Health Engagement in MASH Development

Mary MullixMASH Project Lead

NHS London

Drivers and Evidence

Children’s Rights

UN Convention on the Rights of the Child 1989

Children Act 1989/2004

Duty to cooperate

Messages from Research

Prevention still not happening

MASHMessages from Serious Case Reviews

Poor communication and information sharing

Silo working evident

Poor assessment and risk assessment

Munro Review of Child Protection

NHS reforms 2010

Put patients (people) at the heart of all we do Improvement & better outcomes Empowered liberated clinicians New commissioning strategies Public Health in Local Authorities -

Children’s public health 0-5 - Health Visitors to LA 2015Children’s public health 5-19 – School Nurses to LA 2013

Health and Wellbeing Boards Established (local needs assessment)

Health Visitor and Family Nurse Partnership numbers increased

Safeguarding Structures in Health

NHS reforms – safeguarding structuresSafeguarding statutory responsibilities sit in all the new structures – NHS CB, CCG’s and Providers

NHS CBNationally sits in NHS NCB Chief Nurse DirectorateDirect commissioning

● Primary care● Specialist commissioning● Military health● Offender health● PH Screening

Assurance, clinical leadership and oversee role of CCG

Clinical Commissioning GroupsSafeguarding children is part of CCG authorisationDesignated Nurses sit in CCGs as clinical lead (Doctors by Service Level Agreements)

CQC registration & regulation● Registration Standard 7 & Joint inspections of child’s journey

Implementation processes Commissioning - against new NHS values

Joint Strategic Needs Assessment - Health and Wellbeing Board Local Safeguarding Children Board Support Commissioning Intentions - safeguarding elements of NCB, CCG & PH

Leadership and influence – the right people in the right place Expertise of Designated Professionals – for clinical & commissioning issues,

performance & assurance Multi-agency MASH implementation Groups – Designated Professionals are key

Tools & techniques to assist implementation – taking people with you MASH NHS implementation work plan – identifying stages risks and issues MASH information and slide pack Standard example MASH professional JD Involve IT / IG leads in planning Seminars to – Provider exec leads, CCGs, Caldicott Guardians, front line

practitioners

Information Sharing Very real problem for some clinicians

Is seen as problematic (GMC guidance)

Meet current requirements for early help, innovation and integration

MASH process is secure, incoming and outgoing

Information ‘agreement’ is important also processing agreement is required

IT compatibility is a challenge

Moves towards using NHS number as unique identifier

Making MASH fit for London

Florence OgunyankinMASH and London Probation Trust (LPT)

LPT

National Offender Management Service

Ministry of Justice

Our Mission –Changing lives for a safer London

We ---- Manage approximately 70,000 offenders a year Work with Courts Community Sentences Community Payback Work with Prisons Support Victims Approved Premises Work with partners from public, private and voluntary

sectors

Our Vision, Mission and Values

Vision

We will inspire public confidence in probation by reducing reoffending in London.Our staff will be proud to work for London Probation Trust and London will be a safer place because of the work we do.

Mission - Changing lives for a safer London

London Probation Trust works with offenders to help them lead responsible and law abiding lives.  Our over-riding aim is to reduce reoffending and protect the public.  

We achieve this by:    Assessing offenders and making skilled judgements about how to reduce the risk they pose.   Influencing positive changes in offenders’ behaviour.   Working with other agencies to protect the public.   Liaising with victims.

Values

London Probation Trust has five core values which are at the heart of our responsibility to create a safer London

Engaging with Communities – working together to improve public safety. Listening– seeking and responding to public and user feedback makes our work more effective. People– our staff are our greatest resource in our drive to achieve excellence. Change– we believe in the capacity of offenders to change Diversity– recognising and celebrating the richness of difference

Local Authorities , LSCB – Local Safeguarding Children Boards, Social Services / Children Social Care and Adult Services: Social workers, key workers

Prisons The Police Service Youth Offending Services (YOS) National Health Service- GP’s, Hospitals, Mental Health Services CPS Children and Young People Services The Learning Trust Cross Sector Providers

From 1 April 2010 Community Safety Partnerships (CSPs) have had a duty to formulate and implement a strategy to reduce reoffending by adults and young offenders and Probation has become the sixth statutory partner of CSPs.

Partnerships give consideration to the following three key areas of activity: Strategic planning Operational activity Case management and intervention

Established pathways out of offending provide a useful framework for considering needs and service provision The pathways approach involves looking at offender need against the key areas of:

Mental and Physical Health (including Learning Disabilities) Drugs and Alcohol Education, Training and Employment Accommodation/Housing Children and Families Finance, Benefits and Debt Attitudes, Thinking and Behaviour Tool Kits - Offender Assessment System (OASys), Risk Matrix, SARA

Risk of harm and risk of re-offending Multi-agency offender- focussed programmes : Prolific and Priority Offenders (PPO) Diamond Project Integrated Offender Management (IOM) Drug Intervention Programme (DIP) Multi-Agency Risk Assessment Conference( MARAC) Multi-Agency Public Protection Arrangements ( MAPPA) Multi-Agency Lifer Risk Assessment Planning (MALRAP) and

MARAP Multi-Agency Safeguarding Hubs (MASH)

Safeguarding Children – Shared Responsibility

Statutory organisations that work with children have a duty under Section 11 of the Children Act 2004 to ensure their functions are discharged with regard to the need to safeguard and promote the welfare of children.

Safeguarding children: a shared responsibility will enable those whose work brings them into contact with children and families to: understand what to do when they have a concern about a child’s

welfare know how to work as part of a multi-agency or multi-disciplinary

team be clear about roles and responsibilities understand statutory requirements and how to apply them.

Strategic Planning Objective in LPT’s Business Plan

2012/13 – includes Safeguard children and vulnerable

adults

HOW ? Deliver world-class Multi Agency Public Protection Arrangements In collaboration with partners provide leadership in the

implementation of Multi-Agency Safeguarding Hub (MASH) arrangements

LDU ACOs will review local Safeguarding arrangements in line with LPT Policy (for children and vulnerable adults) and make improvements to reflect changing needs

OVERALL OUTCOMES ? 5% reduction in harm 5% increase in successful completion of community sentences 3% increase in successful completion of Licences Achieve standards as defined by Ofsted inspections Develop an approach to delivering services for

Safeguarding Children and (Vulnerable) Adults Improve Stakeholder engagement and effective

collaboration with relevant Partners

Our Commitment

Service Provision Staff training and professional development Increased profile Take learning forward from Serious Further Offences

and Serious Case Reviews Integrated approach with relevant Partners

Jeanne KingMember, London MASH Operational Delivery

Group

MASH is a means to an end…not the end itself

Making MASH fit for….