Appendix 2 Safeguarding Children & Young People Level 3 training compliance

Transcription

1 WCH Appendix 2 Safeguarding Children & Young People Level 3 training compliance LEVEL 3 CHILD PROTECTION TRAINING (in-house single agency training) AS AT 03/03/2014 EMERGENCY SURGICAL & ELECTIVE CARE BUSINESS UNIT Total Staff Total In Date % In Date Booked on Session % In Date by end March14 Aspen % 100% East Community Midwives % 100% Maternity - Day Assessment ANC % 100% Maternity Unit % 2 100% Maternity Bank Midwives % 100% Penrith Birth Centre % 100% WOPD % 100% Obs & Gynae Medical staff % 0 80% CD / Bus Dtr informed - 1 locum cons & 1 SpR to train Gynae ward staff % % Maternity / Delivery % 4 93% Midwifery Mgr informed Maternity Bank Midwives % 100% WCH Community Midwives % 100% WOPD % 100% Obs & Gynae Medical staff 5 0 0% 2 40% CD / Bus Dtr informed BUSINESS UNIT TOTAL % 97% (by end March 2014) (Continued over page) N:\Corporate Administration\Meetings\Public Trust Board\March 2014\Enc10-Appendix 2 and 3-Safeguarding Report-Trust Board March 2014.doc Page 1 of 5

2 WCH WCH EMERGENCY CARE & MEDICINE BUSINESS UNIT Total Total % Booked % In Date Staff In Date In Date on by end Session March 14 A&E % 3 100% Dermatology % 0 92% 1 NP (Cancer Services) doesn't see children for review A&E Medical staff % 4 47% Lead Paed Cons / Bus Dr informed - 2 Consultants Completed TBC Dermatology - Medical staff % 1 100% A&E % 3 100% A&E Medical staff % 4 73% CD / Bus Dtr informed BUSINESS UNIT TOTAL % 89% (by end March 2014) PAEDIATRIC BUSINESS UNIT - SAFEGUARDING CHILDREN TRAINING Total Total % Booked % In Date Staff In Date In Date on by end Session March 14 Paediatric Ward % 100% SCBU % 0 94% 1 Sick Leave Paediatrics Medical staff % 1 90% 1 Consultant Sick Leave Paediatric Ward % 1 100% SCBU % 100% Paediatrics Medical staff % 100% BUSINESS UNIT TOTAL % 97% (by end March 2014) TOTAL STAFF REQUIRING LEVEL TOTAL IN DATE AS AT 03/03/ % 95% BY END MARCH 2014 N:\Corporate Administration\Meetings\Public Trust Board\March 2014\Enc10-Appendix 2 and 3-Safeguarding Report-Trust Board March 2014.doc Page 2 of 5

3 APPENDIX 3 - NCHUT Response to NICE guidance 28: LOOKED AFTER CHILDREN & YOUNG PEOPLE. Looked after children and young people share many of the same health risks and problems of their peers, but often to a greater degree. They can have greater challenges such as discord within their own families, frequent changes of home or school, and lack of access to the support and advice of trusted adults. Children often enter the care system with a worse level of health than their peers, in part due to the impact of poverty, poor parenting, chaotic lifestyles and abuse or neglect. Longer term outcomes for looked after children remain worse than their peers. A national survey undertaken by Meltzer and colleagues for the Office for National Statistics (ONS) confirmed findings of earlier research about the high level of mental health need amongst looked after children, particularly those in residential care. 45% of looked after children were assessed as having a mental health disorder, rising to 72% of those in residential care. Among 5-10 year olds, 50% of boys and 33% of girls had an identifiable mental disorder. Among year olds, the rates were 55% for boys and 43% for girls. This compares to around 10% of the general population aged 5 to 15. The ONS survey10 found that two thirds of all looked after children had at least one physical health complaint. Looked after children are more likely than their peers to experience problems including speech and language problems, bedwetting, coordination difficulties and eye or sight problems. Young people leaving care are a particularly vulnerable group, and research has consistently found that their health and well-being is poorer than that of young people who have never been in care. Both young women and young men in and leaving care are more likely than their peers to be teenage parents, with one study finding that almost half of young women leaving care became pregnant within 18 to 24 months, and another reporting that a quarter were pregnant or young parents within a year of leaving care. For some, this may be a positive choice. (Statutory Guidance on Promoting the Health and Well-being of Looked After Children, 2009). This document sets out how NCUHT plans to meet NICE quality standards for the health & wellbeing of looked after children & young people (2013). Quality statement 1; Looked-after children and young people experience warm, nurturing care. The particular health needs of looked after children & young people will be discussed during safeguarding children training. The statutory framework surrounding children & young people who are looked after for example legal orders and consent will be highlighted to promote practitioners confidence in caring appropriately. Practitioners will be encouraged to evaluate the training to ensure it supports them in meeting the health needs of children and young people who are looked after. N:\Corporate Administration\Meetings\Public Trust Board\March 2014\Enc10-Appendix 2 and 3-Safeguarding Report-Trust Board March 2014.doc Page 3 of 5

4 The method in which NCUHT encourages patient feedback will be evaluated to ensure that is easily accessible to children & young people who are looked after. Quality statement 2; Collaborative working between services & professionals. Discussions are on-going with the local authority to ensure that the NCUHT safeguarding team are regularly furnished with a current list of children & young people who are looked after. This information will populate the PAS alert system to ensure that practitioners are aware that the patient is looked after by the local authority. Further exploration is needed as to whether Cumbria Children s Services are always informed when a child is placed in a looked after placement from out of the county. Asking whether a child/young person has a social worker when being assessed at any point during their journey through NCUHT would promote information sharing in a transparent way and ensure that consent to treatment is given by a person legally able to do so. It is hoped that safeguarding training will give practitioners confidence to ask this and the rationale as to its relevance. Professional relationships between the NCUHT safeguarding team and Cumbria Partnership s Children, Looked After team are to be strengthened to promote information sharing & collaborative working. Quality statement 3; Stability & Quality of Placements. Practitioners will be encouraged to report any safeguarding concerns they may have about children & young people who are looked after in the same way as all children. Quality statement 4; Support to explore & make sense of identity & relationships. It is hoped that discussions with Cumbrian Partnership s LAC team will explore the sharing of medical information gained from the child s initial and subsequent LAC medical assessments. This will ensure that the child/young person does not have to repeat their story at every encounter with a health professional and that those caring for the child/young person in the acute trust will have an understanding of their journey and plan care appropriately. Quality statement 5; Support from specialist & dedicated services. N:\Corporate Administration\Meetings\Public Trust Board\March 2014\Enc10-Appendix 2 and 3-Safeguarding Report-Trust Board March 2014.doc Page 4 of 5

5 A mapping exercise is required to determine how NCUHT practitioners become aware of a look after child/young person s health plan and whether practitioners are asked to contribute to the child s annual review. Access to specialist services is determined on a child/young person s clinical need. Discussions are ongoing with CAMHS to determine an appropriate pathway for young people entering NCUHT with mental health needs resulting in admission to hospital. Quality statement 6; Continuity of services for placements outside the local authority or health boundary. Paediatricians providing care would ensure continuity of care by contacting the designated LAC Dr to ensure that the child/young person is transferred to the appropriate trust and receives timely treatment. Quality statement 7; Support to fulfil potential Discussions with the designated LAC team will identify whether there are any further contributions NCUHT practitioners can make to the multi-agency team supporting the child/young person in fulfilling their potential. Quality statement 8; Support to move to independence. Training & support will enable practitioners to identify the care needs of young adults and raise awareness of the particular vulnerabilities of those adults leaving the care systems. Being very aware of the research that highlights that many young care leavers become parents within a year to two years of leaving care the trust employs a teenage pregnancy midwife to give additional support. N:\Corporate Administration\Meetings\Public Trust Board\March 2014\Enc10-Appendix 2 and 3-Safeguarding Report-Trust Board March 2014.doc Page 5 of 5