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Safeguarding Children

Safeguarding and promoting the welfare of Children and Adults at risk is everyone’s business.

As a commissioner of health and care services, we must ensure robust arrangements for Safeguarding Children and Adults, as such we will continue to review and develop arrangements in line with best practice and latest guidance.

CWICB are a statutory partner at the Safeguarding Adult Boards and Safeguarding Children’s Partnerships.

Please see below informational resources on organisations, definitions and tools available in the area:

You may not have enough information to determine this and may need to speak to other agencies or professionals involved with the child and family, these may include teachers, health visitor, GP, other carers, children’s centres. You should still share your concerns

Do not assume someone else will act, safeguarding is your business.

REINSTATEMENT of timescales for reviews

Further to advice received from the Child Safeguarding Practice Review Panel, the Department for Education, the Home Office and the Department for Health and Social Care please note that with effect from 1 October 2020,requirements and timescales for all rapid reviews and child safeguarding practice reviews will revert back to those outlined in the statutory guidance Working Together to Safeguard Children 2018, and the Child Safeguarding Practice Review Panel: practice guidance.

All new rapid reviews for referrals received after today will now revert to being held and reported to the National Child Safeguarding Practice Review Panel within 15 working days; these timescales were relaxed during the initial COVID-19 lockdown restrictions.

 

What are the roles of the Designated and Named Professionals for Safeguarding? 

Designated and named professionals have specific roles and responsibilities for safeguarding children. All ICBs have a designated doctor, and nurse, to take a professional and strategic lead on all aspects of the health service contribution to safeguarding children.

Who do I discuss my concerns with?

All NHS Trusts have a named doctor, and nurse, for child protection / safeguarding, who will provide advice and expertise for fellow professionals and promote good practice within their organisation. The ICB will monitor that these roles are in place.

GP practices have a lead GP for Safeguarding and support for the lead GP is available from designated professionals.

See contacts for Designated/Named nurses for Safeguarding on the Safeguarding Platform front page.

 

Child Death Review Arrangements

The death of a child is a devastating loss that profoundly affects all those involved. A sensitive approach is critical in meeting the needs of those parents, siblings, families, friends and professionals involved in caring for the child.

The child death review process seeks to respect the rights of the child and their family with the intention of learning what happened and why, and whether there are any lessons to be learned, with the aim of preventing future child deaths.

Categories of Abuse

Somebody may abuse or neglect a child by inflicting harm, or by failing to act to prevent harm. Children may be abused in a family or in an institutional or community setting by those known to them or, more rarely, by others (e.g. via the internet). They may be abused by an adult or adults, or another child or children.

A child is defined as anyone who has not yet reached their 18th birthday (includes the term young person).

Physical abuse

Physical abuse may involve hitting, shaking, throwing, poisoning, burning or scalding, drowning, suffocating, or otherwise causing physical harm to a child.

Physical harm may also be caused when a parent or carer fabricates the symptoms of, or deliberately induces illness in a child.

Bruising in Pre-Mobile Babies.

Bruising is the most common presenting feature of physical abuse in children.

The younger the child the higher the risk that the bruising is non-accidental, especially where the child is under the age of 6 months.

Bruising in any child ‘not independently mobile’ should prompt suspicion of maltreatment.

Bruising in any pre-mobile baby, and concerns of physical abuse for any child, should prompt an immediate referral to Children’s Social Care via Somerset Direct on 0300 123 2224, who will arrange an urgent medical examination by a senior paediatrician

Emotional Abuse

Persistent emotional maltreatment of a child (causing severe and persistent adverse effects on the child’s emotional development).

Conveying to a child that they are worthless or unloved, inadequate, or valued only insofar as they meet the needs of another person.

Not giving the child opportunities to express their views, deliberately silencing them or ‘making fun’ of what they say or how they communicate.

Age or developmentally inappropriate expectations being imposed on children.

Bullying behaviours.

Sexual Abuse

Involves forcing or enticing a child or young person to take part in sexual activities, not necessarily involving a high level of violence, whether or not the child is aware of what is happening.

The activities may involve physical contact, including assault by penetration (for example, rape or oral sex) or non-penetrative acts such as masturbation, kissing, rubbing and touching outside of clothing.

They may also include non-contact activities, such as involving children in looking at, or in the production of, sexual images, watching sexual activities, encouraging children to behave in sexually inappropriate ways, or grooming a child in preparation for abuse (including via the internet).

Sexual abuse is not solely perpetrated by adult males. Women can also commit acts of sexual abuse, as can other children.

Neglect

Neglect is the persistent failure to meet a child’s basic physical and/or psychological needs, likely to result in the serious impairment of the child’s health or development.

Neglect may occur during pregnancy as a result of maternal substance abuse.

Once a child is born, neglect may involve a parent or carer failing to provide adequate food and clothing; shelter, including exclusion from home or abandonment; failing to protect a child from physical and emotional harm or danger; failure to ensure adequate supervision including the use of inadequate care-takers; or the failure to ensure access to appropriate medical care or treatment. It may also include neglect of, or unresponsiveness to, a child’s basic emotional needs.

For further information see: https://www.nspcc.org.uk/preventing-abuse/child-abuse-and-neglect/neglect/

Coventry Safeguarding Children

If you have concerns that a child is at risk of harm you must act.

Family Hub Information

What to do if you have concerns about a child in Coventry?

Referring a child with a Coventry address

Coventry Right Help, Right Time guidance

Warwickshire Safeguarding Children

If you have concerns that a child is at risk of harm you must act.

What to do if you have concerns about a child in Warwickshire?

REPLACEMENT of Multi-Agency Referral Form for children’s safeguarding referrals (MARF) with NEW Multi-Agency Contact form (MAC) – effective 5 October 2020

Warwickshire MASH has introduced a new form to replace the current MARF which is used by partners to raise safeguarding concerns.  The new MAC form (attached) has been developed to reflect the new ‘Pathway to Change’ approach and will focus on what is working well for the family, as well as issues of concern.  It also contains links to other services which can be considered by the person completing the form.

Officers from the MASH have consulted widely with partners to ensure the form captures the essence of their concerns and what they would like to emphasise. The previous term ‘referral’ was not accurate. Those submitting the MARF assumed that by submitting the referral form that the case would automatically be allocated; whereby when it was received in the MASH a decision would be made about whether it constituted a referral or not.  Therefore, the term Multi-Agency Contact is more accurate.

The new MAC form goes live with effect from Monday 5 October 2020 and will replace the current MARF from this date onwards and will be available to download from the website then onwards.  I would kindly request your support in communicating this change to staff within your respective organisations.

For further information on the new MAC form please contact Sally Parma, MASH Service Delivery Lead viasallyparma@warwickshire.gov.uk

Children and young people come into care following often traumatic experiences including abuse, and neglect, as unaccompanied asylum seekers, due to loss of main carers through illness, death or imprisonment, which make them more vulnerable to:

  • Emotional and Mental Health issues, including attachment difficulties
  • Early pregnancy
  • Physical health and developmental delay
  • Exploitation
  • Disengaging from education

NHS Coventry and Warwickshire ICB are committed to ensuring the best services are available for all children. The Coventry and Warwickshire ICB can provide support and relevant information.

Coventry Looked after Children

The Provider for Looked after Children’s Health Services in Coventry is NHS Coventry and Warwickshire Partnership Trust (CWPT). CWPT provides Health Assessments and health support and advice for Coventry City Council responsible children and young people. Completion, commissioning and quality assurance of the health provision and assessment remains the responsibility of Coventry and Warwickshire ICB.

Coventry and Warwickshire Partnership Trust

Named Nurse for Looked After Children – Jackie Ruddy – Tel:  02476 961442

Looked after Children’s Health Co-ordinator – Coventry- Tel: 02476 961442

Email: childrenincare@covwarkpt.nhs.uk

Placing a Looked after Child into Coventry

If you are a Local Authority or Responsible Commissioner placing a child into Coventry (CV1-CV6), please request Initial and Review Looked after Children’s Health Assessments via Coventry and Warwickshire Partnership Trust (02476 961442)  or via email childrenincare@covwarkpt.nhs.uk. There will be a charge for completing these assessments.

Warwickshire Looked after Children

The Provider for Looked after Children’s Health Services is South Warwickshire Foundation Trust (SWFT). SWFT provides Health Assessments and health support and advice for Warwickshire County Council responsible children and young people. Completion, commissioning and quality assurance of the health provision and assessment remains the responsibility of Coventry and Warwickshire ICB.

If you are a Local Authority or Responsible Commissioner placing a child into Warwickshire, please request Initial and Review Looked after Children’s Health Assessments via Warwickshire Looked after Children Team. There will be a charge for completing these assessments.

South Warwickshire Foundation Trust

Named Looked After Children’s Nurse email: swg-tr.lacteamadministrators@nhs.net

Looked after Children – Info Cartoons:  

Registering with a GP  https://www.youtube.com/watch?v=biAYRg-juQw

Registering with a dentist https://www.youtube.com/watch?v=RZFVyZtvZx0

Getting your vaccinations /Jabs/Injections done https://www.youtube.com/watch?v=i_POnF0ez4Y

Registering with an Optician https://www.youtube.com/watch?v=hst_9hHB-6w

 

Further resources

Safeguarding Children and Young People: The RCGP/NSPCC Safeguarding Children Toolkit for General Practice

NSPCC information service

Our Knowledge and Information Service provides quick and easy access to the latest information, guidance and research to help you keep children and young people safe.

You can find out more by visiting their website.

Find online safety tips, advice and resources to help children and young people stay safe online:

NSPCC Net Aware

NSPCC Talking to your child about Online Safety

Think you know: What to do if your child has seen something inappropriate online

Think you know: There’s a viral scare online. What should I do?

UK Safer Internet Centre

Press release: New measures to keep children safe online at school and at home – All schools to filter inappropriate online content and teach pupils about staying safe.