Contacts

Dental Practice Liaison Leads please see the Safeguarding Liaison Contact Details

The CCG Safeguarding Team can help you, for example, escalating cases, tackling systemic problems or helping you to address a practice issue. 

Tel: 0300 421 1540 or email: glccg.onegloucestershiresafeguardingteam@nhs.net

Named/Designated Professional here

Contact details for adjoining counties can be found here.

Gloucestershire Safeguarding Children Executive – Useful Contacts

Children in Care Health Service -   Contacts

Or speak to the Acute Paediatric Consultant on call via GHNHSFT - Tel: 0300 422 2222

Please follow the links below to information leaflets:

Gloucestershire Community Dental Service website: https://www.gloscommunitydental.nhs.uk/services/

How to make a referral/Children safeguarding process

If you are worried or concerned about anyone under 18 who you think is being abused or neglected, or that a child and their family need help and support, please contact:

The MASH 01452 42 6565  or email: childrenshelpdesk@gloucestershire.gov.uk

Outside of office hours (5pm-9am Mon-Fri/weekends), you should contact the Emergency Duty Team (EDT) on: 01452 614194

Professionals need to make referrals to the MASH for Children's services by completing this Multi-Agency Service Request Form (MARF).  

A  Single Consent Form is intended for use by all practitioners working with children, young people and families when they wish to share information with the County Council and its partners. The Single Consent Form (or an equivalent) will need to be completed when submitting:

 

Please consider completing the following to assist with the referral;

Once you have contacted the MASH with a concern about a child, this is then triaged by Social Workers, if it doesn’t meet Social Care thresholds, it will be forwarded to Early Help Service.

Early help offer a wide range of information, self-help, support and services available for all aspects of family life, which everyone can access.

Glosfamilies - Family Information and Services

MASH is made up of agencies in Gloucestershire with a responsibility to protect children and vulnerable adults.  This includes;

  • Gloucestershire County Council Children Services
  • Gloucestershire County Council Education Services
  • Gloucestershire Police
  • Youth Support Service
  • Gloucestershire health community

All referrals meeting Social Care thresholds will be investigated further by the MASH and will allow agencies to share all the available and relevant information that they hold in order to make a decision as to how best to investigate and offer support.

The concept is designed to ensure a robust decision is made at the earliest stage, to help streamline the routes for referral and notifications of concern, and act as a centre for all new referrals regarding adults and children’s safeguarding.  The MASH concept supports recommendations made in numerous Serious Case Reviews about the need to improve information sharing between agencies and Lord Laming’s report ‘The Protection of Children in England. A progress report’ (HMSO, March 2009).

It is important that you make your referral as soon as you have decided that this is the best course of action.

At times we cannot understand why the referral has not been accepted by Social Care. Gloucestershire County Council have provided threshold guidance as to their assessment of referrals. See the Gloucestershire Guidance for Levels of Intervention document here.

Review your referral against this threshold document, and if you are still concerned in relation to the safety of a child, you need to escalate your concern. See the GSCB Escalation policyhere.

Please remember if you think a child or young person is at immediate risk of significant harm, contact the MASH on 01452 426565. See the GSCB leaflet for guidance on responding to concerns about a child.

Sign up for alerts: Gloucestershire Safeguarding Children Executive (GSCE)

If the parents of a child are married when the child is born, or if they’ve jointly adopted a child, both have parental responsibility.  They both keep parental responsibility if they later divorce.

An unmarried father can only get legal responsibility for his child in 1 of 3 ways:

  • jointly registering the birth of the child with the mother (from 1 December 2003)
  • getting a parental responsibility agreement with the mother
  • getting a parental responsibility order from a court

For Children in Care, parental responsibility remains with the natural parents not the Foster Carers, unless there is a Court Order where parents and Social Care have joint parental responsibility.  For Children in Care who attend your Practice, Foster Carers should provide a “Delegation of Consent” form.

We would recommend the Delegation of Consent form is scanned into your computer systems as it will provide consent for future contacts with the child.

Training

Everyone in your Practice requires some basic Safeguarding knowledge. The level of training required has been dictated by the Royal Colleges and professional bodies, who have jointly published the updated Safeguarding Children and Young People: roles and competencies for health care staff. The document describes levels of competences and model role descriptions for named and designated professionals.

Level 1 Training:
For all clinical and non-clinical staff (all new staff must complete this training within the first 6 weeks of taking the post)

Level 2 Training:
For all medical and clinical staff who have any contact with parents, guardians, children and young people.

You are required to undertake a half day course for revision and update of previous child protection training, in order to ensure their knowledge reflects current practice and research in order to be able to respond appropriately.

Level 3 Training:
All medical and senior clinical staff who work regularly with children, young people and infants have to demonstrate six hours level 3 training over three years including a Multi- Agency element.

Newly Trained Staff:
It is recommended that newly trained staff attend a full day Multi Agency Safeguarding Children course.  This can be accessed via the GSCB training department here. Courses run at Sandford Education Centre and Redwood House (Gloucestershire Hospitals NHS Foundation Trust) are specifically targeted for clinicians.

Further training can be found on the BDA website.

Topics

The 2011 Ofsted inspection highlighted the very poor input of Dentists to case conferences.  These are children who are the most vulnerable in our population and at highest risk of abuses.  It is everyone’s duty to share concerns.

Requirements:
The requirements that you contribute to the case conferences are such that you do not need to attend unless it is a relevant case.  It is recognised due to clinical demands, Dentists rarely can attend.  The requirements however, state that only your contribution is needed.

There is one password used for all invitations to case conferences.  Please acknowledge receipt of the invitation.  It is then the duty of the Practice Manager to determine a process whereby any relevant information is shared with the case conference.  This can be either by email, telephone or written letter.

All case conference minutes will be emailed to Practice Managers and the named Dentist.  The format of the minutes has been altered, such that 3rd Party information is not shown in the report.

These minutes should be read by the Dentist and the necessary alerts updated on the computer systems with the minutes scanned into all relevant records for children and adults.

For the old case conference minutes, it is recommended that necessary alerts are placed on relevant health records for children and adults – the paperwork can then be shredded.  Should further information be required in the future in relation to any of these cases, this can be accessed by contacting the Case Conference Office.

Looked after children in Gloucestershire have chosen to be known as ‘Children in Care’ rather than Looked after (or LAC).

Children in care and care leavers are vulnerable groups who have often experienced significant adversity in their lives which has been shown to impact long term health outcomes.

Most Children in Care in Gloucestershire live in foster placements, with some in residential placements. If a child is placed in Gloucestershire by another local authority, the responsibility for their care remains with the placing authority (and social worker).

Commissioners and providers of health services are required to cooperate with local authorities to promote and protect the health of children in care and improve their health outcomes. This can be a challenge when children often experience multiple placement moves and information is often slow to follow.

Gloucestershire Health and Care NHS Foundation Trust employ a team of specialist nurses and mental health professionals who work exclusively with these children and their carers.  You can find out more about the team here: https://ghc.nhs.uk/our-teams-and-services/children-in-care-health-service/

The Designated Doctor and Nurse in the CCG can provide support to primary care colleagues regarding local processes and practice:

CCG Designated Doctor for Safeguarding Children & LAC:  Dr Imelda Bennett

CCG Designated Nurse for Children in Care:  Pauline Edwards

Healthcare professionals need to be aware of the key indicators of children being sexually exploited which can include:

  • going missing for periods of time or regularly coming home late;
  • regularly missing school or education or not taking part in education;
  • appearing with unexplained gifts or new possessions;
  • associating with other young people involved in exploitation;
  • having older boyfriends or girlfriends;
  • suffering from sexually transmitted infections;
  • mood swings or changes in emotional wellbeing;
  • drug and alcohol misuse; and
  • displaying inappropriate sexualised behaviour.

Practitioners should also be aware that many children and young people who are victims of sexual exploitation do not recognise themselves as such.

The screening tool and Gloucestershire's multi-agency protocol for safeguarding children at risk of CSE can be accessed here.

 

Domestic Abuse and MARAC

Children living in an environment of domestic abuse are experiencing emotional abuse.  50% of children will also be physically abused within the next two years.

If you are concerned about a child in this environment, consider:

  • Discussing your concern with Social Care
  • Providing the victim with information for potential support

For further details about the Gloucestershire Domestic Abuse Support Service please see www.gdass.org.uk to make an online referral or call 0845 602 9035.

Professionals number: 01452 726561.

Please use this number to ensure that any victims wanting support have a better chance of getting a response on the help desk.

 

Safe Teen Relationship Education and Empowerment Team (STREET)

STREET Gloucestershire, named by local young people, is a new service providing support for 13-19 year olds who are affected by teen relationship abuse or have been affected by domestic abuse within their family.

Evidence showed that 16 to 19 year olds were experiencing the highest rates of domestic abuse of any age group. However, there is a growing awareness that young people under 16 are experiencing abuse in their relationships. New research has shown that young people aged 13 to 15 reported experiencing some form of relationship abuse at the same level as those aged 16 and above.

Gloucestershire County Council is working with West Mercia Women’s Aid (WMWA) who are partnering with Gloucestershire Domestic Abuse Support Service (GDASS) to provide a single, integrated service for the county’s young people.  Based at the GDASS office in Gloucester, the service will work with young people across the county and will also partner with schools, youth organisations, statutory children’s services, police and health services to make sure that young people have swift and easy access to the specialist support they need.

STREET Gloucestershire will be delivering both one-to-one and group support using evidence-based programmes that focus on an understanding of healthy relationships, and the promotion of self-esteem and resilience.  Targeted support will also be available to young people who may be displaying harmful behaviour in their own close relationships with partners or family members.

How do I refer to STREET Gloucestershire?
Anyone concerned about a young person who has been affected by domestic abuse, or by abuse in a teen relationship, can make a referral by filling in this referral form and sending this to the following secure email address: Street.glos@gsg.cjsm.net

Anyone referring to the service is asked to make sure that the young person and, if under 16 years old; their parent/guardian has consented to the referral.  The service will take a ‘no wrong door’ approach, and referrals that come through other means will also be picked up. A completed referral, sent to the email address above, will guarantee contact with the young person and their family within 10 working days. 

For further information please contact: rebecca.twydell@wmwa.org.uk or call the information line on 01452 726 584.

 

Honour based violence, Forced marriage and Female genital mutilation

The monitoring form (please see resource link below) is for Honour based violence, forced Marriage and Female Genital Mutilation. No action is taken on receipt of these forms, because they are not referral forms. Should staff identify any concerns they should report formally to the police (particularly when considering mandatory reporting of FGM), or refer, where appropriate, to support services or social care. The monitoring form can be completed and sent to Sophie.Jarrett@gloucestershire.pnn.police.uk to assist in data collection to understand the prevalence of these issues in the county. Honour Based Violence, Forced Marriage and Female Genital Mutilation MONITORING FORM

Please also see the Home Office Forced Marriage Partner Pack.

These short animated films have been developed to create awareness around the health and physiological consequences of FGM and cut through much of the inaccurate and misleading information circulating in the public sphere about FGM.

 

Gloucestershire Domestic Abuse and Sexual Violence (DASV) Briefing Sheet

Please follow this link to the Gloucestershire Domestic Abuse and Sexual Violence (DASV) Autumn 2019 briefing.

Gloucestershire Anti-Slavery Partnership (GASP)

Please follow the links below for Gloucestershire's Anti-slavery Partnership (GASP) resources;

The Home Office have also provided Criminal Exploitation of Children and Vulnerable Adults guidance aimed at frontline staff who work with children, young people and potentially vulnerable adults.

 

Every Child Protected Against Trafficking (ECPAT)

Sign up to the Every Child Protected Against Trafficking (ECPAT) e-newsletter for regular updates on their work, training, events and important information about the issue

Serious Case Reviews

Serious Case Reviews are a mandatory processes and Dentist contribution to them as part of information gathering is essential. 

Working Together to Safeguard Children (2018) recommend that Local Safeguarding Children Boards (LSCBs) should maintain a local learning and improvement framework which is shared across local organisations who work with children and families.

Reviews should be conducted regularly, not only on those cases which meet statutory requirements but also on other cases which can provide valuable lessons about how organisations are working together to safeguard and promote the welfare of children.

The different types of review include:

  • Serious Case Review - where abuse or neglect is believed to be a factor (statutory requirement)
  • Child Death Review - a review of all child deaths up to the age of 18 (statutory requirement)
  • review of a child protection incident which falls below the threshold for an SCR; and
  • review or audit of practice in one or more agencies.

A national panel of independent experts on Serious Case Reviews will advise LSCBs about the initiation and publication of SCRs.

The Working Together guidance states that a Serious Case Review should always be carried out where abuse or neglect is known or suspected and either the child has died (including suspected suicide) or if a child has been seriously harmed and there are concerns about how agencies have worked together. The Serious Case Review sub group of the local LSCB considers all new cases and make a recommendation as to whether a SCR is required to the Chair of the LSCB.Final reports of SCRs findings must be published on the LSCB's website for a minimum of 12 months. The reports should provide a sound analysis of what happened in the case, and why, and what needs to happen in order to reduce the risk of recurrence; be written in plain English and in a way that can be easily understood by professionals and the public alike; and be suitable for publication without needing to be amended or redacted.

Lessons from previous serious case reviews can be found on the Gloucestershire Safeguarding Children Board's website. 

Please see also 'Sharing the Lessons and Reducing the Risk'

 

Child Death:

The Child Death Review process is designed to help provide the appropriate support to families and schools, to gain information about why and how children die.  More information can be found on the Gloucestershire Safeguarding Children Board's website, here.

The risk to children living in an environment exposed to adults who have been identified as high level domestic abusers, will be assessed in a MARAC.  Practices will receive the information as to the outcome of the conference.  This will be scanned into all relevant children and adults notes with an appropriate alert assigned to the case files.  Paper copies of the report should then be shredded.  If further details are required, please contact those in attendance at the conference highlighted on the minutes.  Please see the Domestic Abuse, Stalking, Harassment and Honour Based Violence (DASH) risk assessment form here.

Prevent is part of the Government’s counter-terrorism strategy that aims to stop people becoming terrorists.  It is a multi-agency approach to safeguard people at risk of radicalisation.

Prevent E-learning can be accessed here. This offers an introduction to the Prevent duty and explains how it aims to safeguard vulnerable people from being radicalised to supporting terrorism or becoming terrorists themselves. The training addresses all forms of terrorism and non-violent extremism, including far-right wing and Islamist extremism threatening the UK. It has been developed by HM Government following consultation with a range of individuals and organisations.

For more information please see resources listed below:

When a person or a group of people use the internet, mobile phones, online games or any other kind of digital technology to threaten, tease, upset or humiliate someone else this is a form of bullying. It is not acceptable and should not be happening. https://www.gscb.org.uk/im-a-child-or-young-person/keeping-safe-online/cyber-bullying/

Admin

Body Maps - Documentation of Injuries and Tabling of Concerns:

Child Sexual Exploitation Screening Tool

Delegation of Authority

Early Help Request for Support Form

Honour Based Violence, Forced Marriage and Female Genital Mutilation MONITORING FORM

ICD Competencies (Learning Logs) are under the Training Section

Multi-Agency Service Request Form (MARF)

Sharing your information Leaflet

Single Consent Form

STREET (Safe Teen Relationship Education and Empowerment Team)

Source

Leaflet

Description

Gloucestershire Care Services (GCS)

Going to the Dentist (Easy Read)

Having a filling (Easy Read)

Having a tooth extraction (Easy Read)

What is a fissure sealant? (Easy Read)

These easy read patient leaflets provide information on visiting the dentist and possible treatments.

Gloucestershire Care Services (GCS)

Patient Survey - Dental (Easy Read)

How was your visit today?/Complaints leaflet (Easy Read)

These easy read patient leaflets allow patients to provide feedback/complaints about their experience.

Gloucestershire Care Services (GCS)

Looking after false teeth/Dentures (Easy Read)

This easy read patient leaflet provides information on looking after false teeth.

Patient.co.uk

Safeguarding Children

This patient leaflet provides an overview of safeguarding children.

Please follow the links below to further information on;

A series of documents to be used in managing allegations can be found via the GSCB website here.

These documents should be used when someone is alleged to have: 

  • Behaved in a way that has harmed or may have harmed a child
  • Possibly committed a criminal offence against, or related to, a child
  • Behaved towards a child or children in a way that indicates s/he is unsuitable to work with children or in a way indicates s/he would pose a risk of harm if working regularly or closely with children

In response to Sir Robert Francis’ Freedom to Speak Up report and his recommendation to review primary care separately, NHS England has published specific guidance for colleagues in general practice, optometry, community pharmacies and dental practices. This follows a consultation with staff working in primary care. As of 1 April 2016, primary care staff can raise concerns directly with NHS England. The guidance sets out who can raise a concern, the process for raising a concern, how the concern will be investigated and what will be done with the findings of the investigation. 

Please follow this link to the full document.

Tips for safer recruitment:

  • Advertisements - adverts should include reference to your work place commitment to safeguarding and Criminal Records Bureau (CRB) checks. (Disclosure and Barring Service (DBS) checks).
  • Interviewing - Practice Safer Recruitment techniques. Training is now available through the NSPCC.
  •  References - If the job involves working with children, get references prior to interview for shortlisted candidates and ensure concerns are discussed. Don't accept photocopies or undated references.
  • CRBs now DBS - all staff who start a new job or have a break in service of more than 3 months, who are working or volunteering with children, should have a DBS if they are in a regulated activity.
  • The new Disclosure and Barring Service came into force in 2012. Updates on progress can be found here.
Child Protection Policy - ensure your work place has a robust CP policy, which should be reviewed annually. All staff should know what to do if they have a concern and be familiar with the South West Child Protection Procedures.
Organisations/Agencies

MAPPA Gloucestershire Contact Details:

MAPPA Coordinator
Vacancy 

Detective Inspector Simon Goodenough
Email: simon.goodenough@gloucestershire.pnn.police.uk

Kirsty Ridge, MAPPA Administrator
Tel: 01452 753180
Email:kirsty.ridge@probation.gsi.gov.uk

Referrals to be sent toSWSCNPS.gloucestershire.MAPPA@probation.gsi.gov.uk  

For further information, please visit www.mappa.justice.gov.uk        

Identifying and Referring MAPPA Offenders
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