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North East Social Work Services Child Protection Local Management Review 21 st March 2013 North East Social Work Services Child Protection Local Management Review 21 st March 2013

Introduction Ann-Marie Rafferty Head of Service North East Social Work Services Introduction Ann-Marie Rafferty Head of Service North East Social Work Services

REVIEW OF ACTION PLAN & Evaluation September 2012 – March 2013 Pat Togher Service REVIEW OF ACTION PLAN & Evaluation September 2012 – March 2013 Pat Togher Service Manager

Completed Completed

Completed Completed

Not Yet Completed. Not Yet Completed.

Glasgow’s Children 27 th February 2012 Kelda Gaffney, ASM Karen Frew, ASM Glasgow’s Children 27 th February 2012 Kelda Gaffney, ASM Karen Frew, ASM

Child Protection Register February 2013 GLASGOW 397 NE 154 (39%) NW 128 (32%) SOUTH Child Protection Register February 2013 GLASGOW 397 NE 154 (39%) NW 128 (32%) SOUTH 107 (27%) OTHER 8

Gender and Ageband GENDER CURRENT AGEBAND Total Female Male not indicated Total 0 years Gender and Ageband GENDER CURRENT AGEBAND Total Female Male not indicated Total 0 years % 1 to 4 years % 5 to 11 years % 12 to 15 years % 16+ years % not indicated NE 154 73 78 3 154 21 14% 54 35% 56 36% 19 12% 1 1% 3 NW 128 61 66 1 128 34 27% 33 26% 44 34% 14 11% 2 2% 1 South 107 55 51 1 107 10 9% 38 36% 45 42% 13 12% 1 1% 2 other 8 2 5 1 8 3 2 2

Registration Categories child exploitation domestic abuse emotional abuse neglect non-engaging family parental alcohol misuse Registration Categories child exploitation domestic abuse emotional abuse neglect non-engaging family parental alcohol misuse parental drug misuse parental MH problem physical abuse physical neglect sexual abuse tem register other TOTAL NE 0 12 17 65 16 7 11 3 11 0 7 1 4 154 NW 0 12 22 40 11 8 12 9 9 0 4 0 1 128 South 0 14 14 38 4 3 3 7 12 4 7 0 1 107 Other 0 1 4 1 0 1 1 0 0 0 8

CP Trends CP Investigations in period Sep 2011 to Feb 2012 March 2012 to CP Trends CP Investigations in period Sep 2011 to Feb 2012 March 2012 to Aug 2012 Sept 2012 to Feb 2013 New Registrations in period CP Register as at period end date 138 79 104 went to CPC, conversion from CPC to registration is 76% 140 197 110 141 went to CPC, conversion from CPC to registration is 78% 172 180 82 115 went to CPC, conversion from CPC to registration is 71% 154

CP Trends (child protection events, checks, etc) % CP 1 compl % Wof. S CP Trends (child protection events, checks, etc) % CP 1 compl % Wof. S register check compl 136 88 124 81 135 88 127 82 39 95 74 93 73 94 73 55 51 73 68 59 55 65 61 56 52 2 4 4 7 7 No. on CPR gather info compl % CP Invest compl NE 153 92 60 NW 128 50 South 107 Other 8 % Glasgow register check compl %

Risk Indicators Categories neglect domestic abuse Additional Indicators one 71 two 51 three 21 Risk Indicators Categories neglect domestic abuse Additional Indicators one 71 two 51 three 21 four 1 five 3 six 0 23 29 emotional abuse 29 physical abuse 28 non engaging family 70 parental alcohol 9 parental drugs 9 parental mental health 5 sexual abuse 12 child exploitation 0 child placing themselves at risk 0 other concerns 25

Pre-Birth Registrations 2011 2012 2013 TOTAL North East 4 23 2 29 (32 % Pre-Birth Registrations 2011 2012 2013 TOTAL North East 4 23 2 29 (32 % of city) North West 5 26 2 33 (37 % of city) South 11 13 0 24 (27 % of city) Other 2 1 0 3 22 63 4 89 TOTALS

Pre-Birth Registrations (conversion rates) 2012 2013 pre-birth meetings pre-birth registrations NE 82 23 28% Pre-Birth Registrations (conversion rates) 2012 2013 pre-birth meetings pre-birth registrations NE 82 23 28% 9 2 22% NW 67 26 39% 16 2 12% South 54 13 24% 7 0 0% Other 11 1 9% 1 0 0%

North East - Pre-Birth Primary Risk Indicators Neglect 10 Non-engaging Family 4 Domestic Abuse North East - Pre-Birth Primary Risk Indicators Neglect 10 Non-engaging Family 4 Domestic Abuse 4 Parental Drug Misuse 4 Physical Abuse 2 Emotional Abuse 2 Parental Alcohol Misuse 1 Parental Mental Health 1 Sexual Abuse 1

North East - Pre-Birth Intended & Actual Outcomes ACTUAL OUTCOMES Unborn LAAC Kinship With North East - Pre-Birth Intended & Actual Outcomes ACTUAL OUTCOMES Unborn LAAC Kinship With parents and relatives 7 2 1 7 2 1 3 1 With parents in relatives' home 2 1 1 With parents in supported accommodation 3 1 2 Further assessment required prior to birth 7 2 1 1 3 PLANNED OUTCOMES 10 Kinship LAAC With parents in supported accomm Home

Parental Addiction Total (excl temp) Parental Addiction % NE 153 84 55% NW 128 Parental Addiction Total (excl temp) Parental Addiction % NE 153 84 55% NW 128 80 63% South 107 50 47% Other 8 2

Length of time on Register HOW LONG ON CP REGISTER Total 0 to 3 Length of time on Register HOW LONG ON CP REGISTER Total 0 to 3 months % 4 to 6 months % 7 to 9 months % 10 to 12 months % 1 to 2 years % 2+ years % NE 154 43 28% 59 38% 22 14% 17 11% 9 6% 4 3% NW 128 45 35% 39 30% 23 18% 17 13% 4 3% 0 South 107 37 35% 32 30% 13 12% 10 9% 13 12% 2 2% other 8 4 4 0 0 1 0

Vulnerable Young Persons March 2012 Glasgow NE NW South Other August 2012 Feb 2013 Vulnerable Young Persons March 2012 Glasgow NE NW South Other August 2012 Feb 2013 68 61 62 13 16 15 22 18 15 33 25 27 0 2 5

VYP - Risk Indicators NORTH EAST YOUNG PEOPLE drugs 5 alcohol 4 absconding 8 VYP - Risk Indicators NORTH EAST YOUNG PEOPLE drugs 5 alcohol 4 absconding 8 offending 6 sexual exploitation 3 sexual problematic behaviour 5 mental health 3 self harm 5 violent or abusive behaviour 3

VYP - Risk Indicators Total No of Young People Subject to VYP Procedures - VYP - Risk Indicators Total No of Young People Subject to VYP Procedures - 15 No. with 1 Risk Indicator 4 No. with 2 Risk Indicators 7 No. with 3 Risk Indicators 2 No. with 4 Risk Indicators 1 No. with 5 Risk Indicators 1

Child Protection Meeting Audit Children and Families NE CHP Janine Mc. Alister (Team Lead) Child Protection Meeting Audit Children and Families NE CHP Janine Mc. Alister (Team Lead)

Child Protection Meeting Audit WHY? • IDENTIFY issues regarding HV’s attendance at CP meetings Child Protection Meeting Audit WHY? • IDENTIFY issues regarding HV’s attendance at CP meetings • Collect information to build relationships with partners and facilitate working together • Develop solutions • Improve outcomes for children and families

Child Protection Meeting Audit • 2 teams involved NE CHP • Audit period (4 Child Protection Meeting Audit • 2 teams involved NE CHP • Audit period (4 weeks) between January and March 2013 • 20 Health Visitors involved

Child Protection Meeting Audit Information was collected on: • Number of meetings HV invited Child Protection Meeting Audit Information was collected on: • Number of meetings HV invited to • The notice period given for planned meetings • If the health visitor attended • Reason for non attendance • Reasons for late starts or cancellations of meeting

Child Protection Meeting Audit RESULTS • 40 meetings audited over this time period • Child Protection Meeting Audit RESULTS • 40 meetings audited over this time period • Number of meetings HV’s invited to varied

Child Protection Meeting Audit Notification period • Varied (-5 – 92 days) • 62. Child Protection Meeting Audit Notification period • Varied (-5 – 92 days) • 62. 5% (25) < 15 days • 42. 5% (17) < 7 days • 22. 5% (9)< 5 days

Child Protection Meeting Audit Health Visitor Attendance • 38% (15) not attended Reason for Child Protection Meeting Audit Health Visitor Attendance • 38% (15) not attended Reason for non attendance • 93% (14) were cancelled by SW • (1) the HV had not been invited –Less than 1 days notice for cancellation in 3 cases

Child Protection Meeting Audit Reasons for delays • > 40% late starting –No access Child Protection Meeting Audit Reasons for delays • > 40% late starting –No access to rooms –SW on the phone –Chair of meeting on duty –Parents running late –No reason provided

Child Protection Meeting Audit RESULTS • No evidence of any meetings being cancelled due Child Protection Meeting Audit RESULTS • No evidence of any meetings being cancelled due to a health person not being available • Where HV’s were not available due to sickness/absence they sent their staff nurse

Child Protection Meeting Audit Plan • Feedback information to SW • Revise audit tool Child Protection Meeting Audit Plan • Feedback information to SW • Revise audit tool – ? use same tool over both services • Re-do audit - NE CHP in 4 mths (all teams) • Present back findings at next LMR

Social Work Service Roma Children & Families Team Keith Moore-Milne Team Leader/Mental Health Officer Social Work Service Roma Children & Families Team Keith Moore-Milne Team Leader/Mental Health Officer keith. [email protected] gov. uk

Origins of Romani • Romani in Europe are descendants of groups who left India Origins of Romani • Romani in Europe are descendants of groups who left India around 1000 years ago • Arrived in Europe around 14 th Century • Romani - some links with Hindi, Urdu and Punjabi but the present form influenced by Byzantine Greece and the Ottoman empire • Some speak Romani and national language • Others speak national language and limited (or no) Romani

Migration • 1850 to 1920/30 – abolition of slavery of Roma in Romania and Migration • 1850 to 1920/30 – abolition of slavery of Roma in Romania and subsequent destitution – many Roma fled SE Europe in search of better lives • 1945 onwards – post war Europe and iron curtain sealed borders – movement restricted • 1980 – 1989 – erosion of former soviet block frees up Romani and enables movement • Accession of A 8 (2004) and A 2 in 2007

Current migration • Czech & Slovakian republic to UK • Slovakia to Czech republic Current migration • Czech & Slovakian republic to UK • Slovakia to Czech republic • Romania to Czech Republic and Slovakia • Moldova and Ukraine to Russia • Moldova to Ukraine • Eastern Europe to Canada

Member states of the European Union Member states of the European Union

European Economic Area European Economic Area

Complexity of Europe Complexity of Europe

European Economic Area • The following countries are in the European Economic Area: Austria, European Economic Area • The following countries are in the European Economic Area: Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, UK. • Iceland, Liechtenstein, Norway and Switzerland are EFTA countries (European Free Trade Association) These nationals have the same rights as EEA nationals.

A 8 Countries - May 2004 • • Czech Republic Hungary Estonia Slovakia Slovenia A 8 Countries - May 2004 • • Czech Republic Hungary Estonia Slovakia Slovenia Poland Lithuania Latvia Full accession rights since May 2011. This means the same rights as UK, French, Spanish, Italian or other EEA citizens

A 2 Countries – • Romania & Bulgaria • Will not have full accession A 2 Countries – • Romania & Bulgaria • Will not have full accession rights until Jan 2014. • No right to work in UK until Jan 2014, unless self employed. No recourse to public funds.

Most Roma people want to work or be in self employment Most Roma people want to work or be in self employment

Current Estimates • Estimates vary between 2000 and 3000 children and adults (2007 figures) Current Estimates • Estimates vary between 2000 and 3000 children and adults (2007 figures) • Based on GP registrations (1609) across 5 Practices, School/Nursery Roll numbers, DRS Social Survey, Police environmental Health estimates. • No Data – No Progress – currently trying to establish Roma ethnicity category in Carefirst 6 and new GIRFEC report Romanet Baseline Study (2011); `No Data – No Progress’ (2010) www. soros. org/initiatives/roma

Gypsy/Roma/Travellers • GRT category is unhelpful/inaccurate • Roma are, in general, `sedentary’ population – Gypsy/Roma/Travellers • GRT category is unhelpful/inaccurate • Roma are, in general, `sedentary’ population – not travellers. Current patterns are more likely to be migratory settlement patterns • Increasingly signs of settlement – reduced `churn’ rate at schools

Social Work Service (Roma Children & Families) • 3 social workers appointed – Jamie Social Work Service (Roma Children & Families) • 3 social workers appointed – Jamie O’Donnell, Lesley Crichton & Billy Mc. Cann • Plans for further 2 bilingual/trilingual support workers to be appointed • Based at 3 rd Floor, Samaritan House, 79 Coplaw Street, Govanhill G 42 7 JG Tel: 424 1430.

Roma children `events’ open in March 2012 • 128 open `events’ • Under 5 Roma children `events’ open in March 2012 • 128 open `events’ • Under 5 s 41 (32%) • 5 – 12 57 (45%) Sub Total 98 (77%) 12 – 16 • 16+ Total 26 (20%) 4 (3%) 128 (100%)

Nationality • • • 56 Slovakian children 56 Romanian children 8 Czech children 2 Nationality • • • 56 Slovakian children 56 Romanian children 8 Czech children 2 Latvian children 2 Hungarian children 4 unknown

Households • Slovakian households • Romanian households • Czech households • Others Total households Households • Slovakian households • Romanian households • Czech households • Others Total households 30 Allocated 12 unallocated 22 15 2 3 42

Events `open’ Feb 2013 • 105 events (17% of est. 600 Roma children) • Events `open’ Feb 2013 • 105 events (17% of est. 600 Roma children) • 79% Children in Need (14% of disability) due to poverty/overcrowding/poor presentation/neglect • 9% Sexually problematic behaviour (2% more serious offences) • 6 % Physical abuse • 6% Offences (theft mostly) • 9 LAAC & 3 CP Register & 5 VYP • 4 LAAC cases on S. 70. 5 vol admissions (3 children after mothers convicted for trafficking) • Mostly working with families on voluntary basis – very small number on S. 70

Focus of the Team – alligned in 3 ways • Direct close working relationship Focus of the Team – alligned in 3 ways • Direct close working relationship with the 4 main Primary Schools – Annette St, Cuthberton, St Brides & Holycross • Close allignment with EU Health visiting team & Govanhill Nursery • Holyrood and Shawlands Academy & the EAL service • Whole family/household approach

 • Team running since March 2012 – 7 months. • The team was • Team running since March 2012 – 7 months. • The team was set up in order to take away the overwheming complexity of the work that Gorbals office was struggling with. 2 phases in March and June this year and there are now very small number of cases still with specialist teams – eg PACT, Ch & Disability, Hospital. • The team was also set up to look at news ways of working and we are doing this

Development Work • Whilst the team are working with Roma families they are developing Development Work • Whilst the team are working with Roma families they are developing ways of working that tackle underlying need • The team are expected to make links, forge partnerships, promote & stimulate new initiatives and draw down additional resources • Working with Romania and Slovakia, developing new ways of working & avoiding legal challenges (European Court of Human Rights) that other authorities are now counting the cost of. 1989 UN Convention Rights of Child and European Convention on Human Rights challenges. Council of Europe Parliamentary assembly resolution 12 th Nov 2012 http: //assembly. coe. int/ASP/Doc/Xref. View. PDF. asp? File. ID=19220&Language=EN

Anti Poverty drive • Approx 250 children from Eastern Europe across the 4 Primaries Anti Poverty drive • Approx 250 children from Eastern Europe across the 4 Primaries – Annette St, Cuthbertson, Holycross and St Brides. • Only about 25% of these children are in receipt of free school meals/clothing grants. The Glasgow average is 36%. • Social Work, Health and Education are tackling this problem together

Anti-poverty drive • Jan Sheach’s team releasing three WROs to work on this initiative Anti-poverty drive • Jan Sheach’s team releasing three WROs to work on this initiative 1 day pw. • After discussions with Health Service, they have agreed to `match’ this 1 day pw ( Money Matters 1 year) • The drive will include Roma but is not exclusively targeted at Roma and will ensure that all children in these 4 primary Schools will have an opportunity to maximise their income/claim free school meals

Explicit but not exclusive targeting • The Council of Europe (May 2009) adopted 10 Explicit but not exclusive targeting • The Council of Europe (May 2009) adopted 10 principles for the inclusion of Roma. Principle 2 states that “Explicit but not exclusive targeting of the Roma is essential for inclusion policy initiatives. It implies focusing on Roma people as a target group but not to the exclusion of other people who share similar socio economic circumstances”

Impact? • More Govanhill children entitled to free school meals and clothing grants • Impact? • More Govanhill children entitled to free school meals and clothing grants • Improved nutrition/health • SIMD/Child Poverty indicators for schools positively affected. • Better attendance – children not returning after lunchtime • Better integration

Other initiatives • Roma Childrens Working Group now established. Health, Education & SW – Other initiatives • Roma Childrens Working Group now established. Health, Education & SW – led by SW - Reports to South Locality Planning Meeting. • Joint work with Police at present • Anti-trafficking project with Crossroads & on CP Committee sub group - Trafficking • Specialist programme for sexually problematic behaviour – Shawlands academy & advice on Sexual Health prog. • Barclays Bank – supporting Govanhill & Cuthbertson nursery & other schools/projects in 2013 • Chair of Romanet URBACT group – pursuing Local Action Plan for the city.

EU Projects/Bids • Eurocities: 2 bids submitted for partnerships with Arad, Romania & Mihalovce, EU Projects/Bids • Eurocities: 2 bids submitted for partnerships with Arad, Romania & Mihalovce, Slovakia (p. 32). These partnerships are expected to result in concrete proposals/projects by Sep/Oct 2013. • LLP bid – 28 th Feb 2013. 7 European partners – 300 K over 2 years – 40 K euros for Glasgow. • Romamatrix: EU Funded project to tackle racism and discrimination. 4 Roma mediators to be placed in GCC and other agencies – 160 K Euros over 3 years, led by Migration Yorkshire (p. 30) • Technical Assistance Bid - £ 100 k – to support our approach to ESF/ERDF (p. 31) • Community Renewal bid for Big Lottery funding – past 1 st stage and progressing to 2 nd stage after further work (p. 38)

ROMA -Net • The partners: 10 cities in 7 countries • • Hungary: Nagykallo ROMA -Net • The partners: 10 cities in 7 countries • • Hungary: Nagykallo & Budapest Spain: Almeria & Torrent France|: Bobigny Italy: Bologna & Udine Czech Republic: Karvina Slovakia: Kosice UK: Glasgow • Local Action Plan for each city http: //urbact. eu/en/projects/active-inclusion/roma-net/homepage/

Glasgow Romanet Action Plan • Education: Maria Walker Head of EAL (Education) & Bob Glasgow Romanet Action Plan • Education: Maria Walker Head of EAL (Education) & Bob Marshall (Community Renewal) • Employment: David Zabiega (Govanhill Dev Trust) & Cathy Noble (GRA) • Health & Social Care: Nicola Fullarton (Health Improvement Lead) & Keith Moore-Milne (Social Work) • Housing: Anne Lear, Director, Govanhill Housing Assoc. )

 • With Govanhill Housing Association supporting their lead on La Sistema – http: • With Govanhill Housing Association supporting their lead on La Sistema – http: /makeabignoise. org. uk/ • A 2 & A 8 Nationals Welfare Rights course – 30 local professionals – jointly run with GHA & SW welfare rights • Research. Children on the Margins. Dr Michelle Mc. Lung

 • Integral part of the Govanhill Partnership – headed by Asst Director of • Integral part of the Govanhill Partnership – headed by Asst Director of DRS – Tom Turley. Romanet Action Plan is priority for the partnership • Working on reciprocal working agreements between Mihalovce, Slovakia & Arad, Romania. CFAB is usual source of info, but slow and expensive – kinship placements and adoptions in Romania & Slovakia?

EU Funding • ESF/ERDF funds are used to improve employment opportunities, promote education and EU Funding • ESF/ERDF funds are used to improve employment opportunities, promote education and life-long learning, enhance social inclusion, contribute to combating poverty and develop institutional capacity of public administration. • The next funding round 2014 -2020 has a particular focus on disadvantaged communities, particularly the Roma,

 • Minimum of 20% being spent on social inclusion issues. This is a • Minimum of 20% being spent on social inclusion issues. This is a substantial increase on the 2007 -13 programme. • The Commission proposes a framework budget of EUR 376 bn from 2014 -2020. • 25% of this budget for cohesion policy over the period, to which a minimum of EUR 84 billion will be allocated.

 • Key priority 9: Promoting social inclusion and combating poverty through “Integration of • Key priority 9: Promoting social inclusion and combating poverty through “Integration of marginalised communities such as the Roma” and a particular focus on “migrants. . and minorities (including marginalised communities such as the Roma). Roma inclusion should not focus exclusively on Roma but concentrate on social transformation, looking at how we live together and respecting the human rights of all.

Video Interactive Reflective Practice Fiona Williams Senior Educational Psychologist North East Psychological Service Video Interactive Reflective Practice Fiona Williams Senior Educational Psychologist North East Psychological Service

REFERRALS DC Cheryl Gebbie Saracen Family Protection Unit REFERRALS DC Cheryl Gebbie Saracen Family Protection Unit

Organisational Changes • As of 1 st April 2013 the 8 Police Forces who Organisational Changes • As of 1 st April 2013 the 8 Police Forces who cover Scotland will amalgamate to form one Scottish police force namely Police Scotland • Streamlining will occur within the divisions of each of the forces • The current divisions of Strathclyde Police that cover the city of Glasgow, namely A, B and G will amalgamate to form Greater Glasgow Division • Greater Glasgow Division will cover all the areas currently covered by A, B and G division • Family Protection Units will remain situated at Saracen Police Office and Aikenhead Road Police Office

Greater Glasgow Referral Hub • Comprises- 1 Inspector, 2 Sergeants and 3 Constables • Greater Glasgow Referral Hub • Comprises- 1 Inspector, 2 Sergeants and 3 Constables • Based at Saracen Police Office, 104 Barloch Street, Glasgow G 22 5 BY • Current opening hours are Monday to Friday 0800 hours-1600 hours • Remit- receive, review, allocate and collate child protection referrals received from both Police and Social Work

Contacts- Referral Hub • • • Inspector Audrey Hand Sergeant Mhairi Crawford Sergeant Linda Contacts- Referral Hub • • • Inspector Audrey Hand Sergeant Mhairi Crawford Sergeant Linda Smith Constables Contact numbers: 0141 532 3914/3933/3942 • Early &Effective Intervention Co-ordinators • Contact numbers: 0141 532 3929/3934

Old Referral Process • Contact local Family Protection Unit and pass referral to on Old Referral Process • Contact local Family Protection Unit and pass referral to on duty Detective Sergeant or Detective Inspector • Referral passed to an Enquiry Officer if required • Updates were provided/obtained to/from Family Protection Unit/ Enquiry Officer • Out of Hours- relevant FPU/Contact Centre

New Process • Contact to be made with the Referral Hub and referral will New Process • Contact to be made with the Referral Hub and referral will be passed to an officer within the Referral Hub • Referral will be dealt with by officer within the Hub or allocated to an Enquiry Officer within the relevant Family Protection Unit • Updates to be provided to/obtained from the Referral Hub • Updates for allocated referrals to be provided to/ obtained from the Enquiry Officer within the Family Protection Unit • Out of Hours- relevant FPU/Contact Centre

Contacts-Family Protection Unit Saracen • Detective Inspector James Mc. Enaney • Sergeants Margaret Mc. Contacts-Family Protection Unit Saracen • Detective Inspector James Mc. Enaney • Sergeants Margaret Mc. Kay & Linda Allan • Detective Constables • Contact numbers- 0141 532 3936/3967/3965/3913/3912 • Clerk- Margaret Clark 0141 532 3966

Contacts-Family Protection Unit Aikenhead Road • Detective Inspector Fergus Hutchison • Detective Sergeants Paul Contacts-Family Protection Unit Aikenhead Road • Detective Inspector Fergus Hutchison • Detective Sergeants Paul Carruthers & Wilson Davidson • Detective Constables • Contact numbers- 0141 532 4914/4915 • Clerk-Megan Sangster 0141 532 5017

Emergency Checks • Initial phone call to relevant Family Protection Unit to ensure personnel Emergency Checks • Initial phone call to relevant Family Protection Unit to ensure personnel on duty that can carry out ALL required checks • Only carried out for EMERGENCY PLACEMENTS • FULL details of all parties to be checked sent by email or fax • Saracen- Bdiv. [email protected] pnn. police. uk • Fax 0141 532 3938 • Aikenhead Road- Gdiv. [email protected] pnn. police. uk • Fax 0141 532 4960

Child Protection Meetings • Invitations to be sent to relevant Family Protection Unit’s email Child Protection Meetings • Invitations to be sent to relevant Family Protection Unit’s email address • Invitation MUST state Nature of Concern • Invitation MUST have full details of all persons to be checked. • If details are not available state ‘NOT AVAILABLE’ • If meeting cancelled please call to advise

Questions? Questions?

Family Nurse Partnership Mhairi Cavanagh Supervisor Family Nurse Partnership Family Nurse Partnership Mhairi Cavanagh Supervisor Family Nurse Partnership

Family Nurse Partnership Glasgow City, East and West Dunbartonshire March 2013 Family Nurse Partnership Glasgow City, East and West Dunbartonshire March 2013

Background • The Scottish Government has committed to roll out Family Nurse Partnership across Background • The Scottish Government has committed to roll out Family Nurse Partnership across all areas in Scotland • NHSGGC was invited to be part of the early stages of the role out • Glasgow City, East and West Dunbartonshire will implement FNP as part of the first phase

What is FNP • FNP is a preventative programme based on models of attachment, What is FNP • FNP is a preventative programme based on models of attachment, human ecology and self efficacy • The aim is to recruit young mothers, establish a therapeutic relationship and provide intensive home visiting • FNP is delivered under license

What is FNP? • Research shows that FNP is a costeffective way to prevent What is FNP? • Research shows that FNP is a costeffective way to prevent neglect and to promote family well-being • FNP has been shown to prevent neglect and improve maternal and child health • FNP is and intensive programme that improves the life chances of teenage mothers and their children

Goals of FNP 1. Better pregnancy outcomes 2. Improved child health, development, school readiness Goals of FNP 1. Better pregnancy outcomes 2. Improved child health, development, school readiness and achievement 3. Improved economic self-sufficiency of parents

Evidence • 3 large scale RCT’s in the USA • Recent review in The Evidence • 3 large scale RCT’s in the USA • Recent review in The Lancet † : One of only two programmes shown to prevent child maltreatment • English RCT: largest ever RCT funded by Do. H began in 2007. First results due in 2013. • Scottish Evaluation began in 2010: transferability of model †Mac. Millan, H. L. , Wathen, C. N. , Barlow, J. , Fergusson, D. , Leventhal, J. M. and Taussig, N. (2009). Interventions to prevent child maltreatment and associated impairment. Lancet 373: 250 -266

Key messages from FNP research • • • ↑ antenatal health and behaviours ↓ Key messages from FNP research • • • ↑ antenatal health and behaviours ↓ children’s injuries, child abuse, neglect ↑ interval between births ↓ dependency on welfare ↑ maternal employment ↑ cognitive development, school readiness, academic achievement • ↓ involvement of child (and mother) in crime and antisocial behaviour

What are we trying to achieve? • To reproduce the research conditions that achieved What are we trying to achieve? • To reproduce the research conditions that achieved the positive outcomes • Replication of content and competence • Quality and consistency • New developments fully tested first • Respecting the evidence and trusting the programme • Sharing the learning incrementally • New learning for organisations ; wider system change

Teenage Pregnancy rates The numbers of live births recorded for mothers under 19 years Teenage Pregnancy rates The numbers of live births recorded for mothers under 19 years within 2011/2012 were: • Glasgow City – 453 • East Dunbartonshire – 28 • West Dunbartonshire - 82

Allocation of Clients • Pro – rata for each area based on average birth Allocation of Clients • Pro – rata for each area based on average birth rate in the eligible client group over last 3 years • Total clients to be recruited 205 in this phase Average Allocation Rate NE S NW WD ED 167 159 119 69 28 63 60 45 26 11

Eligibility Criteria • 19 and under at last menstrual period • Under 28 weeks Eligibility Criteria • 19 and under at last menstrual period • Under 28 weeks pregnant • First live birth and plans to continue with pregnancy • Lives within Glasgow City, East Dunbartonshire and West Dunbartonshire and no definite plans to move from area

Client Recruitment • Maternity antenatal clinics - majority • Health Visitors • GPs • Client Recruitment • Maternity antenatal clinics - majority • Health Visitors • GPs • Education • Social Work • Others - including addictions and mental health

FNP Team • 1 Supervisor – Af. C Band 8 a • 8 Nurses FNP Team • 1 Supervisor – Af. C Band 8 a • 8 Nurses – Af. C Band 7 • 1 Data Manager /Administrator – Af. C Band 4 • Psychologist – 2 sessions per month • Child Protection input • National Training Programme • Team Base – Easterhouse Health Centre

Training • • 30 -40 mandatory days in first 18 months Supervisors trained in Training • • 30 -40 mandatory days in first 18 months Supervisors trained in advance of teams Masters level accreditation (optional) Scottish training in development

The Programme • A structured, intensive home visiting programme delivered by Family Nurses and The Programme • A structured, intensive home visiting programme delivered by Family Nurses and FNP Supervisors • A preventive programme, with a psychoeducational approach, focussing on adaptive change • Benefits children and families who have the poorest outcomes i. e. mothers with low psychological resources (low educational achievement, limited family support and poor mental health) • High degree of intensity and depth and skill

Made up of… • The client & their intrinsic motivation – plus the father/ Made up of… • The client & their intrinsic motivation – plus the father/ partner/ mother/ family • The nurse - qualities, understanding and skilfulness (supported by supervision) • The relationship – respectful, committed - the vehicle for change • The approach/ method/ spirit – strength based, change focussed, MI infused • The content – visit by visit guidelines with facilitators and educational materials • The tools – PIPE, DANCE • The context – team, organisation, system

In Six Domains • Personal health – health practices and mental health • Environmental In Six Domains • Personal health – health practices and mental health • Environmental health – home and neighbourhood • Life course development – future goals , education and employment • Maternal role – skills and knowledge to promote health and development of their child • Family and friends – helping to deal with relationship issues and enhance social support • Health and human services – linking to other services

Current position • On the 22 nd Febuary we have recruited 41 clients with Current position • On the 22 nd Febuary we have recruited 41 clients with space for 164 • If clients fit criteria they are eligible and can be notified to FNP – happy to discuss anyone if unsure • Contact with team on 0141 531 8115 or through familynursep[email protected] scot. nhs. uk

 • Any questions? • Any questions?

Significant Case Review Baby “A” Liz Owens, CP Team Colin Anderson, CPC Karen Donahue, Significant Case Review Baby “A” Liz Owens, CP Team Colin Anderson, CPC Karen Donahue, SM

Significant Case Review Presentation Child A March 2013 Significant Case Review Presentation Child A March 2013

Introduction by Independent Chair of Significant Case Review for Glasgow Child Protection Committee • Introduction by Independent Chair of Significant Case Review for Glasgow Child Protection Committee • • • Role of the Independent Chair Purpose of Significant Case Reviews National Picture Glasgow Picture Process of review of child A

 SCR – Child A • • Circumstances leading to review Family Composition Mother SCR – Child A • • Circumstances leading to review Family Composition Mother Father Step-Siblings B - Subject () M - Subject () Maternal Grandmother

 SCR Remit • • Decision Making at Key CP Meetings CP Processes Historical SCR Remit • • Decision Making at Key CP Meetings CP Processes Historical Involvement Assessment & Decision Making: Siblings and Contact Domestic Violence Mental Health

 SCR Remit • Agency response(s) to concerns that A’s father was having contact SCR Remit • Agency response(s) to concerns that A’s father was having contact • Interface between Children and Families and Addiction Services • Interface with External Agencies : Joint Working

 Timeline of Agency Involvement • • Historical Involvement Pre-Birth Post- Birth Period of Timeline of Agency Involvement • • Historical Involvement Pre-Birth Post- Birth Period of Registration

 Inter-Agency Issues • • Police Health SCRA Cordia Womans Aid Addiction Quarriers Core Inter-Agency Issues • • Police Health SCRA Cordia Womans Aid Addiction Quarriers Core Group Processes • Invites & Attendance at CP Meetings • Assessments/IAF • Use of Resources • Risk Assessment Tools & Processes • Outcome Focussed Action Plans • Working with Resistance & Disguised Compliance

Single Agency Issues • • • Decision Making- Pre Birth Conference Chairs of CP Single Agency Issues • • • Decision Making- Pre Birth Conference Chairs of CP Meetings Assessment of A’s Father Governance/CP Processes Supervision Professional Confidence

 SCR Action Plan • Risk Assessment • Glasgow GIRFEC Practice Model & Childs SCR Action Plan • Risk Assessment • Glasgow GIRFEC Practice Model & Childs Plan • Self –Evaluation – Practice Audit - Supervision Policy • Review of PACT- Pre-Birth Protocol • Assessment Tools: GCP & Glasgow Alert Training to be run in locality areas • Review of IPSU assessment – linked to Addiction Review

 SCR Action Plan • Need to ensure adult male carers are considered within SCR Action Plan • Need to ensure adult male carers are considered within assessment of need and risk to a child • Need to consider the development of a parenting assessment approach that assesses capacity and is used across agencies • Need to re-assert the role of SM’s in child protection decision making • Referral to SCRA when a child is placed on the register

Reflection on being involved in the Significant Case Review • The impact of working Reflection on being involved in the Significant Case Review • The impact of working with chaotic and hostile families • Assessment re Parents capacity to change • Effectiveness of Core Group Practice • Absent or “Invisible” Fathers

Group Discussion • Share your reflection on the SCR • How will you/ your Group Discussion • Share your reflection on the SCR • How will you/ your agency contribute to driving improvements in practice • Consider how learning from this and other SCR’s could/should be cascaded

Review of Action Plan Key Objectives Tim Ball, ASM Maura Harrigan, ASM North East Review of Action Plan Key Objectives Tim Ball, ASM Maura Harrigan, ASM North East Social Work Services

THANK YOU FOR ATTENDING OUR CHILD PROTECTION LOCAL MANAGEMENT REVIEW Children and Families Team THANK YOU FOR ATTENDING OUR CHILD PROTECTION LOCAL MANAGEMENT REVIEW Children and Families Team North East Social Work Services