Designated Safeguarding Lead Briefing - May 16, 2023
DESIGNATED SAFEGUARDING LEAD BRIEFING
16 May 2023
Helen Parker – Safeguarding Officer (Education)
Karen Hackett - School Improvement Officer (Safeguarding)
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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
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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
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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
E
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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
Helping Children and Families 2020-2024 (northlincscmars.co.uk)
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
Aim
Update stakeholders on the operation of the Child
Sexual Assault Assessment Service and request for
Child Protection Medicals
“
Anlaby Suite”
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
Anlaby Suite
•
CSAAS – Child Sexual Assault Assessment Service
•
Child protection medicals – physical abuse and neglect
•
Police Interview Suite
•
Participate in strategy discussions
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)
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
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.
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)
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.
Pathway for Child Sexual Abuse
Specialist Team at the Anlaby Suite to be part of the strategy
discussion where possible
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.
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.
P
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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.
•
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)
Forensic
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)
Before a child attends the Anlaby Suite
•
The disclosure/allegation
•
Clinical presentation has led to suspicion that a child is at
risk/has been harmed
•
Professional Curiosity
•
Referral into Children’s Social Care or Police if child is in
danger
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
Consent
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
Nurses role during the medical
•
Explanation
•
Distraction / Play therapy
•
Impartiality
•
Reassurance / support
•
Education / health promotion
Assessment of Child
Sexual Abuse
•
Piece of the jigsaw
•
Supportive process
•
Diagnostic findings
•
‘Normal’ findings
•
Holistic examination
•
Specialist paediatrician
Assessment of (forensic / acute) sexual
assault/abuse
•
Full holistic assessment is undertaken including:
–
Capacity Assessment
–
Injuries
–
Medical history
–
Emergency Contraception Assessment
–
HIV PEP, Hep B PEP and sexual health screening
–
Assessment of risk of exploitation or mental health
problems
•
Referral may be needed for psychological support – ISVA,
CAMHS
General guidance
•
When a case is referred:
–
Medical needs take immediate
precedence
–
Forensic window
•
Arranging the medical
•
Early evidence kit
•
Minimise additional examinations
The Purpose of a Child Protection
Medical
•
Physical examination
•
Provide a medical report on the finding, including an opinion
as to the probable/possible cause of any injury or harm
noted; however, the Doctor may not be able to identify such
a cause or explanation
•
Further investigations
•
Reassurance
•
Follow up
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
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
Post examination
•
Findings discussed
•
Summary report
•
Initiate further treatment
Referrals
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.
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)
What helps us to help you
•
History
•
Disclosure / allegation
•
Professional knowledge
•
Consent
What you can expect from us…
•
Holistic assessment
•
Professional opinion
•
Provide reports and / or statements
•
Participation
•
Professional advice
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
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)
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
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
(Centre of Expertise on CSA –
Supporting parents and carers – March 2022)
Medicals in figures……
Anlaby Suite
Anlaby Suite
Anogenital warts
What the Children say!
Not as
Not as
scary as I
scary as I
thought!
thought!
You made me feel
You made me feel
comfortable and
comfortable and
explained
explained
everything to me
everything to me
You were
You were
amazing,
amazing,
thank you!!!
thank you!!!
Perfect,
Perfect,
professional
professional
and helpful
and helpful
staff
staff
Everything made me
Everything made me
feel at ease
feel at ease
Everything was
perfect
Everything was
totally amazing!
Kind and
Kind and
Understanding
Understanding
Staff!
Staff!
You were very kind,
You were very kind,
and made sure I was
and made sure I was
comfortable
comfortable
When a medical assessment is necessary
Medical assessments should always be considered where there has been a
disclosure or there is a suspicion of any form of abuse to a child.
Additional considerations are the need to:
•
Secure forensic evidence;
•
Obtain medical documentation
The End
Any Questions?
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Fuelled
The Fuelled Portal
•
Every school has access to the Fuelled Portal.
•
Every School has a school account where:
They can register eligible children
See who has booked onto and attended sessions.
•
The account is easily set up by the Fuelled Team, all you need to do is contact
us at Fuelled.
•
If you would like your account activating or unlocking then please do contact
us.
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0-19 (25 SEND) Health and Wellbeing service
Sub heading and date to go here 16pt right aligned
Again titles may go over two lines
•
Health Visitors
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School Nurses
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Staff Nurses
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Nursery Nurses
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Family Support Workers
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Screening Assistants
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Universal, targeted and safeguarding support
0-19
0-19
•
3 SN – 1 full time, 1 full time TT, 1 working 2 days
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CSN – 8 staff = 5.2 WTE
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FSW – 2 staff = 1.4
•
Screening Assistants = 2
Universal offer
Yearly School Health Profile
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Opportunity to discuss how the school nurses can support throughout the school year
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Primary schools
0-19
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Secondary schools
0-19
•
Drop-in
•
Corridor workshop – Smile month
•
E clinics – parents and young people
•
Transition
•
Puberty
•
Healthy eating
•
Social media
Targeted support
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Referrals – add as much information as possible including what’s
already been tried – currently at 90 waiting for allocation
•
Increase prior to holidays
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With Me in Mind
•
MH First Aiders
Safeguarding
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Primary
EHWB
•
Secondary
Smoking and vaping
Sexual Health
Increase in teenage pregnancy
Increase in STI’s
Oversight of ROTH, MACE, Missing and sharing ‘trends’ i.e pregabalin
Safeguarding
•
Post 16
Bereavement and loss
Advice and Consultation role
Contact details:
SPOC: 0800 0199 951
rdash.nlschoolnurseshealthinformation@nhs.net
Reducing parental
conflict update –
Helen Parker
Helen Parker :
Safeguarding Officer (Education)
Email:
helen.parker@northlincs.gov.uk
Mobile:
0771758 6534
Karen Hackett:
School Improvement Officer (Safeguarding)
Email:
karen.Hackett@northlincs.gov.uk
Mobile:
07385 410798
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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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DESIGNATED SAFEGUARDING LEAD BRIEFING 16 May 2023 Helen Parker Safeguarding Officer (Education) Karen Hackett - School Improvement Officer (Safeguarding)
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
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
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
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
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
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
Helping Children and Families 2020-2024 (northlincscmars.co.uk) SAFE WELL PROSPEROUS CONNECTED
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
Aim Update stakeholders on the operation of the Child Sexual Assault Assessment Service and request for Child Protection Medicals Anlaby Suite
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
Anlaby Suite CSAAS Child Sexual Assault Assessment Service Child protection medicals physical abuse and neglect Police Interview Suite Participate in strategy discussions
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)
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
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.
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)
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.
Pathway for Child Sexual Abuse Specialist Team at the Anlaby Suite to be part of the strategy discussion where possible
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.
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.
Pathway for CSA Pathway for CSA
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.
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)
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)
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
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
Nurses role during the medical Explanation Distraction / Play therapy Impartiality Reassurance / support Education / health promotion
Assessment of Child Sexual Abuse Piece of the jigsaw Supportive process Diagnostic findings Normal findings Holistic examination Specialist paediatrician
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
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
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.
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)
What helps us to help you History Disclosure / allegation Professional knowledge Consent
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
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)
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
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
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!
The End Any Questions?
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
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
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?
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
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
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?
