Right Services, Right Time: Meeting Children’s Needs 1

Right Services, Right Time: Meeting Children’s Needs 1

Right Services, Right Time: Meeting Children’s Needs

MASHBirmingham Multi-Agency Safeguarding

HubSlide2


Roadshow 15th July 2014

AgendaWelcome

Introduction- Garry BillingMASH Safe System and Process- Howard WoolfendenFamily Support and Safeguarding Hubs- Karen Pearson

Q and AFeedback

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Introduction

Garry BillingAssistant Director, Safeguarding

People DirectorateBirmingham City Council

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MASH- It’s Simple

Partners M M EET and share info together They will A A SSESS the Risks They will S S IGN up to Action Make it H H APPEN Now

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It’s AboutWe’ve got to all stick togetherChildren count on us to be there for themReassure themDrive that open road, leave the past

behind usWe need to Reach for the stars on behalf

of children!

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Video Presentation

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Birmingham MASHMulti Agency Safeguarding Hub

Howard WoolfendenAssistant Director, Integrated Services & Care


MASH – A New Front Door

• One Front Door Service – Providing Multi-Agency Screening Teams for referrals to Social Care and to Early Help Services

• Increased capacity with dedicated focus on Domestic Abuse and CSE

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Concept

• Sharing more information.• Undertaking Early Risk Assessment • A ‘whole family’ approach to safeguarding • Enhanced data sharing and analysis to join up the

information available about a family to support and/or intervene to protect the vulnerable

• Creating a confidential environment where proportionality necessity & justification allow information to be released to operational staff

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What Munro Said

• Social Care are overwhelmed searching through referrals, their ability to provide effective help to the most serious cases is reduced

• Co-ordination of services is important to maximise efficiency

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What Ofsted Said

• Unsafe• No professional relationship• Delay due to information gathering• Threshold and identification of risk

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Essential Elements

• Information Sharing• Confidential Environment• Escalation Process• De-escalation process• Trust & Confidence• Professional Judgement/Consensus

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MASH Connectivity – Right Services Right Time

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• The key determination in this is that MASH is there to respond to ALL Additional Needs and Complex/Significant Needs as described in ‘Right Services Right Time’.

• If MASH is to provide a consistent and professional response to children with these needs it is imperative all concerns are screened through the MASH.

• If after screening and information sharing the risks are de-escalated, the MASH will refer on to Hubs.

Right Services, Right Time: Meeting Children’s Needs Slide15



Case Studies

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Case Study 1

Police officers attend a house where they find a four-year old child.

RED

The child is dirty and unkempt, still wearing nappies. There is little or no food in the house, animal faeces on the floor and plug sockets that are not safely wired in. There is clear evidence of a considerable amount of alcohol being drunk and/or the parent/carer is under the influence

AMBER

The child is dirty and dressed in clothes too small for them. They appear to have delayed speech and have no bed clothes on their bed. There are several records of domestic violence incidents between parents/carers and calls to the police

GREEN

The child is dirty and dressed in old clothes. They appear to have delayed speech and a limited number of toys. There are no other concerns apart from parents are going through a divorce


Case Studies

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Case Study 2

John joined year 7 and made a good start, settling in well into his Tutor Group and quickly forming a cohesive friendship group. Towards the middle of the Autumn Term John starts to exhibit more concerning behaviours; arriving late, answering staff back, truanting some lessons, and spending more time alone.

RED

John’s attendance is not improving, and his behaviour deteriorates further. He is involved in a number of fights with other pupils, and the school is made aware that the Police have been on call out to the property due to a domestic violence incident. John makes a disclosure to his Mentor at school that his father has been drinking heavily over the past weeks, and becomes violent towards his mother when drunk.

AMBER

The school is aware of escalating anti-social behaviour, police concerns and housing issues. John often comes to school in dirty clothes, and appears alienated from his friends. The school and other partners try to work with the family, but the parents withdraw consent for CAF approach.

GREEN

The Home School Liaison Officer meets with the family and it is clear that other family members are becoming increasingly stressed, however they consent to work with professionals.


Case Studies

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Case Study 3

A health visitor visits mother at home for a primary visit. The mother has 3 older children and a baby who is 10 days old. Mother appears tired and very anxious. Baby is dressed appropriately however the room appears cold.

RED

The baby is not gaining weight, nappies are not changed regularly and the child is not achieving their milestones. There are various adults in the property. The mother is in a lot of debt and is about to be evicted. The mother is not accessing the GP for her medication. Older siblings are unkempt and often appear hungry. No lunch or snacks are provided in school.

AMBER

The older siblings within the family are not attending school regularly. The baby has not gained weight. There is a lot of clutter in the home and the children appear unkempt. Mother is struggling to cope.

GREEN

The mother consents to support from the health visitor, offering an Edinburgh Postnatal Depression Scale (EPDS) discussion, and arranging a further home visit to see the baby and offer support to the mother. Health Visitor could discuss findings with the GP or midwife.


Case Studies

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Case Study 4

A 6yr old child is referred to early help as she was not attending her out patient appointments for her asthma. There was a recent A&E attendance for an asthma attack via the ambulance.

RED

Parents are abusing alcohol, there is financial difficulties/rent arrears. There is an increase in A&E attendances with the 6 year old. Ambulance staff reported parents are under the influence of alcohol. House conditions are very poor, smoky environment. There are other unknown adults at the property visiting the house in the early hours of the morning. The 6 year old attendance at school is poor - below 60%.

AMBER

There is continued failure to take the child to her health appointments. School health is unable to engage with mother regarding developing a care plan. There are no inhalers in school. Family are not collecting or renewing prescriptions. School are unable to get hold of mother when the child is symptomatic in school. The school nurse has carried out a home visit and is concerned with the poor home conditions, cold/damp.

GREEN

The family GP refers the child onto a paediatrician, the child attend an asthma clinic at the GP surgery. The school nurse works with the family and school to develop a care plan – the family are cooperative.


The BSCB flow chart shows how the ‘Right Services Right Time’ system links together.

Once the decision has been made that the needs are ADDITIONAL or COMPLEX/SIGNIFCANT the MASH process commences.


The MASH To Be Process

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The MASH To Be

Process – Entrance to

MASH

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MASH RAG rating sample

Strategy discussion/Strategy meetingCOMPLEX /SIGNIFICANT NEEDS:Requiring a specialist response where the child is suffering or at risk of suffering significant harm or impairment

CYPF Assessment/CINADDITIONAL NEEDS:Requiring a coordinated response bringing agencies together to support the child and family

FCAF/CINUNIVERSAL PLUS:Requiring a response from within a universal setting and/or signposting to other support means

Red

Amber

GreenUNIVERSAL NEEDS: All children have a right to a range of services – professionals will assess families to make sure that their general needs are met

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What does it mean?

• Professional Consultation• No change to the telephone number (0121 303 1888)• Contact details essential• Call first• Email confirming call • BETTER QUALITY REFERRALS (MARF/CAF related to

Right Services, Right Time thresholds)

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MASH Success Criteria

A full performance framework is being produced for MASH which will include the following measures to evaluate what difference is being made: •Children are better protected from harm and risk is minimised;•Faster, more co-ordinated and consistent responses to safeguarding concerns about vulnerable children;•An improved ‘journey’ for the child with a greater emphasis on early intervention and better informed services being provided at the right time;•An understanding of potential vulnerability, enabling more preventative action to be taken, dealing with cases before they escalate;

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MASH Success Criteria

• Closer partnership working with clearer accountability, more effective use of resources, better planning and delivery and less duplication of effort;

• Changes in RAG rating during the journey of the child through the MASH which will highlight that information sharing has brought added value;

• A reduction in the number of children inappropriately accessing costly services from social care, the Police, Health and others;

• A reduction in the number of inappropriate and repeat referrals;• All referrers will have access to a professional consultation service.

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Making a good referral: Checklist

1) Have I included all of the child/young person/family details available to me?2) Have I provided my contact details?3) Have I made it clear why I am making this referral now?4) If I have immediate concerns, have I stated whether the child is currently safe? 5) Have I included all the information available to me about the relevant health professionals

working with the family?6) Have I included details of education specialists working with the family?7) Do I have information about any other relevant professionals/organisations/voluntary

sector groups working with the family?8) Do I have information about any involvement from the police/youth justice system?9) Have I included detailed information relating to my particular field?10) Have I included information on how I obtained information and reached my concerns?

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What next?

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Email: [email protected]

Website: http://www.lscbbirmingham.org.uk/index.php/birmingham-multi-agency-safeguarding-hub-mash


Family Support and Safeguarding Hubs

Karen PearsonInterim Assistant Director Early Help and Integration


What is an Integrated Hub?

• The Hub is the local point of contact and delivery of children’s social care services (Family Support and Safeguarding) and supports the development of integrated service delivery with partners across the area

• The Hub enables co-location of services and brings together a wider virtual team to provide a Team Around the Family Approach

• The Hub provides local expert help and support for our partners through professional conversations and supports access to Early Help, Targeted and specialist services

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Integration

• Team Around the Family (TAF) panels to provide advice and support to practitioners from all services areas that enables integrated working as part of Early Help and Intervention and enables swift access to specialist services as required

• Hub Implementation Meetings (HIMs) that provide a platform for developing local strategy around integrated working

• An online integrated Working Manual that supports a shared philosophy and ways of working for consistency across the city – ensuring every child receives the right services ate the right time wherever they live

• Multi agency training programme – to support a consistent approach, methodology and service delivery

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Hubs & MASH

• There is a direct link between MASH and the Hubs• MASH will process safeguarding concerns and will allocate cases

based on need:– To the Bridge– To the Hub Safeguarding Teams– To the Hub Family Support Teams– To the Early Help and Brokerage Service leading to TAF

• At each stage if there is a new safeguarding concern there is a direct route back to MASH

• A Hubs process map is being developed to show the routes between MASH and the Hubs – both escalating and de-escalating

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Hubs & MASH Process Map

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AskThe Panel !

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Video Close

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Feedback Please!

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Documents

Right Services, Right Time: Meeting Children’s Needs 1