Safeguarding children

We ensure that robust arrangements are in place to safeguard and protect the wellbeing of children and young people. This is required by Section 11 of the Children Act. Core Standard 2 provides a framework for meeting these obligations and our CCG is able to report it meets these requirements.

The CCG has developed a children's safeguarding policy and procedure, to support CCG staff with basic advice and signpost them on how to raise concerns in a consistent manner. You can find the policy here.

Assistant Director of Safeguarding

Designated Nurses

Safeguarding Children and Adults Declaration

We execute our statutory responsibilities with regard to safeguarding children and adults by ensuring that all staff are trained to the required level according to their role and responsibility. The organisation’s principle philosophy is that safeguarding is everybody’s business and all staff will respond and act to raise safeguarding awareness and address any emerging issues. This includes all commissioning intentions, services commissioned and contractual arrangements. The organisation will hold to account all provider organisations contracting with the CCG regarding their safeguarding responsibilities and processes.

The safeguarding service has a good track record of delivering best practice safeguarding that the CCG wishes to maintain and build upon. We employ Designated Nurses for each CCG and have a service level agreement with their respective NHS Trusts for the Designated Doctors. 

At the time of transition, our safeguarding has assured the Department of Health, The Strategic Health Authority, the Safeguarding Children Board and the Adult Safeguarding Board that its statutory obligations in relation to safeguarding children and adults are being followed and strengthened through on‐going developments. This has been demonstrated through Children Act Section 11 audits and reporting that provides evidence of safeguarding from all levels of the organisation and across all business/commissioning functions. This provides a view by agencies external to health that the organisation has robust safeguarding procedures in place.  We are set to build upon the good practice and further strengthen safeguarding in every area of clinical practice, services commissioned and assurance delivery.

The organisation has a formal policy relating to CRB disclosures which sets out the responsibilities at senior managerial level, appointment managers, current and prospective employees.  Safeguarding policies and systems are up-to-date and robust with flagging of children, looked after children and for all ages where there are safeguarding concerns and developments planned to identify children, families and adult individuals at risk and who miss outpatient appointments.

Our safeguarding policies are regularly reviewed and updated taking into consideration the responses to recommendations from Serious Case Reviews, Serious Incidents and Audits.

The organisation works in partnership with the London Tri-Borough Safeguarding Children’s Board & Adults Safeguarding Board and Hounslow Local Safeguarding Children’s Board & Adults Safeguarding Board who oversee policy development and all partner organisations reflect within internal safeguarding policies.  The policies are accessible via the safeguarding boards and CCG websites.

All provider services contracting within the CCG are contractually required to have systems in place that identify adults at risk and vulnerable children and flag issues that increase risks to vulnerable individuals, children and families, e.g. failing to attend outpatient appointments, attendance to unscheduled care, Out of Hours Services and Accident and Emergency Departments on numerous occasions or delayed presentation and or with injuries consistent with the history provided. All provider organisations are required to report safeguarding issues, and conduct and participate in enquiries and investigations to reduce the risk of reoccurrence including multi-agency enquiries.

The Executive Nurse ensures a process is in place whereby safeguarding issues are expressly included in all the organisation’s contractual arrangements, policies and procedures.

Links with the Local Safeguarding Children Boards and Adult Safeguarding Boards supports a consistent partnership approach to interagency working. For children this includes interagency reviews to monitor progress and ensure that relevant professionals work together effectively to promote safeguarding the health and wellbeing of vulnerable children and families. For adults a multi‐agency process of managing Safeguarding Alerts is in place.

Safeguarding training is mandatory within the organisation induction programme for all new employees and refreshed at the mandatory annual update for clinical and non-clinical staff.

The organisation fully endorsees the principles that all health professional s must have the requisite skills, knowledge and competence to undertake their specific roles, including independent contractors such as GPs and allied health professionals in accordance with best practice.

The organisation is committed to support the development of an ambitious safeguarding training programme, linked to training needs analysis to continually develop primary care and to strengthen the delivery of the safeguarding obligations for all GP practices and other independent health organisations such as dentists and pharmacists.

Designated and Named Professionals are clear about their role and have sufficient time to undertake it. The organisation has access to a safeguarding team made up of the following staff for each CCG:

  • A full time Designated Nurse for Safeguarding Children
  • A full time Designated Nurse for Looked After Children (Hounslow, pending)
  • A Designated Doctor Consultant Paediatrician
  • A Designated Doctor for Looked After Children
  • Designated Doctor for Sudden Unexpected Death of an infant/child (SUDIC)
  • Named Public Health Consultant in Medicine who participated in the Child Death Overview Panel
  • Named Adult Safeguarding Lead
  • Named GP for Safeguarding

All GP practices have a named safeguarding lead that ensures that safeguarding principles and practice are embedded in front‐line practice.

We have clear lines of accountability and responsibility for safeguarding:

  • Chief Officer: Mark Easton
  • Lead Director: Jonathan Webster, Director of Quality and Patient Safety
  • Executive Lead Nurse for Safeguarding Children and Adults: Jonathan Webster
  • Interim Assistant Director for Safeguarding: Judy Durrant
  • Designated Doctor and Nurse for Safeguarding Children for each CCG

Adult and MCA Lead: one currently covering CWHHE but from January there will be one covering tri borough and another covering Hounslow and Ealing.

The Governing Body Executive Director Lead for Safeguarding is strengthening the assurance reporting and overseeing the process of audit programmes to ensure that safeguarding systems and processes are robust. 

The Director of Client Group Commissioning is responsible for providing leadership and gaining assurance in relation to safeguarding issues within the CCG and locality responsibilities. This is achieved by bringing together all elements of safeguarding across the age range, e.g. quality and performance management of statutory initial health assessments and reviews for looked after children, and to have the assurance of the quality of assessments in accordance with the Mental Capacity Act, and complaints, enabling a single route for information flow.

We retain responsibility for assuring through the commissioning process, compliance with the Mental Capacity Act and Deprivation of Liberty Safeguards and work in partnership with the Tri-borough Local Authority and Hounslow Local Authority, who are the statutory supervisory body for all hospitals, to ensure the appropriate level of training, support and capacity in the system to ensure professionals are qualified to carry out best interest assessments. We have a named Mental Capacity Lead.

The reporting of safeguarding issues is explicit within the governance framework and embedded into the quality reports to the Governing Body. This informs the Governing Body regularly and support continual improvement of quality and organisation learning of lessons from incidents and individual experience.

We will work to the principles as set out in the NHS Commissioning Board new accountability and assurance framework which sets out the responsibilities of each of the key players for safeguarding in the future NHS. This framework was developed in partnership with colleagues from the Department of Health (DH), the Department for Education (DfE) and the wider NHS and Social Care system. Although this framework focuses on the statutory requirements to safeguard children, the same key principles will apply in relation to arrangements to safeguard adults.