Post on 18-Oct-2020
transcript
Is The Workforce Fit For Purpose?
SLaM Presentation to Croydon Safeguarding Children Board
Paul Calaminus – Service Director
Child & Adolescent Mental Health Services
Matt Beavis – Assistant Director of Nursing
Trust Named Nurse Safeguarding Children
29th November 2011 – Croydon Town Hall
Lines of AccountabilityBoard ofDirectors
Patient Safety and Service
ImprovementCommittee
AuditCommittee
GovernanceExecutive
ComplaintsMonitoringCommittee
SUIMonitoringCommittee
Clinical Audit &Effectiveness
Committee
Essenceof Care
PromotingSafe/Therapeutic
Services
PsychologicalTherapies
Effectiveness
Research&
Development
SLaM NICE Implementation
Group
PhysicalHealthcare
RiskManagementCommittee
Safeguarding
Children
Safeguarding
Adults
Education& Training
Health, Safety& Fire
IT Security,Caldicott, FOI,
Clinical Records
ClinicalRisk
Committee
NutritionInfectionControl
PhysicalHealthcareECT Mental
Health Act
MedicinesManagement
Drugs &Therapeutics
MedicalDevices
DirectorateClinical
GovernanceCommittees
DirectorateRisk Management
Committees
May 2009
Diagram of Integrated Trust, Borough and CAG Safeguarding Children Lead Infrastructure:
ADDICTIONS:CAG SC LEAD N
Rosie Mundt-Leach
CAG SC LEAD DSally Porter
PSYCHOSIS:CAG SC LEAD
Anne Donohue
MHOA & D:CAG SC LEAD
Andy Shanks
CROYDON:- CLNSC: Linda Galvin- CLDSC: Anna Graham- AMHLSC: Stephen Priestley
LAMBETH:- CLNSC: Charity Nyamukondiwa- CLDSC: Nadia Barratt- AMHLSC: David Grafton
TELSC: Hilary McCallionDoC: Paul CalaminusTNNSC: Matt BeavisTNDSC: Malcolm Wiseman
LEWSH:- CLNSC: Emma Addison- CLDSC: Malcolm Wiseman- AMHLSC: Stephenie Edwards
STHWK: - CLNSC: Nicola Jenkin- CLDSC: Tara Weermanthri- AMHLSC: Chris McCree
KENT CAMHS:- CLNSC: Kathryn Trethowan- CLDSC: John Watts
N&S CAMHS:- CLSC: Sarah Cannell- CLDSC: Vacant
MAP:CAG SC LEAD
Sue Smith
B & D:CAG SC & A LEAD
Christine Hemmings
PSYCH MED:CAG SC LEAD
Debbie Garlick
Staffing Establishment Numbers
20CROYDON CAMHS
352CROYDON
4925TRUST
Staffing Establishment Numbers
Number dependent on clinical need across Trust
trained by Agency / NHSProfessionals
inducted by service area
Bank / Agency
Site-based trainingtrained by Trust
Aramark (Contract Hotel Services)
328
(Kings, LSBU & Greenwich) trained by Universities
inducted by Trust
Students
Safer Organisations
CRB’s (Three-Yearly Updates + HR monthly monitoring process)
Researchers / Honorary Contracts (CRB’s / Training)
Safeguarding Children Statement in all Job Descriptions (Stating Safeguarding Children Responsibilities)
Representation at CSCB Safer Organisations Subgroup
Training
All staff receive Safeguarding Children Training on Trust Induction
Trust Safeguarding Children Training reviewed annually (Design & Delivery – Evaluations & SCR Recommendations)
Trust Safeguarding Children Training mapped against the Intercollegiate Document (2010)
Safeguarding Children Training performance managed (CEO Performance Management, CAG Training Logs, Individual Appraisal)
Training
91%N/A94%LEVEL 3
93%86%75%LEVEL 2
100%94%92%LEVEL 1
CROYDON CAMHS
CROYDONTRUST
It’s Not All About Training…But It Was a Good Starting Point…
Significant Increase in Numbers of Staff Trained (Over 200% Increase in 2010-2011)
Redesign & Increased Performance Management of Training Content, Design & Delivery
Staff Receive Messages re:National & Local Guidance & PolicyWhat They Are Looking For Who to Contact, Information Sharing, Collaboration & Referral ProceduresEscalationImpact of Parental Mental Illness on ChildrenImpact of Their Own Beliefs, Values & Experiences on Their PracticeLearning Lessons to Positively Influence Practice
BUT TRAINING ALONE NEVER CHANGED PRACTICE IN A SUSTAINABLE & CONSISTENT FASHION
Safeguarding Supervision & Management Oversight
Safeguarding children supervision integrated & cascaded within clinical & managerial supervision
Trust Safeguarding Children Advice Line
Trust Safeguarding Children Leads receive monthly individual & group supervision with Trust Named Nurse and Doctor
Trust supervision rates performance managed & regularly audited
Safeguarding Children Impact Assessment on all Trust policies (recent recommendations strengthening safeguarding focus of Trust Supervision Policy)
Quality Assuring Services
Trust Safeguarding Children Policy & Trust Safeguarding ChildrenCommittee
Trust Safeguarding Children Assurance Framework
Performance Management via CEO & CAG PMR’s
Annual Trust Safeguarding Children Reports/Declarations to Trust Board & Risk Management Committee
Trust Incident Reporting (via DATIX) and Complaints Process
Internal / External Audits & Inspections- S11 - CQC - CSCB - Ofsted - Annual Trust Practice Audits (Specific Safeguarding Section)- Post Serious Case Review Audits
87%89%89%TOTAL
84%85%87%MHLD
86%89%91%MHOA
88%97%99%Addictions
88%88%88%Adult Mental Health
SeptAugJul % Child Need & Risk Screen
Croydon Child Need & Risk ScreenCompletions (%) - Quarter 2 - 2011
Further Embedding in Practice
Significant Amounts of Risk Assessment
Staff Completion of Child Need & Risk Screen
Genuine Staff Consultation re Review / Redesign of Child Need & Risk Screen
Post Risk Assessment Evidence of Information Sharing & PotentialReferral to CSC
Regular Systematic MDT CSC Referral Monitoring & Follow-Up
Reviewed & Increased Expectations of Trust Staff Representation & Contribution to Child Protection Conferences & Plans
Regular Threshold Conversations with CSC
Enhanced Focus on Supervision
Further Embedding in Practice
Internal Auditors (South Coast Audit) Audit of Past Recommendations from SCRs
Planned Trust Research into Staff Perceptions re Whether Recommendations from SCRs Have Positively Effected Practice
Trust & Local Presentation of Recommendations & Learning
Trustwide Roadshow Events re Sharing Learning from SCRs
Redesign of Trust Safeguarding Children Intranet Site (now on front page of Trust Intranet – increased access)
“Lessons Learned” Section on Trust Safeguarding Children Intranet Site
Immediate Action Flowchart if concerned about welfare of child
Allegations, User Feedback and Complaints
Allegations Against Staff Policy
Use of LADO (Consultation & Referral)
Complaints Response Procedure
Service User & Care Satisfaction Questionnaires / Surveys / Events
Continued Challenges
Supervision
Disinvestment
National Changes
Competing Priorities
Continued Embedding in Practice