Patrick Branigan Sexual Abuse theme NSPCC

1. Piloting the Child
Sexual Abuse ‘hubs’
Patrick Branigan,
Sexual abuse theme, NSPCC

2. 95%
93%
92%
90%
79%
77%
76%
74%
72%
69%
68%
67%
66%
52%
1%
1%
Sexual abuse
Child neglect
Emotional abuse
Physical abuse
Child sexual exploitation
Harmful sexual behaviours among children
Safety of children online
Domestic violence
Child grooming
Child trafficking
Bullying
Children in the care system
FGM
Support for young witnesses in court
None of these
Don't know
Base: all valid responses (360; pilots 174; controls 118)
Issues: Which of the following issues, if any, do you
associate with the work of the NSPCC?

3. Confidence: In your professional capacity, how confident
do you feel about dealing with the following child issues?

4. Overall, a third have sought local advice (not necessarily from
NSPCC) on child sexual abuse in the last 12 months (33%)
Advice available
Base: all valid responses (315)

5. What are the
sexual abuse
hubs?
5

6. What is a one stop shop?
6

7. Sexual abuse project | what’s in a name?
Who you are vs. what you do
Need help and advice about
child sexual abuse
concerns?
Contact the NSPCC
sexual abuse information
centre in Carlisle
Need help and advice about
child sexual abuse
concerns?
Contact the NSPCC
in Carlisle
risk
• NSPCC what? What’s that?
• Change it now, change it in the future
• Extra time and resources
• NSPCC = visible, instantly
recognisable
• Future proof
• Who we are, not what we do

8. Aim and objectives
AIM
Objectives
The NSPCC is seen as a centre of expertise for sexual abuse issues and
direct services within four defined geographic areas and possibly on a wider
regional basis for advice and consultation
- Referrers and professionals know that they can come to the NSPCC with a
concern in relation to sexual abuse and that they will be able to get help
- The NSPCC is increasingly known as the “go to” resource for sexual abuse
services within a geographic area
- Improved local profile (and reputation and presentation regionally/Nationally) as a
responsive and “can do” organisation
Intended outcomes
- Child protection is enhanced locally/regionally and children are better protected
- Increased confidence in local areas workforce about child sexual abuse and child
sexual exploitation
- An increase in valid referrals
- Increased understanding and awareness by professionals in a defined geographic
area about child sexual abuse and how to effectively identify and respond to it

9. 9
Where are they and who are they for
Professional carers
(working with children
who have/may have
experienced sexual
abuse)
Carlisle
Craigavon
Cardiff
Plymouth

10. How do they
work?
10

11. Core principles – this is about working
differently

12. Type Offer Examples
Advice to
professionals
• General CSA information and
advice
Statistics, factsheets, signposting to other CSA
organisations support, Signposting internally within the
NSPCC – Contact centre, Childline, other Service centres,
CEOP research reports, local support groups
Consultancy to
professionals
• Case consultancy
Maximum three session offer
• Organisational consultancy
Maximum three session offer
Collaborative working on a case, specialist input to help
manage a case, collaborative consultation, supporting
others to protect children (expert witnesses) , reviewing
assessments of others to inform future direction of travel
for families, action learning sets
Input regarding local polices, frameworks for CPs,
procedures, safeguarding frameworks, managing risk, help
identifying lead person and roles, identifying CSA,
Assessing CSA, bespoke training and needs analysis.
Direct service
work
• Direct service offer including
assessment and intervention,
depending on assessed local
need and the local sexual
abuse services being
delivered
Letting the Future In, Turn the Page (HSB), Assessing the
Risk Protecting the Child, Protect and Respect (CSE
service)

13. 13
What did the
pilot tell us?

14. Aleron
Externally commissioned implementation study of four pilot sites over
9 months
14
Activities undertaken
• Observed pilot sites; kick-off and training day
• Conducted interviews with members of the
Commission Delivery Group, and those involved in
the hub’s set-up
• Interviewed Service Managers
• Two waves of surveys to service staff, including
administrators, practitioners and team managers,
collecting 50 responses
• Conducted focus groups with practitioners and
administrators in two pilot sites
• Conduced in-depth interviews with Team Managers
• Collected and analysed development and
evaluation data
Stakeholders engaged
• Service managers
• Team leaders
• Practitioners
• Administrators
• Senior communications officer
• Knowledge manager
• Quality and systems officer
• Business manager
• Head of S&D – Sexual abuse
• Development manager

15. Aleron 15
• An engaging development
process with emphasis on co-
production and inter-
departmental working
• High staff buy-in to the
concept of the model, although
with apprehension towards
resourcing the duty system
and internal processes such
as sign-off, handover and
closure
• Hub responsibilities have put resourcing
pressures on all staff, impacting case
work
• Hub cases grow on average 22% every
month, on average exceeding targets
• There were local variations and differing
challenges and solutions in the application
of the duty system, primarily to address
resourcing
• Cross departmental working was limited
but high in quality
• Professional development on
consultations will improve staff’s ability to
deliver services
• Risks and safeguarding
adequately managed
• Need for the service is high
based on a survey of 390
health and social care
professionals in pilot and
control sites, and the growth
rate of hub cases per month
• Professionals have fed back
the usefulness of the service
High staff buy-in; although
with duty system and
internal process concerns
Hub cases grow 22% every month,
putting pressures on staff & impacting
case work; forcing local adaptions to
address constraints
High need for the service,
and positive feedback from
professionals
Development &
Design
Implementation
Results &
Effectiveness
Phase 1 Phase 2 Phase 3
Findings across all three phases of the pilot study

16. Total number and target number of CSA hub
cases received
Cardiff, Craigavon and Plymouth went live in April 2014, and Carlisle in July
2014
Targets were set at 15 advice enquiries and 4 consultation cases per month
per team of 1 FTE. On average, the centres exceeded targets, although
dipping slightly in August.
16
0
10
20
30
40
50
60
70
80
90
Apr May Jun Jul Aug Sep Oct Nov
Number and target of CSA hub cases received
Total Target

17. Average number of enquiries and concerns per month before and
after the launch of the hub for all services including the hub
April 2013 – Nov 2014
Service Centre Average number per month
before launch of the hub
After number per month launch
of the hub
% difference
Carlisle 13.6 23.4 +42%
Cardiff 1.6 34.9 +200%
Plymouth 13.8 28.3 +105%
Craigavon 3.8 16.8 +342%
17

18. Over the period covering 1st April – 20th November
2014:
 The total number CSA hub cases received over the period
amounted to 490
 On average, the number of cases increase 22% every month across
all sites, with Craigavon seeing a 44% growth rate every month and
Cardiff 29%
 58% of cases received were enquiries (284 cases) and 42% of the
cases were consultations (204 cases), however this varied across
sites – Craigavon’s consultations were primarily organisational,
consultations accounted for 74% of cases in Carlisle whilst
enquiries accounted for 91% in Cardiff
 The average number of days between case received and case
closed was 19 for consultations, 9 for enquiries and 24 for referrals
18

19. 19
The most common case source by
far was Children’s Services (344
cases) followed by Health (32
cases), other official sources (31
cases) with education, third
sector, NSPCC, public, parent, self-
referral, police and probation
Social workers made 61% of the
professionals served, ‘other’ making up
9%, teacher/school staff at 4%,
CAMHS/Mental health worker at 3%

20. Next steps
20
Impact and awareness study –
Wave 2 in 2015
Exploring using Contact centre
(HelpLine) as single point of
access
Launch of a NE regional hub
Development work to scope
phase 2 (wider community
offer)

21. Further details:
pat.branigan@nspcc.org.uk
Sexual abuse theme, NSPCC