Safeguarding services for GPs in Camden

Safeguarding services for GPsin Camden Deborah Hodes Designated Doctor for Safeguarding Camden

Safeguarding services for GPs • Service/organisation • Service provision

How common are these conditions?In numbers per 1000 • Child protection plan 5 • Looked after children 5 • Child in need 51 • Cerebral palsy 1 • Fetal alcohol syndrome 2 • Severe learning disability 3.7 • Sensorineural hearing loss 1-2 • Down syndrome 0.5

WHO

Camden CCG Safeguarding Team CCC Board Executive Lead for Safeguarding Children Director of Quality& Clinical Effectiveness Designated Nurse Safeguarding Designated Doctor Safeguarding GP Lead for Safeguarding Designated Doctor CDOP Designated Nurse LAC Designated Doctor LAC

Camden Safeguarding Children Board Camden Safeguarding Children Board CSCB Quality Assurance Sub -group CSCB Learning & Development Sub -group CSCB Community Engagement Group CSCB NHS Safeguarding Committee CSCB Child Death Overview Panel CSCB E- Safety Group CSCB CP Support & Challenge Panel CSCB Safer Recruitment Group CSCB Serious Case Review Panel CSCB CP Complaints Panel

Trust safeguarding teams • Named paediatricians • Named nurses • Named midwife • Named GP • Named mental health – children & adult

Safeguarding concerns/suspicion or allegation of maltreatment

You see a child and suspect abuse or neglect Is the child acutely sick, in pain, bleeding or has “medical” problems? Yes No Contact the on-call Paediatric Registrar University College Hospital Tel. 08451 555 000 Whittington Hospital Tel. 020 7272 3070 Royal Free Hospital Tel. 020 7794 0500 Will the child be at immediate risk of abuse when he/she leaves the surgery? Yes Not Sure Mon - Fri 9 -5 Refer to MASH Tel. 020 7974 6600 Tel 020 7974 4094 Out of hours 020 7974 4444 Or dial 999 in emergency NB. All referrals to be followed in writing within 48hrs No Mon-Fri 9-5 Discuss with On –call community team Child Protection Team Hotline Named doctor Tel. 020 3317 2412 • GP Lead Claire Taylor 07736070327 clairetaylor5@nhs.net • Designated Nurse Jackie Dyer 07768886258 • Designated Doctor Deborah Hodes 07789930764 • Out of Hours • Duty Social Worker Team On call Paediatric Registrar at acute trust Mon- Fri 9-5 Discuss with Child Protection Team Hotline Tel. 020 3317 2412 • Refer for assessment to the Safeguarding Children Clinic Child Protection Team, Crowndale H.C 59 Crowndale Road, London NW1 1TU Fax 0203 317 2412 Child Protection Guidelines for General Practitioners in Camden

Is the child acutely sick, in pain, bleeding or has “medical” problems? • Phone and refer to paediatrician nearest hospital • MASH • Police

Will the child be at immediate risk of abuse when he/she leaves the surgery? YES • Ring MASH – duty social worker

You see a child and suspect abuse or neglect Is the child acutely sick, in pain, bleeding or has “medical” problems? Yes No Contact the on-call Paediatric Registrar University College Hospital Tel. 08451 555 000 Whittington Hospital Tel. 020 7272 3070 Royal Free Hospital Tel. 020 7794 0500 Will the child be at immediate risk of abuse when he/she leaves the surgery? Yes Not Sure Mon - Fri 9 -5 Refer to Duty Social Worker Team Contact either Tel. 020 7974 6600 (North Team) Tel 020 7974 4094 (South Team) Out of hours 020 7974 4444 Or dial 999 in emergency NB. All referrals to be followed in writing within 48hrs No Mon-Fri 9-5 Discuss with On –call community team Child Protection Team Hotline Named doctor Tel. 020 3317 2412 • GP Lead Claire Taylor 07736070327 clairetaylor5@nhs.net • Designated Nurse Jackie Dyer 07768886258 • Designated Doctor Deborah Hodes 07789930764 • Out of Hours • Duty Social Worker Team On call Paediatric Registrar at acute trust Mon- Fri 9-5 Discuss with Child Protection Team Hotline Tel. 020 3317 2412 • Refer for assessment to the Safeguarding Children Clinic Child Protection Team, Crowndale H.C 59 Crowndale Road, London NW1 1TU Fax 0203 317 2412 Child Protection Guidelines for General Practitioners in Camden

Will the child be at immediate risk of abuse when he/she leaves the surgery?NOT SURE • D/W - Named doctor/nurse for SG - Hotline • D/W duty social worker • Consider referral to OPD – community or UCLH tertiary SG or FGM clinic Renara.begum@nhs.net for paediatric OPD • Refer to MASH for social work

Will the child be at immediate risk of abuse when he/she leaves the surgery?NO • D/W colleagues in surgery/social worker/named doctor/nurse • Refer for paediatric assessment at Crowndale health – consultant led for concerns re non urgent child abuse and neglect

Safeguarding services for GPs Other organisations you link in with and how is information shared?

Camden’s Multi-Agency Safeguarding Hub MASH December 2012 • MASH is a multi-agency process which facilitates sharing information in order to safeguard children. • Safe quick multi-agency information shared safely and quickly to safeguard children. • Information shared, informs decisions, ensure safeguarding activity & intervention are timely, proportionate & necessary.

Agencies: Camden MASH • Some collocated SWs • Police Officers • MASH Liaison Health Visitor • Housing • Probation • Camden Safety Net • Youth Offending Service • UCLH • Royal Free • 24 GP Practices • CRI Substance Misuse Services • Children’s Society Missing Children Interviews All agencies above have signed the MASH Information Sharing Agreement.

Camden MASH activity MASH manager reviews: • Police Merlin’s (these referrals made by the police of children under age of 18 where there are concerns about their safety and welfare) • e-CAF Referrals (electronic Common Assessment Framework Tool Form) • Emergency Duty Team Reports • All telephone calls re concerns about a child/family

Camden MASH activity Does the case meets the MASH criteria using a Rag Rating System? If yes: Before the MASH Team review each case the Social Care Team contact the parents to obtain consent. Red and Amber

Camden’s MASH Red – High Risk (To be dealt with within 4 hours) • Immediate and serious safeguarding concerns requiring action • Information package completed within four hours • Police and children social care teams to be told immediately with research to follow. Amber - Medium risk (To be dealt with within 24 hours) • Significant concerns however no immediate action required • However a S.47 enquiry is likely • Information package completed within 24 hours • Awaiting and or outstanding checks to be made clear on the child’s case file (in case notes section)

Camden MASH activity Does the case meets the MASH criteria using a Rag Rating System? If lower level of need: i.e. case does not reach the threshold for safeguarding, but an identified need, so reeferralto the Early Help Team, who identify the appropriate service for support. Green and Blue

Camden’s MASH Green – Low Risk (To be dealt with within 3 days) • Concerns about a child's wellbeing however it is felt that this could be managed under S.17 Children Act 1989. MASH product to be completed within three working days. Blue – Signpost onto Early Help as there is no identified need for FSSW

Camden’s MASH MASH Update Reports September 2013 demonstrated in December 2012 – August 2013 • 1702 referrals to Social Care 502 (29.5%) of these were reviewed by the MASH Team 10% drop in repeat referrals to social care

Questions

Safeguarding services for GPs in Camden