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Piloting the Child Sexual Abuse 'hubs'
This document discusses the piloting of Child Sexual Abuse 'hubs' by the NSPCC. It provides details on: - What the hubs are and who they are for (professionals working with children who have experienced sexual abuse). - An evaluation of the pilot hubs in 4 locations found high need for the service and positive feedback. However, it also found the growing caseload put pressure on staffing resources. - Over the pilot period, the hubs received a total of 490 cases, with an average monthly growth rate of 22%. The majority of cases came from children's services and social workers.
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- 1. Piloting the Child SexualAbuse ‘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 Emotionalabuse 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 yourprofessional capacity, how confident do you feel about dealing with the following child issues?
- 4. Overall, a thirdhave 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 sexualabuse hubs? 5
- 6. What is aone 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 TheNSPCC 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 theyand who are they for Professional carers (working with children who have/may have experienced sexual abuse) Carlisle Craigavon Cardiff Plymouth
- 10.
- 11. Core principles –this is about working differently
- 12. Type Offer Examples Adviceto 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 pilottell us?
- 14. Aleron Externally commissioned implementationstudy 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 • Anengaging 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 andtarget 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 ofenquiries 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 periodcovering 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 commoncase 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 andawareness 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.
Editor's Notes
- #2 Introduce and outline the session
- #3 A complex sampling process No pre-existing national database of social and health care professionals No local databases either rockpool had to develop sample from scratch – relying on named contacts to send out the survey email to their colleagues This resulted in a ‘proxy’ sample of around 3,600 names across seven sites: Cardiff Carlisle Craigavon Plymouth Foyle Stoke Swansea Sexual, emotional and physical abuse and child neglect are the key issues associated with the NSPCC by professionals To date, 383 people have completed the survey Two-thirds are social workers, health visitors or school nurses Over half are from the four pilot sites
- #4 A complex sampling process No pre-existing national database of social and health care professionals No local databases either rockpool had to develop sample from scratch – relying on named contacts to send out the survey email to their colleagues This resulted in a ‘proxy’ sample of around 3,600 names across seven sites: Cardiff Carlisle Craigavon Plymouth Foyle Stoke Swansea Sexual, emotional and physical abuse and child neglect are the key issues associated with the NSPCC by professionals To date, 383 people have completed the survey Two-thirds are social workers, health visitors or school nurses Over half are from the four pilot sites
- #5 A complex sampling process No pre-existing national database of social and health care professionals No local databases either rockpool had to develop sample from scratch – relying on named contacts to send out the survey email to their colleagues This resulted in a ‘proxy’ sample of around 3,600 names across seven sites: Cardiff Carlisle Craigavon Plymouth Foyle Stoke Swansea Sexual, emotional and physical abuse and child neglect are the key issues associated with the NSPCC by professionals To date, 383 people have completed the survey Two-thirds are social workers, health visitors or school nurses Over half are from the four pilot sites
- #9 A pilot about integration…..Not doing ‘different things’, but ‘doing things differently’ Co-production process – better internal integration
- #10 Initial mapping local stakeholders for stage 1 and stage 2
- #12 Not so much the service offer – but how we offer it. This is about working differently. Lots to explore in this integrated model But this is about maximising the skills and knowledge of our staff, forging best practice in relation to provision of advice and consultation, revising our links to alpha to capture ‘what matters rather than just what is measureable. Linking with LA early help strategies
- #13 y
- #22 Introduce and outline the session