CHILD PROTECTION

Looking out for children at risk

At the city council on 18 March, the social work department will present a comprehensive report on the work we have been undertaking in relation to child protection issues following the O’Brien report into the death of Caleb Ness. In reviewing the council’s child protection procedures, it became apparent that the absence of national guidance against which to measure Edinburgh’s position could hamper progress in this area, particularly in relation to case reviews and quality assurance systems.

I hope that the work we are doing in this area will contribute to the formulation of national guidance and procedures. The council will also receive a report on the progress of implementing the recommendations from the O’Brien inquiry.

The last six months have been a very difficult time for everyone involved in social work in Edinburgh. Child protection activity, particularly referrals from other agencies, has increased 50 per cent since the publication of the report into baby Caleb’s death, whilst staff vacancies in children and families work have risen to 20 per cent. It is to everyone’s credit that we have been able to maintain services whilst bringing forward the developments the council will be asked to approve tomorrow. From the inquiry, six of the eight recommendations that were addressed solely to the social work department have been fully implemented. These include recommendations in relation to training for chairing a child protection case conference; the employment and training of admin staff to take and type minutes from child protection case conferences and that the supervising senior social worker should attend child protection case conferences along with the social worker to whom the case is allocated. The two further recommendations are almost complete.

The social work department is fully engaged with its partners in health and the police on the recommendations applying to more than one agency.

There was criticism directed at the social work department for not having a detailed examination of the professional practice of the staff involved with Caleb Ness and his family immediately following Caleb’s death. When a criminal investigation has been started there has been a reluctance to examine professional practice until that investigation and/or prosecution is concluded. But it is apparent that there is a need to examine professional practice following a death such as Caleb’s, without compromising the criminal proceedings, in order to quickly identify improvements that need to be made.

The social work department is now recommending an internal management review of professional practice should be conducted that involves:

  • The non-accidental death of a child, or serious non-accidental injury to a child, on the child protection register.
  • The non-accidental death of a child in the same household as a child receiving support from a social worker.
  • The non-accidental/non-natural death of, or serious non-accidental injury to, a service user receiving a care package.

A review of professional practice in these circumstances would involve negotiation with Lothian and Borders Police and the Procurator Fiscal’s office and would include interviews with staff and managers involved the examination of case records, and the possibility of interviews with family members and carers.

Social work managers have been looking at how best to deliver child protection enquiry work for some time now. The creation of specialist managers for child protection is now being recommended, to work closely with the police to ensure a more effective overview of child protection cases.

Working with children at risk involves balancing principles and risk. The most effective way to aid this is by limiting the number of high-risk cases that each social worker has lead responsibility for, and by providing critical and supportive supervision.

In response to Lord Laming’s inquiry into the death of eight-year-old Victoria Climbié, Haringey Council reduced its children and families social workers’ caseloads to 13. Edinburgh City Council will tomorrow be asked to set a target reduction in caseload size to 14, to ensure that allocated work is delivered to a quality standard. The current average caseload is 19, and the target date for achieving the reduction is March 2006.

In the interim period, a number of measures will be introduced which will include the provision of regular updates to the council on vacancy rates and unallocated cases in children and families services, formal checks on unallocated cases, the regular monitoring and signing of child protection case files by senior social workers and managers, annual internal audit of child protection practice by senior managers, a three-yearly external independent audit of child protection practice and the creation of two solicitor posts dedicated to complex child care cases.

Despite the work that has gone into modernising child protection work in Edinburgh, this work is always about the management of risk and complexity. Scotland has recently appointed Kathleen Marshall as children’s commissioner, and in a recent article in Children in Scotland magazine she outlined the dilemmas we face: “Child protection will always be based on risk assessment, and we do that in the knowledge that things may go wrong. We could cut down on the number of road traffic accidents involving children by banning children under 16 from crossing the road. But I don’t think anyone would advocate that. It’s about balance and ensuring the protection measures in place are sound.”

We are determined to have these sound measures in place in Edinburgh, and the reports to council tomorrow will represent significant steps towards achieving this.
 

Kingsley Thomas Edinburgh City Council’s executive member for social work
18 March 2004

 

http://news.scotsman.com/columnists.cfm?id=309792004


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