31 July 2013
Epsom and St Helier University Hospitals NHS Trust is working hard to ensure that all patients, including children, are cared for in a safe, secure and caring environment. As a result, a number of safeguarding children arrangements are in place.
Epsom and St Helier University Hospitals NHS Trust meets the (NHS) statutory requirements in relation to Criminal Records Bureau (CRB) checks. All staff employed at the Trust undergo a CRB check prior to employment, and those working with children undergo an enhanced level of assessment.
The last safeguarding review was in December 2012 when evidence was collated for the Care Quality Commission Essential Standards for Quality Outcome 7 'Safeguarding people who use services from abuse'. Further safeguarding audits of Section 11 Children Act 2004, have been completed and submitted to Surrey LSCB on 29th April 2011 and Merton LSCB 27th January 2012 providing further assurance that safeguarding processes are in place.
The Trust child protection policies and systems are in the process of review and revision following the publication of Working Together to Safeguard Children in May 2013 and will be reviewed annually.
The Trust has a process in place for following up children who miss outpatient appointments (within any specialty) to ensure their care, and ultimately their health, is not affected in any way. In addition, the Trust has a system in place for identifying children for whom there are safeguarding concerns.
All eligible staff have undertaken relevant safeguarding training and this is regularly reviewed to ensure it is up-to-date. The Trust has a robust training strategy in place with regard to delivering safeguarding training and is aligned to The Intercollegiate Document: Roles and Competencies for Healthcare Staff (RCPCH 2010).
The status of safeguarding training up to and including July 2013 is as follows:
82 % of all staff are up-to-date with Level one training - the target is 90%;
82 % of eligible clinical staff are up-to-date on Level two training - the target is 90%;
75 % of eligible clinical staff are up-to-date on Level three training - the target is 90%;
100% of eligible staff are up to date with Level 4 training.
Staff are required to attend annual training and training is reviewed and monitored on a monthly basis at the Safeguarding Children's Committee Meetings, and quarterly at the statutory and mandatory training committee meetings and risk management meetings.
The Trust has named professionals who lead on issues in relation to safeguarding. They are clear about their roles, have sufficient time and receive relevant support and training to undertake their roles, which includes close contact with other social and health care organisations.
The total number of named professionals in these roles is four and they are broken down by discipline as follows:
Named nurse WTE 1.0
Named doctor *2 WTE 0.4
Named midwife WTE 1.0
In addition, there are two supportive roles:
Specialist nurse child protection WTE 0.85
Administration support - named nurse WTE 1.0
(WTE = Whole time equivalent) * Named Dr's have 0.2 PA's on each site.
Two Lead Anaesthetists for Safeguarding, who are currently employed as Consultant Paediatric Anaesthetists, have been identified for the Epsom and St. Helier sites.
The purpose of the role is to act as a link between the Anaesthetic departments and child protection services within The Trust and as a source of knowledge within the department ensuring safeguarding updates and training requirements are passed on to colleagues.
The Lead has responsibility to attend Level 3 Child Protection Training and develop Level 3 core competencies. The implementation of this role is in accordance with the Intercollegiate Document (RCPCH 2010) and the Royal College of Anaesthetists.
The Director of Nursing is the Executive Lead for safeguarding children and chairs the safeguarding children committee which reports to the Trust Board on matters relating to safeguarding children.
The Trust Board takes the issue of safeguarding extremely seriously and receives an Annual Report on safeguarding children issues. The Interim Safeguarding Report was received and approved by the Trust Board on 14th January 2013 and the relevant Board paper can be found at www.epsom-sthelier.nhs.uk/boardpapers. The annual safeguarding report 2012-13 will be presented to the Board on 6 September 2013.
The Trust Board has robust audit programmes to assure itself that its safeguarding systems and processes are working.