Medway Safeguarding Children Board. Annual Report of 2013/14

Transcription

1 Medway Safeguarding Children Board Annual Report of 2013/14 July

2 Document author MSCB team Document owner Medway Safeguarding Children Board Gun Wharf, Dock Road Chatham ME4 4TR Date of publication Approval process Draft 1 Considered by the MSCB Executive group June 14 Draft 2 Submitted to July 14 MSCB Board for sign off Copyright and reproduction MSCB owns the copyright to the document. Any request to reproduce the information should be made to the MSCB. information Availability and accessibility Sources and verifications This document can be made available in large print, or in electronic format. There are no copies currently available in other languages. All sources are identified within the document. Page Introduction from the Chair 3 Executive summary 4 Children in Medway 7 Achievements, activity and impact against the MSCB strategic 17 aims and specific objectives for 2013/14 Achievements and outcomes Opportunities and challenges remaining The review of the MSCB 25 Inspection and peer review of safeguarding findings 31 MSCB Subgroups 32 Child death overview panel 32 Learning and development 33 Performance management and quality assurance 34 Learning the lessons 35 Case file audit group 35 Kent and Medway Child Sexual exploitation and trafficking 36 Kent and Medway Policy and procedures 36 The voice of the child 37 Section 11 audit 39 Serious Case reviews 40 MSCB learning and development provision 42 MSCB Budget 43 MSCB Membership 45 MSCB attendance 46 MSCB Structure 47 MSCB Strategic plan of the Medway Safeguarding Children Board

3 Introduction from the chair I became the independent chair of the MSCB in May 2013 so have been the chair of the Board for most of the year covered by this annual report. This has been a year during which the Local Authority has been subject to Department for Education intervention following inadequate judgements by Ofsted for safeguarding and looked after children services. It is also a year that has seen the implementation of a new Ofsted framework of single inspection of children services, including reviewing the functioning of the local safeguarding children board, This has led to a re-affirmation of the importance of the role of LSCBs in ensuring that all agencies are contributing effectively to safeguarding arrangements. National publicity on key safeguarding issues including the Jimmy Saville enquiries, the publication of the Daniel Pelka Serious Case Review and the Oxfordshire Child Sexual Exploitation criminal case, emphasise the importance of the work that we do. There is a high level of commitment and skill in Medway across the agencies with common objectives to improve outcomes of children and young people and to keep them safe. The annual report is our opportunity to reflect on the year and what has been achieved, and to identify our ongoing priorities. Work undertaken by the key agencies involved in safeguarding, and the range of activity progressed by the subgroups is outlined in some detail. We are all very clear how important it is to understand the experiences of children and young people, and are grateful to all the young people who have been part of different activities to hear their voices. The Board is only effective because of the concerted efforts of a whole range of individuals, and I would like to thank them all for their contribution. The Board pays considerable attention to learning and development and during the year has used a review of its own functioning, feedback from a Local Government Association peer review of safeguarding and a questionnaire to Board members on their perceptions of the effectiveness of the Board, to help it improve. Much has been done to develop the way we work, and to identify how that makes a positive difference for Medway s most vulnerable children. Our strategic plan for the next 3 years builds on work to date and our knowledge of where we need to prioritise our efforts going forward. Eleanor Brazil Independent Chair 3

4 Executive summary The improvement agenda and review of the Board This has been a year of significant change and development for the MSCB. Medway is subject to intervention following the January 2013 Ofsted Inspection of Medway Council s Arrangements for the Protection of Children. The outcome of the inspection was that Medway s safeguarding arrangements were judged to be inadequate. It was felt that the MSCB as the body that has the responsibility for coordinating the work of agencies involved in safeguarding, and ensuring the effectiveness of those agencies, needed to be strengthened. Contributing to this was the appointment of a new independent chair, Eleanor Brazil, in May As a result of the inadequate outcome it was a requirement of the Department of Education for an Improvement Board to be set up. Jane Held was appointed to chair the Improvement Board. To ensure effective links between the two Boards, Eleanor Brazil is a member of the Improvement Board. One of the first actions of this Board was to agree an Improvement Plan, which includes some actions for the MSCB. In July Ofsted undertook a Looked After Children Inspection with a further inadequate outcome, although inspectors could see that progress was being made. Whilst the focus was primarily on Looked After Children, Ofsted did consider the extent to which the MSCB considered the safeguarding needs of children in care. Although these are primarily inspections of the local authority, they do look at multi agency arrangements for safeguarding and Looked After Children. The Improvement Plan is not solely a Medway Council or Children s Social Care plan, it is a plan for whole children s system in Medway. The Improvement Plan has been revised and brings together recommendations from both the Looked After Children and Safeguarding Inspections, creating one Improvement Plan. Given the concern about the effectiveness of Medway safeguarding arrangements, the DCS and the MSCB commissioned an independent review in July 2013 to look at how it could be developed and improved. The report of the review findings and recommendations were considered by the MSCB and an agreed action plan was drawn up and has since been progressed. Since the review of the MSCB was completed, the MSCB has re-organised the subgroups, including the membership, and the way sub-groups and the Board operate. The sub-groups meet regularly and undertake detailed work on behalf of the Board. They are: the executive, learning and development, performance management and quality assurance, multi-agency case file audit, policy and procedures (jointly with Kent), child death overview panel, trafficking and child sexual exploitation (jointly with Kent) and learning lessons sub-groups. Board meetings now follow a revised format. The meetings are well attended and increasingly informative and participative. The minutes of the meetings provide a good record of challenge and debate, which has clearly led to actions to improve practice. Each meeting starts with views of young people on a specific issue, either through DVD, feedback from workshops with young people or a presentation. In addition to items on specific issues, a rolling programme of agencies presenting to the Board has been agreed and two agencies now present an update on their safeguarding arrangements and issues to the Board. In addition all agencies are asked at occasional meetings for a quick update on changes or issues within their 4

5 agency that have potential impact on safeguarding. This has provided a number of opportunities to make improvements in joint working that might otherwise not have been realised. As a consequence the Board has become much better informed and is ensuring greater challenge. Following the review, the previous Board manager left the authority shortly afterwards, and the post is being covered on an interim basis. Other changes have been made to the business support team including the appointment of an apprentice. Further changes to the staff team, designed to strengthen the support arrangements, are currently being considered. In respect of the sub-groups, terms of reference, membership and chairing have been updated. This includes Learning and Development, which is progressing the agreed learning and development framework, focussing on improving multi-agency training, picking up issues arising from the S11 audits. The Performance Management and QA sub-group has now agreed a new comprehensive data set which will ensure that from June onwards the sub-group and the Board will be in a much better position to monitor and analyse activity. There is now an active multiagency audit group which to date have reviewed over 40 children on CP plans for longer than 15 months. All cases of children subject to child protection plans for 15 months or more will receive multi agency scrutiny in this manner. Whilst there have been some practice issues that need improving such as drift, there was good evidence of management oversight. As part of Medway s improvement journey a peer review took place in February The review recognised the work still to be done in Medway, but feedback was positive in respect of the changes made to MSCB following its review but that it was too early to see evidence of impact. The peer review also commented positively on the degree of accuracy in the assessment of cases overall and that the audit programme demonstrated improvements in quality. There is an impressive level of commitment across all agencies to the work of the Board, which is now monitoring attendance to ensure we address any areas where that is not the case. What is a Local Safeguarding Children Board (LSCB)? LSCBs were established in law by the Children Act 2004 (section 14) and have two main responsibilities: To co-ordinate what is done by each person or body represented on the Board for the purpose of safeguarding and promoting the welfare of children in Medway. To ensure the effectiveness of what is done by each such person or body for those purposes. Detailed guidance on how LSCBs should be organised and their duties is provided in Working Together to Safeguard Children 2013 and chapter 3 of this guidance focuses specifically on LSCBs. The main functions for Medway s Safeguarding Children Board The main responsibilities for MSCB are defined under regulation 5 of the Local Safeguarding Children Boards Regulations and include: 5

6 1. Developing policies and procedures for safeguarding and promoting the welfare of children within Medway, including policies and procedures in relation to: (i) The action to be taken where there are concerns about a child s safety or welfare, including thresholds for intervention; (ii) Training of persons who work with children or in services affecting the safety and welfare of children; (iii) Recruitment and supervision of persons who work with children; (iv) Investigation of allegations concerning persons who work with children; (v) (vi) Safety and welfare of children who are privately fostered; Cooperation with neighbouring children s services authorities and their Board partners; 2. Communicating to persons and bodies within Medway the need to safeguard and promote the welfare of children, raising their awareness of how this can be done and encouraging them to do so; 3. Monitoring and evaluating the effectiveness of what is done by the authority and their Board partners individually and collectively to safeguard and promote the welfare of children and advising them on ways to improve; 4. Participating in the planning of services for children within Medway; 5. Undertaking reviews of serious cases and advising the authority and their Board partners on lessons to be learned. 6

7 Children in Medway Medway s population according to the 2011 Census now stands at 263,900, 69,000 Medway residents are aged between 0 to 19 years of age, which is 26% of Medway s populations. The percentage of total population in the age group 5 to 19 is higher in Medway than nationally, around 18% compared to 17% 1. Medway is currently ranked 132nd out of 325 local authorities in the country in terms of deprivation, which means Medway is within the 41% most deprived Local Authority nationally. This is a slight decline from IMD 2007, when Medway was within the 43% most deprived. The greatest number of children and young people aged between 0 to 19 years live in the wards of: Gillingham North 5,636 Chatham Central 4,797 Gillingham South 4,671 Strood South 4,123 Luton and Wayfield The 2011 Census also demonstrates that the population is largely White British (85.5%) with the largest minority ethnic group being Mixed dual background at 6.1%. Education and School census data: According to the Spring 2014 Pupil Level Annual School Census there were 43,441 children and young people attending Medway schools (including academies), but some of these children do not actually live in Medway. This figure does not include children attending independent private schools or who are being home-schooled. After a fall in numbers between 2008 and 2011, numbers have progressively increased, and are projected to continue rising. By 2022, numbers are projected to be 14% higher than at present, reaching 1970 s levels. Number of children of statutory school age (5-15 years) January 2008 January 2009 January 2010 January 2011 January 2012 January 2013 January ,281 36,635 35,071 36,190 37,179 38,025 38,450 [Source: Performance and Intelligence Team from the Office of National Statistics SFR15/2013] Ethnicity According to the Pupil Level Annual School Census (PLASC) Spring 2014, 83.8% of pupils attending Medway schools are White, with the largest minority ethnic group of pupils being Mixed Dual Background, comprising 5.4%, closely followed by Asian 1 Further population data can be found in the Medway's Joint Strategic Needs Assessment 7

8 and Asian British pupils at 4.8%, and the growing Eastern & Western European pupil cohort currently accounts for only 3.5% of the total. Ethnic Group Ethnicity Number % Asian or Asian British Indian Asian or Asian British Bangladeshi Asian or Asian British Pakistani Asian or Asian British Any Other Asian Background Asian or Asian British Black or Black British Black African Background Black or Black British Black Caribbean Background Black or Black British Any Other Black Background Black or Black British Chinese Mixed Dual Background Asian And Any Other Ethnic Background Mixed Dual Background Black And Any Other Ethnic Background Mixed Dual Background Chinese And Any Other Ethnic Background Mixed Dual Background Other Mixed Background Mixed Dual Background White And Indian Mixed Dual Background White And Pakistani Mixed Dual Background White And Any Other Asian Background Mixed Dual Background White And Black African Mixed Dual Background White And Black Caribbean Mixed Dual Background White And Any Other Ethnic Background Mixed Dual Background White British White Eastern European White Western European White Gypsy/Roma White Irish White Traveller Of Irish Heritage White Other White Any Other Ethnic Group Refused/not obtained Total [Source: Performance and Intelligence Team from the Pupil Level Annual School Census Spring 2014] From 2008 to 2014, the census has shown an increase in minority ethnic groups on the school roll from 11% to 16.2%. According to the PLASC of Spring 2014, the ward with the largest proportion of children from Minority Ethnic Groups in school is Chatham Central ward with 28.4%, followed by River at 25.7% and Gillingham South with 25.6%. 8

9 [Source: Performance and Intelligence Team from the Pupil Level Annual School Census (PLASC) Spring Medway pupils not residing in Medway and records where information was refused or unavailable have been excluded from the table.] The table below shows the most widely spoken languages by children in Medway schools, other than English. There is a notable increase in the number of speakers of Eastern European languages, reflecting the changing pattern of inward migration Number of languages spoken Punjabi Punjabi Punjabi Punjabi Slovak Slovak Punjabi 3 most widely spoken Bengali Bengali Bengali Slovak Punjabi Punjabi Slovak languages Urdu Yoruba Slovak Polish Polish Polish Polish [Source: Performance and Intelligence Team from the Pupil Level Annual School Census Spring Medway pupils not residing in Medway have been excluded. In 2014 the language list was reviewed and regional dialects aggregated for transparency.] Children who are educated at home Number of home educated children (with information from previous years if known) Year 07/08 08/09 09/10 10/11 11/12 12/13 Total Primary age Secondary age With SEN statement Please note that the totals equate to all young people being educated during that academic year. [Source: Medway Council Inclusions Service 2012] 9

10 Children who are not in education, employment or training (NEET) As of the end of June 2013 % of 16 year olds in Medway that were NEET 5.24% % of 17 year olds that were NEET 7.14% % of 16 year olds that were in jobs without training 0.68% % of 17 year olds that were in jobs without training 1.96% % of young offenders that were in education, employment or training at Over 75% the end of their court order % of year old looked after children that were NEET 7.9% % of care leavers that were in education, employment or training 53.3% (Source Medway Youth Trust. Snapshot at the end of June 2014) Domestic abuse Domestic abuse remains an important safeguarding issue in Medway. In 2013/14 there were 5,143 incidents recorded by Kent Police of domestic abuse in Medway. This is an 8.5% increase on 2012/13, which in turn was a 7.9% increase on 2011/12. Across 2013/14 26% of victims were repeat victims of domestic abuse in the preceding 12 months, with 51% of repeat incidents. This is similar to the percentage of repeat victims are MARAC at 25%. Families where a child is subject to a child protection plan where domestic abuse was a component accounted for 54.5% of cases across the year, peaking at 60.3% in Q4 2013/14. MARAC Comparison data Medway/Kent April 2013 March 2014 Medway s MARAC (Multi agency risk assessment conference) is well attended by a range of services that are able to contribute to plans for high risk victims and their children. All referrals to MARAC where there are children are also referred to Children s Social Care, who is also a permanent member of the group. (Source MARAC Data Kent Police) 10

11 Safeguarding activity The front door into children s social care was changed and improved during the year with the establishment of a triage system, which provided more effective screening of contacts and clearer links to the other support options accessed via the common assessment framework. Prior to introduction of Triage in the first quarter of 2013/14, the majority of contacts led to a referral. Therefore for the purpose of historical trend analysis, referrals are not included in the graph below. During the year there has been an increase in activity, which has created pressures on children s social care. This has been reported to and monitored by the Improvement Board. Improved recruitment of social workers is one key aspect of the improved plan. At the same time quality of practice is being monitored through the revised case auditing process within children s social care and the concurrent multi-agency case auditing process delivered by the MSCB. Early help arrangements are being reviewed and developed and will build on the issues arising from information collected on the use of the common assessment framework described below. During 2013/14, 50% of all contacts led to referral, above the 32% average for southeast benchmarking group in the same period. The resultant numbers going onto receive an assessment was on average 880 per quarter during 2013/14, up from an average of 708 per quarter in 2012/ Contacts & number resulting in assessment 10/11 Q3 10/11 Q4 11/12 Q1 11/12 Q2 11/12 Q3 11/12 Q4 12/13 Q1 12/13 Q2 12/13 Q3 12/13 Q4 13/14 Q1 13/14 Q2 13/14 Q3 13/14 Q4 Contacts Number leading to assessment (Source: Medway Council Performance Intelligence and Strategic Planning) The following graph presents the contact and referral numbers throughout 2013/14. It shows the number of referrals per month having remained relatively stable with seasonal variation appearing to main factor for change. 11

12 Contacts & Referrals Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Contacts Referrals (Source: Medway Council Performance Intelligence and Strategic Planning) During Q2 and Q3, the number of assessments completed exceeded an average of 400 per month and the number of new assessments being triggered. However, during Q4 the number of assessments completed per month reduced to an average of 200 and at the same time the number triggered in the period more than doubled. The result of which was that the number of open assessments reached a peak in March 2014 with over 800 assessments. Child & family assessments Total assessments Q1 Q2 Q3 Q4 Triggered Completed Open at quarter end (Source: Medway Council Performance Intelligence and Strategic Planning) The second half of 2013/14 has seen a 64% increase in the number of children subject to an ICPC, up to 282 children from 172 in the first half of the year. At the same time as this increase in the number of children becoming 12

13 subject to ICPCs, the proportion that result in a child protection plan also increased. Initial Child Protection Conference Tota l childre n s ub je ct to IC Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Total children % leading to CPP 56% 78% 83% 100% 79% 90% 89% 95% 100% 88% 83% 78% % in 15 days 28% 26% 37% 53% 25% 55% 78% 70% 76% 66% 63% 75% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% (Source: Medway Council Performance Intelligence and Strategic Planning) (Source: Medway Council Performance Intelligence and Strategic Planning) Rate of children per 10,000 aged under 18 years who were subject to a Child Protection plan at 31 March /14 Medw ay Statistical neighbours South East England The number of children subject to a CP plan at the end of 2013/14 had almost doubled that of the previous year, to 359 children from just over 200. This equates to a rate of 58.5 per 10,000 children under 18 years old, significantly above that of national and statistical neighbours. Although this a huge increase in the number of children becoming subject to plans throughout 13

14 2013/14, the rate per 10,000 at the end of the year is very much aligned with 2011/12 following a dramatic reduction during 2012/13. Common Assessment Framework 1. The Common Assessment Framework (CAF) CAFs completed by agency/institution during 2013/14 Organisation 2011/ 2012 % of all 2012/ CAFs* 2013 % of all 2013/ CAFs* 2014 % of all CAFs* Adult Services Attendance Advisory Service AASSA Autism Outreach Team Children s Centres Children s Services Connexions Disabled Children s Team Early Years/Nursery/Pre-School Education Independent Education Primary Education Secondary Education Special/PRU Health - Community HealthCare Health CAMHS 2 0 Health - Foundation Trust Health - KMPT Health - NHS Medway Housing Providers Integrated Prevention Service Integrated Teams Jobcentre Plus KCA Medway Action for Families (MAfF) 8 1 NSPCC Police Probation Youth Inclusion and Support Panel Youth Offending Team Youth Service No organisation recorded# 5 1 TOTAL CAFs *Rounded to whole numbers #No organisation recorded in Frameworki [Source: Medway Council CAF Co-ordinator] N.B Some organisations in the list above may no longer be commissioned to provide services in Medway. 14

15 In the financial year 2013/14, 767 CAFs were registered for children and young people and the target of a 10% increase was exceeded. Education continued to initiate the majority of CAFs, with an increased percentage of CAFs being initiated by primary school. From April 2013 the Disabled Children s stopped using CAF assessments and now undertake Child and Family Assessments. Numbers of CAFs registered by Medway Community Healthcare (primarily Health Visitors) continued to increase and regular meetings are held with the Specialist Health Visitor who works with complex families and supports the use of CAF within the service, including the Health Visitors CAF Champions meetings Links to the Sussex Partnership which now provides the CAMHS service in Medway have been developed and the partnership initiated the first CAMHS CAF for siblings in 2013/14 with support from the CAF team. There is a greater understanding that CAF assessments should be for siblings living in the same household, not just for individual children. This has led to more, co-ordinated multi-agency working to support families. On 1 April 2013 the updated CAF forms and process were launched. The updated process enables more information to be collected, including whether or not children were involved in the CAF process. All CAF data was migrated to the Children s Social Care system, Frameworki (FWi) in April and all new CAFs are recorded on FWi with information being entered manually by the CAF team. Using FWi enables the CAF team to be better informed for example about any social care involvement for a child/young person; this avoids practitioners starting CAFs for families who have an allocated social worker. Also social workers can see if there is a CAF in progress for a child/young person. (The CAF team does not have full access to social care information on FWi and vice versa). Once all the FWi reporting arrangements are finalised this will enable more data to be extracted from the CAF forms to assist with evaluation and commissioning. On 26 April 2013, the CAF team moved to sit alongside the new Children s Social Triage Team during its pilot period. This fostered the development of close working practice regarding Triage recommendations, if they considered that a CAF was required rather than social care intervention. The CAF team follows up the Triage recommendations to try to ensure that the CAF process is initiated. In July 2013 the CAF team became part of the Children s Social Care service. This has provided opportunities to promote and support the use of the Step Up/Step Down process with social workers and partner agencies to try to ensure that when cases are closed by Social Care and, if continued multi-agency input is required for families and they give consent, there is a smoother transition to universal services support. Training and support materials were developed and provided to social workers. Four CAF Lead Professionals meetings were held in 2013/14 to provide networking opportunities and increase knowledge of local services, with speakers from Christians Against Poverty, Medway Action for Families, police (community safety unit and domestic abuse, stalking and harassment and honour based violence), adult mental health services, Triage, KCA and MAGIC; together with CAF updates. Free venues continued to be provided by partner agencies and meetings are attended by approximately practitioners each quarter. Links with colleagues in Kent continued to be developed to ensure that children who live in Medway but go to school in Kent receive the additional support that they 15

16 require and that the CAF process operates smoothly. The CAF team also supports Medway practitioners who initiate a CAF for Kent children. In 2013/14 the CAF team continued promoting awareness of the CAF process by attending headteachers meetings, team meetings etc. and providing an MSCB lunchtime learning session. Quality CAF multi-agency training is provided regularly by the CAF team s Children s Workforce Trainer. Members of the CAF team participate in a range of meetings including the Targeted Support Panel (formerly TYSP) and the Midwives Safeguarding Hub meetings with the Triage manager. These hub meetings were started during 2013/14 and attendance has helped develop improved links with midwives and cases can be discussed at an early stage of pregnancy to ensure that the right level of support can be initiated. In July 2014 the CAF team will move again and become part of the newly formed Family Support Service. This will provide further opportunities to operate in a more co-ordinated way and reduce duplication. Strong links will be maintained with the Triage team to ensure that benefits of that joint working are not forfeited. Development of an ecaf system will be prioritised by the CAF team in 2014/15 to decrease the need for data input and increase monitoring and evaluation information. 16

17 Achievements: Activity and impact against the MSCB strategic aims and specific objectives for 2013/14 (key points highlighted) Aim 1 - To ensure the effective co-ordination of local work to safeguard and promote the welfare of children. Specific objective 1 Improve the quality of child protection conferences and the quality delivery and management of child protection plans. Achievements and outcomes Quarterly reports from the Children s Independent Safeguarding and Review Service (CISRS) demonstrate an overall increase in children of 12 and over invited to and attending their CP conferences. In 2013/14 an average of 81 % of clients aged 12+ attended their conference. Whilst how this information is recorded has changed comparably in 2012/13 only 28% of clients aged 12+ were invited to attend (of those invited 51% attended. There has generally been quarter on quarter improvements on quoracy, reports presented within timescales to both initial and review conferences. However, there are still improvements to be made. A revised quality assurance tool used by conference chairs to monitor multi agency engagement in terms of timely report submissions and attendance was launched in January 2014 to support increasing scrutiny of single agencies engagement in the child protection process. This supports the MSCB challenge of services for nonattendance and lack of reports where appropriate to ensure conferences, and decisions at conference, are fully informed by all relevant partners. The service manager and Principle IRO audit child protection conference minutes and plans and observe conferences to ensure plans are SMART 2 and include identification of risk. Work continues on improving the quality of CPC minutes and their dissemination. Core group meetings are now take place immediately after an initial child protection conference where possible and this has improved engagement. Evidence in Social work reports to conference of the child s voice being incorporated has risen to 66% as a year average for 2013/14 from 60% in 2012/13. Quarterly case file audits by CSC are presented to PMQA and report on a number of issues including front desk, referral process and threshold, child and family assessment process, strategy discussion, s47 enquires and conferences and CP plans. Whilst many challenges have been highlighted and continue to be addressed the number of child and family assessments completed within 45 days is improving and was at 83.4% in quarter 4. What opportunities and challenges remains: The strengthening families model for child protection conferences has been explored. This is a new, evidenced based model that empowers families to participate in conferences and child protection planning. Medway look forward to 2 SMART. Specific, measurable, achievable, realistic/relevant, time bound 17

18 utilising this approach in 2014/2015. Prior consideration of the tool has not been possible due to the staffing level of Independent Reviewing Officers, although this remains a challenge. Specific objective 2 Up to date and effective multi-agency Kent & Medway Safeguarding Children procedures and thresholds are in place that are aligned with Working Together 2013 and enable partners to consistently identify and protect vulnerable children in Medway. Achievements and outcomes The Kent and Medway Inter Agency Threshold Criteria for Children in Need was revised following multi agency consultation in Medway during September 2013 and agreed by the MSCB on November Revised Kent and Medway were published online in July A full review of the whole joint procedures then took place between November 2013 and January Fully updated procedures where published online in March 2014, these will be relaunched as part of a joint launch with the revised threshold criteria, which took place in April 2014 to allow Kent to address changes to the threshold document. Quarterly case file audits by CSC identify challenges that continue to be addressed, however audits of referral process and thresholds (contact and referral) identified 81% of cases as adequate or good. Whilst the number of referrals leading to social care provision remains a challenge (see below), referrals that are signposted on or receive no further action was at 14.2% against a target of 15% (lower is better). Meaning that referrals coming through the front door are receiving a response. What opportunities and challenges remains: Application of, and/or consistent understanding of, thresholds continues to be a challenge, with the impact of the re-launch not being evident until but should support improvements. Whilst the proportion of contacts leading to a referral has continued to increase in March, to 57.8%, the highest it has been in any month and above the average for the year of 50.2%, the percentage of referrals leading to a social care intervention was on average 26% at the end of the year. This is below the mean score of Medway s statistical neighbours at 65.2% and below Medway s target of 67%. Further learning opportunities will be provided in 2014/15 following the launch of Medway s early help service in July This service will help to support families before their needs escalate to the social care threshold. With contacts for the early help service coming through the same front door as contacts for children s social care, the response will support professionals to appropriately identify level of need in the future. 18

19 Specific objective 3 All partners contribute to high quality assessments of children s safeguarding needs. Achievements and outcomes Nationally 22.4% of child and family assessments 3. are completed within 10 days, and 77.8% are completed within the statutory timeframe of 45 days. The 2013/14 Medway levels were 10.5% and 69.5% (target 95%). Since May 2013 monthly case file audits have become embedded in Children s Social Care practice, in addition there are monthly themed audits and deep dive case in context audits bi-monthly. Topics for thematic and deep dive audits have included assessments. As part of Medway s improvement journey a peer review took place in February The review recognised the work still to be done in Medway, but feedback was positive in respect of accuracy in the assessment of cases overall and that the audit programme demonstrated improvements in quality. The MSCB case file audit group activity of auditing all children subject to child protection plans for 15 months or more duration identified challenges to effective multi agency assessments. Historic drift and delay at earlier stages of intervention, child protection plans that are not SMART, not effective and lengthy resulting in loss of momentum, and lack of use of the escalation process indicates that ongoing assessment of the family and plan were not high quality. However, where performance issues were identified these have been addressed and Independent Reviewing Officers have received input on SMART child protection planning and effective challenge. A refreshed escalation policy was also agreed in 2013/14, which has been utilised in recent months to good effect. What opportunities and challenges remains: Due to revisions to the whole of the Kent and Medway Safeguarding Procedures the development and roll out of an agreed assessment model that is consistent across the partnership and underpins all safeguarding processes was delayed. There has been a continual increase in the percentage of child and family assessments triggered from a referral that has led to CSC provision, reaching 54% in March. During March the assessment team completed 192 assessments triggered from a referral, compared to an average of 323 per month in Q3. The number of open assessments continues to rise, with 746 open as at 30th March, compared to 428 as at 2nd February. Demonstrating an increasing workload for both the assessment team and multi agency partners who contribute to the multi agency child and family assessments. The themed case in context audit completed in January 2014 highlighted that whilst there has been substantial improvement in the timeliness of completing child and family assessments within 45 days, there is room for improvement regarding the quality of these assessments and consistent multi agency working. As part of the Medway Improvement plan a practice development project will take place in early 2014/15 with the Medway Triage and Assessment team in order to improve the quality of assessment practice, promote shared understanding of the 3 The new single assessment process that replaces initial and core assessment in March 2031 following publication of Working Together to Safeguard Children

20 application of thresholds, and put in place effective Early Help assessments and an Early Help Service. The 3 phase programme includes 1) Research, addressing key questions about the performance and organisation of local front door arrangements and partnership working. 2) Intensive practice development of social workers, supervisors and managers and 3) Implementation of change and follow up. In 2014/15 the MSCB CFAG will focus audit activity on the quality of assessments and the contribution made my all partners to the process as appropriate to ensure that child and family assessments are holistic and informed appropriately by information held by partners. Aim 2 - To ensure the effectiveness of the work of local partners to safeguard and promote the welfare of children. Specific objective 1 To work with the Improvement Board, to track progress against the action plan Achievements and outcomes Improvement plan progress update is a standing item agenda at board meetings and identifies effectiveness and remaining challenges. The chair of the MSCB attends improvement board meetings to ensure MSCB challenge and report on the progress of MSCB specific actions. The review of the MSCB was completed in July The findings and recommendations were presented, and accepted by the MSCB in September The board monitors the review action plan, which continues into 2014/2015. Work is ongoing but some changes in structure of the MSCB team and its subgroups have already taken place and is ongoing (further details below). What opportunities and challenges remains: In response to the Improvement plan and the review of the MSCB work has already begun against each action including establishing a learning and improvement framework, expanding the multi agency audit programme, increasing learning and development opportunities and developing appropriate data reporting process to the MSCB. However these actions are ongoing and will be monitored periodically throughout 2014/15. Specific objective 2 - To monitor the effectiveness of the work of local partners to safeguard and promote the welfare of children and improve outcomes Achievements and outcomes The section 11 audit tool was revised in 2013 following partner consultation and launched in November 2013 to include more agencies and services than previously. The audit included all 8 standards of section 11 with additional areas of compliance that were relevant for Medway. Audits were submitted in January Preliminary findings were presented to the MSCB and are detailed below. Section 11 work remains ongoing into 2014/15 with staff surveys and champion events to review partners submissions and progress. The audit has demonstrated compliance with reflective practice and supervision, the effectiveness of which will be further tested through the staff survey. The action plan template for partners, used to record all 20

21 partner actions from reviews and audits, has been revised to ensure plans are SMART and outcomes focused. A dashboard of statistics considered to be safeguarding vital signs has been presented quarterly to the PMQA from Children s Social Care. This will be replaced by the MSCB data set agreed in January 2013 for quarter /15 implementation. The data set will ensure the MSCB has routine and systematic collection and evaluation of key performance and workforce data. The new MSCB data set will enable the MSCB to monitor improvements and risks to the work of partner agencies as well as benchmark and set targets to indicate improvements. What opportunities and challenges remains: The MSCB quality assurance framework has been drafted and will be revised in light of other services emerging quality assurance activity in 2014/15. Specific objective 3 To evidence the impact of early preventative services in safeguarding children and appropriately diverting them from statutory provisions. Achievements and outcomes The Triage service is Medway has been fully operational since August 2013, following a pilot between April and August The overall aim was to create a multi agency screening of contacts, promote effective partnership approach, and improve information sharing and early access to preventative services and support. The Triage team have established links with key professionals and designated leads, and attend a vulnerable case meeting with Midwifery and other health professionals to improve collaborative working for un/newborns. In Medway the Troubled Families Agenda is known as Action for Families (MAfF). To date this has been a successful project specifically because of the high level of coordination and joint working across agencies. These are vital components of the early help strategy and in developing the Early Help Service the decision was taken to build on the MAfF work. The MSCB and its partners are engaged with the work of the Medway CAN and the consideration of the Early Help offer, including the planned early help assessment process. What opportunities and challenges remains: The launch of the Early Help service in July 2014 will have a role in leading early help assessments, drawing in the right agencies and escalating issues of non engagement from partners. The service will also quality assure interventions to measure impact which will include the number of step downs from social care, appropriate step ups, reduction in repeat referrals and in time reduction in poor outcomes such a teen pregnancy and young people entering the criminal justice system. 21

22 Aim 3 - To protect and promote the well-being of vulnerable groups of children Specific objective 1 To promote resilience in adolescents who may be at risk of self-harm. Achievements and outcomes The Vulnerable Adolescent group met and considered that a new risk assessment toolkit, which would respond to high-risk adolescents already known to services, was not required. In consultation with young people, they asked that professionals are equipped to talk to them rather than have a standardised tool, although supporting guidance or a few questions would be acceptable. A suggestion to look at support guidance for identifying and working with young people who are vulnerable (below the threshold for statutory intervention) was taken to the Kent and Medway Policy and Procedure group. This will be progressed in 2014/2015. NHS Medway CCG funded 6 full day training sessions for practitioners across Kent and Medway addressing Child Trauma: Working with children in the early years and their transition into adolescence. Understanding child brain development attachments, transitions and vulnerabilities. Post course evaluations were positive in practitioners being able to use the resilience-mapping tool in practice. The report from the inspection of Medway Secure Training Centre in November 2012 recorded that whilst incidents of self-harm are low and the assessments of young people who self harm or are at risk of self-harm are comprehensive, related care plans are not sufficiently developed. In February 2014 the STC reported that the centre has an internal assessment tool to assess the risk and strength factors associated with emotional well being and behaviours of self harm. The assessment is completed on every occasion of an incident of self-harm, when a member of staff is concerned regarding a young person s presentation, when information is received from an external party that raises concerns about a young person s well-being and/or when a young person has a known history of self-harm and/or suicide attempts on admission to the centre. HMYOI Cookham Wood report that self harm remains static across the year at around 12% against the population, which is a decrease against previous years even with changes in the population resulting in receiving more vulnerable young people, including first time entrants to custody. However, the use of the Assessment, care in custody and teamwork (ACCT) and the management of those at risk of self harm continues to be a concern. This is being addressed through staff training and quality assurance measures. Both the STC and Cookham wood are under considerable external scrutiny and regulation. The Board receives regular updates including feedback on surveys of young people in their care that found they felt safe. What opportunities and challenges remains: Further working with young people to inform the development of tools for professionals and consideration of the resilience-mapping tool. 22

23 Learning and development opportunities focused on working with young people who self harm and the wider vulnerabilities for young people are needed to ensure the workforce can effectively support young people in Medway. Deeper understanding of appropriate care plans for young people who self harm is needed, particularly those who are managed by universal and not specialist mental health services. Whilst waiting times for appointments with specialist child and adolescent mental health providers have decreased, local understanding of mental health services and pathways is unclear. The MSCB will continue to monitor the effectiveness and response to children referred to specialist services and will work with these partners to increase awareness of services to ensure appropriate referrals and consultations take place. Specific objective 2 To scrutinise and review the impact on safeguarding of the changes that have taken place in the NHS economy. Achievements and outcomes Strong health membership on the MSCB board and subgroups supports early identification of changes in the health economy that may impact on safeguarding children. The MSCB also requested formal reports on safeguarding activity, which started with the Medway Foundation Trust in January Inspection reports and action plans have also been presented to the MSCB. Throughout the year the MSCB has been able to question developments in health partners for reassurance. As an example, the peer review identified that in one instance the health visiting service were not well informed at a child protection conference, as the health visitor had not known the child. The MSCB was reassured that health visitor attendance at conference is good and usually knows the child. The MSCB was also reassured that Medway Community Healthcare s health visitor implementation plan is robust. What opportunities and challenges remains: Following an unannounced CQC inspection in August 2013 of Medway Maritime Hospital and Midwifery, progress against the improvement plan has been presented to the MSCB. The MSCB raised concerns with Medway Foundation trust concerning arrangements and mechanisms for safeguarding children in the emergency department. A number of developments including improved documentation, a child s triage process and flagging on case notes are taking place and will be monitored by the MSCB in 2014/15. Specific objective 3 Children who live in households where domestic abuse is a factor are identified, supported and protected. Achievements and outcomes The community safety partnership continue to implement and monitor the Medway Domestic Abuse Action and Improvement plan, with the MSCB assuming responsibility for the Domestic Abuse Notification Pilot. An outcome report was presented in July 2013 to the CSP. 23

24 In November 2013 a proposal for a Medway wide roll out to schools facilitated by Triage was presented to the MSCB. This was agreed and roll out commenced on 17 th February Health partners that were involved in the pilot identified challenges to the Medway wide roll out and have not been included in the roll out at this stage due to capacity issues in processing the volume of notifications. Roll out of the pilot has been supported by the MSCB identifying Designated Child protection Contacts for schools across Medway, and by a designated Domestic Abuse Social Worker in Triage. The Head of the Triage and assessment service is also a permanent representative at MARAC for children s social care, promoting a coordinated approach around domestic abuse. For the past year a coordinated IDVA 4 service has been delivered across Kent and Medway. This provides specialist support to adult victims at high risk of serious harm or murder. In Medway there has been 349 new referrals to the services, relating to 531 children. During 2013/ cases were closed. Of these cases 82% saw a moderate or significant reduction in risk to children. IDVA intervention saw a positive or very positive impact on children s well-being 5 in 89% of cases and a 78% of closed cases reported client relationship with children had improved. What opportunities and challenges remains: Inclusion of health partners in the domestic abuse notification process is paramount to sharing information on domestic abuse incidents in a timely manner. In order to support the roll out the MSCB will support training for the health visiting workforce to enable appropriate response. Capacity for other health providers needs to be established, however, information is currently being shared by Triage with known services as appropriate. The relationship of the MSCB and the Medway Community Safety partnership Domestic Abuse subgroup and their respective roles need to be established. Developing adolescent programmes/service provision to support adolescents in abusive relationships. Specific objective 4 Children who are at risk of sexual exploitation are identified. Achievements and outcomes The MSCB has 4 trainers who deliver the joint Kent and Medway CSE training package developed with Barnardos. Time for the training session has been extended from a half day to a full day session to enable practitioners time to apply the CSE toolkit to enable its use in their roles. Post course evaluations on the day of training demonstrated practitioners felt ready to use the tool and go back and share it with their organisations. Although it has highlighted the need for further promotion and awareness raising as many had not heard of the tool before attending training. 4 Independent Domestic Violence Advisors 5 Examples of well-being issues include child contact issues, behavioural issues, child/parent attachment issues existing at point of intake. 24

25 In 2013/ Medway professionals from a variety of professions accessed training. Further and continuous dates are scheduled for 2014/2015. What opportunities and challenges remains: There is no system for single monitoring and tracking of cases, so it is not possible to identify a number for children who have been identified as at risk or having suffered CSE. There is no current service commissioned within Medway for children who are at risk or have suffered child sexual abuse or exploitation. Medway Council Children s Commissioning service has carried out a scoping exercise to look at the provision of a post sexual abuse service for children and young people in Medway, with a view to commissioning a joint local authority and health funded service, subject to funding agreement. The ability to work with individual children who have been sexually exploited could form part of the specification in tendering for such a service. A review of the Medway response to child sexual exploitation is anticipated in early 2014/15. The review of the MSCB A review of the MSCB was commissioned in the summer of 2014 in the context of a January 2013 Ofsted inspection finding of inadequate effectiveness of safeguarding issues. A full report was presented to the MSCB board meeting in September 2014 and all recommendations were accepted. These were themed and developed into an action plan, below. These recommendations together with the findings of the Peer review in February 2014, summarised below, have informed the priorities of the MSCB for 2014/17. 25

26 Review of the MSCB action plan Planning Specific action and timescale Accountability Success indicators Theme: Hearing the voice of the child The MSCB will develop a MSCB Board strategy to ensure the voice of Via MSCB the child is heard throughout the Manager work of the MSCB, its subgroups and its partners. *Include timescale* Monitoring Risk, progress and additional Impact and evidence actions *Date all entries* A proposal for how the MSCB can ensure the voice of the child is heard will be presented to the MSCB Board meeting November April 14 update An updated paper was presented to the MSCB in January 2014 on Hearing the voice of the child in the work of the MSCB. This will be included in all MSCB subgroups; the MSCB will hold regular events to engage young people. (This began with Medway Youth trust young people in February 14) RAG The MSCB is Child focused and responsive the voice of Medway children and young people. Young people feel they have made a valuable contribution to the work of the MSCB through the feedback that is received. Work is still needed on how the MSCB captures the voice of children whose second language is English and those with disabilities. Theme: The MSCB Learning and Improvement framework The MSCB will develop and maintain a Learning and improvement framework The MSCB Manager will monitor the The framework is developed and MSCB partners are engaged and can demonstrate This action is reflected in the MSCB priorities for 2014/17 The framework has been developed and was presented to the MSCB in September

27 Development by August Minimum of biannual monitoring and summary reports to the MSCB. impact of learning from the framework. The Performance Management and Quality Assurance Subgroup will monitor progress against actions and report to the MSCB. progress action outstanding actions as a result of reviews, audits or inspections. MSCB partners are clear about their responsibilities, to learn from experience and improve services as a result. Theme: Monitoring and evaluation of effectiveness of services Each partner agency will annually present an overview report of their safeguarding activity, quality assurance systems and effectiveness of their organisation (as a collective) to safeguard and promote the welfare of children. Each MSCB partner will present to the Performance Management and Quality Assurance Subgroup Partner s overview reports will include the agency s own assessment of effectiveness, a proposed outcomes focused SMART action plan to address identified areas of concern and actions required to improve services. This will be fed in to the MSCB Learning and Each partner agency will annually present an overview report to the MSCB board detailing actions taken to improve effectiveness, strategic issues for the organisations and what life is like for front line staff Each MSCB partner will present to the MSCB Board. Improvement Framework. The MSCB is satisfied that strategic and operational imperatives are highlighted to the MSCB, and their impact assessed. The Performance Management and Quality Assurance Subgroup will review single agency updates in November The MSCB support team will ensure that new actions from reviews/audits/scrs are incorporated into the framework and record actions that are discharged on an ongoing basis. April 14 update This is ongoing and a full update will be given to the MSCB in July 14. Challenge remains in partners not submitting appropriate actions plan updates. Single agency reporting will be scheduled into the MSCB work plan beginning in December April 14 update Guidance and a programme of reports has bee agreed and published. Agency reporting began in January Single agency reporting will be scheduled into the MSCB work plan beginning in January April 14 update Guidance and a programme of reports has bee agreed and The MSCB is assured of the quality and effectiveness of single agency safeguarding activity and quality assurance systems. The MSCB is assured of the actions of single agencies to improve effectiveness and that challenges to services and partners are fully understood. 27

28 in their organisations. Schools/Academies will submit annual safeguarding reports to demonstrate effectiveness of safeguarding arrangements. TBC Following Discussion with the Director for Children and Adults Services. The MSCB is satisfied that schools in Medway are effective in their safeguarding arrangements. published. Agency reporting began in March TBC Establishment of an Education reference group. TBC MSCB to establish a guide for safeguard reporting. April 14 update The template for annual reports from schools was developed in consultations with primary, secondary and further education representatives and agreed by the MSCB. This needs to be communicated to schools, and other relevant bodies, with a guidance note. The MSCB will populate and benchmark the national indicators in Children s Safeguarding Performance Information Framework data to present to partners and identify additional Medway indicators. Medway Council Performance Team Theme: The MSCB Sub Group Structure The terms of reference and MSCB membership for all MSCB Executive Board subgroups will be reviewed/revised to ensure they are outcomes focused, are effective in delivering on MSCB core business and consider the The MSCB establishes a dataset, which includes national indicators and areas of Medway concern. Targets against these indicators are set using bench marking data and reviewed annually. Structure of the MSCB and its subgroups is established. Terms of reference are annually reviewed. Annual reports are presented April 14 update The data set has been agreed by the MSCB and the first full data set will be collected following Q1 2014/15, although some agencies have begun to populate where possible for Q4 2013/2014. The roles and responsibilities of the Quality Assurance and Case Review Subgroup will be reconfigured into the Performance Management and Quality Assurance subgroup and Learning Lesson subgroups. December Local safeguarding services are working effectively and challenged appropriately. 28

29 voice of the child. Each group will be required to submit an annual report of activity. to the MSCB, and included in the overarching MSCB annual report. Theme: The MSCB Membership, support services, administration and functioning Review of Health representatives on the MSCB and it s subgroups and proposal for appropriate representation will take place. December 2013 Chief Nurse NHS Medway CCG reporting to the Executive board. All MSCB meetings have the appropriate level of health representation. The support team of the MSCB will be reconfigured to ensure responsibilities of the MSCB are appropriately managed and support the effectiveness of the MSCB and its subgroups. The MSCB will ensure it fulfils its participation in planning functions through active engagement with multi agency groups, which will in turn be held to account by the MSCB Board. MSCB Executive Board MSCB Chair, MSCB support team and subgroup chairs. The MSCB is supported appropriately by a MSCB Independent chair; MSCB Manager; Development Officer; Learning and Development Coordinator; Project Support Officer; Administration Apprentice; 2 Lay members All MSCB support have clear job descriptions. April 14 update All MSCB subgroups have been reviewed. The MSCB executive and MSCB constitution will be reviewed in Q1 2014/15, along with ToRs of joint groups (CSE and trafficking and the Policy and Procedures group) April 14 update This has been addressed and is ongoing. Apprentice interviews will take place 1 st November Job descriptions for all MSCB support posts will be revised and reviewed and recruitment for posts will take place in Lay member recruitment will take place in December April 14 update We have appointed a new lay member and following the resignation of another, recruitment will take place in Summer A full MSCB structure chart and its relation to other multi agency groups will be presented to the MSCB board in January 2014, and be published in the 2013/2014MSCB annual report and include the mechanisms for The MSCB s membership represents appropriately the services that support children and family in Medway. The MSCB team supports fulfilment of the MSCB aims and objectives detailed in annual business planning. The MSCB discharges its obligations appropriately. 29

30 MSCB Executive MSCB Board communication between groups. A Medway Improvement board update is a standing item on the MSCB Board agenda. The MSCB is a member of the Improvement Board and Medway Children Action Network. April 14 update 30

31 Inspection and Peer review of Safeguarding findings Following the inadequate Ofsted safeguarding inspection in January 2013, and an inadequate Looked After Children Inspection in July 2013 an improvement notice was issued to Medway Council in July The improvement notice required the service to demonstrate improvement in areas of practice including: Quality and effectiveness of safeguarding practice; strengthen the voice of the child; improve engagement of children and young people, and staff; strengthen the MSCB; implement an Early Help Strategy. Updates from the improvement board, established following the notice, is a standing item at MSCB board meetings and the MSCB has specific actions in the improvement plan. An independent review of the MSCB was commissioned in July 2013, the outcomes of which are detailed below. In February 2014 a Local Government Association peer review was undertaken to provide an independent assessment of the effectiveness of safeguarding, which included a consideration of the MSCB. The peer review identified early signs of change with the MSCB, however it was too early to see the impact of the changes. It identified a need to develop improved governance arrangements between partnerships, clear and specific priorities for the MSCB as well as a requirement to address multiple/complex needs (Domestic abuse, mental health and substance misuse), especially in light of there not being a clear strategy for Domestic Abuse. Whilst a data set has been developed it is not yet evident how the information will be used and how it will show impact. The MSCB must ensure that the data will assist partners in contributing effectively to the improvement agenda and the MSCB in holding them to account. Communication has been lacking within the MSCB, and there is uncertainty as to the role of the MSCB within the community. The findings of the peer review will be reflected in the priorities and work plan of the MSCB going forward. An Ofsted inspection is expected to take place in 2014/15 under the new framework for the inspections of services for children in need of help and protection, children looked after and care leavers. Ofsted will undertake a review of the effectiveness of the MSCB at the same time as the inspection of the local authority. Review of the Effectiveness of the MSCB In April 2014 Board members undertook an exercise to consider their own perceptions of the effectiveness of the MSCB. The exercise was based on the Facets of Effective LSCBs developed by the Association of independent chairs of LSCBs. This included an analysis of reasons for the current position and suggested next steps for improvement which has contributed to the development of the strategic business plan. The areas considered were: the Board working arrangements, quality assurance and performance management, working together compliance, the Board s response to current safeguarding issues including child sexual exploitation, neglect and early help, and business planning. In most areas the majority of the Board felt that the stage the Board is at is developing and improving with a few areas where we are still at an early stage and some aspects being best practice. 31

32 Board members also made comments that have also been very helpful with forward planning. Some of the comments are quoted below: Board has improved its challenge/scrutiny function in last 18 months by reevaluating single agency objectives and invitees at Board who present on agency improvement e.g. Medway hospital/ maternity Poor web-site needs a new web-site and newsletter is new Board should focus on fewer objectives that are delivered Quality assurance much improved. V. Good to start with the voice of the child Creation of sub-group for learning positive move forward Good programme of training in place but further development needed Continue with roll out of twilight sessions plus audit to evidence impact Each agency responds well however across the Board, not sure of consistent understanding of neglect Maintain long term planning for improved outcomes The Board will repeat the exercise in April 2015 as part of the review of progress made during this year. Child Death Overview Panel (CDOP) MSCB Subgroups Key achievements in 2013/14: Remote access to computerised records for community midwives was achieved in January The CDOP reports formally to the Board on data gathered 1 April 31 March. In 2013/14 the panel reviewed 21 cases with 12 cases still to be reviewed as at 31/03/2014. There were 32 child deaths reported to the MSCB in 2013/14. Of these, 10 were deaths of children resident in other Local Safeguarding Children Board (LSCB) areas. There were 16 children normally resident in Medway who died in Medway, and 6 who died out of area. The Medway CDOP is responsible for reviewing all deaths of Medway resident children wherever they died and therefore there were 22 reported deaths in 2013/14 to review. Of these deaths, 16 were expected and 6 were unexpected. Summary data about child deaths are shared in the CDOP annual report. This work is done in the context that although the health of children is improving in the UK, compared with other European countries the UK performs poorly on several measures of child health including mortality. This and the fact nationally 21% of child death reviews in 2013 were considered to have modifiable factors suggests that many deaths are preventable. A recent report Why Children die: deaths in infants, children and young people in the UK 6 recognises that there are no simple explanations for why children are more likely to die in the UK but identifies five areas where action could be taken: 6 Why children die: deaths in infants, children and young people in the UK.Wolfe I, Macfarlane A, Donkin A, Marmot M, Viner R. Royal College of Paediatrics and Child Health and National Children s Bureau, May

33 Infant deaths preventing the risk of pre-term birth and low birth weight and promoting maternal health. Acute illness improve the recognition and management of serious illness across the health service Injuries and poisoning Implementation and enforcement of policies to prevent accidents. Policies to address violence and self harm. Chronic diseases Improving prevention and outcomes e.g. for asthma, epilepsy, diabetes and mental ill health Role of civil society and government Poverty kills children. Equity saves lives. These areas are consistent with the findings of the CDOP and also with priorities identified locally by the MSCB and the Health and Well being Board. Our challenge is to take action locally at scale and pace to improve outcomes for children and young people. Progress against recommendations and actions from previous CDOP annual are monitored periodically by CDOP and reported in the annual report for 2013/14. Recommendations made in the CDOP 2013/14 annual report come from key issues identified during the review year. CDOP s 2014/15 action plan will support and monitor the impact of the following recommendations: Medway Foundation trust, Medway Community Healthcare, Medway CCG and Medway Council Public Health to ensure effective delivery of evidence based stop smoking support to women in pregnancy. MSCB to continue to support continued professional awareness of best practice for safer sleeping. Amend local data collection forms to reflect information on bedding and clothing in cases of sudden infant death. The terms of reference for the Child Death Overview Panel were reviewed and as a result wider membership is being considered in 2014/15. Learning and development Key achievements in 2013/14: Re-launch of the Learning and Development subgroup and development of the MSCB Learning and Development Strategy. The learning and development subgroup was re launched in November 2013 with a new chair. The terms of reference for the group was re written and a new Learning and Development strategy for January 2014 to March 2016 has been developed. The identified improvement areas/desired outcomes of the strategy include: All training is child focused so that the voice of the child and the child s welfare remain paramount and children and young people are involved in the design, delivery and evaluation of training. The MSCB regular offer of learning and development opportunities includes specialist topics to reflect the needs of partner agencies and their staff. MSCB and single agency learning and development opportunities are reviewed and evaluated to ensure that it meets the MSCB competency framework, the agreed learning outcomes and has a positive impact on practice. 33

34 The MSCB publishes and monitors the use of the reflective practice supervision framework. Knowledgeable professionals in a variety of areas, who are supported by the MSCB, deliver a range of multi agency learning and development opportunities. The MSCB maintains regular bulletins and the MSCB website which is overseen by the MSCB Learning and Development Subgroup. The work plan of the new Learning and Development group will also include post course evaluation reports and 3-month post course evaluation reports to ensure there is positive impact on practice as well as reporting on single agency engagement with MSCB learning and development opportunities. In 2014/2015 the group will be requesting reports from single agencies regarding their monitoring and evaluation of the effectiveness of training. This will include what is available to staff and take up, compliancy with MSCB competency frameworks, quality assurance activity undertaken and areas for improvement. Performance management and quality assurance Key achievements in 2013/14: Development of the MSCB Data set Development and launch of the section 11 audit Following the review of the MSCB the Quality Assurance and Case Review subgroup (QACR) was renamed the Performance Management and Quality Assurance subgroup (PMQA) and responsibilities were shared between PMQA and newly formed Learning Lessons subgroup. The terms of reference for the group were revised, a new chair was appointed. The group holds responsibilities for; Annual partner agency reports (a new process supported by guidance from PMQA) Section 11 reports Private fostering Children missing from education, home and care. E-safety Monitoring the Learning and Improvement Framework and action plan Reviewing single agency audit activity Reviewing single agency inspection action plans The group also has regular reports from the Children s Independent Safeguarding and Review Service (CISRS) to enable the MSCB to hold agencies to account for engagement in child protection conferences. Throughout the year there has been improvements in the attendance of partners at conferences, the quoracy of conferences and the submission of reports, although more targeted work is still required. To support the quality assurance activity new monitoring forms for the chairs of conferences have been developed and introduced which will result in a clearer representation of activity at conference, including the involvement of child, young people and their families. In addition PMQA receive regular reporting from the Local Authority Designated Officer (LADO) 34

35 The MSCB needs data to be able to assess the effectiveness of the help being provided to children and families. To support this PMQA developed a multi agency data set, which was approved by the MSCB. The data set will be formally launched to collect data beginning in April In the future the MSCB will be able to benchmark and set targets against the data provided. Learning lessons Key achievements in 2013/14: Development and launch of the notification and referrals to the MSCB process. Following the review of the MSCB the responsibilities of the Quality Assurance and Case Review subgroup were split between the Performance management and quality assurance subgroup and the new Learning Lessons subgroup. The learning lessons subgroup is primarily responsible for monitoring action plans that come out of Serious Case Reviews (SCRs) and other multi agency reviews. The group will also consider the local response to any learning in national SCRs as appropriate. The group is also responsible for screening cases referred to the MSCB through the new notification and referrals process. This new way of communicating with the MSCB was developed by the group in 2013/14 and formally launched in March To ensure the MSCB is continuously learning from both good practice and issues that have challenged practice, the MSCB is inviting professionals to notify the MSCB of significant multi agency incidents/adverse events so that the MSCB can address issues and challenge partners as appropriate. Professionals are also able to refer cases which are likely to identify important multi agency lessons, these will be for Serious Case Reviews, Lessons Learned Reviews, Case File Audit, Good/Practice Reviews or Single Agency management Reviews. This process should ensure that the MSCB can act to address any identified deficits and lead to improvements in practice. The group was launched in December 2013 and will meet monthly following the Case File Audit Group. Case file audit group Key achievements in 2013/14: Established process of multi agency review of children subject to a child protection plan for 15 months+ To ensure the MSCB can hold agencies to account for their participation, information sharing and decision making in multi agency processes such as child protection conferences the Case File Audit Group (CFAG) looks at cases that are referred to the group via the Learning Lessons group or by identifying random cases around a theme, such as domestic abuse. Following refreshed terms of reference for the group the meeting frequency was increased to monthly to ensure the MSCB could learn from an increased number of case file audits. In January 2014 the CFAG began to audit the cases of children who have been/were subject to a child protection plan for more than 15 months, between January and May 35

36 2014 the group reviewed 47 children. Cases are audited utilising a standard audit tool, which is completed, by each agency and the collated information in presented to the group, analysed and further actions agreed where necessary. Already the group has been successful in identifying where plans and action plans have not been as effective as they should be and acted accordingly. The group has facilitated immediate feedback to teams to ensure timely action is taken on any of the groups concerns, which are then recorded and monitored at subsequent CFAG meetings. The initial cases reviewed have identified that drift and delay were a common characteristic of cases in the past that were managed under the old child social care structure, and poor practice and management oversight identified. The work of the group has meant that cases identified have received more robust management oversight and are now demonstrating progress. Additional common themes have emerged as cases were systematically worked through: Child protection plans were not always as effective as they should have been, and lengthy duration sometimes equates to a loss of momentum, which was challenged in each case. Child protection plans were not always SMART. Work is sometimes focussed on one child of the family, at the expense of others. In recent months conference chairs/independent reviewing officers have demonstrated challenge by utilising the formal escalation process to good effect This work will continue into 2014/15 however cases numbers are expected to decrease significantly as Children s Social Care will call cases into legal gateway at 12 months to review them. Kent and Medway Child Sexual exploitation and trafficking Key achievements in 2013/14: Development and launch of multi agency training for CSE The Kent and Medway CSE and Trafficking subgroup developed and launched a training package in partnership with Barnardos. Work within the group is ongoing to address the action identified in national publications and to establish a picture of children at risk of CSE and trafficking. A subgroup of the group was established to look specifically at missing child processes and procedures. Medway missing children services, which have been commended in inspections, have withdrawn from the joint Kent and Medway subgroup at this time until Kent have progressed to a similar standard of process. Kent and Medway Policy and procedures Key achievements in 2013/14: Fully review and online publication of the Kent and Medway Safeguarding procedures. Re-launch of the Kent and Medway Threshold criteria document 36

37 During 2013/14 the Policy and Procedures subgroup under took a complete review of the Kent and Medway Safeguarding Procedures following extensive consultation between partner agencies and are presented as a user-friendly online manual. Periodic reviews of content will continue into 2014/15. The Kent and Medway interagency threshold criteria for children in need was also revised to ensure it was Working Together 2013 compliant and was re launched along with the online procedures in March A programme of workshops took place in April 2014 to support consistent understanding and application of thresholds, which should be evidenced in 2014/15. Under a task and finish group the MSCB led a review of the risk assessment tool and supporting procedures for working with children that are sexually active. The toolkit was signed off in 2013/14 and the procedure will be agree in early 2014/15 once corresponding procedures for children exhibiting sexually harmful behaviour have been reviewed. The voice of the child The review of the MSCB recommended that The Medway Safeguarding Children Board should ensure that listening to the child is a key area in all case reviews, file audits and practice reviews and that partner agencies regularly aggregate up what children are saying to inform practice and service improvement and development. When wanting to obtain a wider view on issues the MSCB should use existing avenues for consultation with children rather than setting up its own. In recent years, it has become increasingly important to include the voice of children, and their families, in any work that may impact upon their lives. Achieving good outcomes for children is everyone s responsibility. Medway Safeguarding Children Board should always strive to hear the voice of the child and her/his family in all its activities. There are a number of ways the MSCB plans to take this forward, which were approved by the MSCB in January 2014; Children and young people (C&YP) to be consulted in developing training courses and materials. Consideration of using C&YP in delivering specific elements of training. Consultation with C&YP and their families to be built into the audit process. All member agencies to report regularly, with evidence, on activities they are engaged in to better hear the voice of C&YP in their work. Regular C&YP presentations at MSCB board meetings, and Regular events to be held with young people to consult with and seek their views on specific topics or pieces of work conducted/published by the MSCB, leading to a virtual reference group for the MSCB. Evidence of C&YP is already being demonstrated in single agency section 11 audits, although there is room for improvement. Since January 2014 the MSCB board meetings have commenced with a Voice of the child item to focus the meeting on the reason why we are there, to ensure the safety and well being of children and young people in Medway. This has included 37

38 revisiting the drama performances of a Medway school on domestic abuse, and the feedback from an event with young people from the Medway Youth Trust, who were asked for their views as to the vulnerabilities of adolescents, risky behaviour, what constitutes healthy relationships, and whether services appropriately meet their needs. The feedback from the MYT young people has informed the setting of the MSCB priorities for 2014/17. Specifically in relation to; How are services for young people in Medway mapped and presented for young people to access? How can we address lack of education for young people in recognising their own and others vulnerabilities? What support/tools do professionals need to engage, talk to and support young people; for professionals with both established and new relationships with the young person? The young people from MYT told us Don t call services help, offer support and that we should hold events that are relevant to them and that they will learn and be able to apply the teaching to their lives, they told us life is learning. When asked how they identified issues in their lives they responded if no one teaches you to read, you wont read, meaning that the MSCB and professionals need to educate young people on what a problem with their mental health or relationships etc would look like, and that this would help them support their friends who are more likely to turn to them for advice than an adult or professional. The MSCB is also committed to giving feedback to the young people we talk to who said, If you want our opinion tell us what you have done with it. These are all principles the MSCB is taking forward in the detailed work of the priorities for 2014/17. The young people at Medway Secure Training centre were also consulted on the design of the new MSCB logo and re-branding to ensure the MSCB is seen as accessible to children young people. The young people said that the logo should reflect children and be colourful and eye-catching. 38

39 Section 11 audit The biennial section 11 self-audit was launched in November 2013 following a complete multi agency review of the audit template. Agency submissions, which were collected in January and February 2014, came from a wider range of agencies and services than previous audits allowing for a targeted and focused review. The results of the first stage of the section 11 are summarised below. Under each standard are a variety of areas of compliance each service/agency rates them selves against. The percentages below represent the percentage of total services/agencies that rated their overall compliance against the standard. Standard 1. Senior management have commitment to the importance of safeguarding and promoting children s welfare. 2. A clear statement of the agency s responsibility towards children is available for all staff. 3. A clear line of accountability within the organisation for work on safeguarding and promoting the welfare of children. 4. Service development takes account of the need to safeguard and promote welfare and is informed, where appropriate, by the views of children and families. 5. Staff supervision, awareness, and training on safeguarding and promoting the welfare of children for all staff working for, with or in contact with children and families depending on the agency s primary functions. Not Not Partially Fully applicable met met met 0% 0% 38% 62% 3% 0% 49% 48% 3% 0% 28% 69% 10% 0% 52% 38% 3% 0% 63% 34% 6. Safer recruitment / allegations management. 3% 3% 41% 53% 7. Effective interagency working to safeguard 7% 0% 45% 48% and promote the welfare of children. 8. Effective information sharing 3% 0% 24% 73% Overview of all areas 4% 0% 42% 54% Standard 1: The section 11 audit has identified a wide commitment to safeguarding with those responsible being identified. Improvement is needed in the inclusion of safeguarding responsibilities in job descriptions, although staff are reported to have an understanding of their role. Another area of improvement is how staff are involved in the development of services. Standard 2: Staff have access to safeguarding procedures, although some single agencies polices are in need of updating. Policies and systems are in place for complaints, with some agencies working on child friendly versions as appropriate. Improvement is needed for arrangements of commissioned services, to ensure those commissioned by agencies with section 11 responsibilities are also compliant and that this is recorded appropriately. 39

40 Standard 3: Safeguarding accountability pathways are well established, however staff awareness of these are not tested/evidenced. There are also some issues with access to training. Standard 4: Safeguarding children is an integral part of service development and delivery, but improvements can be made in using the views of children, young people and families in service planning as well in regards to the services thy receive. Standard 5: Training pathways are established across agencies and include induction processes and supervision. However, work needs to be undertaken regarding the use of the MSCB reflective practice framework following its review by the Learning and Development subgroup. Standard 6: There are positive recruitment policies and practices, but there is a need for more safer recruitment training and making sure the message of safer recruitment is communicated with commissioned services. Standard 7: There are strong examples of strategic leadership being involved in the work of the MSCB. Staff know where to make referrals and there is strong awareness of the CAF. Although multi agency working is supported there is some evidence of the pressure services are under to attend or little evidence of addressing non-attendance outside of the reports of attendance at child protection conferences. Improvement is needed in sharing the lessons from SCRs (local and national) across services. Responsibilities around private fostering are missing from training. Standard 8: Information sharing policies are in place, in some areas compliance needs to be audited and there are some examples of training needs. A staff survey and peer review process will follow in 2014/15 to support and challenge the finding of the audits. Single agencies will also be required to periodically submit updated action plans. Serious Case Reviews Local Safeguarding Children Boards undertake serious case reviews (SCR) when children die or are seriously injured, and abuse and/or neglect are suspected or known to be a factor, and /or there are concerns about how local agencies worked together. The purpose of such reviews is to learn lessons and improve practice. Such reviews result in action plans that should drive this improvement. This section reports on the progress in respect of serious case reviews in Medway. In May 2013 the MSCB published the overview report and executive summary of the Callum SCR, which concerned a young person of 17 who went missing and was later found in the River Medway. Prior to his death he had been in contact with various Medway agencies for support for his vulnerabilities, specifically concerning housing, financial support, mental health and drug and alcohol use. The MSCB also participated in an out of area SCR Child F that was published in August Child F was aged 15, and was under the care of Tower Hamlets as a looked after child placed in Medway. At the time of his death he was serving a 10- month detention order at Cookham Wood Young Offender Institution. Both of these cases involved vulnerable adolescents and informed the specific objective for the MSCB detailed above and in the priorities for the MSCB in 2014 to 40

41 2017. Executive summaries and overview reports can be sourced at During 2013/14 6 events were held across Kent and Medway (2 in Medway) in response to these SCRs entitled Child trauma: Working with children in the early years and their transition into adolescence. Understanding child brain development, attachment, transitions and vulnerabilities. Whilst these were commissioned sessions by a partner agency for a multi agency audience, the MSCB is exploring how the learning can be replicated in 2014/15. Lessons learned session focused on what services could do to support adolescents that do not reach the threshold for statutory services, delegates at the session were also able to feed in their own ideas about local need. There are ongoing challenges that were identified in the reviews, such as provision of services to those under 18 in custody suites that continues to be addressed, and review outcomes will be presented to the MSCB in 2014/15. Training for staff working with children that display self-harming behaviours is also needed and will be addressed in the 2014/15 priorities, where vulnerable adolescents continues to be a focus. The MSCB has continued to monitor the improvements and actions of single agencies and multi agency based recommendations of these and past SCRs to ensure they have improved the way we safeguard and protect the children and families of Medway, and those placed in Medway. No new SCRs were commissioned in 2013/2014. The MSCB considered one referral for a SCR, however following a SCR screening panel where more information was available the case did not meet the threshold for undertaking a SCR and the subsequent review undertaken by the CDOP would be appropriate. Following the review at CDOP additional dates were set for safer babies training and delegates from services involved in the case were targeted. A child previously referred to the SCR screening panel in 2011/2012, but not found to meet the threshold for a SCR, was included in a Domestic Homicide Review (DHR). Where there is a death that has resulted from Domestic Abuse a DHR must take place to review what happened and so that together we can identify what needs to be changed to reduce the risk of it happening again in the future. DHR reports are published on local authority websites and action plans monitored by the Community Safety Partnership. The DHR report was published in January Multi agency lessons learnt seminars were held in February across Medway to address the learning from this DHR as well as Kent DHRs. The MSCB Learning Lessons subgroup will be responsible for monitoring any actions or learning in relation to children s services. During 2013/14 a SCR/DHR task and finish group was established to explore the potential for establishing shared protocols and mechanisms for conducting reviews in order to improve efficiency and standards as well as reducing the risk of duplication of effort. The group s work included a complete review and revamp of the templates used for SCRs (children and adults) and DHRs. The new suite of shared templates includes a chronology; individual management report and action plan templates. These templates were approved fro use in January 2014 and can be used across other areas of work of the MSCB to ensure consistency in recording. The work of the group will continue into 2014/15 to address training requirements for chairs and staff involved in writing reports. 41

42 MSCB learning and development provision In 2013/14 the MSCB offered 35 events, which were attended by 814 delegates from across partner agencies. The MSCB continues to offer basic and intermediate child protection training as standard and a range of specific multi agency learning and development opportunities. Working with men and Child Sexual exploitation training were introduced in 2013/14 and will continue as staple courses along with courses relating to domestic abuse. In ensure MSCB opportunities are accessible the MSCB launched lunchtime learning sessions to enable more professionals to attend shorter targeted events, however following professional feedback these will move to later in the day in 2014/15. To support school engagement the MSCB facilitated twilight sessions at the end of the school day. These have been well attended and positively reviewed and will continue at least termly into 2014/15. Learning opportunities for topics identified as in need of developing/commissioning include: Safer recruitment Refresher training for child protection. Regular threshold / effective referrals Child and adolescent mental health Safeguarding through core groups Risk assessment Drug and alcohol Sexual health MSCB training Course No. of events No. of delegates Basic Child Protection Training Intermediate Child Protection Training Domestic Abuse and Safeguarding children 2 38 DASH 7 risk identification and assessment 1 17 Child Sexual Exploitation 4 83 Child Trauma (external provider) 2 71 Working with men training 1 24 Safer babies 2 47 Callum Lessons learned (SCR) School twilights 2 76 Lunchtime learning 3 64 Total The majority of training delegates are from Medway Council (including social workers, outreach workers, youth workers etc) children s centres and schools. HMYOI Cookham Wood, Medway STC, Kent Police and Probation, and some areas of health have very low representation at training. Whilst this may be due to high levels of training delivered in house, it is important that MSCB training is delivered to a multi agency audience as this supports the workforce working together. 7 Domestic Abuse, Stalking, Harassment and Honour based abuse. 42

43 Increasing the availability of shorter, specialist, learning opportunities should support wider representation of agencies at MSCB events. At the close of each MSCB learning and development activities post course evaluations are completed asking professionals how they will be applying their knowledge or new skills, how they rate the value of the course to their service and role, the materials used, content and the trainers. The average overall rating for all MSCB is always good or very good. Trainers often receive the highest level of feedback with delegates appreciating their knowledge and ability, Listening to trainers who have first hand approach is essential in bringing home the reality of child abuse on our community. Feedback from these evaluations also helps to improve content of the courses, both the basic and intermediate courses have undergone complete overhauls this year based on delegate and trainer feedback. The MSCB has previously developed a 3-month post course evaluation to ensure that learning from the training has had a positive impact on practice. From the limited responses practitioners report that their training has impacted of their perspectives and how they might approach their service delivery. However, response numbers are disappointing. The Learning and Development group will explore new methods of post course evaluation and how to support increased responses. MSCB Budget 2013/2014 contribution % Medway Council 94, NHS Medway 30, Kent Police 16, National Probation Service 3, HMYOI Cookham Wood 3, Medway Secure Training Centre 2, CAFCASS Other income (training charges and 6,440 contribution from KSCB for procedures) Total 157,629 Roll forward from previous year for MSCB 94,398 reserve Grand total 252,027 MSCB Expenditure 2013/2014 Staff (including Independent Chair fee and 154,569 consultancy) Kent and Medway Safeguarding Children 5, (75% recouped from procedures Kent) Printing, Stationery, general office costs 3,584 (including computer equipment and room thermometers cards - safer babies) Meeting costs (including refreshments for all 5,529 training events and SCR Panel meetings) Travel costs 744 Total expenditure 169,526 Roll forward for MSCB reserve 82,500 43

44 Due to the restructure of the MSCB recommended in the review of the MSCB the staffing costs will increase and will not be covered by the sum of partner contributions. The MSCB board agreed to address any shortfall using the MSCB reserve, which is reserved for SCRs and MSCB initiatives, in 2014/2015 and reevaluate partner agency contributions to be paid for 2015/16. The MSCB board also agreed that should there be any SCRs in 2014/15 further funding may be asked of partners in that instance. 44

45 Surname Forename Title Agency Allum Sally Director of Nursing and Quality NHS England Barber Pippa Executive Director of Nursing and Governance Kent and Medway Partnership Trust (KMPT) Barnett Alison Director of Public Health Medway Council Beavis Matt Deputy Service Director CAMHS South London and Maudsley NHS Foundation Trust Brazil Eleanor Independent Chair Medway Safeguarding Children Board Button Simone Service Director, Children and Young People s Division Sussex Partnership NHS Foundation Trust Caldwell Liz Headteacher New Road Primary School Clewes Graham Chief Executive Medway Youth Trust Coombe Andrew Associate Director for Safeguarding NHS Medway Clinical Commissioning Group Decker Simon Headteacher Rainham Mark Grammar School Fargher Gillian Clinical Member NHS Medway Clinical Commissioning Group French Jonathan Governor HMYOI Cookham Wood Howard Jane Chief Executive Officer Council for Voluntary Service (CVS) Medway Gulvin Keith YOT Team Manager Medway Youth Offending Team (YOT) Hams Steve Chief Nurse Medway NHS Foundation Trust Hughes Tina Acting Director North Kent LDU Kent Probation Hunt Steve Head of Service Children and Family Court Advisory and Support Service (CAFCASS) Lyons Mandy Interim Board Manager Medway Safeguarding Children Board Marchant Ralph Director Medway Secure Training Centre Morgan Lindsey Assistant Principal Mid Kent College O Brien Cllr Mike Lead Member Medway Council Paulose Dr Aisha Named GP, Safeguarding Children NHS Kent and Medway Prenter Louwella Laymember Medway Safeguarding Children Board Peacock Barbara Director Children and Adult Services Medway Council Quirke-Thornton David Assistant Director Children and Adult Services Medway Council Smith Tim Detective Superintendent Kent Police Stathopulu Eleni Designated Doctor, Child Protection Medway NHS Foundation Trust Stephens Fiona Clinical Quality Director Medway Community Healthcare (MCH) Ross Cathy Designated Nurse Safeguarding Children NHS Medway Clinical Commissioning Group Watson Phil Assistant Director, Children s Social Care Medway Council 45

46 MSCB member attendance Key: Attended meeting Meeting non attendance Not a Board member at this time Agency 03/05/13 05/07/13 20/09/13 08/11/13 10/01/14 14/03/14 CAFCASS CVS HMYOI Cookham Wood Medway STC Kent Police Kent Probation Kent and Medway Partnership Trust Medway Council Children and Adults Services Medway Council Children s Social Care Medway Council YOT Medway Council, Lead Member Children s Services Medway Council, Portfolio Holder, Children s Social Care Lead member, Member Services, Medway Council Public Health, Medway Council Kent and Medway NHS and Social Care Partnership Trust NHS Medway Clinical Commissioning Group Medway Community Healthcare Medway NHS Foundation Trust NHS Kent and Medway - GP Medway Primary School Medway Secondary School Medway FE College MSCB Lay members Medway STC Medway Youth Trust NHS England South London and Maudsley NHS Foundation Trust Sussex Partnership NHS Foundation Trust 46

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