TRAINING STRATEGY 2013/2015

Transcription

1 TRAINING STRATEGY 2013/2015 Training for Safeguarding Children & Young People for Clinical Commissioning Group (CCG) Staff and Independent Contractors Introduction NHS North Derbyshire CCG; NHS Hardwick CCG; NHS Erewash CCG and NHS Southern Derbyshire CCG are all committed to safeguarding and promoting the welfare of children and young people. The CCGs recognises that under section 11 of The Children Act 1989/2004 they have a statutory duty to ensure that safeguarding and promoting the welfare of all children forms an integral part of the services commissioned by the CCGs. As a commissioning organisation they must ensure that its employees and those of the organisations they commission and board members are knowledgeable about safeguarding children and young people and are confident and competent in carrying out their responsibilities. To fulfil this CCG responsibility a training strategy for safeguarding children and young people has been developed, and training in safeguarding children has been made mandatory for all CCG commissioning staff and for those commissioned services such as independent providers including GP Practices, Dentists, Pharmacists and Optometrists. The CCGs also have a responsibility to ensure that all Provider Organisations and Independent Contractors including GP Practices commissioned by them have staff which are up to date with safeguarding children training to the required level. Aim This strategy outlines the CCGs training plan and a framework for the delivery of training. The elements described within the strategy aim to provide all employees and independent contractors and clinical staff with the knowledge and skills to fulfil their duties and responsibilities in relation to safeguarding children. It has been formulated using the statutory guidance and key principles set out in: The Children Act 1989/2004 Working Together to Safeguard Children (HM Government 2013) Safeguarding Children and Young People: Roles and Competencies for Health Care Staff. Intercollegiate Document (RCPCH 2010) Background Working Together to Safeguard Children (2013) sets out statutory guidance on the responsibility of CCGs and NHS England to ensure that employees and independent contractors have an awareness of how to recognise and respond to safeguarding concerns. It states that this can be best achieved by a combination of single agency

2 and multi-agency training. The CCGs have a responsibility alongside Health Education England (HEE), working in conjunction with its Local Education and Training Boards (LETs) to provide or commission suitable workforce development and training which is relevant for both general and specialist safeguarding workforce, working with local commissioners and providers (The NHS Constitution 2013) Working Together to Safeguard Children (2013) sets out the role of Local Safeguarding Children Boards (LSCB s). The LSCB is responsible for providing multiagency training as well as monitoring and scrutinising single agency training offered by organisations. CCGs have a responsibility to provide support to the LSCB in their training functions by representation on LSCB training sub groups and contributing to LSCB training programme. Safeguarding Children and Young People: Roles and Competencies for Health Care Staff (RCPCH 2010) is endorsed by the Department of Health, Royal College of Paediatrics and Child Health, Royal College of Nursing and Royal College of Midwives. This document provides a competency framework and sets out the levels of competence with the timescales required by different groups of healthcare and the type of training requirements necessary in order to ensure appropriate statutory training requests. Purpose of Training All staff that come into contact with children and young people and their families has a responsibility to safeguard and promote their welfare and should know what to do if they have concerns about their wellbeing. This includes those who commission services which include health care provision for children, young people and their families. To fulfil these responsibilities, all health staff must have access to appropriate levels of safeguarding training and learning opportunities which may include ELearning and support from relevant staff within their organisation that have a role to safeguard. Different groups of staff require different levels of training depending on their role and degree of contact with children, young people and families, the nature of their work and level of responsibility. Training Programme CCGs will offer a training programme which recognises the different levels of competency for different groups of staff. These levels are based on the levels within the document Safeguarding and Children and Young People: Roles and Competencies for Health Care Staff (RCPCH 2010) and Working Together to Safeguard Children (2010 HM Government). 2

3 It is the responsibility of managers within CCGs and those services commissioned by them and Independent Contractors including GP practice to ensure that their staff are appropriately trained in order to fulfil their obligation for CQC registration and in line with regulatory and statutory requirements. Staff Groups working for CCGs and Independent Contractors: Induction Programme All staff should receive Level 1 training session for 30 mins within 6 weeks of commencing employment. Level 1: Non Clinical Health Staff working in health care settings There is a minimum requirement for this group of staff to receive (minimum) 1 hour update training every three years. Core competences Recognise potential indicators of child maltreatment Recognise potential impact of parental/carer physical/mental health on wellbeing of the child Acting on concerns Level 2: All clinical staff who have any contact with children, young people and parents/carers and/or commission clinical services. This group includes commissioning leads, pharmacists, dentists, opticians, physiotherapists, health care assistants and councillors Over a 3 year period level 2 staff should receive training up to a minimum of 2 hours. Core competences As level 1 above and: What constitutes child maltreatment and identification of the signs Acts as effective advocate for children Recognise impact of maltreatment Roles and responsibilities Making a referral to social care Record keeping Information sharing Legal framework 3

4 Level 3: All clinical staff working with children, young people and /or their parents/carers and who could potentially contribute to assessing, planning, intervening and evaluating the needs of a child or young person and the quality of parenting capacity where there are safeguarding child protection concerns. Over a 3 year period it is recommended that level 3 staff should receive training equivalent to 6 hours. GPs will be required to demonstrate the competencies outlined below and should be able to identify 6 hours of learning over this period through their appraisal. Update training will be made available to GPs, Practice Nurses and other nursing and clinical staff working in the CCG or primary care who prefer face to face update training. Training, education and learning opportunities should be a combination of multidisciplinary and inter-agency. It should include personal reflection and scenario based discussion drawing on case studies and lessons from research and audit. Core Competencies As level 1 and 2 and: Can draw on expertise to recognise child maltreatment Contribute to inter-agency assessments, the gathering and sharing of information and where appropriate analysis of risk Record keeping to a legal standard Undertake reviews of safeguarding practice Contributes to serious case reviews/case management reviews. GP safeguarding leads require all the above and: Advise other agencies about health managements of individual children Works with other professionals and agencies with children, young people and their families when there are child protection concerns. Level 4: Named Professionals This group includes named doctors, named nurses, named midwives, named professional in ambulance organisations. Over a 3 year period should receive 24 hours of education, training and learning. They should participate regularly in support groups or peer support networks Named Professionals should complete a management programme with a focus on leadership and change managements within 3 years of taking up their post. Core competence as outlined in the Intercollegiate Document (2010) 4

5 Level 5: Designated Professionals This group includes designated doctors and designated nurses. Over a 3 year period should receive 24 hours of education, training and learning. They should participate regularly in support groups or peer support networks for specialist professionals at local, regional and national level. An executive level management programme with focus on leadership and change management should be completed within 3 years of taking up the post. Core competence as outlined in the Intercollegiate Document (2010) CCG Senior Management Senior managers responsible for strategic management of services including CCG board members All new non senior managers and NHS board members should receive an introduction to safeguarding children and young people training session within the first six weeks of their employment as part of the organisations induction programme. Over a three year period this management group will be required as a minimum requirement to have appropriate update training equivalent to 4 hours training specific to their role. This will be facilitated by the relevant Designated Professionals Monitoring Arrangements Individual Practitioners and Managers have responsibility to demonstrate assurance of own and staff compliance to this training strategy regulation through CCG Markers of Good Practice assurance framework or other assurance request. Being able to provide evidence to the CQC and CCG that staff are adequately trained is a fundamental part of the contract monitoring arrangements and CQC inspection. Any training provided by the CCG designated professionals will be evaluated and changes will be made to the training programme which will encourage attendance and implementation of safeguarding policies. The CCG designated professionals will access the dental, general practice, ophthalmological and pharmaceutical professional education leads for advice and guidance in improving the content and delivery of the training programmes. 5

6 When monitoring the quality of independent contractor services, formal review within the CCG Quality and Performance Framework will include their responsibility for ensuring appropriate staff training. References The Children Acts 1989 & 2004 London: HMSO. Working Together to Safeguard Children (2013) Royal College of Paediatrics and Child Health (2010) - Safeguarding Children and Young People: Roles and Competencies for Health Care Staff 6

7 SAFEGUARDING CHILDREN TRAINING PROGRAMME FOR NON CLINICAL AND CLINICAL HEALTH CARE STAFF AND THEIR MANAGERS/COMMISSIONERS WITH A ROLE TO COMMISSION CLINICAL SERVICES It is the CCG s responsibility to ensure the provision of good quality training for those they employ/commission. It is the responsibility of individual professionals and individual contractors to ensure that their staff attend relevant training in order to fulfil their role and responsibilities. Group Level Core Update Specialist Notes Level 1 All non-clinical staff, Office workers, Receptionists, Drivers, porters cleaners 30 minute Mandatory Introduction session as part of induction with 6 weeks of employment 1 hour minimum. 3 yearly update and annual written briefing Mandatory training Induction pack to be provided by CCG Level 2 Clinical Staff and Clinical Commissioners GP Junior Practice Nurses and care assistants 30 minute Mandatory Introduction with 6 weeks of employment 2 hour minimum 3 yearly training appropriate to the speciality and roles of participants Specialist Safeguarding children training also provided by individual professional bodies available through E learning National Conference Derbyshire Safeguarding Children Board Multiagency Training Programme Training provided by CCG Designated Nurses Dentists, Pharmacists, Optometrist refresher training to be provided through the CCG Training programme for Commissioners and Independent Contractors Level 3 Core GP s ANP s Practice Nurses 30 minute mandatory induction as part of induction with 6 weeks of employment. Equivalent to 6 hours safeguarding training prior to or within first year of employment Minimum of 6 hours learning/ training in order to achieve the required competency Specialist Safeguarding children training also provided by individual professional bodies available through E learning National Conference Derbyshire Safeguarding Children Board Multiagency Training Programme Training also available from Named Doctors and Designated Professionals LSCB National Conference Professional Bodies Peer Review Attending learning reviews Reflective writing 7

8 Level 4/5 Named Doctors/Nurse Designated Professionals 30 minute mandatory induction as part of induction with 6 weeks of employment. Over 3 year period should receive a minimum of 24 hour training equivalent to 3 days. Should also include leadership, management, appraisal and supervision training as required Specialist Safeguarding children training also provided by individual professional bodies available through E learning National Conference Derbyshire Safeguarding Children Board Multiagency Training Programme Training available from National Conference, and LSCB s BASPCAM Senior Managers/CCG Board members 30 minute mandatory induction as part of induction with 6 weeks of employment. Over a 3 year period will be required to receive a minimum of 4 hours training relevant to their area of responsibility Training will be delivered with the advice of the CCG Chief Nurse and Designated Professionals Training will also be available from LSBC programme National Conference 8