Minutes of the NSCB Full Board Meeting 6 December 2017 Venue: John Fretwell Centre Sookholme Road Mansfield Nottinghamshire V0.2 Nottinghamshire Safeguarding Children Board Children, Families and Cultural Services County Hall West Bridgford Nottingham NG2 7QP Tel No: 0115 97 73935 Nottinghamshire Safeguarding Children Board Wednesday 6 December 2017 - Attendance List 1 NAME ROLE, ORGANISATION PRESENT APOLOGIES DEPUTY ATTENDED Chris Few Independent Chair, NSCB Y (Chair) Julie Gardner Associate Director for Safeguarding & Social Care, Y (Vice Chair) Nottinghamshire Healthcare NHS Trust Colin Pettigrew Corporate Director, Children and Young People’s A _ Services, Nottinghamshire County Council Steve Edwards Service Director, Youth Families & Social Work, Y Nottinghamshire County Council Marion Clay Service Director, Education, Learning & Skills, Y Children and Families, Nottinghamshire County Council Laurence Interim Service Director, Commissioning and Y Jones Resources Children and Family Services, Nottinghamshire County Council Joe Foley Group Manager, Safeguarding, Assurance and Y Improvement group, Nottinghamshire County Council Paul Johnson Service Director - Strategic Commissioning, Y Access and Safeguarding Adult Social Care, Health and Public Protection, Nottinghamshire County Council Kate Allen Consultant in Public Health, Children’s A Nicole Commissioning and Consultant in Public Health, Chavadura Children’s Integrated Commissioning Hub and Public Health, Nottinghamshire County Council Cathy Burke Deputy Chief Nurse (Designated Nurse A Bushra Safeguarding Adults, Children & LAC), NHS Ismaiel Bassetlaw Clinical Commissioning Group (CCG) Val Simnett Designated Nurse, Safeguarding Children, A Jane Brady NHS (Nottinghamshire) 5 CCGs Fiona Straw Designated Doctor for Safeguarding, Y NHS (Nottinghamshire) 5 CCGs Nadya James Consultant Community Paediatrician/Named Y Doctor for Safeguarding, Nottingham University Hospital NHS Trust Tina Hymas- Head of Safeguarding, Sherwood Forest Hospitals Y Taylor NHS Trust Rick Dickinson Acting Deputy Director of Nursing, Midwifery & Y Quality – Doncaster & Bassetlaw Hospitals NHS Foundation Trust Elaine Moss Chief Nurse & Director of Quality, NHS Newark & A Jane Brady Sherwood and Mansfield/ Ashfield CCGs Nichola Director of Nursing and Quality, Nottingham North A Jane Brady Bramhall and East, Nottingham West and Rushcliffe Clinical Commissioning Groups Nicola Ryan Interim Chief Nurse, Executive Lead Quality and Y Safety NHS Bassetlaw CCG, Retford Hospital, North Road, Retford, Notts, Bella Dorman Head of Safeguarding, Nottingham University Y Hospital NHS Trust, Trust Head Quarters, 3rd Floor, City Hospital Campus, Hucknall Road, Notts Maria Stanley Ambulance Operations Manager, Quality and A _ Compliance, Safeguarding, East Midlands Ambulance Service Bushra Ismaiel Designated Doctor for Safeguarding, Y _ Doncaster & Bassetlaw Hospitals NHS Trust 2 Bob Bearne Assistant Chief Executive, Y Derbyshire, Leicestershire, Nottinghamshire & Rutland Community Rehabilitation Company Ltd Nigel Hill Head of National Probation Service, A _ Nottinghamshire Andrew Head of Public Protection, Y Gowan Nottinghamshire Police Clare Mayne Service Manager, Y Early Intervention Team, CAFCASS Leanne Newark & Sherwood District Council A David Jayne Monger (District & Borough Council representative) Sue Fenton Manager, Home Start Nottingham Y (voluntary sector representative) NSCB Officers Steve Service Manager, Partnerships and Planning, Y Baumber (P/T), Safeguarding Assurance and Improvement Group, NCC Katie Tarrant Temporary NSCB Business Manager Y Bob Ross NSCB Development Manager Y Trish Jordan NSCB Training Coordinator Y Michelle Elliott Minute Taker - NSCB Administrator Y NCC Councillor Tracey Taylor NCC Lead Member with responsibility for Y Children’s Social Care Guests (and agenda item/s attended) Lucy Peel Children and Young People’s Mental Health and Y (Appendix D) Wellbeing Programme Lead, ASCH &PP, NCC Izzy Martin Service Manager, Independent Chair Service, Y (Appendix I) Commissioning & Resources, Children and Families, NCC Hazel Temporary Service Manager, Safeguarding Y McKibbin Children (Strategic) & LADO (Observer) 3 Minutes of NSCB Full Board Meeting 6 December 2017 Agenda Item & Discussion Action Paper circulated Welcome & The Chair, Chris Few (CF), welcomed everyone to the meeting. Apologies Introductions were made and apologies were noted. Minutes of the The minutes of the meeting held on the 20 September 2017 meeting 20 were reviewed for accuracy and actions:- September 2017 (Appendix A) Action (Page 9) – Laurence Jones (LJ) spoke around school attendance and how the system failed the child if they are not referred to appropriate agencies – Suggested a message/letter to go out to Head Teachers concerning making appropriate referrals for children not attending school. Update – LJ confirmed that a committee report had been submitted and Rachel Miller will be sending out a letter to schools concerning making appropriate referrals for children not attending school. Marion Clay (MC) confirmed that further discussions concerning making appropriate referrals is taking place with external partners which includes Schools, Regional School Commissioners, Governors and Head Teacher. CF confirmed that the Children Trust Board is meeting on the 7 December 2017 and Children Missing from Education is on the CF agenda. Action: - CF suggested that the report be circulated to Board members and discussed at a later date. The minutes were agreed as an accurate record of the last meeting. Independent CF drew members’ attention to the Independent Chair’s update Chair’s update and in particular highlighted the new Statutory Guidance (Appendix B) Consultation encouraging Board members to respond individually. The closing date for the consultation period is the end of December. Action: CF confirmed that the Board will also be providing a coordinated response and if Board members have any feedback All to email Steve Baumber (SB). NSCB Executive Julie Gardner (JG) drew members’ attention to the NSCB Report Executive update and confirmed that a lot of business was dealt (Appendix C) with at the November meeting. JG raised concerns regarding the Executive membership which should comprise of colleagues who are in a position to make decisions concerning assurance and decision making. JG noted that a number of organisations were not present at the November Executive meeting. JG asked for the Strategy Partners and Commissioners to collectively decide their representation and going forward as the revised structure is reviewed. NR confirmed that Elaine Moss has raised this point and a meeting is to be arranged shortly. CF mentioned the Looked after Children’s Health Pathway and noted the Health Assessments are required within certain timescales but the performance information report indicated that such health assessments are not being completed within the 4 appropriate timescales. However it was noted that the quality of the health assessments were very good. Action CF to feed into CF the consultation LAC Children’s Pathway on behalf of the Board concerning the delay/timeliness of the health assessment reports. JG commented that a discussion took place at the Exec meeting around how important it is for Looked after Children to have quality and timeless health assessment reports. LJ recognised that there is an issue around insufficient capacity within a tight contract. NC confirmed the Exec meeting had asked for information around how long young people are waiting. This will allow partners to scrutinise the performance and provide assurance. Once the data has been collated it will be discussed at the Executive meeting. Multi-Agency Audit Lucy Peel (LP) was welcomed to the meeting and highlighted the S.136 repeat audit key points of the report. (Appendix D) LP shared the S.136 repeat audit which had been commissioned by the Nottinghamshire County and Nottingham City Safeguarding Boards. LP explained changes to S.136 of the Mental Health Act are due to be implemented in December 2017 – which will place further requirements on local systems to be able to respond to young people in an proportionate and timely way. LP noted with the audit in 2016 there were particular concerns around safe discharge planning from the 136 suite however due to improvements with this, it was not included as a focus of this audit. LP to amend the audit report accordingly. Some findings from the audit were consistent with the previous audit however at times it was difficult to get an accurate picture of the pathway for the young people who experienced the S.136, due to what is being recorded on multi-agency records. It was noted that when the issue was raised concerning police cars transporting young people assurance was given that it would be an unmarked car which can cause delays. Questions/comments were invited on the report. It was agreed to accept the report and recommendations. Action: It was agreed that the recommendations and action plan be over seen and driven forward by the Task and Finish Group – An interim update to be provided to the Executive meeting including reporting on the Performance Framework. Multi-Agency Audit Hilary Turner (HT) introduced the Missing Children Audit Report Missing Children and highlighted the key points. Audit (Appendix E) HT shared that the report had required further work due to inconsistences within the report and data. The recommendations from previous versions of the report have also been amended. HT explained