DRAFT Safeguarding and Child Protection Strategy. (Including Child Protection Training and Development Strategy)

Transcription

1 DRAFT Safeguarding and Child Protection Strategy (Including Child Protection Training and Development Strategy) If you require this document in another format, such as large print, please contact the Communications Team on

2 Contents Page Foreword 3 Part One: safeguarding and child protection strategy 4 Introduction and context 4 Structure and roles 5 Governance: the Trust s Safeguarding Children Groups and Care 7 Group Integrated Governance Teams Policies, procedures and practice 8 Recruitment and selection of staff and volunteers 10 From strategy to reality 10 Part Two: safeguarding and child protection training and 11 development strategy Context and aims of this training and development strategy 11 Our single-agency essential and compulsory training sessions and 13 interagency training Training for medical staff 17 Inter-agency training provided by Local Safeguarding Children Boards 17 Child protection modules available at the University of Brighton and 18 the University of Surrey Training for named professionals 19 Conclusion 19 References 19 Cross-reference 20 Appendix A: Safeguarding children and child protection structure chart 21 Appendix B: Terms of Reference 22 Appendix C: Named Doctors Role Outline 23 Appendix D: Named Nurses Role Outline 24 Appendix E: Flowchart for our single-agency essential and 25 compulsory training sessions and inter-agency training Appendix F: Safeguarding Disabled Children Practice Guidance 26 2

3 Foreword Welcome to this, our combined safeguarding and child protection strategy (Part One) - and Strategy for Safeguarding and Child Protection Training and Development (Part Two). We regularly refresh and reissue the strategy because the message that safeguarding and child protection is everybody s business across Sussex Partnership NHS Foundation Trust is so key. It is that simple, regardless of your role or where you work in the Trust, it is your business. Regularly refreshing our vision for what we want, and need, to do to strengthen our safeguarding and child protection arrangements and pave the way - through an associated work plan - to the revision of our structures, our policies and procedures, our training and other aspects of our safeguarding infrastructure is central to ensuring children are safe. The CQC s registration requirements for safeguarding are addressed in Outcome 7: Safeguarding people who use services from abuse What should people who use services experience? People who use services: Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld. This is because providers who comply with the regulation will: Take action to identify and prevent abuse from happening in a service. Respond appropriately when it is suspected that abuse has occurred or is at risk of occurring. Ensure that Government and local Guidance about safeguarding people form abuse is accessible to all staff and put into practice. Make sure that the use of restraint is always appropriate, reasonable, proportionate and justifiable to that individual. Only use de-escalation or restraint in a way that respects dignity and protects human rights, and where possible respects the preferences of people who use services. Understand how diversity, beliefs and values of people who use services may influence the identification, prevention and response to safeguarding concerns. Protect others from the negative effect of any behaviour by people who use services. Where application, only use Deprivation of Liberty Safeguards when it is in the best interests of the person who uses the service and in accordance with the Mental Capacity Act

4 Our strategy and our training and development strategy and other aspects of our safeguarding infrastructure will be reviewed again in 2013 to ensure that it continues to reflect contemporary policy and practice. It should be seen as part of a dynamic approach to ensuring that the Trust meets its duties to people who use our services, supports and guides our staff and assures others that we do subscribe to the belief that safeguarding and child protection is everybody s business. Should you have any doubt that it is not everybody s business in this trust please reflect on the following statistics: It is estimated that at least 200,000 children live in households where there is a known high risk case of domestic abuse and violence, with very many more affected at some point in time. Approximately 450,000 parents are estimated to have mental health problems; an estimated 250, ,000 children have parents who are problematic drug users, and around 1.3 million children live with parents who are thought to misuse alcohol. (Lord Laming. 2009). We need your engagement and help with converting our strategy into reality and completing our ambitious work plan. Please contact the Executive Director of Nursing & Quality to arrange to take your part in this important work. Part one: safeguarding and child protection strategy 1.0 Introduction and context 1.1 Sussex Partnership NHS Foundation Trust the Trust - provides across the whole of Sussex East and West Sussex, Brighton & Hove and Hampshire. These services are organised into Care Groups: Working Age, Older People s, Child and Adolescent, Secure and Forensic, Assessment and Treatment Services, Learning Disability, Substance Misuse Services and prison Healthcare. 1.2 The Trust, like all health and social care organisations, is rightly expected to take its responsibilities in relation to the safeguarding and protection of children very seriously and to meet the requirements set out in Working Together to Safeguard Children (HM Government 2006). Equally, the trust expects that each member of its staff what ever their role and in which ever care group or corporate department they work - will play their part in meeting these important responsibilities. The trust supports the belief that safeguarding and child protection is everybody s business. 1.3 The LSCB Sussex Child Protection and Safeguarding Procedures set out the shared beliefs, which the Trust supports and endorses. The shared beliefs state that - all children have the right to be safeguarded from harm and exploitation whatever their: Race, religion, first language or ethnicity Gender, or gender identity (transgender) 4

5 Sexual orientation Age Health or disability Location or placement Any criminal behaviour Political or immigration status. 1.4 This strategy sets out how we will all work together to ensure that we have a clear and effective way of meeting our responsibilities, organisationally and individually. The accompanying work plan describes what will be done, and by whom, during to ensure that we build still further on our robust arrangements for safeguarding and child protection - across all our care groups and in partnership and collaboration with other organisations and agencies in Sussex and Hampshire. 1.5 Significant attention has, in recent times, been placed on safeguarding and child protection issues, particularly following the tragic deaths of Victoria Climbié and Baby P. As a consequence the inspectorial and regulating bodies that scrutinise and monitor NHS, and other, organisations take a very close interest in our strategies, policies, training arrangements and practice issues in relation to safeguarding and child protection. It is, therefore, incumbent on us all who work in this Trust to make our contribution to meeting the expectations of those who use our services and those bodies that expect us to perform safely and soundly in our duties towards safeguarding children and young people. 1.6 Lord Laming, in the report of his inquiry into the death of Victoria Climbié said that: there must be the drawing of a clear line of accountability, from top to bottom, without doubt or ambiguity, about who is responsible at every level for the well being of vulnerable children. 1.7 The Trust s organizational structure, reporting lines, training and development strategy, policies and guidance reflect our commitment to ensure that we effectively safeguard and promote the welfare of children and young people is effectively delivered. 2.0 Structure and roles 2.1 All organisations must have in place a clear line of accountability and a structure for safeguarding arrangements and promoting the welfare of children. This includes a clear commitment by senior management. The Care Quality Commission (2009a) states that: NHS Trust s boards have a legal duty relating to safeguarding and promoting the welfare of children and young people their responsibilities are clearly set out in the Children Acts 1989 and 2004 and in the Government s statutory guidance. 5

6 Monitor (2009) the independent regulator of NHS foundation trusts - states that: The board reviews safeguarding across the organisation at least once a year and has robust audit programmes to assure it that safeguarding systems and processes are working. 2.2 Furthermore, Trust s safeguarding leadership teams must include a Named Director at board level, with clinical support and supervision provided by Named clinicians and professionals. These posts are a legal requirement (Care Quality Commission 2009a). 2.3 Our structure chart shown at Appendix A, identifies the Trust s Named Director, Named clinicians and professionals and the roles of other staff who, through their special interest, have agreed to take on a particular role and help to support other colleagues, and the Trust in its safeguarding and protecting responsibilities. These roles are described below. Nominated Director at board level 2.4 The Executive Director of Nursing & Quality is the nominated Director at board level and is responsible for reporting to the Trust board on safeguarding and child protection issues and carries the overall responsibility for safeguarding children within the trust. The Executive Director of Nursing & Quality attends or ensures appropriate representation at the four Local Safeguarding Children Boards (LSCBs) within the four local authority/health economy areas covered by the Trust. Named clinicians and professionals the Named Nurses and Named Doctors 2.5 Sussex Partnership has four Named Doctors and four Named Nurses each pair work to one Local Authority area. East Sussex, Brighton and Hove, West Sussex and Hampshire are the four Local Authorities with which the Trust works. The roles are sessional, and whilst the level of input required will vary, ordinarily it would equate to one session per week for the Named Doctor and two sessions per week for the Named Nurse. As lead for safeguarding children, the Executive Director of Nursing and Quality represents the organization at all four Local Safeguarding Children Boards (LSCBs). Outlines of these roles are attached at Appendices C & D. Staff with a special interest in safeguarding children 6

7 2.6 It is essential that safeguarding and child protection awareness, vigilance, advice giving, training delivery and safe practice also permeates throughout the Trust from top to bottom and that our staff working at the care-face and in support or corporate departments, in whatever capacity, recognize their role in safeguarding. 2.7 We have already developed networks of staff across the trust who have a special interest in safeguarding children and who have provided invaluable support to their colleagues and to the Named professionals. These people come from a range of professional and non-professionally aligned backgrounds. We must continue to build on this success and increase the numbers of staff with a special interest in every Care Group and in every setting within the trust, value them for their additional contribution, have an agreement with their managers about the commitment they can make and prepare them for, and support them in, the special interest role, which includes the following aspects: Providing advice, support and signposting to their team colleagues and to other practitioners Linking with the named nurse and named doctor Keeping up to date on safeguarding issues and have good knowledge of the Sussex Child Protection and Safeguarding Procedures Reminding colleagues that the needs of the child are paramount and to raise awareness about safeguarding and child protection practice Reminding colleagues to see the child/children in the context of the family system Understanding local children s services and the referral process Networking with children s services and agencies Contributing to staff training delivery and supporting staff to access training and making sure resources and information are easily accessible to colleagues Attending learning sets, training sessions, professional development and support meetings and an annual review day. All staff 2.8 To underscore the responsibility that all our staff hold, in relation to safeguarding and child protection, we embed a standard paragraph to reflect this in Trust job descriptions. 3.0 Governance: the Trust s Safeguarding Children Groups and Integrated Governance Teams 3.1 The membership of the groups will reflect the needs, interests and partnerships in the four Local Authority areas and the core membership will include: Sussex Partnership Named Nurse Sussex Partnership Named Doctor 7

8 The local Designated Nurse Representatives from Social and Caring Services Learning and Development representative Human Resources representatives Team Managers and Matrons from local services Representatives from the Care Group Integrated Governance Teams 3.2 The role of the four groups, which will meet four times per year, is to take both a strategic and local view of the trust s safeguarding activity. The groups will receive reports and updates on work planned and undertaken in their local safeguarding children board s area and sub-groups for specific tasks may be convened. The overarching mission of the three groups is to raise the profile of safeguarding and child protection and ensure that it is understood and embedded within the trust and its care groups as everybody s business. These groups will also receive Serious Case Review reports where the trust is involved and ensure that findings and recommendations are acted upon and shared. 3.3 Each of the four Local Authority areas with which the Trust works has its own pair of Named professionals. The Named Nurse chairs a local (East Sussex, West Sussex, Brighton & Hove and Hampshire) Safeguarding Group. 4.0 Policies, procedures and practice 4.1 All NHS Trusts must have clear policies for safeguarding and promoting the welfare of children and these should be in accordance with national guidance and locally agreed inter-agency procedures. For example, all NHS organisations must have a safeguarding children work plan as well as a child protection policy that is joined-up with those of other local organisations and the local safeguarding children board (Care Quality Commission 2009a, HM Government 2006). 4.2 The Trust works to the Child Protection and Safeguarding Procedures (Local Safeguarding Children s Boards Brighton and Hove, East & West Sussex and Hampshire 2010) and our policies, procedures and guidance are informed by these procedures and by other instructions or guidance provided by the Department of Health, HM Government, the National Patient Safety Agency, the Care Quality Commission, Monitor, the National Institute for Health and Clinical Excellence and other bodies. 4.3 The Named Nurses hold the lead responsibility for reviewing the Trust s safeguarding children policies, procedures and practices and will revise them to reflect the most recent instructions or recommendations made by the bodies above. Thereafter a rolling programme of review, revision, reissue and audit will ensure that our policies and procedures consistently consider safeguarding issues, and when appropriate, include reference to other key documents. 8

9 4.4 The support, leadership and authority of the Trust s executive and strategic directors is required to ensure that Care Programme Approach policies and all clinical risk assessment proformas, and other, documents whether paper or electronic - used at the point of admission or entry to our services, at review and at the point of discharge or transfer, in all Care Groups, prompt staff to Think Family and take the appropriate action. As instructed by the National Patient Safety Agency (2009). Furthermore, that policies and systems include a process for following up children who miss outpatient appointments and a system for flagging children for whom there are safeguarding concerns (Care Quality Commission 2009a, Monitor 2009). 4.5 The Trust will ensure that it provides a safe environment for children and young people, both as service users and as visitors to our premises. Where children visit inpatient settings this is governed by the child visiting policy, in order to ensure that visits to relatives who are service users may be conducted safely and with compassion, privacy and dignity. 4.6 If an adult suspected or known to have committed an offence that has resulted or could result in the harm of or potential harm to a child or young person becomes a patient of the Trust, then the Trust will take steps to ensure that the person is not able to have unsupervised access to children whilst in the care of the Trust. For example, staff will ensure that the patient is escorted in areas where children might be present, such as waiting areas or hospital cafe facilities that are available for use by visitors. Staff will also liaise with colleagues in social care and the police as required and will inform social care and police as appropriate when the client is no longer in the care of the Trust. 4.7 When children and young people are inpatients in the Trust all staff will respond sensitively to their needs and be guided by local policies, procedures and protocols. Should a person under the age of 18 years be admitted to an adult inpatient unit, rather than to our specialist facility at Chalkhill, a full risk assessment will be undertaken. Child and Adolescent Mental Health Services will work closely with the appropriate lead individual for working age mental health services in order to facilitate transfer to a more appropriate environment as soon as possible or provide evidence that because of their needs or preferences the young person should receive their care in an adult setting. 4.8 The Trust will ensure that policies and procedures are available and easily accessible to, and understood by, all members of staff who may encounter children or safeguarding issues in the course of their work. This will include the development and maintenance of safeguarding children pages on the Trust s website containing policies, guidance and resources for safeguarding practice. 9

10 5.0 Recruitment and selection of staff and volunteers 5.1 All healthcare organisations must ensure they have in place safe recruitment policies and practices, including enhanced Criminal Record Bureau (CRB) checks, for all staff including agency staff, students and volunteers who work with children (Working Together to Safeguard Children. HM Government 2006). The NHS is also required to comply with the NHS Employers guidance on employment checks (Care Quality Commission 2009a). The Trust s Human Resources management procedures take account of the need to safeguard and promote the welfare of children and young people, including arrangements for appropriate checks on new staff and volunteers and that systems, policies and procedures to accommodate the forthcoming Independent Safeguarding Authority and Criminal Records Bureau changes to the registering, vetting and barring of staff who come into contact with vulnerable children - and adults are in place. The Trust s Human Resources department also ensures that comprehensive policies and procedures for dealing with allegations of abuse against members of staff and volunteers and appropriate whistle-blowing policies and procedures are in place (SEC SHA 2009). 6.0 From strategy to reality 6.1 Making this strategy a reality requires a robust infrastructure to support our safeguarding and child protection activities. This includes: Continued clear lines of accountability, well defined structures and clarity about roles and responsibilities Recognition by the organisation as a whole that safeguarding children is everybody s business A sustained profile, ensuring that safeguarding children and child protection are viewed as an individual responsibility as well as an organisational priority A dynamic work plan to support the realisation of this strategy. 6.2 It also requires a clear and accessible safeguarding and child protection training and development strategy, which identifies the appropriate training pathway for all our staff and this is set out in Part Two. 10

11 Part Two: safeguarding and child protection training and development strategy 1.0 Introduction It is vital that professional staff working with adults are trained to identify and assess the needs of, and risk of harm to, children and young people. Theses issues are a consistent feature of Serious Case Reviews, demonstrating how seriously they put children at risk of significant harm. (Lord Laming. 2009) 1.1 The Trust recognizes that under Section 11 of The Children Act, 2004, it has a statutory duty to ensure that safeguarding and promoting the welfare of all children forms an integral part of the services delivered within all the Trust s care groups and to ensure that it s employees are competent and confident to carry out their safeguarding and child protection responsibilities effectively. To fulfil this duty this safeguarding and child protection training and development strategy has been written. 1.2 All Trust staff will undertake essential training in safeguarding and child protection. Further, advanced, training will be provided for all our staff, appropriate to the role that they fulfil within the trust. 2.0 Context and aim of this training and development strategy 2.1 The aim of this training and development strategy is to clearly outline the trust s training and development plans in relation to safeguarding and child protection and describe a framework for the delivery of training and development for 2011 to Like our overarching safeguarding and child protection strategy our training and development strategy is a dynamic document that will change in response to new guidance or as a consequence of organisational learning. It will be regularly reviewed as part of the work plan that supports our safeguarding and child protection activities. 2.3 The training and development requirements and opportunities for staff captured within this strategy aim to provide all our employees with the knowledge, skills and competencies to fulfil their duties and responsibilities. The context in which it has been developed is compliance with statutory guidance, instruction, best practice and key values and principles set out in the following documents: The Children Act 2004 Working Together to Safeguard Children (HM Government 2006) Safeguarding Children and Young People: Roles and Competences for Health Care Staff (Royal College of Paediatrics and Child Health 2010) 11

12 The Common Core of Skills and Knowledge Framework for Children s Workforce (Department for Education and Skills 2005) The National Service Framework for Children, Young People and Maternity Services (DH 2004) Safeguarding Children a review of arrangements in the NHS for safeguarding children (CQC 2009a) Letter to NHS Foundation Trust Chairs and Chief Executives (Monitor, July 16 th, 2009) 24 Markers of Good Practice (South East Coast Strategic Health Authority 2009). 2.4 Working Together to Safeguard Children (HM Government 2006) sets out statutory guidance on the responsibility the trust has to ensure that employees have a basic awareness of how to recognise and respond to safeguarding concerns. It states that this can be best achieved by a combination of single-agency and multi-agency training and that organisations have a duty to provide internal, single-agency, training and release employees to attend multi-agency training. It also sets out the roles and responsibilities of local safeguarding children boards (LSCBs) for monitoring and scrutinising training offered by individual organisations and to provide multi-agency training. The Trust also has a responsibility to provide employees to support the LSCBs in this function by engaging with LSCB s training sub-groups and contributing to training sessions provided by the LSCBs. 2.5 Safeguarding Children and Young People: Roles and Competences for Health Care Staff (RCPCH 2010) provides a competency framework and sets out the levels of competence required by different groups of staff depending on their degree of contact with children and young people and their level of responsibility. 2.6 The Common Core of Skills and Knowledge for the Children s Workforce (DfES 2005) sets out the required knowledge and skills to work with children and reflects a set of common values for practitioners, which promote equality, respect and diversity at a basic level in six areas of expertise, area three is related to safeguarding and promoting the welfare of children. 2.7 The National Service Framework for Children, Young people and Maternity Services (DH 2004) highlights the serious impact that physical, emotional or sexual abuse, neglect and domestic violence and parental mental ill health, substance misuse problems can have on all aspects of a child s health, development and wellbeing, an impact that can last throughout adulthood. 2.8 The Care Quality Commission (2009a) states: that appropriate and comprehensive training is therefore essential if staff are to be effective in safeguarding, and if Trusts are to have confidence in the safeguarding skills of their staff. Furthermore, the CQC declares that staff should receive updates or refresher training at regular intervals following their 12

13 initial training every three years is recommended and that they should receive, at least once a year, written briefings on any changes in legislation and practice from named or designated professionals. Trusts should also hold comprehensive staff training records to assure themselves that their staff have been appropriately trained. 2.9 This training and development strategy and the formal training structure that it sets out should be viewed as part of our overall programme to continue to raise employee s awareness and improve practice related to safeguarding and child protection within the Trust Other approaches will include presentations at formal meetings and briefings, the provision of advice, supervision and support to staff on individual cases from peers, managers and our named professionals - and local designated professionals. The development and support of our staff who have a special interest and belong to our network of staff who advise and signpost their colleagues. Opportunities for reflection and learning from good practice, serious untoward incidents, internal management reviews and serious case reviews. The development of, and maintenance of, a child protection and safeguarding page on the trust website, the formulation of policies and procedures, the regular review of our infrastructure and audits that measure how well we are performing on all safeguarding matters, including training and its effectiveness, set out in our work plan. 3.0 Our single-agency essential and compulsory training sessions and inter-agency training 3.1 Our, single-agency, essential training and advanced training, much of which is compulsory - sessions are based upon the competency levels set out within Safeguarding Children and Young People: Roles and Competences for Health Care Staff (RCPCH 2010). This ensures that our staff have the skills and knowledge they require and that we fulfil the requirements of the Children Act 2004, Working Together to Safeguard Children (HM Government 2006) the Care Quality Commission (2009a) and Monitor (2009). 3.2 A summary of the RCPCH (2006) competency levels was provided by the Care Quality Commission in the report of its review of the involvement and action taken by health bodies in relation to the case of Baby P (Care Quality Commission 2009b). Their summary is reproduced below. Level 1 All staff working in healthcare settings (clinical and non-clinical) should be trained to this level. They should: Understand what constitutes child abuse Know the range of physical abuse, emotional abuse, neglect and sexual abuse Know what to do when they are concerned that a child is being abused. 13

14 Level 2 All clinical and non-clinical staff who have regular contact with parents, children and young people should be trained to this level. They should: Be competent at level 1 Be able to recognise child abuse Be able to document their concerns Know who to inform Understand the next steps in the child protection process. Level 3 All staff working predominately with children, young people and parents should be trained to this level. They should: Be competent at level 2 Have knowledge of the implications of key national documents/reports Understand the assessment of risk and harm Understand multi-agency framework, assessment, investigation, working Be able to present child protection concerns in a child protection conference Demonstrate ability to work with families where there are child protection concerns Be able to put into practice knowledge of how to improve child resilience and reduce risks of harm Understand forensic procedures/practice Where appropriate, be able to undertake forensic procedures Be able to advise other agencies regarding the health management of child protection concerns Be able to contribute to serious case reviews or equivalent process. Level 4 Specialist roles such as named professionals should be trained to this level. Level 5 Designated roles should have achieved this competency. Level 6 Expert level. The full RCPCH document can be found at: hild_health/custommenu_01/safeguarding_children_rcpch0.pdf 3.3 The essential and compulsory, single-agency, training sessions that the Trust provides are at levels 1, 2 and 3 and these are described below. Level One: Safeguarding children and young people basic awareness - all staff working in healthcare settings (clinical and non-clinical) should be trained to this level 3.4 This basic awareness session is included in both the trust induction day and the essential training update day. All new staff will attend the trust Induction day and, thereafter, all staff must attend the essential training 14

15 update day at agreed frequencies. In addition all staff will receive an annual briefing update on safeguarding and child protection. This will be delivered through a range of media, including the trust intranet and team briefing. Staff will also be required to complete nationally agreed level 1 e- learning modules, no less than once every two years. 3.5 The duration of the basic awareness session will be approximately 30 minutes and it will be presented by one of the Trust s named professionals or one of our staff with a special interest in safeguarding and child protection or the nominated director at board level. 3.6 The method of delivery will be through a power-point presentation that is regularly reviewed and updated - and a short group work session based on scenarios and discussion. 3.7 Course publicity, booking arrangements, registers of attendance, records of completion of the e-learning programme and evaluation will be the responsibility of the trust s Head of Learning and Development and the Training Administration Team. Level Two: Safeguarding children and young people awareness - all clinical and social care staff and non-clinical staff who have regular contact with parents, children and young people should be trained to this level 3.8 Level two training is compulsory for all clinical and social care staff nurses, doctors, social workers, psychologists, occupational and other therapists, health care support workers and chaplains and faith leaders in all care groups, and attendance is required within four months of attending the trust induction day. 3.9 Level two training is also compulsory for non-clinical administrative and support staff who have such training needs due the role they fulfil for example, a front-of-house role such as a receptionist in a clinic or team base, an administrative role or an estates or facilities or corporate role in a clinical area and where this is agreed with their manager through their Performance Development Review (PDR) Employees for whom level two training is compulsory will in addition to attending the essential training update day - be required to attend a Level Two session as a refresher every three years, in order to fulfil the requirements of Safeguarding Children and Young People: Roles and Competences for Health Care Staff (RCPCH 2006) and the recommendations from the Care Quality Commission (CQC 2009a). Staff can return to the level two training at shorter intervals should they need to, or if their manager, or their PDR process, suggests that they must. Furthermore, staff can repeat the e-learning programme between initial and refresher level two sessions if necessary The duration of these sessions will be approximately three hours and the method of delivery will be by power-point presentations, group work and 15

16 discussion. Level two training will be delivered by either external (e.g. our university partners) or internal trainers who have been deemed as competent to deliver this level of training. This may include delivery through nationally agreed e-learning modules, when these become available at level two Assessment of the achievement of learning outcomes will be identified by feedback from case scenarios and questionnaires Course publicity, booking arrangements, registers of attendance, records of completion of the e-learning programme and evaluation will be the responsibility of the trust s Head of Learning and Development and the Training Administration Team in partnership with the level two training providers. Level Three: All staff working predominately with children, young people and parents should be trained to this level 3.14 Level three, single-agency, training within the Trust will be designed by, administered and delivered by, monitored and evaluated by, staff within the CAMHS care group, through the CAMHS training and development group, which is chaired and lead by the CAMHS nurse consultant and care group lead for safeguarding children The training a range of regular core programmes, subject-specific study days, reflective practice sessions - will all comply with the level three requirements set out in Safeguarding Children and Young People: Roles and Competences for Health Care Staff (RCPCH 2006) All CAMHS staff must attend the Trust s essential and compulsory training at levels one and two, set out above, before they can undertake the level three training that is provided for them, within the care group The principles, set out above, for level two training are mirrored for level three training in the following way. Level three training is compulsory for all clinical and social care staff nurses, doctors, social workers, psychologists, occupational and other therapists, health care support workers and chaplains and faith leaders in CAMHS, and attendance is required as soon as possible after level two training has been undertaken Level three training is also compulsory for non-clinical administrative and support staff in CAMHS who have such training needs due to the role they fulfil for example, a front-of-house role such as a receptionist in a clinic or team base, an administrative role or an estates or facilities or corporate role in a CAMHS clinical area and where this is agreed with their manager through their Performance Development Review (PDR) Level three training recipients CAMHS staff - are required to attend a refresher session on an annual basis, in order to fulfil the requirements of Safeguarding Children and Young People: Roles and Competences for 16

17 Health Care Staff (RCPCH 2006). All CAMHS staff will attend the trust s essential training update day, which refreshes basic child protection and safeguarding awareness but the CAMHS training and development group will ensure that training that provides an annual refresher at level three is also available with sufficient capacity and regularity to ensure that all CAMHS staff, at level three, can undertake it The methods of training will be participatory with discussions, group work and presentations. The learning outcomes of the sessions will be assessed via feedback from case scenarios and questionnaires at the end of the sessions to assess participant s perception of their learning and how this will affect their clinical practice. Evaluation of the sessions will be through the completion of evaluation forms by participants The CAMHS training and development group will ensure that the Trust s Head of Learning and Development and the Training Administration Team receive accurate evidence and data about all level three and all other bespoke safeguarding and child protection training attendance in the CAMHS care group The CAMHS care group s integrated governance team and the Executive Director of Nursing & Quality and the Named Nurse - will require assurance and evidence that the training developed by, and provided within, CAMHS is robust and meets all the necessary regulatory guidance and instruction. 4.0 Training for medical staff 4.1 All Trust medical staff must undertake essential and compulsory training at the same levels, one, two and three, as all other employees - as set out above, and appropriate to their role and care group. Medical staff in training junior doctors - will receive level one training as part of their Trust induction. 4.2 The Trust s Named Doctors will lead on arranging clinical training sessions for medical staff within level three training CAMHS - in the complex clinical aspects of safeguarding and child protection. 4.3 Medical staff within level two may also require further clinical training in addition to attending a safeguarding children level two session, these needs must be brought to the attention of, and addressed by, the named doctors. 5.0 Inter-agency training - provided by the Local Safeguarding Children Boards 5.1 The Care Quality Commission (2009a) states that - staff and managers must be able to work effectively with others, both within and outside their own Trust. This is most effectively achieved through staff undertaking a combination of training that is designed specifically for one organisation (single-agency) and that which works across organisations (inter-agency). 17

18 Employers have a responsibility to identify adequate resources and support for inter-agency training by contributing to its planning, resourcing, delivery and evaluation of training. Inter-agency training is a highly effective way of promoting a common and shared understanding of the respective roles and responsibilities of different professionals and contributes to effective working relationships. 5.2 The Trust, as a member of the three LSCBs in Sussex and Hampshire, fully supports and accepts these principles and responsibilities. 5.3 All clinical and social care staff in the trust has Level 2 training. This is available through the Trust s own training, or via the LSCB. 5.4 The inter-agency training provided covers a wide array of subjects at level two and level three, for example, courses on mental health and parenting capacity, substance misuse and parenting capacity, working with parents who have a learning disability, keeping children safe a multidisciplinary perspective, and many others. 5.5 Clinical and social care staff in all care groups in the Trust must, therefore, engage with the interagency training that is available in their area but should discuss this with the named nurse and in supervision and PDR with their manager to identify appropriate inter-agency courses that support their individual learning and practice and the needs of their team. 5.6 Details of the inter-agency courses will be made widely available to Trust staff by the named nurse, in conjunction with the Trust s Training Administration team, and the booking of places is undertaken directly with the respective LSCB s training providers. Registers of attendance and other necessary data will be made available to the Trust by the LSCB s training providers and collated by the trust s Head of Learning and Development and the Training Administration team. 6.0 Child protection modules available at the University of Brighton and the University of Surrey 6.1 Degree-level and masters-level modules in safeguarding and child protection are provided by the University of Brighton and the University of Surrey and are available to our staff through our contracts with these universities. These are recommended for senior professional staff and our staff with a special interest in safeguarding children and young people. Staff wishing to undertake these modules should discuss this with the named nurse and in supervision and PDR with their manager to identify the appropriate module that supports their individual learning and practice and the needs of their team. Application for such modules will be through the normal university s processes. 18

19 7.0 Training for named professionals 7.1 The Named Nurse and Named Doctors are required to posses the knowledge and skills commensurate with their role, as defined in Safeguarding Children and Young People: Roles and Competences for Health Care Staff (RCPCH 2006) see level four and model job description - and will be supported by the Trust to fulfil this requirement, the detail of which will be agreed in supervision and through the PDR process. 8.0 Conclusion 8.1 Safeguarding and child protection is everybody s business and therefore training and development in safeguarding and child protection is the business of all our staff from top to bottom within the Trust. 8.2 We have set out as clearly as possible in this training and development strategy the compulsory and essential, single-agency and inter-agency, training arrangements that prevail in the Trust a flowchart that summarises the training arrangements can be found at Appendix E. We will keep all our training and development arrangements under regular review through our work plan. 8.3 Lord Laming, in his progress report on the protection of children in England (2009), stated that: It cannot be beyond our wit to put in place ways of identifying early those children at risk of deliberate harm, and to put in place the means of securing their safety and proper development. 8.4 Our training and development framework must ensure that all our staff can identify those children at risk and understand, and be able to put in place, the available means to secure their safety. Anything less is unacceptable. 9.0 References Care Quality Commission (2009a). Safeguarding children: a review of arrangements in the NHS for safeguarding children. London: The Care Quality Commission. Care Quality Commission (2009b). Review of the involvement and action taken by health bodies in relation to the case of Baby P. London: The Care Quality Commission. Children Act London: HMSO. Children Act London: HMSO. Department of Health and Department for Education and Skills (2004). National Service Framework for children, young people and maternity services. London: Department of Health. HM Government (2005). Common core of skills and knowledge for the children s workforce. London: Department for Education and Skills. 19

20 HM Government (2005a). Statutory guidance on making arrangements to safeguard and promote the welfare of children under section 11 of the Children Act London: Department for Education and Skills. HM Government (2006). Working together to safeguard children. A guide to inter-agency working to safeguard and promote the welfare of children. London: TSO. Letter to NHS Foundation Trust Chairs and Chief Executives (16 th July 2009). London: Monitor. National Patient Safety Agency. (2009) Rapid Response Report. NPSA/2009/RRR003 Preventing children from harm from parents with mental health needs. London: NPSA. Royal College of Paediatrics and Child Health (2006). Safeguarding children and young people: roles and competencies for health care staff. London: Royal College of Paediatrics and Child Health. South East Coast Strategic Health Authority (2009). 24 markers of good practice. SEC SHA. Sussex child protection and safeguarding procedures (2006). The local safeguarding children boards of Brighton and Hove, East Sussex and West Sussex. The Lord Laming (2009). The protection of children in England: a progress report. London: TSO. The Victoria Climbié inquiry. Report of an inquiry by Lord Laming. CM Cross-reference Child visiting policy Safeguarding and child protection policy Sussex child protection and safeguarding procedures 20

21 Appendix A Safeguarding Children Structure Board of Directors (Executive Lead Executive Director of Nursing & Quality) Quality Committee (Sub-committee of the Board and chaired by Non Executive Director Trustwide Safeguarding Children Group Chair - Executive Director of Nursing & Quality) East Sussex Local Trust Safeguarding Group Chair Named Nurse East Sussex Brighton & Hove Local Trust Safeguarding Group Chair Named Nurse Brighton & Hove West Sussex Local Trust Safeguarding Group Chair Named Nurse West Sussex Hampshire Local Trust Safeguarding Group Chair Named Nurse Hampshire Child Protection Link Practitioners 21

22 Appendix B Trustwide Safeguarding Children Group Terms of Reference - June 2011 Establishment The Quality Committee requires the establishment of a Trustwide Safeguarding Children Group. Duties Overseeing and ensuring delivery of the Trustwide Child Protection Action Plan. Determining areas for audit and testing. Ensuring that child protection systems, structures and procedures across the Trust are up to date, fit for purpose and used appropriately. Ensuring that learning from Serious Case Reviews is formally received, learning shared trustwide and required actions or changes delivered. To ensure that national guidance and requirements are formally received, implemented and their implementation audited. To identify themes and trends arising from Serious Case Reviews, Serious Untoward Incidents or near misses. To explicitly support and reinforce the importance of effective inter-care group working. To ensure that all staff are appropriately trained and that training is recorded. Reporting The group will report directly to a sub committee of the Board Directors the Quality Committee. Membership Executive Director of Nursing and Quality Chair 4 x Named Nurses One of whom will be Vice Chair 4 x Named Doctors Head of Learning and Development Human Resources representative Governance support (audit) representative 1 representative from each of the seven IGTs Quorum Chair or Vice Chair 1 named professional 2 IGT representatives Frequency The group will meet quarterly. Review The Terms of Reference will be reviewed in December 2012.

23 Appendix C Named Doctor Role Outline July 2011 Sussex Partnership has four Named Doctors and four Named Nurses each pair work to one Local Authority area. East Sussex, Brighton and Hove, West Sussex and Hampshire are the four Local Authorities with which the Trust works. The Trust Board lead for safeguarding children is the Executive Director of Nursing and Quality (EDNQ). The EDNQ represents the organization at all four Local Safeguarding Children Boards (LSCBs). The Named Doctor role is sessional, and whilst the level of input required will vary, ordinarily it would equate to one session per week. Key elements of the role include: Providing a point of advice and signposting to colleagues who have questions or concerns in relation to safeguarding. Contributing to relevant meetings on behalf of the Trust. Alerting the Executive Director of Nursing and Quality to any issues or themes of immediate or potential concern. Contributing to the development of Trust policies and strategies focusing on Safeguarding. Ensuring that medical staff have access to the level of safeguarding training required for their role. Involvement in the Serious Case Review process as required. Liaising with the Named Nurse for the area, ensuring that information is shared. Identifying potential audit activity. Ensuring a robust link with the relevant Designated Doctor/s in the area. Contributing to the content and delivery of safeguarding training. 23

24 Appendix D Named Nurse Role Outline July 11 Sussex Partnership has four Named Nurses and four Named Doctors each pair work to one Local Authority area. East Sussex, Brighton and Hove, West Sussex and Hampshire are the four Local Authorities with which the Trust works. The Trust Board lead for safeguarding children is the Executive Director of Nursing and Quality (EDNQ). The EDNQ represents the organization at all four Local Safeguarding Children Boards (LSCBs). The Named Nurse role is sessional, and whilst the level of input required will vary, ordinarily it would equate to two sessions per week. Key elements of the role include: To act as a point of advice, consultation & contact for staff. To Chair the locality safeguarding meeting (x1). To review copies of referrals made by Trust staff in the locality and liaise with referrer as required. Attend Trustwide Safeguarding Meeting. Attend multi agency safeguarding meetings as agreed with the Designated Nurse. Identify & facilitate appropriate audits. Act as the Trust Lead for Individual Management Review (IMRs) when required. Represent Executive Director lead at events / meetings as agreed. To ensure effective links with Named Doctors and links with Named Nurses across Sussex Partnership. To establish & maintain close and effective liaison with the Designated nurse for the area. Contribute to Serious Case Review panels as required. Contribute to the content and delivery of safeguarding training. Contribute to and support audit activity. Collate child protection referrals. 24