Designated Safeguarding Lead Briefing - May 16, 2023

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Helen Parker and Karen Hackett lead a Designated Safeguarding Lead Briefing featuring topics such as child sexual abuse, holiday activities update, school nurse update, and reducing parental conflict. The event highlights the importance of DSL/DDSL training, KCSIE 2022 guidelines, and the roles of various officers in safeguarding practices.


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  1. DESIGNATED SAFEGUARDING LEAD BRIEFING 16 May 2023 Helen Parker Safeguarding Officer (Education) Karen Hackett - School Improvement Officer (Safeguarding)

  2. Time Item Speaker Welcome 10.00 Please sign in on the chat facility with your full name and name of school, if your user name is not clear. Please mute yourself and turn your camera off. Thank you. Welcome & house keeping DSL/DDSL training SPOC/IMAP contacts Helping Children and family document Helen Parker & Karen Hackett 10.10 Joanne Marrow Child Safeguarding Educator/Practitioner Child sexual abuse 11.00 Fuelled holiday activities update Wayne Morgan Karen Hackett 11.15 School nurse update Sally Birrell 11.45 Reducing parental conflict Helen Parker 12.00 SAFE WELL PROSPEROUS CONNECTED Close All

  3. DSL/DDSL TRAINING KCSIE 2022 the DSL and DDSL should undergo training to provide them with the knowledge and skills required to carry out the role. This training should be updated at least every two years. The DSL and DDSL should undertake Prevent awareness training . In North Lincolnshire, the Children s multi-agency resilience & safeguarding board (CMARS) promotes a range of mechanisms to provide education and training opportunities to practitioners which include training courses, e-learning , tools & resources and conference/events. DSL/DDSL are encouraged to attend the Child Protection masterclass, as soon as possible when in role, to support their understanding of legislation, processes, and procedures. Once this has been completed this does not need repeating but there is an expectation that DSL/DDSL will continue to upskill their safeguarding knowledge with a variety training courses, e-learning , tools & resources and conference/events. These can be accessed by the setting to meet emerging themes or areas for further learning and from the CMARS Education and training programme. https://www.northlincscmars.co.uk/wp-content/uploads/2022/11/Childrens-MARS-Education-and-Training-2022-23-Nov-22.pdf SAFE WELL PROSPEROUS CONNECTED

  4. Who are we? **As of April 2023 Head Charlene Sykes Lead Officers Harriet Malkin and Samantha Colley Practice Supervisors Sarah Gant (Mat leave), Rachael Leckey, Toni Houghton, and Lauren Wingate (Mat leave) Out of Hours Bev Walker and Ronicah Matendre-Dixon SPOC Michelle De Vita, Ryan Clayton, Julie Clarke, Claire Oliver, Helen Williams, Emma Hartridge, and Sharon Sturdy IMAP (Contact/referrals) Christine Remmer, Denise Cowan, Danielle Mountjoy, and Claire Ryding IMAP (Assessments) Shannon Harmer, Lucy Hayes, Jodie Jackson, Mario Borges, Laura Chatterton, Tinashe Zheve, and Sarahjayne Gittens Co-located Partners Liz Baxter (health), Laura Middleton (police), and Helen Parker (education) SAFE WELL PROSPEROUS CONNECTED

  5. Single Point of Contact (SPOC) All calls from professionals, agencies, families, members of the public anonymous are received via SPOC Have up to 72 hours to make enquiries and ensure decision is made, on average there are 20 ongoing SPOC enquiries at any one time Expectations of information when calling in family details, names, address, DOB, phone numbers and diversity needs, information re plan in place and offer of support, ensure linked with lead of EH plan if not lead prior to call Where ringing in a disclosure need to be specific, what was said and what discussions held with who and then if injury, size/shape/colour Explore support needs and ensure clear plans are in place aligned to need Enquires must include parents and agencies appropriately Require updated information re early help plans (where applicable) and updated contact details for the family Consent must be gained to call from parents/parents must be informed call being made unless a clear safeguarding concern Safeguarding concerns are transferred to IMAP immediately and led by a qualified social worker SAFE WELL PROSPEROUS CONNECTED

  6. Integrated Multi-Agency Partnership (IMAP) Only have 24 hours (8 working hours) to ensure enquiries undertaken and decision made, on average this is 6 contact/referrals per day Enquires must include all partner agencies, education, health and police are priority contributions, all other agencies known to the family to be contacted and also expected to contribute to the enquiry such as Blue Door, Targeted Services, and We are With you Explore safety and risk Require updated early help plan when making enquiries Twice daily meetings held to review planning and safety of all children live on the board, this is reviewed with multi agency partners also Also attend court for cases where by SW is requested to attend but not an open case at the time Outcome letters must be sent to all agencies and family upon decision being made General outcomes Universal Support, FASST, Early help Planning and Assessment, Children Services Assessment and strategy discussion All assessments raised from Referrals are completed within IMAP, assessments are aimed at being concluded within 30-35 working days, on average there are 70 assessments ongoing at any one time All assessments must have outcome letters and plans shared with agencies and family SAFE WELL PROSPEROUS CONNECTED

  7. Extended Hours 1 social worker on shift at any one time responding to urgent needs of children across North Lincolnshire Calls to be made where by there is an urgent safeguarding need that require immediate response, not for passing on messages to allocated workers for example 1 Practice Supervisor on call - available to social worker as needed 1 Lead Officer on call available to Practice Supervisor as needed Monthly rotas in place shared with all key agencies inclusive of education, health, police, CCTV Have 2 phone lines to manage, public until midnight and all day at weekends and professional line at all times SAFE WELL PROSPEROUS CONNECTED

  8. Helping Children and Families 2020-2024 (northlincscmars.co.uk) SAFE WELL PROSPEROUS CONNECTED

  9. The Anlaby Suite Child Sexual Assault Assessment Service (CSAAS) Child Protection Medical Service Hull Royal Infirmary Dr Wood Dr Clarkson Joanne Marrow / Gaynor Seaman March 2022

  10. Aim Update stakeholders on the operation of the Child Sexual Assault Assessment Service and request for Child Protection Medicals Anlaby Suite

  11. Objectives Review of Sexual Abuse Review of Physical Abuse and Neglect Consider differential diagnosis Examine situations where a medical examination may be appropriate The Role of the Paediatrician in Child Protection How to prepare a child/family for a medical Professional working and Information Sharing Establish a range of services available to the child and family following the medical

  12. Anlaby Suite CSAAS Child Sexual Assault Assessment Service Child protection medicals physical abuse and neglect Police Interview Suite Participate in strategy discussions

  13. Definition of sexual abuse: 'Involves forcing or enticing a child or young person to take part in sexual activities; the child may or may not be aware that this is abusive behaviour, and the act of the sexual abuse may or may not be accompanied by violence (Working Together to Safeguard Children 2018)

  14. Allegations of harm arising from under-age sexual activity Sexual Offences Act 2003 -In law, a child under the age of 13 is not capable of consenting to sexual acts. Referral to Children s Social Care Full assessment required Multi-agency support Risk factors

  15. Pathway for Child Sexual Abuse Disclosure, allegation or concern about sexual abuse / assault of a child or young person. Contact made with Children s Social Care or Police.

  16. Pathway for Child Sexual Abuse In the event of injuries that require immediate medical attention, the child or young person should be taken to the Emergency Department for assessment of the injuries. (A child protection medical will not be undertaken in the ED. However, assessment of immediate injuries and or medical need will be undertaken and child may be admitted as an inpatient if required)

  17. Pathway for Child Sexual Abuse Police or Children s Social Care to contact the Child Sexual Assault Assessment Service (CSAAS - Anlaby Suite) 01482 311084 or 01482 311086 NB: The Specialist Team within the Anlaby Suite should be consulted as part of all strategy discussion in respect of sexual assault or abuse of a child.

  18. Pathway for Child Sexual Abuse Specialist Team at the Anlaby Suite to be part of the strategy discussion where possible

  19. Pathway for Child Sexual Abuse In the course of Section 47 Enquiries, appropriately trained Paediatricians will undertake medical assessments if a forensic examination is required, an appointment will be made within the required forensic timeframe (see below for out of hours). All children and young people will be seen by a paediatric examiner. Children 16yrs and above with a learning disability or complex needs can be seen in the Anlaby Suite by a paediatrician, otherwise they may be seen in the Adult SARC.

  20. Pathway for Child Sexual Abuse If an acute sexual medical is required on a weekend or bank holiday (to meet the forensic evidence window), please contact Sheffield CSAAS (0114 2267803) or Mountain Healthcare (0330 2230099) . For historic sexual abuse or out of hours Monday to Friday, please leave a message on the Anlaby Suite answer phone or contact the Suite the next working day.

  21. Pathway for CSA Pathway for CSA

  22. DNA published persistence data summary: 7 days vaginal intercourse 7 days skin (if not washed) routine 48 hours 72 hours anal intercourse 48 hours digital penetration (anal/vaginal) 48hrs oral penetration Sites include, mouth, hands, skin, vulval, low vaginal, high vaginal, endocervical, perianal, rectal and guidance on urine and blood samples REMEMBER EVEN IF OUTSIDE OF THE FORENSIC WINDOW , seek advice from a Dr in the Anlaby Suite regarding a medical.

  23. Forensic An examination when exploring child sexual abuse may be evidential: Physical signs supportive of a crime Acute or historical or it may yield forensic material : DNA Semen, saliva, debris, pubic hair Blood (alcohol, drug facilitated) Or both : Bite mark (evidential), saliva (forensic) Hymenal laceration (evidential), semen (forensic)

  24. Early evidence kit A first response kit for the collection of samples at the earliest opportunity to capture vital evidence. Mouth rinse (DNA if oral penetration including kissing) Mouth swab Toilet paper Urine (for drug facilitated assault)

  25. Arranging a medical Case classified acute or non-recent Following the strategy discussion a medical time could be allocated to best meet child s and forensic needs Parental responsibility/consent Police and Social Worker in attendance

  26. Consent

  27. The Purpose of a Child Protection Medical To diagnose any injury or harm to the child and to initiate treatment as required To document the findings To provide a medical report on the findings, including an opinion as to the probable cause of any injury or other harm reported To assess the overall health and development of the child To provide reassurance for the child and parent To arrange for follow up and review of the child as required, noting new symptoms including psychological effects

  28. Nurses role during the medical Explanation Distraction / Play therapy Impartiality Reassurance / support Education / health promotion

  29. Assessment of Child Sexual Abuse Piece of the jigsaw Supportive process Diagnostic findings Normal findings Holistic examination Specialist paediatrician

  30. Investigations Blood tests X-rays and scans including skeletal survey Eye examination Other tests for underlying or coexisting medical problems as needed Forensic sampling if appropriate Formal developmental assessment

  31. Additional investigations for sexual abuse medicals HIV Post Exposure Prophylaxis (PEP) Emergency Contraceptive Pill First dose of Hepatitis B Vaccine Sexual Health Screening Dry Blood Spot Screening for blood born viruses (avoids the need for venous sampling) Urine Test for STI Pregnancy Test

  32. Referrals

  33. Why a Specialist Paediatrician? Holistic medical assessment Medical expertise To participate in the child protection process actively. To participate in single and multiagency training, audit and research.

  34. Following the Medical Examination Findings will be discussed with the child (age appropriate), parent/carer, Police and Social Worker Written summary report provided Medical treatment and follow up may be needed e.g. STI screening (swabs, urine, blood), emergency contraception, pregnancy testing, PEPSE (rarely)

  35. What helps us to help you History Disclosure / allegation Professional knowledge Consent

  36. Statistics briefing: child sexual abuse 1 in 20 children in the UK have been sexually abused Approximately 2,800 children in the UK on CPP Over a 1/3 of all police-recorded sexual offences are against children Girls and older children more likely to experience CSA Vast majority were abused by someone they knew NSPCC 2021

  37. What young victims and survivors want To be believed To be given choices To be listened to Respect Support (Independent inquiry into CSA Engagement with Children and Young People June 2021)

  38. Learning points Young victims and survivors face delay in accessing support The introduction of mandatory reporting could reduce disclosures Need to see improvements in how statutory bodies respond to CSA Needs to be a cultural shift in talking about sexual abuse Sex education in schools does not reflect current challenges facing children Creators of social media apps and internet platforms need to take greater responsiblity

  39. Why parents need supports Understand what their child needs from them Manage their own feelings Recognise symptoms of trauma in their own child Cope with the practicalities of parenting, especially if their partner / co-parent is suspected of the abuse

  40. Anlaby Suite

  41. Anlaby Suite

  42. What the Children say! You made me feel comfortable and explained everything to me Everything was perfect Perfect, professional and helpful staff You were amazing, thank you!!! Not as scary as I thought! You were very kind, and made sure I was comfortable Everything made me feel at ease Kind and Understanding Staff! Everything was totally amazing!

  43. The End Any Questions?

  44. Reduce the triple inequality of Reduce the triple inequality of : : Social isolation Social isolation Poor diet Poor diet Low levels of physical activity Low levels of physical activity during the holidays. during the holidays. Part of the Marcus Part of the MarcusRashford Funded until 2025 by the Funded until 2025 by the Department of Education Our Aim Our Aim Rashford campaign campaign Department of Education

  45. Research has shown that the school holidays Research has shown that the school holidays can be pressure points for some families. families. For some children this can lead to a holiday For some children this can lead to a holiday experience gap, with children from low from low- -income income households being: households being: less likely to access organised out less likely to access organised out- -of of- -school school activities more likely to experience unhealthy more likely to experience unhealthy holidays in terms of nutrition and holidays in terms of nutrition and physical physical health health more likely to experience social isolation more likely to experience social isolation Guidance Guidance : : Holiday activities and food programme 2023 Holiday activities and food programme 2023 can be pressure points for some experience gap, with children activities The Research Bit The Research Bit

  46. A. You A. You DON T DON T have to become a provider or venue, but .. have to become a provider or venue, but .. The HAF programme is a fantastic way for you to remain in The HAF programme is a fantastic way for you to remain in contact with students during school holidays, ensuring contact with students during school holidays, ensuring students learn about healthy eating and lifestyle, but more students learn about healthy eating and lifestyle, but more importantly keeps you in contact with students who may importantly keeps you in contact with students who may otherwise be having a difficult experience away from school. otherwise be having a difficult experience away from school. It also assists us with developing positive relationships with It also assists us with developing positive relationships with students outside of the classroom which helps with building students outside of the classroom which helps with building that relationship when they return in term time. that relationship when they return in term time. Q. What are the Q. What are the benefits for my benefits for my School? School?

  47. Fuelled is for school aged children from reception to year 11 (inclusive) who receive benefits Fuelled is for school aged children from reception to year 11 (inclusive) who receive benefits- -related Benefits Benefits- -related free school meals (FSM) are available to pupils if their parents are in receipt of one related free school meals (FSM) are available to pupils if their parents are in receipt of one of the qualifying benefits, and have a claim verified by their school or local authority. benefits, and have a claim verified by their school or local authority. Schools have discretion to offer an additional 15% of their benefit related free school meals places to Schools have discretion to offer an additional 15% of their benefit related free school meals places to children not on free school meals who meet the following eligibility criteria. school meals who meet the following eligibility criteria. children assessed by the local authority as being in need, at risk or vulnerable ( children assessed by the local authority as being in need, at risk or vulnerable (Eg young carers young carers looked looked- -after children or previously looked after children after children or previously looked after children children with an EHCP (education, health and care) plan children with an EHCP (education, health and care) plan children who have low attendance rates at school or who are at risk of exclusion children who have low attendance rates at school or who are at risk of exclusion children living in areas of high deprivation or from low children living in areas of high deprivation or from low- -income households who are not in receipt of income households who are not in receipt of free school meals children who are experiencing low wellbeing ( children who are experiencing low wellbeing (eg egexperiencing loss or bereavement) experiencing loss or bereavement) relatedfree school meals. free school meals. of the qualifying children not on free EgEarly Help Early Helpetc) etc) Who is Who is Eligible? Eligible? free school meals

  48. A. All we ask is that you promote the Fuelled programme in some A. All we ask is that you promote the Fuelled programme in some of the following ways: of the following ways: Advertise where activities are happening in your area, Advertise where activities are happening in your area, especially especiallyif they are happening in your if they are happening in your school Talk about Fuelled activities with staff so they know what Talk about Fuelled activities with staff so they know what it is Share the electronic links to the booklet and booking system Share the electronic links to the booklet and booking system with withparents. parents. Perhaps even ask Pastoral Leads to support Perhaps even ask Pastoral Leads to support families or families or Secondary young people to book Secondary young people to bookon. If you want more information on advertising If you want more information on advertising activitie s can e can e- -mail us at: mail us at: Fuelled@northlincs.gov.uk school . . Q. How can my Q. How can my School help? School help? it is . . on. activitie s then you then you

  49. A. A. M Myself and my colleague Sandy are available to yself and my colleague Sandy are available to come to your school to help with: come to your school to help with: Registration Events Registration Events i.e i.e Parent Evenings Parent Evenings Applications For HAF Applications For HAF If you want more information on advertising activities If you want more information on advertising activities then you can e then you can e- -mail us at: mail us at: Fuelled@northlincs.gov.uk Q. How can we Q. How can we help? help?

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