Kenny GibsonHead of Safeguarding

NHS England

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Kenny GibsonHead of Safeguarding for NHS England

29th January 2019

#NHSSafeguarding ~Preventing Child Sexual Exploitation, Protecting Vulnerable Children & Supporting Victims:Reforms to Reality across our NHS

@KennyGibsonNHS @NHSSafeguarding

Designated Professionals & Named Practitioners

National & Regional Safeguarding Teams

National Safeguarding Steering Group

Working groups National Networks Task & Finish Groups

NHS Safeguarding overview

• Mental Capacity Act

• Child Sexual Exploitation

• Looked After Children

• Prevent

• Domestic Violence Bill

• Child and Social Work Act

• Female Genital Mutilation

• Adult Safeguarding

• Safeguarding Children

• Prevent

• Modern Slavery

• Independent Inquiry into Child

Sexual Abuse (IICSA)

• Child Protection – Information

Sharing (CP-IS)

• Prevent

We need your voice

Safeguarding legal context

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• Wood Report Feb 2014, 2018• Child & Social Work Act 2017• Working Together to Safeguarding

Children August 2018• Mental Capacity Act 2005, 2007• Human Rights Act 2005 – Fairness, Respect; Equality;

Dignity; Autonomy; Staff Rights & Empowerment; Right to Life;

Safeguarding requires resilience

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Child Protection Information Systemas at 30/11/2018

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• 153,849 children protected by CP-IS

• 118 (78%) local authorities live

• 794 (73%) unscheduled healthcare settings live

• 90,551 alerts since April 2015

Contextual Safeguarding

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• The Voice of Victims & Survivors• Adverse Childhood Experiences• Think Family• Independent Inquiry on Child Sexual Abuse (The Truth Project)• Child Sexual Exploitation including Abuse• Sexual Assault and Abuse Service Strategy• Safeguarding within Health in the Justice System • Trauma Informed Care• County Lines & Gangs• Exploitation - sexual; financial, scams, coercion, • Armed Forces Safeguarding • Modern Slavery & Trafficking• FGM• Sports Abuse• DarkWeb

Trauma Informed Care

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Think Family –The Crossing Bridges Family Model (Falkov 1998)

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For children, all protective strategies

operate through one or more of the

following processes:

• by altering the child's perceptions of,

or exposure to, risk of harm

• by reducing the cumulative effect of

risk factors compounding each other

• by helping the child improve her/his

self-esteem and self-efficacy

• by creating opportunities for change

• seasonal safeguarding

• Avoid pinches becoming punches

Adverse Childhood Experiences

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2019 Priorities – Reforms to Reality• Working Together Reforms – values, principles, behaviours

• Domestic Abuse Bill – single incident; coercion and IDVAs

• Mental Capacity Act (Amendment) – every decision;

• Prevent & Contest 3 – noting www radicalisation

• Child Protection – Information System Phase 2

• County Lines & Gangs

• Untimely Death Reviews – local reviews to national lessons

• Safeguarding conversations about families & communities

• Devolved shared leadership

Working Together Early Adopters

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Northumberland/GatesheadNewcastle on Tyne/North Tyneside/South Tyneside/Sunderland

Tameside

Calderdale

North LincolnshireYork

HertfordshireBrent/Ealing/Hammersmith and

Fulham/Harrow/

Hillingdon/Hounslow/

Kensington and Chelsea/ Westminster

Reading/

West Berkshire/

Wokingham

Devon/Plymouth/ Torbay

Wiltshire

Dudley/Sandwell/Walsall Wolverhampton

BirminghamStoke on Trent/Staffordshire

Solihull

Trafford

Salford

Safeguarding at population level

Supporting safeguarders keep updated

NHS Safeguarding app*

Downloaded over 150,000 times

Reach 886,000 (02/01/2019)

Average daily use: 350 times

*Available on Apple and Android devices

#NHSSafeguarding ~ a 2020 vision Population Health Models ~ Adverse Childhood Experiences; Wider Determinants of Health & Well-Being; Trauma Informed Care; Think Families;

System leaders will need population based intelligence an collaborative governance so SAAFv2 + PHE FingerTips from April 2019 + Community Safety MDS from December 2019.

DHR, SCRs, SARs, MHDRs, LeDeRs - reviewed locally, scrutinised regionally and lessons learnt nationally.

Intercollegiate Adult & CYP Documents

• Adult Safeguarding Standards

• Child & Young Person Safeguarding Standards

3rd Edition March 2014

What can you do?

• Be curious

• Ask the question

• Find pragmatic solutions to allow people to

tell you abuse is happening– ie Red Dot on

specimens

Find out more

Visit:

www.england.nhs.uk/ourwork/safeguarding

Follow #NHSSafeguarding @NHSSafeguarding