Child Sexual Exploitation Awareness Multiagency Training Team www

Child Sexual Exploitation Awareness Multi-agency Training Team www. safeguardingchildren. stoke. gov. uk

What we will cover • • • What is Child Sexual Exploitation National Statistics Local Picture Recognising Signs and Indicators Why Report It? Who to contact www. safeguardingchildren. stoke. gov. uk

What is Child Sexual Exploitation? Child sexual exploitation (CSE) is a type of sexual abuse in which children are sexually exploited for money, power or status. Children or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed online. Some children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs. NSPCC www. safeguardingchildren. stoke. gov. uk

National Picture Official statistics tell us how many sexually exploited children have been identified by the authorities. But we know that this is only the tip of the iceberg. Although there has been a lot of research into the factors that are associated with child sexual exploitation, very few studies look into the numbers of children who have been exploited Over 2, 400 children were victims of sexual exploitation in gangs and groups from August 2010 to October 2011 In 2012 -13 CEOP received 18, 887 reports relating to child sexual exploitation. www. safeguardingchildren. stoke. gov. uk

Local Picture : January – December 2015 Stoke-on-Trent Child Sexual Exploitation Panel • • • 79 young people were referred to the CSE panel. The youngest was 11 years old, oldest was 18. The majority are aged 14 - 15 years. 6% were male. Background – 1 42% were in care or care leavers. Ethnicity is not a risk factor for CSE - young people from different ethnicities are being exploited in the City. – www. safeguardingchildren. stoke. gov. uk

Signs & Indicators: It is important to remember that any child or young person can be at risk of CSE, some of these indicators can help to identify those at high risk or who are already victims of CSE. • Sexualised dress • Having older boyfriends/girlfriends • Unexplained monies or goods including multiple mobile phones • Reduced contact with family and friends and other support networks • Alcohol/drug misuse • Poor self image/Eating disorders/Self harm • Being taken to clubs or hotels by adults to engage in sexual activity • Association with gangs • Mood swings or changes in emotional wellbeing www. safeguardingchildren. stoke. gov. uk

Signs & Indicators: C: UsersTaniaDownloadsSpot ting the signs of child sexual exploitation. mp 4 www. safeguardingchildren. stoke. gov. uk

Why report it? Sharing small details can have a big impact! • Cars • • • Makes and Models Colour Full or part registrations • Basic descriptions of people • Nick names • Discussions about house parties • Addresses www. safeguardingchildren. stoke. gov. uk

Safeguarding for Pharmacists Dr Janey Merron Named GP child safeguarding

Neglect Failing to care or safeguard children Dirty and smelly Poor medical attention, not giving essential treatment Faltering growth All without a satisfactory explanation

Emotional abuse • Behaviour/responses of child • Behaviour of parent towards child • Family Factors • Domestic Violence

Sexual abuse • Disclosure • Injuries/bleeding • Sexually Transmitted Infections • Pregnancy e. g requests for emergency contraception or treatment for vaginal discharge If age < 13 years you must refer to childrens social care Advice re guardian

How to handle a disclosure from a child/other • Listen!! • Open ended questions • Don’t interrogate • Document EVERYTHING ad verbatim

What to do if you have concerns • Think is the child safe? where are they, who are they with? • Share your concerns –local GP practice lead, social care, other members of primary care team, named and designated professionals • Document, document! • Consider do you need to make a referral to children’s social care to safeguard the child • What do you say to the child/young person?

Making a referral • By telephone (Stoke), email or telephone ( Staffs) • Give detailed and accurate information • Follow up in writing in 24 hours – MARF form, • Fill in only the factual information available to you • A good referral clearly documents your concerns. What you have told the child/family, what you have shared with other professionals • Inform other members of the primary care team

Making a Referral • Staffordshire • 8. 00 h - 20. 00 h – 0800 1313126 • 20. 00 h – 08. 00 h-0845 6042889 • S-O-T • 8. 00 h – 20. 00 h – 01782 235100 • 20. 00 h – 08. 00 h – 01782 234234

Who to contact for advice and support Designated Nurse for Safeguarding Children Paula Carr Tel 01782 401004 Named GP for Safeguarding Children Dr Janey Merron Tel 07765256944 (or text) Designated Doctor for Safeguarding Children Dr. Ros Negrycz Tel 01782 679802

Confidentiality & information sharing • Patients entitled to confidentiality • A pharmacists legal and ethical duties to maintain confidentiality • A pharmacist in possession of information relating to a third party who might pose a risk to child • Disclosure of such information will be justified in the public interest in relation to protecting a child • Don’t need consent of the child or parent but good practice to seek consent

When & How to Report STAFFORDSHIRE SAFEGUARDING www. safeguardingchildren. stoke. gov. uk

When & How to Report Staffordshire Pathway Threat Assessment of Child Sexual www. safeguardingchildren. stoke. gov. uk

When & How to Report ADULT SAFEGUARDING Sexual

Raise an Adult Safeguarding Concern when: An adult who has needs for care and support • Is experiencing, or at a risk of, abuse or neglect: and • As a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect

A Good Referral • Personal details of the adult • Full description of the abuse • All known details of the source of risk • Details of any harm caused to the adult • Immediate action required to protect the adult • Details of others at risk • Details of action already taken • Who else have you told? • Has the adult agreed to the referral? • The adults views and wishes if known • The views of the person raising the concern • Information relating to mental capacity • Any known communication needs

Reporting without Consentif there is an overriding public or vital interest • Risk of harm to the wellbeing and safety of the adult or others • Other adults or children could be at risk • It is necessary to prevent crime or crime may have been committed • The person lacks capacity to consent

Contact Numbers • Staffordshire -0845 6042719 • Stoke – 0800 5610015

Case Study - Jade is 17 years old and arrives at your pharmacy which delivers the locally commissioned EHC Service. Jade is accompanied by a much older man who she refers to as her boyfriend. He does most of the talking for her. You see something not quite right in her body language. She is asking for EHC and has had UPSI the previous evening. What practical things could be put in place to protect Jade? 26

Case Study - Christina is 15 years old and arrives, accompanied by a friend, at your pharmacy which delivers the locally commissioned EHC Service. Christina had UPSI the previous evening. You assess Christina using the Fraser Guidelines and decide that she is not competent to fully understand the advice you are giving or to make an informed choice about EHC What are the issues; how will you approach this and ensure you protect Christina? 27

Case Study - Hayley is 12 years old and arrives at your pharmacy with her 15 year old sister. Her boyfriend is 16 and a friend of their older brother. Hayley and her boyfriend had sex 2 days ago (she says she consented). It is 2 weeks since Hayley’s last period. Her mum knows she has a boyfriend but not about the sex. What are the issues; how will you approach this and ensure you protect Hayley. 28

In summary § Seek advice from your local safeguarding experts § Follow local procedures and report your concerns appropriately § Keep accurate records of your concerns and any actions you take 29

A final thought § If you ever have cause for concern, doing nothing is not an option § Never assume that someone else will recognise and report what you have seen or heard § It takes many pieces of a jigsaw before you can see the full picture 30

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Pharm. Outcomes Data Input Gill Hall and Tania Cork

Patient Registration Module – Service Specific (please choose correct module) Provision Date defaults to date of entry Change to date of registration. Client Date of Birth Please be accurate – otherwise flags up as potential safeguarding issue.

Staffordshire pharmacies and Stoke Tier 2 supply to under 16 s Options: 1. they are 16 or over or 2. you must confirm Fraser Guidelines used to asses competency and understanding

Staffs and Stoke Tier 2 Safeguarding You must record any concerns here. This will include all under 13 s and any client you feel is at risk. Pharm. Outcomes does not report to safeguarding team. YOU must do the reporting

Staffs and Stoke Tier 2 Safeguarding New box opens up if you tick that you have concerns. You MUST anonymise and summarise your action. Pharm. Outcomes does not report to safeguarding team. YOU must do report to team and make full written record in pharmacy

Tier 1 module This screen looks slightly different to Tier 2 but principle and process is the same

Consultation and Supply Defaults to date of data entry. You must change this to the actual consultation date

Consultation Outcomes EHC may be supplied even if female going for Cu IUD (due to possible delays for appt) If no EHC supplied must state why EHC should be supplied to those who are Fraser Competent (even if under 13 years) –you will have referred to safeguarding but still needs EHC

Any Questions? Thanks! www. safeguardingchildren. stoke. gov. uk