• Why do we need MASH in Staffordshire
• The Evidence was clear and difficult..we lost children
• BSK410 & NS10
• 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.
Concept
• Who is in MASH
• Staffordshire County Council Children & Adults• Staffordshire Police• Staffs & Stoke NHS Partnership Trust• Stoke on Trent City Council Children & Adults• SWMPT (MAPPA)• North Staffs Combined Mental Health (maybe)
• Culture• Fear • Knowledge• Ignorance• The law• Doing what we have always done• Not my responsibility
The Challenges
• Having a face to face process• Creating a Confidential Environment• An agreed MOU• Right level of decision maker• Professionally Disagree• Applied Multi agency thinking• Professional judgement• Trust & Confidence
Solutions
• Builds on existing agreements• Two stage process – Reveal & Disclose• Audit Process• Have a legal basis• Handling Protocols & info ownership• Escalation process
MOU
Draft Governance Structure (initial 12 months of operation) v2 (9th Jan 2012)
MASH
Staffordshire Police (PVP)
Staffordshire County Council (SCC)
First Response (FR) Emergency Duty Service (EDS)
Adult Protection (AP)
FORTNIGHTLY TACTICAL GROUP
QUARTERLY STRATEGIC MANAGEMENT GP
Stoke City Council (StCC)
Adult Protection
Child Protection
(CP)
MASH LEADERSHIP GROUP
MONTHLY STAFF FORUM / BUILDING USER GROUP
COMMISSIONERS
Staffordshire and Stoke-on-Trent Adult Safeguarding
Partnership
Staffordshire Local Children’s Safeguarding Board
Stoke-on-Trent Local Children’s Safeguarding
Partnership
SSOTP
Safeguarding Children
Head of Families First (Chair), Chief Operating Officer (SSOTP), DSupt (Police), Strategic Manager (StCC Adults), County Commissioner (SCC Adult Safeguarding), AD (StCC Children Services), Strategic Lead (SCC Safeguarding), Head of Responsive Services (SCC), Mash Development Officer (SCC).
Head of Responsive Services (SCC Chair), MASH Development Officer (SCC), TM (SCC SAPIT), Operational Staff (StCC adults & Children), Head of Children Safeguarding (SSOTP), DI (Police), DCI (Police), TM First Response (SCC) TM EDS (SCC).
Designated Agency Representatives
Cohorts/Populations:-High Risk Children referrals (Safeguarding & above) Vulnerable Adult (No secrets) referrals Domestic Abuse-Victims & Perpetrators and repeat cases Domestic Violence screening for Children & Vulnerable Adults Missing persons Child Sexual Exploitation Hate Crime Some Professional Concern cases (issues raised by professionals but not clear as to the cohort at referral stage)
SO WHAT !!
More referral's equals more information sharing
More Information Sharing equals more opportunity for Safeguarding
More Safeguarding means opportunity for early intervention
Early intervention means less need acute services
More discussions mean better decisions about who should attend
• (February & March 2013)• Total throughput = 6723• MASHED = 1919 (as of 21/05/13= 3851)
• Equals = 29% info sharing• 41% Domestic Abuse• 36% Children• 10% Adults• 4% Child Sexual Exploitation• 9% other cohorts
Performance
• What impact re Risks• Exit severities following Mashing :• From Single agency assessment incoming to output by MASH
• 66% Unchanged• 27% Raised• 7% Lowered
• Re referral rate = 5.2%
• Prepare for change
• How to eat an elephant – one piece at a time ;
Gradual introduction of cohorts of cases
Design of the physical change of information sharing
Things to watch out for
Introducing a wave of multiagency demand through a single point of information sharing is likely to result in a monumental bottle neck.