Bulletin 13 – 1st February 2019

Welcome to the February 2019 edition of the Manchester Safeguarding Boards e-bulletin

Our bulletin includes news, events, training opportunities and links to information and resources which we hope will be of use to the multi-agency safeguarding workforce and the wider community across Manchester.

This is a packed edition (following our unexpected hiatus over the last four months) and includes:

  • a welcome from our Independent Chair
  • Time to Talk Day is on Thursday 7th February
  • Inter-professional communication and its impact upon decision making
  • New strengths-based approaches films
  • ‘Together, we can tackle child abuse’ campaign
  • We need to talk about suicide – e-learning programme
  • Take Action Today, Put Them Away campaign
  • Findings from multi-agency audit: Pre-Birth assessments.

A welcome from our Independent Chair

Over the last twelve months both the MSCB and the MSAB have met regularly and I hope you have seen the updates from the meetings in this bulletin.

The Boards bring together a number of agencies across the city to ensure that there is a joined-up approach to safeguarding and to reiterate that safeguarding is everyone’s business. The Boards are supported by a number of subgroups some of which are shared across the two boards and I am grateful to all those who chair and sit on these groups. They are vital in ensuring that the Boards’ activities and priorities are progressed.

Both Boards have been working on four priorities for the last two years – Engagement and Communication, Complex Safeguarding, Neglect and Transitions. We have been leading on the roll-out of the assessment tool for identifying and responding to Child Neglect however, there is still much to do in this area and some communication tools to raise awareness will be available in the New Year. We will also be launching a Self-neglect and Hoarding Strategy and tool kit for staff working with adults. We published a joint Boards Modern Slavery and Human Trafficking Strategy in May 2018 and supported the Trapped campaign.

The Boards are revisited their priorities at a joint event in January 2019 and are looking to use performance information, findings from Serious Case Reviews and Safeguarding Adults Reviews and the outcome of consultation with service users to inform their priorities moving forward.

We have continued to provide a strong training offer and last year held two very successful conferences on ‘Professional curiosity as part of Making Safeguarding Personal’; and ‘Protecting vulnerable babies and reducing child deaths’. We are planning to hold a ‘Complex Safeguarding’ conference in early 2019, so look out for details on our website.

The number of Serious Case Reviews carried out by the MSCB presents a challenge both in terms of the resources required to complete these very complex pieces of work; and of ensuring the learning across such a large number of agencies is shared and embedded so that changes in practice are made and sustained. Recent MSCB Serious Case Reviews and the learning from them can be found on our SCR resource.

A further system wide challenge is the number of children, young people and families who are in need of support and contact from a range of services. A piece of work is planned which will focus the provision of timely interventions to support the development of sustainable intensive casework services that are focused on the most vulnerable children and families, and reducing the number of looked after children. This will also be complimented by a move to greater locality working.

The MSAB is seeing more Safeguarding Adults Reviews in relation to self-neglect and more recently we have received referrals concerning the death or serious harm of adults who have been rough sleeping or homeless. We are about to undertake a thematic review which will look at range of issues and what learning can be shared. Recent MSAB Safeguarding Adults Reviews and the learning from them can be found on our SAR resource.

At a time of changes within the structure and delivery of health and care, and the formation of the Manchester Foundation Trust and Manchester Local Care Organisation, it is vital we ensure that safeguarding remains a high priority. This is facilitated by both Boards receiving regular updates on the new arrangements.

An area for consideration is the changes being made to move from Local Safeguarding Children Boards to Safeguarding Partnerships. Working Together 2018 is very clear that a child-centred approach is fundamental to safeguarding and promoting the welfare of every child; and it seeks to emphasise that effective safeguarding is achieved by every individual and agency playing their full part. Whilst these multi-agency safeguarding arrangements do not have to be established until September 2019 at the latest, joint planning has started to ensure that there is a smooth transition and that the close working between the current safeguarding partnerships continues. More details will be available in due course.

There is always much to do in the world of safeguarding and the complexity of the issues being faced by children, young people and their families as well as those adults in need of care and support and their families must not be underestimated. Working together and empowering individuals and families is key to making sustainable changes.

I would like to take this opportunity to thank you for your continued commitment to this area of work, which whilst difficult and challenging can be enormously rewarding.

Julia Stephens-Row
Independent Chair Manchester Safeguarding Boards

MSB resource – Independent Chair 

Time to Talk Day is on Thursday 7th February

Time to Talk Day is fast approaching. It’s a chance for all of us to be more open about mental health – to talk, to listen, to change lives.

Having conversations about mental health can break down barriers – however you do it. If you’re not sure how to get started a few easy suggestions are: chat to a friend over a cuppa, organise a coffee morning at work or use conversation cards to get people talking over dinner.

For more ideas on how to get conversations going, resources you can download and how talking about mental health makes a difference visit the website www.time-to-change.org.uk/get-involved

Resources to download include themed conversation packs, which are filled with tips to get people talking. These workplace resources are available at ww.time-to-change.org.uk/get-involved/get-your-workplace-involved

MSB resource mental health

Inter-professional communication and its impact upon decision making – learning from SCRs

The NSPCC looked at 38 SCRs, published between May 2014 and April 2015, and identified 44 different practice issues relating to how professionals in different agencies communicate and make decisions.

They have produced a mapping document giving an overview of the practice issues to support managers, senior managers and practitioners. This document illustrates the child’s journey from universal services through early help assessments, referrals, strategy meetings, assessments, Child in Need meetings, child protection conferences and ongoing case work.

The NSPCC have also produced 14 briefings (as downloadable PDFs) that provide a more detailed understanding of practice issues highlighted by the SCR reports and can help support change and improvement work at national and local levels. The topics covered are:

  1. Disagreement about use of early help assessment
  2. Confusion about ‘referrals’ and ‘contacts’ in children’s social care
  3. Not making a referral after bruising to non-mobile babies
  4. Not making a referral when young people disclose concerning sexual activity
  5. Unresolved disagreement about the need for children’s social care involvement
  6. Not convening strategy discussions
  7. Confusion about interpretation of medical information on cause of injury
  8. Incomplete information-sharing by schools in child protection conferences
  9. Misinterpretation of police decisions not to pursue a prosecution
  10. Unequal weight given to views of different agencies in child protection conferences
  11. Unfocused discussion in child protection conferences
  12. Reluctance to share all information in presence of families at child protection conferences
  13. Euphemistic language in reports and written records
  14. Lack of communication between children’s and adults’ social care.

The report and briefings are available from the NSPCC Learning website at
learning.nspcc.org.uk/inter-professional-communication-decision-making/

MSB related resourceprofessional curiosity & challenge for practitioners

New strengths-based approaches films

SCIE have released two new films on strengths-based approaches (SBAs) to social care – when strengths and talents are identified so that things that are important to people are taken into account.

The first film is an introduction to SBAs and the other shows people living together in a Shared Lives scheme in Sheffield. Find them at www.scie.org.uk/what-is-sba

MSB resource Signs of Safety 

‘Together, we can tackle child abuse’ campaign

The next phase of the ‘Together, we can tackle child abuse‘ campaign to encourage people to report suspicions of child abuse and neglect was launched in November.

You can find advice on how to spot the signs of a child who may be suffering from abuse or neglect on the campaign website at www.dfechildprotection-munroforster.com/spotting

MSB resource – ‘Together, we can tackle child abuse’ campaign

We need to talk about suicide: helping everyone to feel more confident to talk about suicide

‘We need to talk about suicide: helping everyone to feel more confident to talk about suicide’ is an e-learning programme that has been developed for the wider public health workforce including voluntary sector, blue light services, prison staff and prison listeners’ health and social care. It was developed by a range of experts including experts by experience i.e. those people who have attempted to take their own lives and those bereaved and affected by suicide.

Two-thirds of people who take their own lives are not known to mental health services. Almost everyone thinking about suicide doesn’t want to stop living they just want to stop the pain and distress they are feeling. Talking about suicide does not make someone more likely to take their own lives. Another person showing compassion and care can only make things better not worse.

This programme takes approximately 60-90 minutes to complete and can be used:

  • as an introduction to suicide awareness and suicide prevention skills
  • to consolidate existing skills on suicide prevention
  • as part of an organisation’s induction process, reflecting a commitment to reducing death by suicide
  • for personal and professional development.

The proposed target audience includes:

  • non-mental health practitioners
  • anyone working with the public across a wide range of settings
  • anyone in a volunteering role with contact with the public
  • administrative & support staff in health & care across a range of settings
  • administrative & support staff in other public sector settings such as local authorities and the voluntary sector
  • public health/health promotion staff across all sectors including local authorities, NHS and primary care.

The learning is specifically aimed at making sure that everyone in contact with the public, in whatever role, knows how to spot any signs of mental distress and feel comfortable in talking about suicide.

Talking about suicide can be used as a normal part of all our interactions at home, in the workplace and in the wider community.

Find the course on the NHS website at www.nwyhelearning.nhs.uk/elearning/HEE/SuicidePrevention/

MSB resourcesuicide & self-harm 

Take Action Today, Put Them Away campaign

‘Take Action Today, Put Them Away’ is a campaign that aims to raise awareness of how to prevent household poisoning among children under five years old. This programme is now being rolled out across the North West.

The programme will be launched in January 2019 and will roll out over the North West during the year. The aim of the campaign is to reach as many families with under-fives as possible with a magnetic pad that they can place on their fridge with the key messages of how to prevent accidental poisoning among their children. It serves as a great reminder on a day-to-day basis but also provides a handy way of engaging families in conversation about preventing household poisoning.

The impact of the programme will be measured through a mix of feedback from families on how the programme has increased their awareness and changed how they store household products, along with data on hospital admissions and (where available) attendances.

Other tools include briefing packs for those who work with families, fact-sheets and checklists. You can find out more about the programme on the RoSPA website at www.rospa.com/home-safety/advice/household-cleaning-products/

MSB resource – child safety & accident prevention

Findings from multi-agency audit: Pre-Birth assessments

Research and findings from many Serious Case Reviews have shown that children are most at risk of fatal and severe assaults in the first 12 months of their life. Therefore the pre-birth assessment is a vital part of the child protection process, and could save a child’s life.

A recent multi-agency audit which looked at Pre-Birth Assessments highlighted that a pre-birth assessment should:

  • be comprehensive and fully informed
  • take into account historical information
  • fully explore all the risks to the child
  • be backed up by evidence from partner agencies and extended family members.

Please take the time to refresh your knowledge of the Greater Manchester Pre-Birth Assessment Procedures at greatermanchesterscb.proceduresonline.com/chapters/p_pre_birth_assess

Partners need to be pro-active in seeking the outcome of any referrals or information they have shared to contribute to a pre-birth assessment.

If you wish to see a copy of the pre-birth assessment multi-agency audit report please contact Jane Maguire, MSB Policy & Performance Officer at j.maguire@manchester.gov.uk

MSB resourceUnborn babies & vulnerable pregnant women

Current consultations and inquiries

Consultation: children with disabilities and severe complex needs
NICE is consulting on a draft guideline for social workers, health professionals, practitioners and others working with children and young people who are disabled or have severe complex needs. This will also be used to develop the NICE quality standard for children and young people with disabilities and complex needs.

Consultation: a national patient safety strategy for the NHS
NHS Improvement are seeking views on proposals for a national patient safety strategy for the NHS. The strategy is being developed alongside the NHS Long Term Plan and will be relevant to all parts of the NHS, be that physical or mental health care, in or out of hospital and primary care.

Consultation: Looked after children and young people
NICE is consulting on the draft scope guideline on looked-after children and young people. The guideline will update and replace the current NICE guideline, and will also be used to update the NICE quality standard for looked-after children and young people.

Consultation: national strategy to reduce gambling harms
The Gambling Commission is seeking views on a new national strategy to reduce ‘gambling harms’, which the Commission defines as ‘the adverse impacts from gambling on the health and wellbeing of individuals, families, communities and society’.

Action is proposed in five priority areas: research; prevention; treatment; evaluation; and ensuring gambling businesses adopt best practice to reduce the risk of harm. Protecting children and young people will be a ‘theme of implementation’ across the strategy, with children’s needs reflected in the work for each priority area.

Consultation: school security policies
The government has published a consultation document to help schools develop their security policies. The DfE have also reminded schools of other related guidance documents, including Health and Safety, both in school and on school trips.

Two annexes to the guidance includes useful links and potential threats to consider, including cyber-security. The guidance references Nottinghamshire County Council’s ‘School Emergencies’ collection of documents which a great starting point for developing policies and procedures. You can download the toolkit at www.nottinghamshire.gov.uk/planning-and-environment/emergencies-and-disruption/school-emergencies

Consultation: children and young people’s mental health
NICE is consulting on a draft guideline on identifying and managing depression in children and young people aged between 5 and 18 years. Recommendations include: offering digital cognitive behavioural therapy (digital CBT), group therapy or mindfulness as a first-line treatment for children and young people with mild depression.

Consultation: safeguarding code of practice for out-of-school settings
The Department for Education is consulting on the development of a draft voluntary safeguarding code of practice for out-of-school settings (OOSS), as well as guidance for parents on key questions they may wish to consider when choosing an out-of-school setting for their child. Responses are being sought on proposals relating to: health and safety; online and digital safety; suitability of staff and volunteers; governance; finance.

The DfE identify the following as a non-exhaustive list out-of-school settings:

  • tuition or learning centres (which may be used to support mainstream, or home education)
  • extracurricular clubs or settings
  • uniformed youth organisations, e.g. the Scouts and Guides
  • open access youth providers
  • supplementary schools (sometimes called complementary schools) which operate after school hours or during the weekend
  • private language schools, including those for children coming from abroad
  • religious settings which offer education in their own faith.

There is a separate document for parents and carers, which sets out draft safeguarding questions, including a list of ‘red flags’ that they should watch out for.

Consultation: Manchester VCS Infrastructure Service
The VCS Infrastructure Service has been working with representatives from a number of different voluntary and community organisations across the city to discuss what support and opportunities are most important to them. To find out more visit www.manchestercommunitycentral.org/infrastructure-co-design-session-information

This work is being used to develop the service that will work with voluntary and community groups, and includes support around running a voluntary and community sector organisation, how organisations can influence the way things are run and funding; as well as opportunities to get involved in partnership work and volunteering opportunities for residents.

The co-design group have now made their recommendations and would like to hear views on these before anything is finalised. The group will consider the feedback responses prior to the finalisation of the new service specification and procurement process that will be delivered later this year.

Consultation: disabled people’s experiences of health screening
Breakthrough UK is working with Manchester Health and Care Commissioning to understand disabled people’s experiences of accessing NHS Health Screening Programmes. Sharing your experiences will assist commissioners to make screening as accessible as possible to local disabled people.

Call for evidence: revising the Mental Capacity Act 2005 Code of Practice
The call for evidence will aim to seek views and contributions from a range of stakeholders, to develop a robust evidence base which will inform revisions made to the Mental Capacity Act Code of Practice.

Consultation: changes to the education inspection framework
Ofsted is consulting on proposals about how schools, early year’s settings and further education and skills providers in England are inspected, to take effect from September 2019.

Ofsted has also published the research evidence underpinning the education inspection framework. This includes summaries of research on creating a positive culture; bullying and discrimination; self-belief, resilience and character; and physical and mental health.

Information sharing from MSB Partners

Adults safeguarding broadcast – January 2019
It has come to the attention of the Adults Multi-Agency Safeguarding Hub that known criminals (part of a gang) in the Longsight area of Central Manchester are targeting vulnerable people and taking over their homes and benefits, also known as cuckooing.

There has been two such reported cases which Greater Manchester Police are looking at as crimes. The latest victim’s property has been secured and GMP are concerned that the gang is likely to move on to another property in the Longsight area.

  • If you come across any similar situation, please contact the Central Public Protection Investigation Unit on 0161 856 4444

MSB resources – cuckooing and criminal exploitation

Housing and homelessness advice
Manchester City Council and partners have produced some excellent booklets that give a step-by-step guide through housing options and provide information and advice to support individuals and families to stay in their home:

  • keeping your home
  • finding a home for families
  • finding a home for individuals.

MSB related resources – you can download these booklets and find more advice to share from our Housing and homelessness advice for all resource

Early Help updates
Early Help Strategy 2018-21
The revised Early Help Strategy 2018-21 has been published and can be found on the MCC website at www.manchester.gov.uk/early_help_strategy or the HSM Early Help Practitioner Zone at hsm.manchester.gov.uk

There is a new interactive strategy in development and the Early Help team will provide an update on that as soon as they have more details.

EH Assessment e-learning course 
A new EHA e-learning offer for partner agencies and revised associated supporting resources for practitioners have been added to the MCC Early Help Practitioner web pages.

These new additions are part of a refreshed drive by MCC to ensure all partner agencies (across the public, private, community and voluntary sectors) are appropriately supported in providing Early Help Support to young people and families, via a commonly recognised assessment and support process.

The course design enables those who wish to undertake or become familiar with the Early Help Assessment, to gain the required level of understanding. If you would like details as to how up to 3 members of your agency can access this unique learning opportunity please email a.gilfillan@manchester.gov.uk

Early Help Journey Resource Pack
The EH Journey Resource Pack has recently been updated and can be found in the MSB Early Help Support Form & Resource Pack on our website.

MSB resources – Early Help Support Form & Resource Pack

ACT Communities Defeat Terrorism video
Cinemas across the North West will be showing a new 60-second Communities Defeat Terrorism clip before every film to remind people to ACT when they see something suspicious.

For eight weeks from Wednesday 23rd January 2019, nine cinemas in Manchester will be showing the video which is based on real-life foiled plots and shows suspicious activity and behaviour as well as attack planning methodology.

  • the ACT Communities Defeat terrorism video is available at www.youtube.com
  • GMP advise the public to remain vigilant. If you see or hear something suspicious, trust your instincts and ACT
  • report any suspicious behaviour or activity to police, in confidence via the website act.campaign.gov.uk or call 0800 789 321
  • in an emergency the public should always call 999
  • if you get caught up in the event of a weapons attack follow the Run, Hide, Tell advice.

MSB resourcePrevent (radicalisation & extremism)

Do you know about the new Complex Safeguarding Hub?
Manchester is a diverse, thriving city but this brings some challenges – including complex safeguarding. This is a term used to describe criminal activity – often organised – involving vulnerable people, where there is exploitation and can include child sexual exploitation; modern slavery and trafficking; violent extremism or honour based abuse.

A multi-agency Complex Safeguarding Hub has been launched, located at Greenheys Police Station. The CS Hub will change the way public services understand and respond to complex safeguarding risks. It will improve the city’s ability to protect children and safeguard adults, and will reduce the impact of repeated abuse on children, adults, and families.

A full briefing will be given to all teams or download a 7 minute briefing from our seven minute briefings resource.

Any professional or individual who has concerns that a child or adult is at risk of exploitation or has safeguarding concerns should contact the Multi-Agency Safeguarding Hub (MASH) – by email at mcsreply@manchester.gov.uk or by telephone on 0161 234 5001

For cases where complex safeguarding concerns are immediately evident, MASH staff will consult with the Complex Safeguarding Hub to decide/agree the best way of keeping young people/adults safe.

MSB resourceConcerned?

Manchester Population Health Plan
The Manchester Population Health Plan sets out the vision that, by 2027, we will all be living longer, healthier lives. The accompanying Compendium of Statistics provides the detailed research and intelligence information utilised throughout the Plan.

The five priority areas in the Plan are:

  1. improving outcomes in the first 1,000 days of a child’s life
  2. strengthening the positive impact of work on health
  3. supporting people, households & communities to be socially connected and make changes that matter to them
  4. creating an age-friendly city that promotes good health & wellbeing for people in mid & later life
  5. taking action on preventable early deaths.

You can download a summary or a detailed version of the Plan and the Compendium from the MCC website at www.manchester.gov.uk/healthplan

To gain a better understanding of the health and well-being needs of people in Manchester, read the Joint Strategic Needs Assessment which is available at www.manchester.gov.uk/jsna – more details in the context sections below.

MSB Partner learning and development offers

One Education Safeguarding Conference
Date: 8th February 2019
Aim: The One Education Safeguarding Children Conference brings together national leaders and experts in safeguarding and child protection. Through hearing from highly regarded keynote speakers and attending workshops, delegates will explore key safeguarding issues for schools and academies.

This year there are keynotes from Professor Dame Sue Bailey looking at how schools can support pupils regarding their mental health and the North West Counter Terrorism Prevent Team addressing the Greater Manchester initiative. Workshops include safer recruitment and Single Central records, online safety, peer on peer and contextual safeguarding, and whistle blowing, gang crime and grooming.

Manchester Suicide Prevention Forum
Date: 1st March 2019 Time: 9.30am to 12.30pm
Aim: The theme for this meeting is young people. This is an open, free event for anyone living and working in Manchester with an interest in suicide prevention among young people.

Forums are a mixture of presentations, updates, discussion and networking. Please circulate this invitation to relevant colleagues and partners within your networks.

Healthy Ageing: The Grand Challenge
Date: 19th March 2019
Venue: The Manchester Conference Centre, Manchester
Aim: The ‘Healthy Ageing -The Grand Challenge’ conference will discuss the current health needs of the UK’s older population and how demand is set to increase in the future.

They will show how to promote better health in later life and manage long-term conditions such as diabetes, cardiovascular vascular and respiratory diseases, cancer, mental health and dementia

  • For more details and to apply visit www.openforumevents.co.uk/events/2019/healthy-ageing-the-grand-challenge

Manchester Community Central have an extensive training section on their website where you will find all the information you need regarding current up to date training opportunities available in Manchester.

One Education offer a range of statutory and specialist training opportunities and resources and deliver certificated training to schools and academies throughout the northwest.

GMMH Recovery Academy
The Trust’s Recovery Academy provides a range of free educational courses and resources for people with mental health and substance misuse problems, their families and carers as well as health care professionals.

All of their courses focus on supporting people with their recovery and promote good health and wellbeing. The courses are useful if you are looking to increase your knowledge and understanding of mental health, improve your mental wellbeing, or simply want to meet new people while learning something new.

Online learning and development opportunities

The MSB online training offers over 70 adults and children safeguarding training courses through our partner Virtual College – for more information go to manchesterscb.virtual-college.co.uk

Anti-Bullying Alliance free online training
As part of Anti Bullying Alliance’s ‘All Together programme’ they have developed a suite of free online training for anyone that works with children and young people. The programme was particularly developed to reduce levels of bullying of disabled children and those with special educational needs (SEN) but it applies to all children. The training is free to complete online from any computer/tablet.

Understanding Young Minds free online course
Virtual College have worked in partnership with SelfharmUK to create a free online course designed to help parents talk about the issue of self-harm with their children.

NSPCC Child protection and safeguarding e-learning courses
The NSPCC has a range of online safeguarding and child protection training courses for anyone working or volunteering with children and young people.

Research in Practice e-learning modules
Research in Practice (RiP) is retiring its e-learning on 1st March 2019; after this date all e-learning will be removed from their website. RiP now offer online learning using alternative methods such as webinars (both live and recorded), podcasts and blogs, to provide up-to-date and accessible learning opportunities on key topics.

SCIE videos – Strengths-based approach
The Social Care Institute for Excellence (SCIE) has published a series of videos looking at strengths-based approaches to social care. Resources include a case study of how the approach, which focuses on identifying strengths as well as needs and difficulties, is used in supporting young people in transition to adult social care.

Knowledge for Healthcare blog
Knowledge for Healthcare have a range of resources available via the Learning Zone and Knowledge Management sections of their blog.

Real Safeguarding Stories resource
A free online resource for professionals with safeguarding responsibilities has been developed by Bradford Council and Collingwood Learning. Each of this series of videos is based upon stories from the people involved or through anonymised cases. Some stories have been edited and some have been combined to cover the key issues in a simple, quick, and powerful way. But everything is based upon real people, and real situations.

Virtual College free online e-learning
Virtual College has produced a range of free e-learning courses in subjects such as Safeguarding Children, Health and Well-Being, Understanding Animal Welfare in Violent Homes, An Introduction to GDPR, Understanding Young Minds, Female Genital Mutilation, Keep Them Safe: Protecting Children from CSE, Awareness of Forced Marriage
Awareness of Type 1 Diabetes and Get Moving, Get Healthy.

NHS Health Education Dementia e-learning
These dementia e-learning sessions have been designed to support health and social care staff to recognise, understand, assess and effectively support people living with dementia and their families, ensuring high-quality, compassionate dementia care.

MSB resource – you can find more information about free online courses in our online learning with other providers’ resource 

MSB updates from meetings

MSAB & MSCB
Our 2017/18 annual reports were published in September – you can read them at MSAB business documents and MSCB business documents

The proposals for the new multi-agency safeguarding arrangements have been a topic of discussion at the last few meetings and will continue to remain on the agenda until the new arrangements are in place. The three lead partners are in agreement and have consulted with Board members to present a number of options for how the arrangements will look and work best for Manchester.

A joint priority setting event was held on 15th January where Board members discussed and set the priorities for 2019/20.

  • Next meeting: MSAB/MSCB Joint Venture & MSAB/MSCB Boards is on 21st March 10.00am to 4.30pm.

MSAB
The three year strategy has been agreed and will be published in due course. The Learning & Development Framework was reviewed and a request has been made to disseminate learning from their multi-agency review to Board members.

Healthwatch updated members on their Feedback Centre, which helps set the priorities for the coming year and assists in reviewing any issues across the City – find this on their website at www.healthwatchmanchester.co.uk/

The development of a MSB Self-Neglect Strategy is underway; a task and finish group is ongoing, with publication scheduled for early 2019.

MSCB
MASH and Early Help – members held discussions around how agencies can help reduce the number of referrals into the MASH that could have been dealt with sooner and more effectively, so providing families and people at risk with a quicker, more appropriate response. All partners have been asked to review practice and consider how their agencies can make this change.

Child N1 SCR was published and a learning event took place on 13th September – the report and resources can be found in our SCR resource.

The CDOP annual report and GM Rapid Review report were reviewed and agreed – these can be viewed on our CDOP resource.

MSB resource – read our published meeting minutes

MSB learning & development resources

Our website now has over 200 pages of information for practitioners, children & young people, adults, families & carers, and the wider public to access. This includes safeguarding help & advice and links to resources, videos, policies and campaigns.

MSB 7 Minute Briefings
MSB ‘seven minute briefings’ are aimed at supporting managers to deliver a short briefing on a particular subject, with challenge to think about the application to practice within their teams. The briefing topics are a mixture of new information or a reminder of basic information and we add new briefings on a regular basis

Each 7MB comes in both a pictorial and text only format (better for assistive technology users); teams can also download an Action Plan template to record their practice changes.

Recently published 7MB:

  • Private Fostering
  • The ‘toxic trio’
  • The Dark Web
  • Manchester Complex Safeguarding Hub.

Podcasts for social care sector
Research in Practice (RiP) has launched a podcast series, aimed at those working within social care sector. This free, open access resource is centred on five key areas: trauma, neglect, mental health, complex exploitation and strengths-based approaches.

Social work tools & resources for direct work with children & adults
Aimed at social workers, but useful for everyone, these resources cover a range of issues such as adoption & fostering, alcohol, assessment, bullying, CSE & sexual abuse, disability & health, domestic abuse, drugs, finances, law (UK), mental health, parenting and safety.

MSB learning & development offer

During the last year the MSB organised a number of events which included one SAR, five SCR, and one DHR learning event. In June 2018 over 80 professionals attended a conference on ‘Safeguarding Adults’ which had fantastic feedback. In October a full day conference on `Protecting Vulnerable Babies and Preventing Child Deaths` had over 80 professionals attend with very positive feedback.

Training courses and dates are added to the MSB training website throughout the year so check regularly for new dates.

New or revised courses for 2019 include:

  • Awareness of Signs of Safety
  • Modern Slavery Awareness
  • Physical Abuse of Children
  • Recognising and Responding to Neglect
  • Safeguarding Children in whom illness is fabricated or induced.

Upcoming courses include:

For full details of all training courses and learning events or to make a booking visit the MSB training website.

All applications need to be approved by line managers; there is a User Guide on the training website to assist with the application and registration process.

MSB Policies and Procedures

The Greater Manchester Safeguarding Children Procedures online manual has been updated and a list of all the amendments in the December update can be found at greatermanchesterscb.proceduresonline.com

New additions include guidance on:

Professionals across all agencies are reminded of the importance of using these safeguarding procedures.

The GM Safeguarding Children Procedures are updated twice yearly. Any proposals for new procedures or amendments to existing procedures should be reported to the MSB Policy and Performance Officer, Jane Maguire at j.maguire@manchester.gov.uk

MSB resources – MSAB multi-agency policies & procedures and MSCB multi-agency policies & procedures

Guidance for family court – anonymising judgements
The Courts and Tribunals Judiciary has published guidance on anonymising judgements given in family court. The guidance includes: how to protect children from being identified through personal or geographic information; and how to treat descriptions of child sexual abuse to protect children from the dissemination of distressing material on the internet or social media. This guidance is pertinent to SAR and SCR publications.

Download a copy of ‘Practice guidance: family court – anonymisation guidance’ (PDF) from the website at www.judiciary.uk/anonymisation-guidance.pdf

Useful safeguarding information and links for adults & families

Draft Domestic Abuse Bill
The draft Domestic Abuse Bill was published on 21st January and is aimed at supporting victims and their families and pursuing offenders. It comes as it is revealed domestic abuse issues cost the country £66 billion a year.

To help tackle the crime, new legislation will:

  • introduce the first ever statutory definition of domestic abuse to specifically include economic abuse and controlling and manipulative non-physical abuse
  • establish a Domestic Abuse Commissioner to drive the response to domestic abuse issues
  • introduce new Domestic Abuse Protection Notices and Domestic Abuse Protection Orders to further protect victims and place restrictions on the actions of offenders
  • prohibit the cross-examination of victims by their abusers in the family courts
  • provide automatic eligibility for special measures to support more victims to give evidence in the criminal courts.

Read the Domestic abuse consultation response and draft bill on the government website at www.gov.uk/domestic-abuse-consultation-response-and-draft-bill

The Home Office has published a report into the economic and social cost of domestic abuse, which reveals the crime cost England and Wales £66 billion in 2016 to 2017 – this can be downloaded (PDF) from assets.publishing.service.gov.uk

The Rough Sleeping Strategy
The Rough Sleeping Strategy lays out the government’s plans to help people who are sleeping rough now and to put in place the structures to end rough sleeping for good. In December 2018 the government also published a delivery plan setting out progress and next steps.

The strategy suggests local and central government can work ‘hand in hand’ with charities and businesses to prevent rough sleeping, with greater social investment to back up public funds. People without a home should be rehoused more rapidly, in line with the Housing First model. After this, wider needs can be reassessed.

Part of the strategy builds on the rough sleeping initiative, launched just before the Homelessness Reduction Act came into force in April. A range of recommendations affecting local authorities and other agencies are included.

Greater Manchester has recorded a 10 per cent decrease in rough sleepers between 2017 and 2018, the first significant reduction since 2010. Over the last 12 months 246 rough sleepers were helped into homes under a payment-by-results pilot funded via a ‘social impact bond’ whereby social investors provide upfront investment and receive a return dependent on the results achieved.

Find out more about the local picture and what is being done on the Greater Together Manchester website at greatertogethermanchester.org/homelessness

A Bed Every Night is a commitment to provide a bed, hot meal and support for anyone sleeping rough in Greater Manchester. This extra provision started in November and will run until 31st March 2019 regardless of the temperature.

If you see someone sleeping rough, particularly in the cold weather, you can help them get inside and keep warm – for more information visit streetsupport.net/greater-manchester/information

Freephone helpline for stressed families
A national Freephone helpline for people in stressed-out families who feel they have no one else to talk to has been launched.

Family Line, run by Family Action, is aimed at people struggling with issues including family rows, money worries, new parenthood and relationship difficulties,

The line will be open every weekday evening from 6pm to 10pm and at weekends from 10am to 1pm. Its launch follows research suggesting one-third of people in families want someone to talk to about their problems as social isolation grows.

This service also needs volunteers – find out more about the different ways you can volunteer on their website.

NICE and SCIE guides
Person-centred care – a quick guide for people using adult social care services
People who use social care services should be treated as individuals. Their care and support should be based on what they can already do, what they want to achieve and the help they need to live their lives in the way they want to. This guide will help people to understand what they should expect from social care staff during assessment and care planning.

  • Read and download the guide from the SCIE website at www.scie.org.uk/person-centred-care – you can visit the fully interactive web resource ‘What to expect during assessment and care planning’ using this link.

NICE Guidance: Decision-making and mental capacity
This NICE guideline covers decision-making in people 16 years and over who may lack capacity now or in the future. It aims to help health and social care practitioners support people to make their own decisions where they have the capacity to do so. It also helps practitioners to keep people who lack capacity at the centre of the decision-making process.

MSB resourceMaking Safeguarding Personal 

Transformation of care and support
Find out how SCIE resources and expertise can support the transformation of care and support by using all the assets available within communities and with individuals, and focusing on prevention in the new Transformation section of their website at www.scie.org.uk/transforming-care

Dementia
Dementia – a quick guide
This guide aims to inform people and their family and carers about the support that is available after a diagnosis of dementia. It looks at how planning for the future – and getting the right information and support after a diagnosis – can help people to maintain a good quality of life.

  • Read and download the guide from their website at www.scie.org.uk/dementia – you can also visit the fully interactive web resource ‘Dementia – discussing and planning support after diagnosis’ using this link.

Dementia: discussing and planning support after diagnosis
NICE has published a quick guide for people with dementia and their family and carers.

You can find this guide on their website at www.nice.org.uk/quick-guides/dementia-discussing-and-planning-support-after-diagnosis

Safeguarding adults: sharing information updated resource
This SCIE guide supports implementation of the adult safeguarding aspects of the Care Act 2014. Sharing the right information, at the right time, with the right people, is fundamental to good practice in safeguarding adults but it has been highlighted as a difficult area of practice.

The guide has been updated for January 2019 to reflect legislation changes and GDPR and can be found on the SCIE website at www.scie.org.uk/sharing-information

Preventing pressure ulcers: quick guide
A new quick guide from NICE and SCIE helps registered care managers and other health and care professionals to understand why some people are particularly likely to develop pressure ulcers. It offers practical advice on how they can help to prevent them developing in people who have been assessed as at risk.

NICE guideline on PTSD
NICE has published an updated guideline on recognising, assessing and treating post-traumatic stress disorder (PTSD) in children, young people and adults.

The guideline emphasises that identifying PTSD in children ‘presents particular problems’, but recognition is improved ‘by asking children directly about their experiences’.

  • The guideline is aimed at healthcare professionals, service commissioners and providers and other professionals who work with people at risk of or who have PTSD and can be viewed at www.nice.org.uk/guidance/ng116

CQC updates
Learning from safety incidents
CQC have published a series of ‘learning from safety incidents’ resources, which can be found on their website at www.cqc.org.uk/guidance-providers/learning-safety-incidents

Each resource briefly describes a critical issue – what happened, what CQC and the provider have done about it, and the steps practitioners can take to avoid it happening in their service. Issues include:

  • Falls from improper use of equipment
  • Unsafe use of bed rails
  • Fire risk from use of emollient creams
  • Burns from hot water or surfaces
  • Safe management of medicines
  • Caring for people at risk of choking
  • Falls from windows
  • Hypothermia.

Equally Outstanding resource
Last year the CQC published ‘Equally Outstanding’ a resource which shows how a focus on equality and human rights can improve care quality – even in times of financial constraint. CQC have updated Equally Outstanding with:

  • a new e-learning module
  • extra case studies from outstanding providers
  • an updated PDF version based on feedback.

These can be access on their website at www.cqc.org.uk/equally-outstanding-equality-resource-november-2018

Technology in care
CQC have launched a new resource on their website exploring the use of technology in care. These new pages mark the start of a series in which they will share information on how technology is being used; the first resources include:
appropriate handling of personal information
understanding ‘informed consent’.

New Safe and fair recruitment guide
Skills for Care’s new ‘Safe and Fair’ recruitment guide provides employers with information on their legal rights and responsibilities regarding DBS checks. It supports employers to reach the potential of people with criminal records by implementing safe and fair recruitment policies and procedures.

Age UK information guides and fact-sheets
These information guides are short and easy to digest, giving an overview of the relevant topic. Fact-sheets are longer with more detail, for those who want more information.

Fact-sheet 78: Safeguarding older people from abuse and neglect published in January 2019 explains the law on safeguarding adults to help anyone decide what to do if they think an older person is being abused or neglected, or may be at risk of abuse or neglect.

NHS Safeguarding Adults pocket guide
These cards serve as guide to dealing with safeguarding concerns and cover a range of issues including:

  • Definition of an adult at risk
  • Human Trafficking
  • The Mental Capacity Act
  • Assessing Capacity Chart
  • Deprivation of Liberty Safeguards
  • Pressure Ulcer Staging
  • Prevent/Channel
  • Female Genital Mutilation
  • Modern Slavery.

Download the pocket guide at www.england.nhs.uk/adult-pocket-guide

Useful safeguarding information and links – children & families

Protecting children from abuse by someone in a position of trust or authority
The NSPCC has published information about protecting children from abuse by someone in a position of trust or authority. This includes teachers, care workers, youth justice workers, social workers and doctors. Topics covered include: recognising abuse; responding to concerns; and steps that can be taken to prevent staff and volunteers from abusing their position.

The NSPCC is campaigning to close a loophole in legislation to make it illegal for all adults to engage in sexual activity with a 16-and 17-year-old in their care. Currently roles such as sports coaches, driving instructors and youth workers are not classed as being positions of trust.

Child sexual abuse: residential schools
The Independent Inquiry into Child Sexual Abuse (IICSA) has published a literature review of research into child sexual abuse (CSA) in residential and non-residential schools. The literature review covers research from five key areas: pupils attending residential schools; standards for keeping children safe from sexual abuse in schools; the scale and nature of CSA in schools; factors that influence CSA in schools; examples of unsuccessful safeguarding measures and positive approaches adopted by schools.

MSB resourceIndependent Inquiry into Child Sexual Abuse

Homelessness
Shelter has published a report looking at the number of children who are homeless in Britain and the impact homelessness can have on children and young people. The report uses data from England, Scotland and Wales on the amount of children who are homeless and living in temporary accommodation for each local authority. Evidence is provided on how homelessness can impact on children and young people’s mental health and emotional wellbeing and education.

MSB resourceHousing and homelessness

Indecent images of children
The Home Office has updated the supporter pack which accompanies its ‘Steering clear‘ campaign. This aims to educate and empower young men aged 18-24 to navigate the internet more responsibly by increasing understanding of: how to report sexual images of children; the law relating to indecent images of children (IIOC); the harm caused to victims of IIOC.

Read more on the NSPCC Learning website at learning.nspcc.org.uk/child-sexual-abuse

MSB resourceonline safety advice for parents & carers 

Safeguarding children with communication needs
Children in abusive or neglectful situations are likely to develop insecure attachment to their care givers which can lead to difficulties in social communication, reduced language skills, an impaired ability to feel and express emotions, and a limited vocabulary for thoughts and feelings.

Criminalisation of looked after children
The Department for Education (DfE) has published a national protocol to reduce the unnecessary criminalisation of looked after children and care leavers. Key principles include: a strong corporate parenting ethos recognises the care system is not just about keeping children safe, but also about promoting recovery, resilience and wellbeing; professionals should understand the impact of trauma and abuse on the emotional and behavioural development of children and young people; all local agencies should contribute to the understanding of factors that can increase children and young people’s risk of being criminalised and use this to inform their practice.

Children’s use of new psychoactive substances
The Home Office has published a report looking at the impact of the Psychoactive Substances Act 2016, which banned ‘legal highs’. Findings include that, although the Act has successfully reduced the number of people using new psychoactive substances (NPS), it has not had a significant impact on the use of NPS among children.

MSB resourcesubstance misuse

Young people and gambling
The Gambling Commission has published its annual report on young people and gambling for 2018. Key findings include: 14% of 11 to 16-year-olds had spent their own money on gambling seven days prior to completing the survey – up from 12% in 2017 but lower that previous years; young people who had gambled in the past week spent an average of £16 on gambling; 6% have gambled online using a parent or guardian’s account.

MSB resource – gambling advice for young people 

The impact of leaving the EU on children and families crossing borders
Children and Families Across Borders (CFAB) has published a fact-sheet looking at the impact of the UK leaving the EU on children and families who are crossing, or separated by, international borders.

Aimed at social workers within local authorities and professionals working to safeguard children, the fact-sheet explores: the rights of EU children in care in the UK, the Government’s settlement scheme; and future international cooperation in relation to family law cases.

Complex Safeguarding
Safeguarding during adolescence
Research in Practice (RiP) has published a briefing on the relationship between contextual, complex and transitional safeguarding during adolescence. The briefing outlines what is meant by the terms ‘complex safeguarding’, ‘contextual safeguarding’ and ‘transitional safeguarding’ and how these approaches overlap and complement each other.

Knife Crime
The Mayor of London recently launched the ‘London Needs You Alive’ campaign and with a range of resources. Although these resources are branded with the London message, the content can be used more generically.

New powers to control suspects thought to be carrying knives are being introduced by the government in a bid to cut rising violence. Knife Crime Prevention Orders would impose sanctions, including bans on using social media to stir up trouble. A topical report on this can be found on the BBC website at www.bbc.co.uk/news/uk-47064453

MSB resourceGang activity & serious youth violence advice 

Protecting children from criminal exploitation, human trafficking & modern slavery
Ofsted, CQC, HMI Constabulary and Fire & Rescue Services and HMI Probation examined ‘the multi-agency response to child exploitation and children missing from home, care or education’ looking specifically at the criminal exploitation of children.

MSB resourceCriminal exploitation

Attitudes towards physical chastisement among African communities
There is a growing number of children from African communities being referred into child protection systems under the category of physical abuse, not just across Greater Manchester but nationally. This report makes a number of recommendations and comments that the principles of “reasonable chastisement” (S58 Children Act 2004) is ambiguous and subjective with many parents being confused about what they can or cannot do under this legislation.

  • To download the report ‘Voices of the Community: Exploring attitudes towards physical chastisement among African communities in Greater Manchester’ visit the website at www.afruca.org/AFRUCA-BOOKLET

MSB resource – Cultural awareness

So you’ve been arrested (leaflet for young people)
There is very little information about what happens when young people have been arrested – this leaflet explains what happens in a police station and who is involved.

MSB resource – probation & youth justice

SEND children & young people
Safeguarding Autistic children & young people
This guide has been developed by the  to assist those responsible for the protection and safeguarding of children and young people with autism. The guide aims to complement existing policies and procedures and will provide specific information and guidance in relation to children and young people with autism.

You can also download a copy of ‘Let’s Keep Safe – easy read version for people with learning difficulties’ (PDF) from the Speak Up website at www.speakup.org.uk/Lets-Keep-Safe-Booklet-Web

Safety Circles Project
Safety Circles is a project to help people with learning disabilities and/or autism to be safer on the roads or walking. The most recent addition to these resources is a newly produced animation about road safety.

There is very little information and training available to people with learning disabilities and/or autism which is accessible and which tells them about road safety and personal safety. People with learning disabilities and/or autism need accessible information and training to help them understand how to be safe when out and about.

  • You can find out more about these safety resources on the SpeakUp website at www.speakup.org.uk

Keeping safe online: A guide for people with learning disabilities
The Care Management Group and CHANGE have produced an easy-read guide to keeping safe online for people with learning disabilities.

HEALTH
Foetal alcohol spectrum disorder
The University of Bristol and Cardiff University have published a study investigating the prevalence of foetal alcohol spectrum disorders (FASD) in the UK. Key findings include: up to an estimated 17 per cent of children screened positive for an FASD, however screening is not equivalent to formal diagnoses; alcohol-related neurodevelopmental disorder was the most common type of FASD; positive FASD screening was more common following unplanned pregnancy.

MSB resourceunborn babies & vulnerable pregnant women

Children and young people’s mental health
NHS England has published a ten year plan to improve the quality of patient care and health outcomes. Measures outlined in the plan include: investing in and expanding access to community-based mental health services to meet the needs of more children and young people; expanding the provision of timely, age-appropriate mental health crisis services for children and young people; embedding mental health support in schools and colleges and developing a new approach to young adult mental health services for people aged 18-25 to support the transition to adulthood.

Young people’s guide to inpatient care
Young people sometimes go into hospital for their mental health, to help them get the right level of care and support to help them on their way to recovery. This Young Minds guide explains what happens in a mental health unit, who you might meet and how they will support you.

Young Carers
Young Carers Awareness Day at the end of January focused on mental health as being a young carer is a risk factor for poor mental health.

The carers.org website at carers.org/young-carers-awareness-day-2019-resources is packed with resources that can be used to raise awareness. Other resources:

Young Carers in Armed Forces families
Children in service families experience a unique set of challenges including frequent separation from a parent on deployment or moving home and school. This Children’s Society report looks at the needs of children in Armed Forces families with caring responsibilities for a family member with a disability or additional needs. It suggests actions to improve identification and support that consider the needs of young carers and the whole family.

MSB resourceyoung carers

Youth Justice
Speech, language & communication training for people working with young people who may have challenging behaviour
Research shows that a high number of offenders have speech, language and communication needs (SLCN). Antisocial behaviour, school exclusion and custodial sentences can be a direct result of these needs. The RCSLT (Royal College of Speech and Language Therapists) have a free training programme called ‘The Box’ which aims to:

  • develop knowledge and understanding of SLCN – what they are and the effect they can have on someone’s behaviour
  • recognise the signs that someone may have SLCN and know where to go for further support
  • find out how to use screening tools to check for SLCN
  • learn how to apply different support strategies to help people with SLCN to understand and engage in the justice process
  • understand the legal responsibilities and how they apply to you and your work with people with SLCN.

Practitioners can access ‘The Box’ training by registering a learning account on the RCSLT website at www.rcsltcpd.org.uk (note all signups are manually verified).

Sentencing guidelines on child cruelty offences
The Sentencing Council definitive guidelines on child cruelty offences came into force on 1st January 2019 and apply to all offenders aged 18 and older, who are sentenced on or after that date, regardless of the date of the offence. This guideline replaces the existing 2008 child cruelty guideline.

The guidance includes three guidelines covering four offences: cruelty to a child (assault or ill-treatment, neglect, abandonment and failure to protect), causing or allowing a child to die, causing or allowing a child to suffer serious physical harm, and failure to protect a girl from the risk of female genital mutilation (FGM). Offences of child cruelty are complex and can cover a wide range of behaviour; the new guideline seeks to provide structure and consistency when sentencing for these types of offences.

Alongside the guidelines, the Council have published a response document which sets out the changes that have been made since the consultation as well as a resource assessment.

Useful safeguarding information and links – schools

Building a child’s confidence and resilience – resource for primary schools
The DfE has launched the ‘Activity Passport’ – working with the National Trust, Girlguiding and Action for Children. It is a free checklist to help schools introduce pupils to a wide variety of new experiences to complement their day to day learning.

This resource, available in an editable format, aims to help boost pupils’ confidence and curiosity, and develop skills for life too.

Mental health and wellbeing in schools
The House of Commons Library has published a briefing on mental health and wellbeing in schools, which supported a Westminster debate in December 2018. The debate pack gives an overview of Government policy relating to mental health provision in schools across the UK and outlines progress in introducing mental health into the school curriculum in England by 2020.

Teaching resources about positive relationships
The NSPCC, in partnership with York St John University, has developed teaching resources to help children and young people recognise concerning behaviour and identify characteristics of positive relationships. It’s Not OK includes lesson plans, short films and accompanying activities about topics such as: harmful sexual behaviour; child sexual abuse; child sexual exploitation; sexting; and grooming. The resources are designed to be used with children and young people aged 11+.

Consent online
The UK Safer Internet Centre has developed a series of resources for 3-18-year-olds focusing on the topic of consent online and how consent is asked for, given and received in different circumstances. The resources, available in English and Welsh, feature four educational packs for children and young people, a pack for parents and carers and a pack to support educators. The resources accompany Safer internet day 2019 which takes place on 5th February 2019.

New Change4Life nutrition resources available for schools
With 34% of children leaving primary school overweight, Change4Life has launched a new campaign ‘make a swap when you next shop’ to encourage families to cut back on sugar.

To complement the national campaign, Change4Life has created interactive lesson plans in partnership with teachers, qualified nutritionists and dental professionals. These English and Maths teaching resources support teachers to educate pupils about how to make healthier choices. The resources are set in ‘Sugar Smart World’ and teach pupils that the number of extra sugar cubes they are consuming is enough to wrap around the world more than three and a half times. A cartoon- themed Science lesson plan also helps pupils understand the effects that sugar has on their teeth.

  • Access these free resources to help tackle childhood obesity from the Change4Life website at www.nhs.uk/change4life

Controlling access to school premises
The Department for Education (DfE) has published guidance for schools in England on who should have access to school premises. The guidance highlights that schools can bar someone from the premises if they feel that their behaviour or language poses a risk to staff or pupils.

For further information or to download ‘Controlling access to school premises’ visit the website at www.gov.uk/controlling-access-to-school-premises

Health and safety on educational visits 
The Department for Education (DfE) has published guidance for schools in England on their safeguarding responsibilities when undertaking educational visits. The guidance includes advice on using outside organisations, adventure activities and trips abroad.

Safeguarding updates for schools
Issued by the MCC Safeguarding in Education Team – these newsletters will keep schools and early years providers up to date with the latest information, tools and support available to assist them to make the best decisions for the children in their care and help keep them safe.

Taking care of the safeguarding workforce

Guidance for managers to support mental health at work
The CIPD and Mind have published a revised mental health guide for managers to improve support for those experiencing stress and mental health issues at work.

The updated guidance follows recent CIPD research which found that less than one in three organisations (32%) train line managers to support staff with poor mental health. Mental ill health is now the primary cause of long-term sickness absence for over one in five (22%) UK organisations. A recent Mind survey of over 44,000 employees also found that only two in five (42%) felt their manager would be able to spot the signs they were struggling with poor mental health.

This free guide will give managers the information, resources and tools they need to effectively and confidently support employee mental health at work. Being able to spot the warning signs of poor mental health and offer the right support early on can have a significant impact. CIPD research finds that where managers are able to spot the warning signs of poor mental health among employees, the level of reported common mental health conditions is significantly lower.

Is your colleague is being bullied at work?
What happens when going to work also means enduring a day of bullying and harassment? For many people this is a reality and they face going into 2019 feeling anxious, full of dread and trapped. Could you make it your new year’s resolution to ensure your workplace is free from bullying?

“How Are You?” campaign
The “How Are You?” campaign is now live and encouraging adults to kick-start 2019 by taking the free “How Are You?” health quiz on the website at www.nhs.uk/oneyou/how-are-you-quiz/

The campaign aims to encourage adults to think about how their current lifestyle could be impacting their health, and support them to make positive changes, whether that be eating better, stopping smoking, cutting down on drinking or getting active.

At the end of the quiz, people receive a health score and personalised advice. The quiz also signposts users to a range of Public Health England apps to support their health and wellbeing.

A Campaign Partner Toolkit is also available and includes information and guidance on how to implement the campaign. New digital resources to encourage adults to take the “How Are You?” health quiz include: social media posts, digital banners, digital posters for TV screens, email signatures, and videos.

Free flu vaccinations for adult social care staff
Free flu vaccinations are available in 2018/19 for social care workers who offer direct care to people using services.

Staff are reminded that they can access a free vaccination at their own GP practice or any pharmacy and will need to prove their eligibility by showing identification that shows their name and the name of their employing organisation, such as ID card or badge, letter from their employer, or a recent payslip.

  • NHS Flu Fighter Social Care is a free resource for social care providers to encourage their staff to get a flu vaccination to protect themselves and people using services from the flu virus. Find out more on the NHS website at www.nhsemployers.org/flufighter

Health Harms 2019
The New Year is a good time to motivate smokers to make a quit attempt, and support them to stop smoking. The Health Harms campaign launched on 28th December 2018, and will run throughout January.

Resources, including the Health Harms 2019 Campaign Partner Toolkit, are live on the Campaign Resource Centre at campaignresources.phe.gov.uk/health-harms/resources and include:

  • Personal Quit Plan – a free online tool, which was introduced for Stoptober, to help smokers find the most suitable stop smoking support for them
  • ‘Harms’ and ‘hope’ – choose between ‘harms’ resources that use harder hitting imagery or ‘hope’ resources that use supportive messaging.

Resilience and Well-being training programmes
Robertson Cooper’s resilience training programmes are designed to support broader well-being initiatives and strategy. When people are well and coping with the pressures they are experiencing, they are more likely to be having a ‘Good Day at Work’ and their performance will be maximised. Resilience training results in an ability to self-manage, a crucial element in creating more ‘Good Days at Work’.

Their website offers four separate high-energy, high impact Bitesize Resilience and Well-being Training Programmes designed to be the most effective way to boost well-being through training within the organisation in the shortest space of time possible.

Leading strengths-based practice frameworks
The purpose of this briefing is to explore how leadership activity and organisational cultures and structures affect the ability of practitioners to adopt and use strengths-based approaches.

It provides an introduction to the theoretical underpinning and practical application of strengths-based approaches, explores messages from research and highlights issues leaders need to consider in relation to:

  • how organisational culture and climate affect practice
  • implementing changes and the adoption of new approaches
  • sustaining change through ongoing learning and development.

The briefing is aimed at strategic and practice leads, service managers, heads of service, team managers in children’s and youth services and can be downloaded from the website at www.rip.org.uk/strategic-briefings/leading-strengthsbased-practice-frameworks-strategic-briefing-2018

The safeguarding context – adults & families

Statutory footing for National Data Guardian (NDG)
The Health and Social Care (National Data Guardian) Act 2018 received Royal in December 2018. The Bill is now an Act of Parliament and puts the role of NDG (currently held by Dame Fiona Caldicott) on a statutory footing and will mean that all health and adult social care bodies (councils and care providers who are publicly funded) will need to give regard to statutory guidance and advice and information published by the NDG.

A picture of health and care in our area
CQC local intelligence profiles give a picture of the health and social care system in each local authority area. They bring together data to show how different services work together and show how well the system in each local authority area measures up against certain standards.

LGA Adult Safeguarding Programme
Policy and practice around safeguarding adults has developed rapidly as society has become more aware of abuse and neglect in institutions, in people’s homes and in the community. In response to the sector’s call to take responsibility for its own improvement, the LGA Adult Safeguarding Programme aims to support local councils and their partners in this fast developing field.

The LGA and the Association of Directors of Adult Social Services (ADASS) Safeguarding Network have worked with key partners to bring together a consolidated list of key safeguarding resources for council, care provider and wider partners’ staff.

Adults and Older People JSNA
The JSNA is a ‘living’ resource that is being expanded and developed through consultation with key stakeholders and will incorporate the views of the community. The topics included in the Adults and Older People JSNA are:

  • Wider Determinants of Health – data about factors that can affect health or impact on health inequalities
  • Healthy Lifestyles – data on how lifestyle can impact on health and life expectancy
  • Mental Health – data on conditions and factors which can influence mental health and wellbeing
  • Physical Health – data on the effects on the health and wellbeing of people living with long term conditions
  • Key Groups – includes data on key groups in the population who have specific needs, who may need more support to maintain their health and / or wellbeing.

Find these at on the MCC website at www.manchester.gov.uk/joint_strategic_needs_assessment/adults_jsna

MCC also produces a number of useful population profile reports, including the Profile of Older People in Manchester, 2016 which can be found on the MCC website at www.manchester.gov.uk/public_intelligence_population_publications

The safeguarding context – children, young people & families

Children’s Commissioner’s annual study of childhood vulnerability in England
The 2018 vulnerability report tells us about the numbers of children who are growing up in England with vulnerability and risks that could affect their lives, well-being and life chances.

There are over 2 million children in England living in families with substantial complex needs, and of these 1.6 million children have no established, recognised form of additional support. In addition there are multiple other forms of vulnerability, risk and need.

The overview report provides a summary of the underlying data and analysis, which is set out in more detail in four technical reports. A set of slides summarises conversations with young people about the framework. Some of the reports from last year with more discussion of some of the issues in measuring and defining vulnerability have been published alongside this latest report.

Child poverty in 2018
The Joseph Rowntree Foundation (JRF) has published its annual report examining poverty in the UK. Key findings include: 4.1 million children are living in poverty, an increase of 500,000 in the last five years; nearly half of children in lone parent families live in poverty, compared with one in four of those in couple families. Solutions to reducing the amount of people in poverty include: reducing housing costs for renters; strengthening support from social security; offering better-paid employment.

Child protection plan statistics 2018
The NSPCC has published a fact-sheet pulling together the most up-to-date statistics on children who are the subject of a child protection plan in England. The fact-sheet sets out: the number of children who are the subject of a child protection plan; the reasons children are the subject of a plan; and the age and gender of children who are the subject of a plan.

Looked after children: statistics briefing
The NSPCC has published a briefing looking the range of data and statistics available in the UK that relate to children in local authority care. Statistics show that: in 2016/17 there were approximately 96,000 looked after children in the UK; and the total number of looked after children in the UK has increased every year since 2010, although this trend is not reflected in all four UK nations.

Children and young people’s health
The Royal College of Paediatrics and Child Health (RCPCH) has published reviews of the progress made against the policy recommendations in its ‘State of child health 2017’ report. RCPCH has also published a report sharing the views of children, young people and parents on health topics such as hidden illness, LGBT+ health needs, youth friendly services, children’s rights and mental health.

Children’s social care
The National Audit Office (NAO) has published a report setting out recent trends in pressures on children’s social care demand and activity in England and the response of both national and local government to these pressures. Findings include: there was a 26% increase between 2010/11 and 2017/18 in the number of children who were the subject of a child protection plan; the number child protection plans varied from 22 to 156 per 10,000 children between local authorities; 44% of this variation could be explained by local-authority-specific characteristics (such as local children’s social care practice and local market conditions), 15% by deprivation levels, 10% by national policy changes and 6% by levels of spending on children’s social care and vacancy levels for children’s social workers.

Research into child sexual abuse
The Centre of expertise on child sexual abuse (CSA Centre) has published findings from a survey to map current and ongoing research into child sexual abuse in England and Wales. Findings from a questionnaire completed by 58 professionals involved in the commissioning, funding or delivery of research related to child sexual abuse found that: details of 163 projects were submitted; the most popular focus of studies was interventions, the majority of which looked at service responses for victims; online grooming and child sexual abuse imagery were key themes investigated by research into perpetration and common topics in research included responses to child sexual abuse by the police and the ways educational and sporting establishments safeguard children.

  • Download the report ‘Mapping research into child sexual abuse: findings from an initial survey’ from the CSA Centre website at www.csacentre.org.uk/mapping-research-into-csa-eng

Online child sexual abuse
The Internet Watch Foundation (IWF) has released figures which show that 105,047 web-pages showing child sexual abuse material were removed from the internet by the charity in 2018. The figures show that 4 out of 10 web-pages actioned for removal displayed the sexual abuse of children aged 10-years-old and younger, with infants and babies featuring more than 1,300 times.

Health Visiting
The Institute of Health Visiting (IHV) has published its annual report for 2018 and compares feedback from its 2018 annual survey with responses in 2015. The report highlights that health visitors are finding their time increasingly focused on safeguarding families who would once have been the responsibility of social services. 36% of health visitors report working with children on a child protection plan all of the time or very often; 63% of health visitors believe that focusing only on those most at risk is diluting the universal service, so that needs go unrecognised.

Children and Young People JSNA
The JSNA is a ‘living’ resource that is being expanded and developed through consultation with key stakeholders and will incorporate the views of the community. Topics included in the Children and Young People JSNA are:

  • Wider Determinants of Health – data about factors that can affect health or impact on health inequalities
  • Pre-conception and Pregnancy – data about a mother’s health during pregnancy
  • Infancy and Early Years – data relating to babies and children in their first years of life
  • Childhood – data on oral health and childhood obesity
  • Adolescence – data on young people not in education, employment or training, physical activity and fitness, smoking alcohol and drug use, young people’s sexual health, and under 18 conceptions
  • Mental Health & Emotional Health and Well-being – data about the mental health, emotional resilience, and impact of parental mental ill health on children and young people, as well as data about self-harm and suicide
  • Unintentional childhood injuries – data on unintentional childhood injuries
  • Immunisation Programmes – data on uptake of routine childhood vaccinations
  • Early Help Offer including Families at Risk
  • Safeguarding – data on vulnerable groups of children and young people
  • Key Groups – data on key groups in the population who have specific needs.

Find this data on the MCC website at www.manchester.gov.uk/joint_strategic_needs_assessment/6797/children_and_young_peoples_jsna

MCC also produces a number of useful population profile reports, including the Profile of Children in Manchester, 2018 which can be found on the MCC website at www.manchester.gov.uk/public_intelligence_population_publications

Dates to note – adults & families

Hate Crime Awareness week – 4th to 10th February 2019
Everyone in Greater Manchester should have the freedom to be themselves without fear of facing hatred, discrimination and prejudice. That is why it is so important that to talk to someone if it happens to you.

Resources such as posters can be downloaded from the website at www.makingmanchestersafer.com/hate_crime or find out more in the MSB hate crime resource.

International Day of Zero Tolerance for Female Genital Mutilation – 6th February
This Day falls under the ongoing Spotlight Initiative, a joint project to eliminate all forms of violence against women and girls. One of the specific threads of the Initiative targets sexual and gender-based violence, and harmful practices in Sub-Saharan Africa, which include female genital mutilation.

Time to Talk Day – 7th February
This years’ Day is all about bringing together the right ingredients, to have a conversation about mental health. Whether that’s tea, biscuits and close friends or a room full of people challenging mental health stigma, we want you to get talking.

No Smoking Day 13th March
Help encourage as many smokers as possible to quit on No Smoking Day by organising your own event.

Disabled Access Day – 16th March
A day to celebrate good access and create opportunities for people to try something new.

Stress Awareness Month – 1st to 30th April
During this annual thirty day period, health care professionals and health promotion experts across the country will join forces to increase public awareness about both the causes and cures for our modern stress epidemic.

Dates to note – children & families

Children’s Mental Health Week 4th to 10th February
Healthy: Inside and Out. When we think about healthy living, we tend to focus on looking after our bodies – our physical wellbeing – through food, being active and getting enough sleep. However, in order to be healthy overall, it’s important that we look after our minds – our mental wellbeing – too.

Safer Internet Day – Tuesday 5th February
Organisations across the UK have registered as supporters, including over 700 schools and big names such as Google, the Department for Education, police services and charities across the UK. Schools and others are using the Education Packs, SID TV and the brand new top tip pages for 3-7s, 7-11s, 11-18s and parents and carers.

National Child Abuse Prevention Month – 1st to 30th April
Communities are encouraged to share child abuse and neglect prevention awareness strategies and activities and promote prevention across the country.

Family Safety Week – 1st to 5th April
Finding out about some common causes of accidents and the simple steps to take to prevent them could be one of the most important things you do.

Partner bulletins

The Manchester CDOP produces regular newsletters which can be viewed on our Child Death Overview Panel resource.

Safeguarding updates for schools are issued by the MCC Safeguarding in Education Team – find them on schools & early-years resource.

Register with the North West Population Health and Prevention Network (NWPHPN) to support your health and wellbeing professional development and practice. You will have access to education, training, networking and information sharing opportunities and receive regular e-bulletins with a round-up of news and forthcoming network and wider events. Register at www.nwcpwd.nhs.uk/nwphpn-register

One example is the Smokefree NHS newsletter – the PHE tobacco control team has launched a quarterly e-newsletter focusing on supporting a smokefree NHS. The newsletter will provide updates on relevant streams of work such as the CQUIN, delivery of the Tobacco Control Plan for England, and guidance/training for healthcare professionals as well as case studies from trusts across the country.

The House of Commons Library – an independent research and information service based in the UK Parliament – has recently started producing briefings on a range of local government issues including housing and social care which you can have delivered straight to your inbox. Find out more and subscribe at commonslibrary.parliament.uk

The Manchester Community Central bulletins provide a selection of items uploaded to the Manchester Community Central website over the previous week, including news, events, training opportunities, job opportunities, volunteering and links to information and resources.

Their quarterly newsletter provides updates on the services and support Macc provide and examples of how they work with groups.  Sign up for both at www.manchestercommunitycentral.org/news-and-events

Sign up for the MCC Age Friendly e-bulletin at www.manchester.gov.uk/sign_up_for_our_e-bulletins

Let us know about your bulletin at manchestersafeguardingboards@manchester.gov.uk

Highlights from our previous bulletins

Guide to data protection updated
The ICO have published a guide to data protection, which covers the Data Protection Act 2018 and the GDPR as it applies in the UK. The guide combines the existing ICO guides to the GDPR and Law Enforcement Processing, with the addition of new pages on intelligence services processing and key data protection themes.

Keeping Children Safe in Education
The Department for Education published their revised ‘Keeping Children Safe in Education’ statutory guidance is implemented on 3rd September 2018; this revised statutory guidance should be read alongside Working Together to Safeguard Children.

This is relevant to schools and colleges across England and introduces a number of notable changes and updates with regards online safety.

Keeping Children Safe in Education in other languages (LGfL)
All schools must ensure that all staff have read Keeping Children Safe in Education (Part 1). In our diverse schools, some staff may be more comfortable reading in their first language. The London Grid for Learning has translated Keeping Children Safe into a number of other languages:

  • Arabic
  • Bengali
  • Cantonese
  • Mandarin
  • Polish
  • Portuguese
  • Punjabi
  • Spanish
  • Urdu.

The translations can be found at www.lgfl.net/digisafe/kcsietranslate

The UK Safer Internet Centre and its partner SWGFL have published an article which looks at the revised guidance, highlighting the main changes and what they mean for teachers. Alongside most references, they have also signposted resources and services that may be helpful.

Working together to safeguard children 2018
The new advice is aimed at all professionals who come in to contact with children and families and includes guidance on current threats to child protection, such as sexual and criminal exploitation, gangs and radicalisation. Senior police, council and health leaders will jointly be responsible for setting out local plans to keep children safe and will be accountable for how well agencies work together to protect children from abuse and neglect.

The 2018 version replaces the 2015 version. The transitional guidance helps explain how to move to the new arrangements. The statutory framework sets out the legislation relevant to safeguarding and it should be read alongside the statutory guidance.

A version of the guidance for young people and a separate version suitable for younger children are also available for practitioners to share.

Working together to safeguard children: statutory guidance myth busting
The Children’s Social Care Innovation Programme has published guidance from the Department for Education (DfE) to clarify to relevant parts of the statutory guidance Working together to safeguard children 2018.

Topics covered include: individual child assessments; return home interviews; social workers for foster carers and children with long term foster placements; social workers for children in staying put; frequency of visits for social workers; and fostering and adoption panels. The responses have been agreed by the Department for Education and their lawyers in consultation with Ofsted.

Scared to share??
When Working Together was updated in July 2018 the government made the rules about information sharing much clearer? This is what it says:

Fears about sharing information must not be allowed to stand in the way of the need to promote the welfare, and protect the safety, of children, which must always be of paramount concern.”

Also – you do not always need consent to share personal information, although you should try to get it. It is good practice to get consent to share information as soon as you start to work with a family, so that this does not become a potential barrier later on if concerns start to escalate. There may be times when it is not appropriate to seek consent, either because the individual can’t give it, it is not reasonable to get it, OR because to gain consent would put a child or young person’s safety at risk.

Take the time to read the updated guidance in Working Together 2018 (pages 18 to 20) and make sure everybody that you work with knows about it too.

And finally….

This is a web-page version of our e-bulletin which is sent out via a Mail chimp mailing list. Anyone can sign up for our mailing list on the home page of this website and receive our bulletins directly.

An archive of MSB bulletins can be found on our bulletins page.

Manchester Safeguarding Boards (MSB) comprises the Manchester Safeguarding Adults Board (MSAB) and the Manchester Safeguarding Children Boards (MSCB). The Boards share an Independent Chair, Julia Stephens-Row; and are supported by the MSB Business Unit.

Contact us:
The MSB Business Unit are available Monday to Friday 9am – 4pm on:

The aim of the Manchester Safeguarding Boards is to ensure that everyone in our city is able to live in safety; free from abuse, neglect or crime – no matter what their age or circumstances.

We believe everyone who lives or works in the city has a role to play in achieving this.

Thank you for your support.

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