (SCRs) were - - PowerPoint PPT Presentation

1
SMART_READER_LITE
LIVE PREVIEW

1 Understand when and why legacy Serious Case Reviews (SCRs) were - - PowerPoint PPT Presentation

1 Understand when and why legacy Serious Case Reviews (SCRs) were commissioned. Understand our new WSSCP arrangements and why we now have Local Child Safeguarding Practice Reviews. Think about which children may be more vulnerable


slide-1
SLIDE 1

1

slide-2
SLIDE 2

 Understand when and why legacy Serious Case

Reviews (SCRs) were commissioned.

 Understand our new WSSCP arrangements and

why we now have Local Child Safeguarding Practice Reviews.

 Think about which children may be more

vulnerable to suffering serious harm as a result

  • f maltreatment.

 Focus on learning from our recent West Sussex

SCRs.

slide-3
SLIDE 3

 Local Safeguarding Children Boards were

required to consider undertaking an SCR whenever a child died or was seriously harmed and abuse or neglect were known or suspected to have taken place.

 The aims of an SCR were to gain insight into the

way agencies worked together to safeguard children and identify learning and take action to drive improvements in the way agencies work together to safeguard children and prevent similar events from occurring in future.

slide-4
SLIDE 4

 The Children and Social Work Act 2017 received Royal

assent on 27th April 2017, amending the Children’s Act 2004 to reflect the new Local Partnership arrangements described in Working Together to Safeguard Children 2018 (WT 2018).

 SCRs are replaced by local child safeguarding practice

reviews under the new legislation.

 The West Sussex Safeguarding Children Partnership

(WSSCP) undertakes a rapid review when it is notified by partner agencies of a serious child safeguarding incident.

 The basic criteria remains unchanged ( a child died or was

seriously harmed and abuse or neglect were known or suspected to have taken place) but how we take forward learning allows us some additional flexibility.

slide-5
SLIDE 5

 A recent study over three years (2011-14)

showed that two age groups stand out as being particularly vulnerable to suffering serious harm as a result of maltreatment: babies and adolescents.

 A detailed study of 66 SCR reports found

that a lack of information sharing was an issue in 65 reports.

slide-6
SLIDE 6

 Non-accidental injury should be considered

as part of a differential diagnosis of e.g. vomiting, irritability/colic and apparent life threatening events (ALTE) and floppy episodes.

 Consideration should be given to the

potential misuse of steroids by parents who report anger control issues as this could be a safeguarding concern.

slide-7
SLIDE 7

 Think of a whole family approach when:  Assessing parenting capability e.g. parental

mental health

 Recognising adolescents as children  Looking at father and other adults in the family

home

slide-8
SLIDE 8

ICON ON We West st Su Suss ssex ex Ro Roll ll Ou Out

slide-9
SLIDE 9

What is AHT?

“Abusive Head Trauma (AHT), also known as

Shaken Baby Syndrome, is a devastating form of child abuse. Catastrophic injuries which result often present in a constellation including intracranial injuries, retinal haemorrhage and certain long bone fractures and spinal fractures” Dr Sue Smith 2016 Founder of the ICON programme

slide-10
SLIDE 10

ICON – Serious Case Review context

Recent learning from West Sussex SCRs has highlighted two key considerations: Abusiv usive e head ead trauma uma - risks to infa fants ts Role

  • le of father/carer

ther/carers/ot s/other ers s in the e househo

  • usehold

ld East Sussex has a recent and current case where it appears AHT has been a factor; in early stages so recommendations yet to be formulated. Brighton and Hove: related case, with learning focusing on the role of fathers and other care givers. SCR in West Sussex highlighted the need for a universal AHT preventative programme.

slide-11
SLIDE 11

Consequences of AHT

  • Learning disabilities
  • Physical disabilities
  • Visual impairment or blindness
  • Hearing & speech impairment
  • Cerebral Palsy
  • Seizures
  • Behaviour disorders
  • Cognitive impairment
  • Death (AHT is the leading cause of fatal head

injuries in under 2 years).

slide-12
SLIDE 12

Risk factors

  • Drug & alcohol misuse
  • Chaotic family
  • Disability
  • Prematur

maturity ty (60%) & low birth weight

  • Multiple pregnancies
  • Dome

mesti stic c viol

  • lence

ence

  • Educational difficulties
  • Mental health issues

ALL L SOC OCIAL IAL & C & CULTUR TURAL AL BACKGR GROUN OUNDS DS

70% perpetrators are males – fathers/male surrogates (Kesler et a 2008; Altman et al 2010) 24 of every 100,000 babies affected each year Research suggests 1 in 9 mothers may have shaken their baby and up to 2 in 9 felt like doing so (USA research).

slide-13
SLIDE 13

Abusive Head Trauma

  • AHT is the leading cause of fatal head injuries

in children younger than 2 years.

  • Responsible for 53% of serious or fatal

traumatic brain injury cases

  • Peak age 1-2 months
  • Results in more significant neurological

damage.

  • Babies are disproportionately represented in

Serious Case Reviews

slide-14
SLIDE 14
slide-15
SLIDE 15

From Lancashire, launched ICON on 1st May 2019

slide-16
SLIDE 16

What is the ICON Programme?

  • The ICON Programme is a preventative programme, based

around helping parents cope with a crying baby.

  • The ICON Programme incorporates messages within a series of

touch point interventions throughout universal services for children and families: 2 midwifery contact, 3 health visiting contacts, 6-8 week GP check.

  • Include secondary school education session, and all multiagency

contacts to family with under 6 months baby; CSC, Early Help services, police, probation, Early Years settings, A&E, MUI and

  • thers.
slide-17
SLIDE 17

ICON Journey – Prevention

Speci cialist list – improved recogni

  • gniti

tion

  • n

and referr ferral al ; includ udes bruise e protocol. l. Targe gete ted – Social worker kers/Ea /Early rly help/ paediat atric ricians ans /A&E &E Public c Health th messag age to all parent ents

slide-18
SLIDE 18
slide-19
SLIDE 19

Incidences of AHT, relating to age of infant.

slide-20
SLIDE 20

 Working Together 2018  NSPCC – has a repository of SCRs which

can be accessed by subject area: e.g. neglect; abusive head trauma.

 WSSCP website hosts resources including

Pan-Sussex procedures and the WSSCP Escalation Policy.

slide-21
SLIDE 21

 WT 2018 states that “All three safeguarding partners have

equal and joint responsibility for local safeguarding arrangements” What does this mean for us?

 A shared responsibility between organisations and agencies

to safeguard and promote the welfare of all children in a local area;

 The responsibility for this join-up locally rests with the

three safeguarding partners who have a shared and equal duty to make arrangements to work together to safeguard and promote the welfare of all children in a local area.

21

slide-22
SLIDE 22

 Children are safeguarded, and their welfare promoted.  Partner organisations and agencies collaborate, share and co-

  • wn the vision for how to achieve improved outcomes for

vulnerable children.

 Organisations and agencies challenge appropriately and hold one

another to account.

 There is early identification and analysis of new safeguarding

issues and emerging threats.

 Learning is promoted and embedded in a way that local services

for children and families can become more reflective and implement changes to practice.

22

slide-23
SLIDE 23

23

Innova vatio ion Clear ar priorit ritie ies s Local l Communit nitie ies s Voice of West st Susse sex x Childre ldren n and Young People le Indepe pende dent nt scrut utiny/ iny/Evide Evidence ce Impact ct

  • f multi-ag

agenc ncy y work. Profe fessio ssional nal Engagement

The e WSSCP CP visi sion: n: An assured sured Safeg eguardi uarding g Part rtners ershi hip which ich coll llect ectiv ivel ely y enga gages ges with th chil ildren ren and nd their eir families milies, , enabli ling ng them em to thrive rive.

Strong ng, integra rated d and engaged d partner nership ship

slide-24
SLIDE 24

If f we are on n th the e receiv ceiving ing end d of f a professi fessiona nal l chal allen lenge ge we shoul

  • uld:

d:

✓ Not be offended – it’s not personal ✓ Remain professional ✓ Use it as an opportunity to reflect on our decision making

The he WSSCP SCP Escala alatio ion Polic icy enables nables work

  • rker

ers s to raise e conce

  • ncerns

rns they ey have e about

  • ut the

e decis cisio ions s made ade by other her profes fessio ionals ls or agencie encies s by:

✓ Encouraging professional curiosity ✓ Avoiding professional disputes that put children at risk or

  • bscure the focus on the child

✓ Resolving the differences within and between agencies

quickly and openly

✓ Identifying problem areas in working together where there is

a lack of clarity and to promote the resolution via changes to protocols and procedures

slide-25
SLIDE 25
  • Talk to your colleagues

and get support

  • Ask for details and a

rationale

  • Think about whether

the decision would be good enough for a child in your family

  • In your mind, keep the

child next to you

slide-26
SLIDE 26

WSSCP Business Team must be notified at stage two onwards to keep a record of all

  • ngoing disagreements

and be informed when resolution is reached by the manager who resolved the issue. Disagreement resolved. No need for further escalation Stage ge 1: Professio ional nal to professio ional nal Stage ge 2: Manager ger to Manag ager r Stage ge 3: Senio ior manag ager r to seni nior r manager ger Stage ge 4: LSCP