child safeguarding annual report reviews plans... child safeguarding annual report 2015/2016 3 cheri

Download Child Safeguarding Annual Report reviews plans... CHILD SAFEGUARDING ANNUAL REPORT 2015/2016 3 Cheri

Post on 15-May-2020

0 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

  • Child Safeguarding Annual Report

    2015/2016

  • CHILD SAFEGUARDING ANNUAL REPORT 2015/2016

    2

    Child Safeguarding Annual Report

    Report Aim The report is to:

     Provide assurance that UCLH has processes in place to meet its commitments under section 11 of the Children Act 2004

     Assess the continuing work of the Child Safeguarding Committee and the child safeguarding team

     Identify key objectives for the coming year.

    1 Safeguarding strategy This is unchanged and all staff members within the Trust are required to work in accordance with the UCLH Safeguarding Children Policy with the underpinning values that:

    Every child matters and the welfare of children is paramount All UCLH staff share the responsibility to safeguard children and promote their wellbeing. Staff are enabled to meet this requirement by receiving training in child safeguarding at the appropriate level and frequency. 2 Executive Summary Summary of key achievements

    1. Training: Compliance with level 1 and 2 training is greater than 95%.

    2. Section 11 audit: Action plan completed (Section 11 is a 2004 addition to the children act which stipulates what an organisation must have in place to meet their safeguarding responsibilities).

    3. Chaperones: Trust-wide guidance is completed and being submitted for approval. Plans are in progress to recruit and train volunteer staff to support national guidance recommendations around the chaperoning of children undergoing any intimate examinations.

    Summary of key risks

     Electronic flagging: The risk to the system of duplicated hospital numbers remains.

     Training: although level 3 training compliance has improved in year it is still well below the Trust target of 95%.

     Security on UCH Wards T11/T12: Following on from an incident when a 9 month old baby (suspected non-accidental injury) was removed from T11 by her parents we are reviewing our security arrangements for our inpatient areas for children and young people.

    3 UCLH Child Safeguarding Commitments 3.1 Lines of Accountability Lines of accountability remain unchanged (see diagram 1). Annual reporting to the Trust Board of Directors and biannually reporting to the Quality and Safety Committee continues. There has been a change to the maternity safeguarding team which is now being led by

  • CHILD SAFEGUARDING ANNUAL REPORT 2015/2016

    3

    Cheri Barry (Appendix 1). The executive board lead and named professionals meet monthly to monitor action plans and training compliance, plan for external inspections and scrutiny. The Trust Child Safeguarding Committee meets quarterly to agree policy and procedures learn from case reviews and share good practice. Regular safeguarding meetings continue within key areas.

    Diagram 1: UCLH Children's Safeguarding Organisational Chart

    3.2 Safe Recruitment The employee checking arrangements we follow for all staff are extensive and in line with NHS employment check standards and best practice. Our new “starting at UCLH policy” which was published in September 2015 links directly to these standards to ensure that any changes are replicated immediately in policy. The recruitment team conduct face to face identity checks with staff, utilising identity checking software to check authenticity of documents. Since October 2015, at the identity check appointment, the recruitment team take a photograph which is then used for their security pass to ensure that the person seen at the identity check is the person who starts in post.

    These enhancements have delivered high levels of compliance in this area as evidenced by the external bi-annual and monthly in-house audit results on identity, eligibility to work and Disclosure and Barring Service checks. The audit results are monitored by the Trust’s Workforce Policy Management Group. Processes are in place to manage allegations against staff including joint working with Camden Safeguarding Board via the Local Authority Designated Officer (LADO). The Lampard review of the Jimmy Savile cases was recently published. One of the recommendations included introducing a 3 yearly repeat DBS (a criminal record) check for

  • CHILD SAFEGUARDING ANNUAL REPORT 2015/2016

    4

    all staff. We have secured funding and are introducing this to staff in the most vulnerable areas including:

     Critical care

     ED

     Paeds

     Women’s Health We will report progress against this to the Camden Safeguarding Children Board. (CSCB)

    3.3 Policies and Procedures There are no major changes to the UCLH Child Safeguarding Policy and Child Death Procedures. A new policy for missing and absconding patients has been ratified which includes procedures for managing the risk of removal of a child against medical advice or children and unborn who are subject to child protection investigation procedures. In addition to this we will be trialing out of hours lock down of the child and adolescent floors in response to a recent incident on T11 where a family under child protection investigation left the ward.

    3.4 Training Level and frequency of training remains unchanged (see table 1). Level 1 and 2 eLearning packages and level 3 classroom training have been restructured to reflect updated intercollegiate guidance for child safeguarding and looked after children.

    Minimum Level and frequency of Child Safeguarding training

    Staff groups

    Level 1 once All non-clinical, non-front facing staff

    Level 1 three yearly All front facing non-clinical staff,

    Level 2 three yearly All clinical staff

    Level 3 three yearly All nurses and consultants in A&E, Obstetrics, Neonatology, Paediatrics and Paediatric Dentistry and Orthodontists, AHP’s working in paediatric or neonatal areas, Paediatric surgeons and anaesthetists

    Table 1: Training level and frequency required by UCLH staff

  • CHILD SAFEGUARDING ANNUAL REPORT 2015/2016

    5

    Figure 1 Compliance (%) against child safeguarding training requirements for all staff at UCLH NHS Trust

    Improvement has been made in in all levels of training compliance and level 1 and 2 are now over the Trust target of 95%. Progress for level 3 training remains challenging and despite improvement in year this is still considerably below the target of 95%. Update training within midwifery skills week, half day updates introduced eighteen months ago and bespoke training for obstetric consultants has made an impact on the number of staff whose training has lapsed. This number is down to 30 at end of March 2016 compared to 94 in 2015. Of the 127 non-compliant level 3 staff only 4 have not completed level 2 eLearning and they are all new to the Trust and will be completing their training in May. (See table 2). While new starters are waiting for face to face training sessions we ensure that they complete level 2 eLearning.

    Breakdown of level 3 non-compliance end March 2015 Number of staff 2015

    Number of staff 2016

    Training booked in 2016

    a Total number of staff who are not compliant with level 3 safeguarding training 185 127 69

    b Number of staff who we have no record of ever completing level 3 safeguarding training 91 97 66

    c Number of staff who we have no record of ever completing level 2 or level 3 safeguarding training 30 4 4

    d

    Number of staff who have been non-compliant with level 3 for > 1 year AND staff who we have no record of ever completing level 2 or level 3 safeguarding training 13 0 N/A

    Table 2: Level 3 non-compliance

  • CHILD SAFEGUARDING ANNUAL REPORT 2015/2016

    6

    Division Completed Not Completed

    Grand Total

    %

    Cancer Services

    Clinical Support

    Eastman Dental Hospital

    Emergency Services

    Gastrointestinal

    Imaging

    Infection

    Medical Specialties

    Paediatrics Division

    Queens Square

    Research and Development

    RNTNE Hospital

    Theatres and Anaesthetics

    Women’s Health

    Workforce

    12

    5

    26

    91

    5

    3

    1

    2

    169

    5

    1

    36

    3

    337

    2

    2

    1

    34

    1

    18

    3

    2

    66

    14

    5

    27

    125

    6

    3

    1

    2

    187

    5

    1

    39

    5

    403

    2

    85.7%

    100.0%

    96.2%

    72.8%

    83.3%

    100.0%

    100.0%

    100.0%

    90.3%

    100.0%

    100.0%

    92.3%

    60%

    83.6%

    100.0%

    Grand Total 698 127 825 84.6% Table 3 Breakdown of level 3 non-compliance by division

    Additional training Key members of the safeguarding team have received bespoke training on providing safeguarding supervision which will be employed to further develop in-house supervision for community midwives.

    3.5 Inter-Agency Working

    There has been a major change to Camden’s hospital social work provision which has been reduced in size as part of a redes

Recommended

View more >