Laming One Year On March 2010
Laming One Year On March 2010
Response to Lord
Laming: One Year
On
March 2010
i
Contents
Ministerial Foreword 1
1. Introduction 3
2. Progress 7
National leadership and accountability 7
Local leadership and accountability 10
Supporting children 11
Inspection and regulation 12
Supporting the frontline 14
Improvement, learning and change 23
3. Challenges and Moving Forward 26
‘Do it now, do it right, intervene early’ 26
Leading well and working together 26
Learning and change 27
Regional improvement and support 28
Understanding need, performance and data 28
Confidence and trust in the safeguarding system 29
Annex A The Government's Response to Lord Laming 30
Annex B Serious Case Review (SCR) template for
executive summaries 72
Annex C Government Office (GO) Children and Learner Teams 74
1
Ministerial Foreword
The protection of children in England: action plan – The Government’s response to Lord Laming set
out our shared commitment to do everything possible to deliver improvements in safeguarding
practice following the publication of Lord Laming’s report, The Protection of Children in England:
A Progress Report, in March 2009.
A year on, this is a good time for us to take stock of, and learn from, progress so far and to
consider what our priorities should be in the year ahead.
A great deal has been achieved. The Social Work Transformation Programme is already delivering
results; over 50,000 people have registered for information on how to become a social worker in
response to our national recruitment campaign. The Action on Health Visiting Programme has
raised the profile of this important profession and introduced new requirements to monitor their
numbers and case loads. A new Police Child Protection Delivery Plan has been commissioned
which will set out recommendations for future improvements to police capability and practice to
enhance the delivery of child protection within forces.
Of course, what makes the most difference to vulnerable children and their families is what
happens day to day at the front line. We want to pay tribute to the many thousands of social
workers, teachers, police officers, doctors, nurses, health visitors and many others who support
and protect children and young people. This year, as in all years, they are making a positive
difference to children’s lives across the country.
Keeping vulnerable children safe is vitally important, and immensely demanding, work.
We recognise too that many professionals and practitioners are working in challenging local
contexts. Demand has increased in many services, especially, though not exclusively, in children’s
social care. The progress made through the Every Child Matters reforms means that increasingly
the most vulnerable children and young people are being better identified and supported. That is
good news.
Increased demand, however, brings new challenges. The tight fiscal climate requires robust
prioritisation and a relentless focus on ensuring consistently high levels of professional practice.
It also means that we all need to be prepared to ask ourselves some hard questions about what
works best, whether we could be doing things differently, and where and how the greatest,
sustainable improvement can be achieved.
Early intervention and prevention have a critical role to play. Many local areas are examining their
investment in preventative services to explore how they can make the best use of universal
services such as schools, Sure Start Children’s Centres and primary care and community health
services to support children who may not require specialist child protection services but who are
still vulnerable and in need of regular support. Our forthcoming paper on Early Intervention
contributes to the debate on this important area of work. We have also strengthened partnership
working by putting Children’s Trust Boards on a statutory footing and giving them the
2 The Government’s Response to Lord Laming: One Year On
responsibility for the Children and Young People’s Plan, which is a joint strategy setting out how
the Children’s Trust partners will co-operate to improve outcomes for local children and young
people. This will help to ensure that the responsibility for intervening early and well is clearly
understood and can have real impact.
Lord Laming asked Government to be more explicit in its strategic priorities for safeguarding and
protecting children. That is why, since its establishment last summer, the National Safeguarding
Delivery Unit has been working to strengthen and co-ordinate cross-Government safeguarding
work to bring greater coherence. Over the coming months, the Unit will maintain the necessary
focus, energy and drive to deliver Lord Laming’s recommendations, as well as providing support
and challenge to local partners in driving up the quality of frontline practice.
We are very grateful to Sir Roger Singleton, the Chief Adviser on the Safety of Children, for his
advice and support over the past year which has helped to shape and strengthen safeguarding
policy across many areas. We welcome The Chief Adviser on the Safety of Children: First annual
report to Parliament, published 17 March. This provides valuable insights into priorities for the
next year and we are committed to responding positively to the challenges he has set.
In the challenging times ahead, it will be ever more important to remain firmly focused on
securing the best possible outcomes for children and young people. Progress is being made and
we are in no doubt about the strength of commitment among national and local partners and
professionals at the front line. But this will be another tough year for many working to promote
children’s safety and wellbeing, particularly those who are most closely involved in child
protection and safeguarding. The stakes are high, and the task is hugely challenging, but there
could be nothing more important.
Keeping children safe is our highest priority and we are determined that it will remain so. We are
committed to working across Government and with our national and local partners to do all we
can to support, and where appropriate to challenge, with the aim of delivering the best possible
outcomes for children and young people.
1. Introduction
‘Relationships are crucial; it’s not about structures, it’s about making it work out
there for children’
Social Worker
1 The Children’s Plan reaffirmed that children, young people, their families and carers are at
the heart of our vision for the future. The Children’s Plan: Two Years On published at the
end of last year, highlighted the success of the Every Child Matters reforms and the
foundations that have been secured by bringing professionals together around the needs of
children, young people, their families and carers.
2 We have been working with partners to take forward the recommendations from Lord
Laming’s report last year with a firm focus on improving practice in order to secure better
outcomes for children. This has been within a rapidly changing context in which new
challenges have emerged. We have seen a significant rise in demand for children’s services,
particularly children’s social care. The latest set of national data available up to March 2009
indicates that referrals to children’s social care services have increased by 2%, initial
assessments by 9% and core assessments by 15%1. There have also been sharp rises in the
number of children entering the care system, up 9%2, and in the number of children who
are the subject of a child protection plan, up 17%3. Many local areas will be experiencing
significant challenges around workforce capacity and competing priorities.
3 As Lord Laming reminds us, getting safeguarding practice right needs a clear and distinct
focus but it also needs to be a central part of children’s services overall, complemented and
reinforced by early intervention and preventative work with children, young people, their
families and carers. People with the right skills, doing the right thing at the right time, make
the crucial difference to children’s outcomes and their futures.
4 Getting it right every time for every child is an enormous challenge, made all the more
demanding by the tight financial climate. It is important that we all use those challenges as
a spur to smarter prioritisation, innovative thinking, and more dynamic learning.
5 The Government will continue to provide clear national leadership and support and is
committed to talking openly and constructively with partners to understand and respond to
new challenges. It is particularly important that we learn together and across the whole
system about new solutions, emerging practice and innovation including:
1 http://www.dcsf.gov.uk/rsgateway/DB/SFR/s000873/index.shtml
2 http://www.dcsf.gov.uk/rsgateway/DB/SFR/s000878/index.shtml
3 http://www.dcsf.gov.uk/rsgateway/DB/SFR/s000873/index.shtml
4 The Government’s Response to Lord Laming: One Year On
●● the role of universal services in developing comprehensive, inclusive and early support
for families, given that this is where people see children and young people day to day,
know them well and may be best placed to identify risk factors and provide the support
they need;
●● the most effective arrangements for sharing safeguarding responsibilities across the
partners of Children’s Trust Boards and through the associated statutory Children and
Young People’s Plan;
●● what makes for effective work with families whose children are on the edge of the care
system – making best use of the advice from the national task group on the roll-out of
family intervention, led by Kim Bromley-Derry (President of the Association of Directors
of Children’s Services and Director of Children’s Services, Newham) and learning from
evidence including the pilots on Family Group Conferencing and Multi-Systemic Therapy;
●● the potential of developing ‘Total Place’ policies and the impact that local arrangements
might have for children, young people and families, including the performance of
services, reductions in duplication and inefficiencies;
●● cost effective practice, particularly through the sector-led commissioning support and
service transformation programmes;
●● the interventions and services that produce the best outcomes for children including
those which deliver less well and should therefore stop or change;
●● a range of effective interventions and services where there is known vulnerability for
children and their families; and
●● improved support and capacity for social workers set out in Building a safe, confident
future, the comprehensive reform programme recommended by the Social Work Task
Force.
6 Lord Laming challenged us all to deliver ‘a step change in the arrangements for the
protection of children from harm’. The cross-Government National Safeguarding Delivery
Unit (NSDU), which reports directly to Cabinet through its Families, Children and Young
People Sub-Committee, is working to ensure that at national level there is strong,
co-ordinated leadership across the safeguarding system. The Unit will provide support and
challenge to local authorities and their partners to help improve the quality of frontline
practice. In all its work, the Unit will focus on practical solutions that are developed in
partnership with those responsible for delivering services to children, young people and
their families and carers.
7 Decisions made locally over the next few months will also have a fundamental impact in the
longer term. Making sure that preventative services, often delivered through universal
services, play the most effective role they can in supporting children is key. This is
particularly the case for children who may become the subject of a child protection plan
and those who live in homes where there is violence, substance misuse or an adult with
mental health difficulties. A tight financial climate requires partners to be more enquiring
about what works best and where the most improvement can be achieved. It also places an
even higher premium on rigorous, high quality local knowledge about the needs of children,
young people, their families and carers in local communities. The local needs assessment
required to underpin and inform the new statutory Children and Young People’s Plan will be
a critical tool in the prioritisation and planning for children’s services as we move forward.
Introduction 5
8 The ‘Think Family’ reforms set out in the Families and Relationships Green Paper4 published
in January 2010 aim to ensure that there is a co-ordinated local response to families with
additional needs. Since April 2009, all local authorities have received funding to support
these reforms and introduce targeted services for children, young people, their families and
carers. Details can be found on www.dcsf.gov.uk/everychildmatters/thinkfamily including
guidance setting out joint working arrangements between children and family services and
adult drug/alcohol and mental health services, probation, prisons and police services.
9 Family Intervention Projects (FIPs) are an important part of the Think Family programme.
These provide intensive support to families with complex needs, including those with
children who may need safeguarding. FIPs now operate in every authority and
supported over 3,000 families in 2009-10, with a planned expansion in capacity to 10,000
families a year from 2011-12.
10 There are many encouraging developments in safeguarding services:
●● child protection is now one of the priorities for the National Police Protective Services
Board which reports to the Home Secretary on major challenges to public safety such as
terrorism and serious crime. A child protection delivery plan, which will set out a series
of recommendations for areas of future improvement to police capability and practice in
child protection is being developed by the Association of Chief Police Officers (ACPO) and
will be finalised in the spring. Together with the recent Policing White Paper, which
reaffirms the importance of the police contribution to safeguarding, this work will help
raise the profile of child protection and safeguarding within police forces and ensure that
both Child Abuse Investigation Units and frontline officers are fully equipped to deliver
their commitments on safeguarding and child protection;
●● there has been extensive work to strengthen safeguarding arrangements in the NHS,
taking account of the findings from the Care Quality Commission in July 2009. The
Operating Framework for the NHS – the high-level document which sets out the priorities
for NHS organisations for the year ahead – states that it expects NHS organisations to
continue to monitor and embed the minimum safeguarding arrangements in 2010-11
and to build on this to improve services and outcomes for children. The Operating
Framework highlights the importance of the Healthy Child Programme and outlines new
arrangements for PCTs to monitor workforce and caseload figures for health visitors;
●● in addition, the Chief Executive of the NHS has commissioned Sir Ian Kennedy to
undertake a review of NHS services for children, to explore the cultural obstacles that
might stand in the way of sustained improvement in the provision of care for children
and to consider what can be done to develop the contribution of the NHS to
safeguarding children. He is due to report in spring 2010;
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6 The Government’s Response to Lord Laming: One Year On
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2. Progress
18 The NSDU’s interim progress report and work programme for 2009-10 was published in
December 2009 and is available at www.dcsf.gov.uk/nsdu. It sets out how the Unit will:
●● drive forward improvements in safeguarding standards, with better, more consistent
practice across the country;
●● ensure a strong, co-ordinated cross-Government lead on safeguarding, maintaining the
profile of safeguarding within Government and ensuring that this is reflected in clear and
consistent strategic priorities and performance systems through local authorities, health
and police;
●● monitor and report on progress on safeguarding children, including progress on the
implementation of the Government’s action plan in response to Lord Laming’s report;
and
●● increase public and professional confidence in arrangements for safeguarding children.
19 In the year ahead, the Unit will also work alongside local and regional partners to develop
innovative programmes which make a difference in practice. It will focus on developing
practical solutions that are developed in partnership with those responsible for delivering
safeguarding services.
report. It now clarifies how the Local Safeguarding Children Board and Children’s Trust
Board relate to one another; strengthens the importance of multi-agency training and
effective supervision; and places an increased emphasis on the importance of all
practitioners listening to and focusing on the needs of the child, when making critical
judgements.
24 Chapter 8 of Working Together, on Serious Case Reviews (SCRs), was revised in December
2009, following a separate public consultation exercise, and made clear that the prime
purpose of the SCR is to learn from the review and to improve practice. This chapter has
been further updated to stress the importance of full and thorough executive summaries,
with a practical template as a guide.
25 The challenge is now to support local areas as they implement the revised Working
Together guidance. The NSDU work programme discussed later in this report, is specifically
aimed at achieving this with a very clear focus on practice.
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7 The evaluation of arrangements for effective operation of the new LSCBs in England.
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10 The Government’s Response to Lord Laming: One Year On
Public confidence
31 The Apprenticeships, Skills, Children and Learning Act 2009 requires every LSCB to appoint
two lay members. As well as bringing their own insights and skills, they will play a key role in
opening up the safeguarding system to wider public scrutiny with the aim of improving
transparency and public understanding and engagement in child safety issues. To support this
development, during 2010-11, the NSDU will be considering what support it can make
available to LSCBs in respect of its new lay members. The Unit will also consider, in
partnership, how it can become closely involved with and be able to represent accurately, the
views and experiences of children and young people on safeguarding issues and priorities.
Supporting Children
32 Lord Laming’s report reaffirmed the importance of focusing absolutely on the child and their
needs. There is a great deal of work underway to ensure that the voice of the child is central
to professional practice in safeguarding and child protection.
33 The Office of the Children’s Commissioner, 11 Million, has prioritised safeguarding for 2010-
11. They will be considering the needs of children and young people at risk of harm from
adults who abuse alcohol, drugs and other illegal substances. They will also be exploring and
promoting the best ways to support and encourage professionals working with families to
identify and intervene earlier to safeguard children and young people at risk of harm,
including working with families who have refused to engage with or accept help from social
workers, despite exhibiting clear signs of need.
34 The Children’s Rights Director for England has a statutory duty to ascertain the views of
children in care, receiving social care services, or living in boarding or residential schools or
colleges. Earlier this year, he published a report giving children’s views on their own rights
and responsibilities. The children’s right scored highest of all by children was the right to be
protected from abuse. Other rights that were scored highest by the children and young people
were, the right not to suffer discrimination, the right not to be treated in a way that is cruel or
meant to make a child feel bad about themselves, and the right not to be bullied. Children also
placed taking responsibility for their own safety fourth in their list of their own responsibilities.
35 The Director publishes a programme of consultations and reports each year. Over the past
year, reports have been published on children’s experiences of living in particular settings
such as children’s homes, secure units, residential special schools and residential further
education colleges, and on children’s experience of prejudice. Current consultation work for
publication includes the experience of admission into care and prevention of admission,
experience of being a ‘corporate child’, and children’s experiences of fairness and
unfairness. Consultation work by the Director feeds directly into national and local policy; all
children’s views reports are sent to Government ministers and opposition spokespersons, to
local councils, and to Ofsted. Many consultations and reports are carried out specifically to
feed children’s views on the development of national policy, for example, children’s
proposals fed into the development of planning, placement and review regulations under
the Children and Young Persons Act 2008.
36 Many LSCBs are also prioritising work to ensure that children and young people have the
opportunity to influence service provision. Examples include an independent chair of a LSCB
12 The Government’s Response to Lord Laming: One Year On
appearing before the Youth Parliament to answer questions on the Board’s work and LSCBs
that have established children and young people’s shadow safeguarding boards.
37 Nowhere is it more important that the voice of the child is heard than where there are
concerns about their welfare and safety. The revised Working Together to Safeguard
Children guidance includes specific references to the child being seen alone, where
appropriate, by the lead social worker. Further it requires that the social worker records
when the child is seen and if seen alone.
38 There are other groups of children whose voice may be at risk of not being heard. The
support provided for children who are not yet in need of specialist services but who are
nonetheless vulnerable is critical. Too often their needs can rapidly escalate if they do not
get the support they need.
39 The forthcoming paper on Early Intervention is designed to help Children’s Trust Boards as
they think through how to improve their early intervention arrangements in developing new
Children and Young People’s Plans. Many areas are already making good progress with early
intervention. Effective use of the Common Assessment Framework offers a mechanism to
enable professionals to share and lead interventions, whilst prioritising those children and
young people most in need of services. Its use, and the subsequent interventions provided,
often by universal services such as schools, are of fundamental importance in ensuring that
such children get the right level of support and, where possible, from a professional who is
already familiar with the child and their family environment. Further reference to common
assessment is made in paragraph 52 of this report.
Ofsted
41 To date, over half of local authorities have received an unannounced inspection of their
contact, referral and assessment arrangements by Ofsted. All will have been inspected by
summer 2010. Typically these inspections have provided reassurance that there are safe
and secure systems in place in most local areas. Where aspects of service provision
requiring further improvement have been identified these have often related to issues such
as the analysis of risk of significant harm, delays in allocating cases, timeliness and quality of
assessment, quality of case recording and the effectiveness of supervision. A three year
programme of full inspections of safeguarding and looked after children services, conducted
jointly by Ofsted and the Care Quality Commission, with Her Majesty’s Inspectorate of
Constabulary where appropriate, has been put in place. To date, 15 inspections have been
published.
42 Ofsted has also put improved systems in place to ensure that there is greater and deeper
learning from Serious Case Reviews (SCRs). SCRs will now be shared in confidence with
partner inspectorates and executive summaries with the Association of Chief Police Officers,
Primary Care Trusts and Strategic Health Authorities, to promote learning. Importantly,
Ofsted will also shortly publish for consultation its revised framework for the evaluation of
Progress 13
SCRs. It is anticipated that the depth and impact of learning and change will be central
criteria in the judgements as to whether an SCR is adequate.
8 Safeguarding Children – A review of arrangements in the NHS for Safeguarding Children – http://www.cqc.org.uk/
publications.cfm?fde_Id=12694
9 Essential Standards of Quality and Safety – CQC December 2009 www.cqc.org.uk
14 The Government’s Response to Lord Laming: One Year On
●● the inspection methodology centres on assessing the quality of work done with a
representative sample of cases – how often was the right thing done with the right
individual in the right way at the right time;
●● key criteria are the assessment, planning and management of safeguarding and public
protection work in each individual case; and
●● an inspection of cases is carried out in every area of England and Wales at least once
every three years.
47 Each of the new inspections of Youth Offending work since April 2009 has included the
award of a highly visible ‘safeguarding score’.
Information sharing
49 Effective information sharing between professionals is an essential feature of working
together. The cross-Government Information Sharing Guidance, Information Sharing:
Guidance for practitioners & managers provides a clear, up to date and sound framework.
In addition, the Embedding information sharing toolkit, published in January 2010, focuses
on the organisational and cultural aspects of embedding good practice in information
sharing. It describes activities that are specifically designed to address the key barriers and
drivers of effective information sharing and presents real examples of these activities from
local areas. The guidance, toolkit and other supporting materials are available at www.dcsf.
gov.uk/everychildmatters/informationsharing.
50 What happens at local level to support good information sharing is vitally important. Local
areas need to address all relevant aspects of governance, strategy, process and front-line
delivery. Practitioners must have confidence in the ongoing support of their managers and
organisations and have sources of good local advice they can draw upon. Many areas are
achieving this by establishing clear information sharing policies, by training, and through
other means, such as the appointment of information sharing champions across the various
professions. National support for this work will continue, including stronger messages
across all government departments to reinforce the importance of good and appropriate
information sharing. DCSF has been working closely with the Department of Health to
develop a leaflet with a very specific focus on health, children’s centres and information
sharing, to address some of the key issues practitioners have raised in this area. The leaflet
will be based upon, and will complement, the existing cross-Government guidance on
information sharing and is for all staff working in, and with, children’s centres. The content
has been through a rigorous consultation exercise with a wide range of interested parties
and has received very positive feedback from key health stakeholders and practitioners. The
leaflet will also be accompanied by a practical toolkit produced by Together for Children.
Progress 15
51 ContactPoint, a national online directory for people who work with children and young
people, continues to be implemented. Practitioner training and use of the system began in
the ‘Early Adopters’ in May 2009, and across England from October 2009, building up use
according to local plans. Local authorities are working with partner organisations to support
them through implementation. Practitioners using ContactPoint are positive and report that
they are already seeing benefits from its use, including better communication and more
integrated working across children’s services. The recently published ContactPoint: Lessons
Learned from the Early Adopter Phase, available at www.dcsf.gov.uk/ecm/contactpoint
provides further details.
16 The Government’s Response to Lord Laming: One Year On
Police
55 The National Police Protective Services Board (NPPSB), which reports directly to the
National Policing Board, is driving the work programme to ensure that all police forces
deliver effective protective services for the public. These are often services that are less
visible to the public but are crucial to ensuring that local communities are protected from
a wide range of potential threats such as organised crime or major crime.
56 The NPPSB has prioritised a focus on improving the policing approach to child protection
and has commissioned ACPO to develop a child protection delivery plan. The plan, which
will be finalised in spring 2010, will be led and owned by ACPO and will focus on the police
contribution to child protection.
18 The Government’s Response to Lord Laming: One Year On
57 ACPO has undertaken a wide consultation process in developing the plan. The plan
considers what measures can be put in place on a national, regional and local level to
improve the police response and equip officers to better protect children. The plan will help
to ensure the police are fully equipped to perform their key role in safeguarding children
and will support improvements to leadership, resourcing, and police training and
awareness.
58 The plan also attempts to provide synergy between a number of areas of work going on
within other agencies, such as HMIC, the Child Exploitation and Online Protection Centre
(CEOP) and the National Policing Improvement Agency (NPIA), all of which have an interest
in the delivery of child protection within policing. ACPO has considered those areas
highlighted in Lord Laming’s report that the service can build upon, for example, the need
for tailored training for officers working in specialist units. Good progress has been made on
the provision of training for specialist staff and senior police leaders by the NPIA.
59 The outcomes of the delivery plan will go forward to inform force child protection policy
and practice. This, along with the recently revised ACPO Guidance on Investigating Child
Abuse and Safeguarding Children provides a comprehensive toolkit for forces to incorporate
into practice. The revised guidance, which supports the multi-agency approach in Working
Together to Safeguard Children, was published by NPIA and ACPO in November 2009 and is
available at www.npia.police.uk/en/14532.htm
60 The Government has also announced its intention to place CEOP on a statutory footing,
with formal non-departmental public bodies (NDPBs) status and the inclusion of the
national lead for missing and abducted children within its remit. This commitment reflects
the importance the Government attaches to this area of work. CEOP will be key to the
delivery of the improvements proposed within the police child protection delivery plan.
Good progress is also being made on the protection of children living in households where
there is domestic violence. The commitments in the Together We Can End Violence against
Women and Girls Strategy published by the Home Office in November 2009, include the
intention to ensure that there is a Multi Agency Risk Assessment Conference (MARAC) in
every geographic area by 2011. MARACs are multi-agency meetings which have the safety
of high risk victims of domestic abuse as their focus. They provide an important vehicle to
ensure the protection of children living in those households. In the 12 months to September
2009, for example, over 33,000 cases were brought to a MARAC with over 46,000 children
considered in the safety planning as well. By 2011, the intention is for MARACs to be
protecting at least 50,000 victims a year, with these victims supported by Independent
Domestic Violence Advisers (IDVAs). However more needs to be done to ensure that the
needs and safety of children are carefully considered and appropriately actioned by every
MARAC and that there are effective working relationships between MARACs and LSCBs. In
furtherance of this objective, the NSDU will be working with the National MARAC Steering
Group partners to identify improvement priorities and to engage and work well with local
areas.
Progress 19
Health
61 Following the Care Quality Commission’s (CQC) review of safeguarding arrangements in the
NHS in England, the Chief Executive of the NHS, David Nicholson, wrote to NHS chief
executives in December 2008 and again in July 2009 asking all Primary Care Trusts (PCTs)
and Trust Boards to assure themselves that they have robust arrangements in place in
relation to child safeguarding, setting out a list of minimum arrangements for assurance.
Monitor, the independent regulator of NHS Foundation Trusts, wrote in parallel to NHS
Foundation Trusts. Department of Health meetings with each Strategic Health Authority
(SHA) in the autumn suggest that there has been a significant focus on and challenge to
safeguarding in PCTs over the last year. All SHAs now have an assurance framework in place
and all NHS organisations have been asked to publish a statement of compliance with the
assurance requirements on their website.
62 There has also been progress on specific themes highlighted in Lord Laming’s report.
The Action on Health Visiting Programme, developed jointly by DH and the Community
Practitioners and Health Visitors Association (CPHVA), has led the response to Lord Laming’s
challenges to strengthen the confidence, competence and capacity of the health visiting
workforce. Through extensive engagement with the profession and across the NHS, the
programme has made good progress in raising the profile of the profession; defining five
key dimensions of the health visitor’s role, including working with vulnerable families and
protecting children; disseminating good practice; and promoting health visiting as a career.
Action in hand on professional development includes support for clinical development with
a new e-learning programme for the Healthy Child Programme, and investment in clinical
leadership fellowships, with health visitors as a priority. Initiatives to build capacity include
action on recruitment, retention and return to practice.
20 The Government’s Response to Lord Laming: One Year On
63 In parallel, health visiting capacity for safeguarding was discussed with each Strategic Health
Authority during DH/SHA meetings on safeguarding in autumn 2009 and SHAs set out plans
to strengthen capacity in a sustainable way where needed. To reinforce this, the Secretary
of State for Health has introduced a new requirement, confirmed in the NHS Operating
Framework for 2010-11, for PCTs and SHAs to monitor health visitor numbers and caseload
sizes from April 2010.
64 Improving information sharing in Accident and Emergency (A&E) Departments and other
urgent care settings has been another focus for attention. The CQC’s review published in
July 2009 covered policies and systems in A&E, including systems for checking whether a
child is the subject of a child protection plan, and systems for flagging where there were
safeguarding concerns about a child. These issues were further followed up as part of the
process of SHA and board assurance set in train following the CQC report. The Department
of Health is also working with NHS Connecting for Health and urgent care clinicians on
proposals for better IT systems support for information sharing in A&E and other urgent
care settings.
65 Staff development and support has been an important theme on which DH has worked
closely with the professions. The roles of designated and named health professionals for
safeguarding children are of fundamental importance. A range of support has been put in
place to help them. All SHAs have commissioned safeguarding leadership programmes for
designated and named professionals and some have also extended these programmes to
staff in other groups. Where these programmes have been evaluated, the feedback has
been very positive. The Royal College of Paediatrics and Child Health (RCPCH) is working to
explore the potential benefits and feasibility of developing more formal, managed clinical
networks for child protection. The professional learning for health professionals in their
initial training is also significant. The Department of Health has led a review of safeguarding
training for NHS staff, working closely with NHS and professional leaders. The review
identified a need for greater clarity about what training should be received and how
frequently. In response, the Department will work with its partners to produce a training
matrix which describes learning outcomes, maps existing training courses, and outlines
training pathways for different professional groups. The Royal Colleges have also agreed to
update existing intercollegiate guidance on roles and competencies for health care staff in
safeguarding children.
the Performers List Regulations for general practice, are being considered as part of
strengthening the PCT role in ensuring suitability and eligibility of clinicians for the role. The
amendment being considered is to ensure that primary care contractors cannot be included
in the Performers List Regulations unless they are registered with the Independent
Safeguarding Authority.
10 www.dcsf.gov.uk/swrb/
22 The Government’s Response to Lord Laming: One Year On
●● The Fire Service in East Sussex are running a campaign on fire prevention as a result of
issues raised in a SCR. Research conducted locally by Brighton University indicated that
approximately one in nine households experience a fire in the home caused by children
(though many of these are not reported or result in the Fire & Rescue Service being
called). Under the banner of ‘learning not burning’ a local radio station is broadcasting a
series of advertisements for two weeks to promote the scheme. Information is also
available on line and a confidential email and telephone hotline have also been created.
The aim is to encourage more people to seek help so that issues can be identified and
resolved at an early stage. The campaign will be evaluated to assess its impact.
●● Portsmouth LSCB ran a creative awareness raising campaign offering advice to parents
and carers about the potential risks of co-sleeping. The campaign was carried out as a
result of issues raised in SCRs. This was an excellent example of multi-agency working
between midwifery services and health visiting and multi-agency working to progress the
awareness raising campaign. It involved the development of clinical guidance, advice
leaflets for parents and carers, information posters and the production of printed bibs
with safe sleeping messages for all children born in Portsmouth. Since this campaign the
number of child deaths due to overlay in Portsmouth has reduced to zero.
●● Reading LSCB made use of an Overview Author and a Headteacher to feed back learning
to local schools from a SCR relating to an older child. They are also undertaking an
impact assessment with their partner agencies to ensure that there is evidence of
change in practice and outcomes for children as a result of implementing the lessons
from SCRs.
●● Oxfordshire LSCB has led some work on closer working with the Multi-Agency Public
Protection Arrangements (MAPPA) in the local area as a result of learning from a SCR.
The report from MAPPA was used within the process as an IMR which ensured that
their review was fully integrated into the SCR process. This has led to strategic MAPPA
Board of Thames Valley and the Oxfordshire LSCB developing a closer understanding of
working practices in each area. One of the outcomes is a conference led by SMB on
Safeguarding in MAPPA to be held in July 2010 where these lessons can be shared across
the South East region.
76 Securing good SCR authors and panel chairs is also essential. The NSDU has been leading on
the development of a national training programme for SCR overview report authors and
panel chairs. Pilots have already begun following a successful tendering process. The
regional Government Offices, in partnership with local LSCBs, and regional improvement
partners have also already co-ordinated training to Individual Management Review authors.
Discussions will continue about the future training needs of the sector.
77 The NSDU has also commissioned research from the University of Warwick to understand
what more needs to be done to stimulate learning from serious case and child death
reviews across the safeguarding system for children and young people. It is also
commissioning separate work to identify when, and under what circumstances, varying
methodologies could be used when undertaking SCRs, to assist with the effective learning
of lessons.
78 Recurring circumstances in the death or serious injury of children and young people, include
adult substance misuse, domestic violence and the mental ill health of a parent or carer.
Lord Laming emphasised the importance of identifying these vulnerable children early on
Progress 25
and ensuring that services working with the adults make appropriate referrals to children’s
social care services. Progress has already been made, including the revision of the Working
Together guidance, the Home Office strategy on Violence against Women and Girls11; the
protective policing reforms; the national focus on the quality of health visiting and
preventative services that can intervene early. NSDU aims to continue to support
improvement through its learning and change priority and the planned ‘intervening early’
programme for 2010.
Child neglect
81 Many practitioners and much recent research (including SCRs) also raise the issue of long
term child neglect. NSDU and the DCSF have therefore jointly commissioned new training
resources for practitioners and managers to support their work with children and families,
where children are being or are likely to be neglected. The training resources are designed
to provide support for practice, and to help professionals understand their responsibilities
when undertaking assessments, and when intervening in circumstances where there is
concern about child neglect. These training resources are due for completion in early 2011.
In addition, NSDU has recently published a practitioner’s guide for use when working with
neglected adolescents. This is available at www.dcsf.gov.uk/nsdu/research.shtml.
Safeguarding data
82 Access to high quality data is fundamental in supporting planning, performance and
improvements for safeguarding. Some local areas have made good progress in their use of
existing data but others would welcome further support on improving the data that is
available to them. This includes considering comprehensive data that will help inform an
understanding of need and create a better local understanding of safeguarding performance
across the breadth of the Children's Trusts Board. It is also important that we develop ways
of understanding the experiences of children, young people and their families, and of
everyone working in the system about the strengths and areas for development in
safeguarding and child protection. Nationally, data in respect of safeguarding children and
young people must also improve. Further information about this priority area for NSDU is
referenced in paragraph 91 of this report.
11 www.homeoffice.gov.uk/documents/vawg-strategy-2009
26
83 As this report illustrates, priority is being given to safeguarding and child protection across
Government. New solutions are also being sought in answer to increases in demand, at a
time when resources are becoming more difficult to obtain.
84 NSDU has been created to support the system, nationally, regionally and locally as it
develops its improvement priorities. The Unit will learn from what is and is not working and
will help to encourage innovation. It will stay tightly focused on the needs of children,
young people and their carers. The work programme for the Unit over the next two years is
designed around six priority areas which have been established with the close involvement
of national stakeholders, partnership network colleagues and front line practitioners. There
is still work to do to design and fill in the detail in partnership with stakeholders, but we
remain convinced that support in these areas will make a difference. With the help of
regional and local leaders there are positive opportunities ahead.
30
The Government’s Response to Lord Laming: One Year On
to Lord Laming: Progress Update on 58
Recommendations
31
32
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
33
Spending Review. light of further discussion with partners.
34
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
Child safeguarding has been included in the core standards for Core
Quality Commission (CQC) registration and the NHS Operating
Framework for 2010–11 requires NHS organisations to continue to
monitor and embed their child protection and safeguarding
arrangements and to build upon these to improve their services and
outcomes for children.
6 Directors of Children’s Services, Chief To be developed as part of revised Working All relevant organisations share a duty in accordance with section 11
Executives of Primary Care Trusts, Police Together to Safeguard Children guidance. of the Children Act 2004 to ensure that their functions are discharged
Area Commanders and other senior with regard to the need to safeguard and promote the welfare of
service managers must regularly review children. The new guidance for Children’s Trusts, also being published
all points of referral where concerns in March, reaffirms the shared responsibilities of statutory partners in
about a child’s safety are received to understanding local need, prioritising against that need and
ensure they are sound in terms of the articulating those priorities in the statutory Children and Young
quality of risk assessments, decision People’s Plan for the local area. Chapter 3 of Working Together to
making, onward referrals and multi- Safeguard Children, published on 17 March 2010, further specifies that
agency working. Local Safeguarding Children Boards (LSCBs) should keep under review
the volume and sources of contact and referral to local authority
children’s social care services, monitoring the quality and action taken
in response, including feedback to the person making the referral.
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
7 All Directors of Children’s Services who This will be included in revised statutory guidance Revised statutory guidance on the Roles and Responsibilities of the
do not have direct experience or on Lead Members and DCSs and reflected in Lead Member for Children’s Services and the Director of Children’s
background in safeguarding and child revised Working Together to Safeguard Children Services (DCS) published in July 2009 highlights the particular
protection must appoint a senior guidance. importance of senior managers working with the DCS having relevant
manager within their team with the skills and experience in child protection and safeguarding. The revised
35
36
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
37
38
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Government’s Response May 2009 Progress update March 2010
No March 2009
39
40
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
41
42
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
Chapter 3 sets out that the Local Safeguarding Children Board (LSCB)
should consider developing protocols for resolving different
43
44
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
The Social Care Institute for Excellence (SCIE) has published guidance,
endorsed by DCSF, that sets out a ‘Think Family’ approach for
professionals working with parents suffering with mental ill health.
The Home Office, DCSF, Association of Chief Police Officers, Youth Justice
Board and National Policing Improvement Agency have also produced
guidance for neighbourhood policing managers and practitioners on early
intervention and prevention to show how this can have a real impact on
reducing crime and anti-social behaviour. The guidance demonstrates the
role the police have to play in ‘Think Family’ service delivery.
45
46
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
The Government is committing to take steps, based to the profession through the Return to Social Work Scheme
on the advice of the Social Work Task Force, to ●● 330 high calibre graduates are being sponsored to undertake
ensure that social workers have manageable case Masters-level training through the Graduate Recruitment Scheme
loads which enable them to work effectively and with a further 200 due to start on the employer-based Step Up to
efficiently to secure the best possible outcomes for Social Work entry route into social work later this year;
service users.
●● and the assessment process for the Advanced Social Work
Professional role will begin from summer 2010
47
48
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
49
50
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
51
52
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Government’s Response May 2009 Progress update March 2010
No March 2009
53
54
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
55
56
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
57
58
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
59
60
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
HMIC is currently reviewing its inspection ●● an inspection of cases is carried out in every area of England and
methodology and is moving to Rounded Wales at least once every three years.
Assessment. A Rounded Assessment of every force Each of the new inspections of youth offending work since April 2009
will be conducted throughout the year on a regular has included the award of a highly visible ‘safeguarding score’.
basis to provide for judgements and narratives
across five domains. Child abuse investigations and HMIC has introduced a more structured system for identifying
safeguarding children will fall under one of these specialist skills requirements for inspection work streams and has
domains – Protection from Serious Harm. Rounded applied this to all inspections since January 2010. Child abuse
assessment will indentify key areas of vulnerability investigations/safeguarding (child protection) was assessed and
which may, in turn, trigger separate, dedicated graded under the Programmed Inspection of Protecting Vulnerable
inspections – for example, on either a force or People (PVP) in 2007. As well as individual force reports, a Lessons
‘thematic’ basis. Fieldwork for Rounded Learned report was published in 2008. PVP, as part of the suite of
Assessment is due to commence July/August this ‘Protective Services’, will be subject to examination and analysis in
year with graded judgements produced by 30 spring 2010. This is expected to generate targeted fieldwork to feed
November 2009. into the Police Report Card (previously known as Rounded
Assessment) for 2010–11. In addition, a revised inspection framework
for ‘protecting vulnerable people’ (PVP) has been developed and the
child protection element will be piloted in eight inspections during
April and May 2010. These inspections will also give important
61
62
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
HMIP ensure that all their inspectorates have training and support in
child safeguarding.
39 The Department for Children, Schools The Government will publish a revised Chapter 8 of Public consultation on a revised Chapter 8 of Working Together to
and Families should revise Working Working Together to Safeguard Children for Safeguard Children was held from 31 July to 23 October 2009 and was
Together to Safeguard Children so that it consultation by July 2009 so that these important supported by seminars across all Government Office regions. The
is explicit that the formal purpose of improvements can be put in place as quickly as revised Working Together to Safeguard Children, Chapter 8: Serious
Serious Case Reviews is to learn lessons possible. Case Reviews, which comes into force today, emphasises that the key
for improving individual agencies, as well role for SCRs is to learn the lessons and for LSCBs to ensure that the
as for improving multi-agency working. subsequent action plans are implemented in a timely manner. The
NSDU has also commissioned research by the University of Warwick to
better understand what more needs to be done to stimulate learning
across the safeguarding system for children and young people.
63
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Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
65
66
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Government’s Response May 2009 Progress update March 2010
No March 2009
67
68
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
Alongside this the NSDU has published practice guidance for LSCBs for
full consultation, alongside the revised Working Together to Safeguard
Children statutory guidance.
51 The Children’s Trust and the Local To be reflected in revised regulations and revised The revised guidance published today clarifies that there must be a
Safeguarding Children Board should not Working Together to Safeguard Children guidance. clear distinction between the roles and responsibilities of the LSCB and
be chaired by the same person. The Local the Children’s Trust Board to ensure appropriate challenge, scrutiny
Safeguarding Children Board chair should and impartiality. The complementary roles of the two boards – and
be selected with the agreement of a the challenge function of the LSCB to the Children’s Trust Board – will
group of multi-agency partners and only work if the two bodies are chaired by different people. The LSCB
should have access to training to support must be able to form a view about the quality of local activity, to
them in their role. challenge partners as necessary, and to speak with an independent
voice.
52 Local Safeguarding Children Boards To be reflected in revised regulations and revised The revised Working Together published on 17 March 2010 clarifies
should include membership from the Working Together to Safeguard Children guidance. that the members of the LSCB should be senior decision makers who
senior decision makers from all have a strategic role in relation to safeguarding and promoting the
safeguarding partners, who should attend welfare of children within their organisation. They should be able to
regularly and be fully involved as equal speak for their organisation with authority, commit their organisation
partners in Local Safeguarding Children on policy and practice matters and hold their organisation to account.
Board decision making.
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
53 Local Safeguarding Children Boards The Government has brought forward amendments The Apprenticeships, Skills, Children and Learning Act received Royal
should report to the Children’s Trust to the ASCL Bill to require LSCBs to produce annual Assent in November 2009. The Act includes a provision, which comes
Board and publish an annual report on reports. Subject to Parliamentary approval, this will into force on 1 April, to introduce a new statutory requirement
the effectiveness of safeguarding in the be reflected in revised Working Together to that LSCBs must publish an annual report on the effectiveness of
local area. Local Safeguarding Children Safeguard Children guidance. safeguarding in the local area. Both the Working Together to
69
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Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
The NSDU will also be looking at how it can support local areas in
effective needs assessment.
Ref Lord Laming’s Recommendation
Government’s Response May 2009 Progress update March 2010
No March 2009
57 The Ministry of Justice should lead on the The Ministry of Justice is working closely with the During 2009–10 the Ministry of Justice has led on establishing a
establishment of a system-wide target Department for Children, Schools and Families to holistic approach towards reducing delay in care proceedings. A new
that lays responsibility on all participants establish a system-wide target for reducing delays system-wide target to reduce unnecessary delay will come into force
in the care proceedings system to reduce that draws in all participants within the care from the outset of 2010–11, and will supersede the existing PSA4
damaging delays in the time it takes to proceedings system. Whilst the detail is yet to be target. This target is fully supported by key partners within the system
71
72
Annex C: Government
Office (GO) Children and
Learner Teams
Safeguarding – summary version
GO Children and Learner Teams have a significant role in supporting and challenging safeguarding
services in local areas. This includes:
1 Working with all Children’s Trust Boards and Local Safeguarding Children Boards to drive
improvements in safeguarding:
●● using analysis and understanding of the relevant safeguarding data to challenge
performance, support improvement activity and monitor progress;
●● providing advice, support and challenge to individual Local Safeguarding Children Boards
and local partners across the full range of their safeguarding responsibilities;
●● discussing inspection recommendations with the local authority, advising on and
supporting improvement and seeking assurance that plans are in place and action taken;
and
●● understanding any specific challenges for local areas which require targeted additional
support.
2 Supporting and challenging Local Safeguarding Children Boards/Children’s Trusts in relation
to Serious Case Reviews and Child Death Overview Panels (CDOPs):
●● monitoring the pattern of serious incident notifications and challenging as necessary;
●● advising local authorities and LSCBs on the application of the criteria for holding a SCR
and, when requested, advising LSCBs on SCR terms of reference;
●● assisting individual LSCBs to source suitably trained SCR chairs and authors;
●● seeking assurance that plans are in place and action is being taken to address
recommendations from SCRs and Ofsted evaluations and helping to embed and share the
learning;
●● challenging and supporting the development of CDOPs, including in the use of data; and
●● drawing out and disseminating regional learning from Serious Case Reviews and Child
Death Overview Panels and sharing this learning with the National Safeguarding Delivery
Unit (NSDU).
Annex C: Government Office (GO) Children and Learner Teams 75
3 Using local knowledge to inform and influence the development of national policy
●● providing regional input and feedback to policy and programme development;
●● identifying early warning signs and concerns about the strength of safeguarding
arrangements in particular areas which require escalation and supporting government
intervention where that is necessary; and
●● alerting and briefing Ministers on serious safeguarding incidents, child protection
correspondence sent to DCSF and serious issues raised by Ofsted in respect of
safeguarding.
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