Meetings, agendas, and minutes - London Borough of Hounslow

If you require further information about this agenda please contact: Joti Patel - 020 8583 3356 or email: [email protected].

CHILDREN AND YOUNG PEOPLE SCRUTINY PANEL

A meeting of the Children and Young People Scrutiny Panel will be held in the Committee Room 3, Civic Centre, Lampton Road, Hounslow on Thursday, 23 February 2017 at 7:00 pm

MEMBERSHIP

Councillor Samia Chaudhary - Chair

Councillors Candice Atterton, Lily Bath, Peter Carey, Mel Collins, Linda Green, Paul Lynch, Alan Mitchell and Jagdish Sharma.

Cooptees Jacqui Corley (Parent Governor), Luke Cryan, Tofunmi Omisore, Will Robinson (Hounslow Youth Council) and Robert Was (Representative of Diocese of Westminster)

AGENDA

1. Welcome & Introductions 2. Apologies for absence, declarations of interest or any other

communications from Members

3. Minutes of the meeting held on 7 December 2016 (Pages 1 - 9) 4. Matters Arising 5. Local Safeguarding Children Board Annual Report (Pages 10 - 14) 5.1 Appendix A - HSCB Annual Report (Pages 15 - 76) 5.2 Appendix B - HSCB Annual Report 2015-16 - Supplementary Report (Pages 77 - 227) 5.3 Appendix C - HSCB CSE Report Jan 2017 (Pages 228 - 238) 6. Outcomes for Looked After Children and Care Leavers (Pages 239 - 250) 6.1 Item 6 Presentation LAC Outcomes presentation (Pages 251 - 270) 7. Task & Finish Group Final Report (Pages 271 - 274) 7.1 Appendix A Findings and Recommendations (Pages 275 - 280) 7.2 Appendix B Desktop Research 3.1. 2017 (Pages 281 - 306) 7.3 Appendix C Briefing note on research on interventions (Pages 307 - 313) 7.4 Appendix D Assessments of LBH Online Information on Physical Activity (Pages 314 - 318) 7.5 Appendix E Summary of School Visits by TFG (Pages 319 - 351)

7.6 Appendix F List of Engagements (Pages 352 - 353) 8. Work Programme 2016-2017 - Updates or Revisions (Pages 354 - 356) 9. Urgent Business

Any business which the Chair agrees to accept on grounds of urgency. 10. Date of Next Meeting The date of the next meeting is scheduled for 19th April 2017

DECLARING INTERESTS

Committee members are reminded that if they have a personal interest in any matter being discussed at the meeting they must declare the interest and if the interest is also a prejudicial interest then they may not take part in any discussion or vote on the matter.

Mary Harpley, Chief Executive London Borough of Hounslow, Civic Centre, Lampton Road, Hounslow TW3 4DN

3 April 2017

At a meeting of the Children and Young People Scrutiny Panel held on Wednesday, 7 December 2016 at 7:00 pm at Committee Room 3, Civic Centre, Lampton Road, Hounslow.

Members Present:

Councillor Samia Chaudhary (Chair)

Councillor Linda Green (Vice-Chair)

Councillors Candice Atterton, Lily Bath, Peter Carey, Mel Collins, Paul Lynch and Jagdish Sharma and Jacqui Corley and Tofunmi Omisore, Luke Cryan and Will Robinson

Other Councillors Present:

Councillor John Chatt, Councillor Tom Bruce

Officers present:

Sean Hayes: Interim Head of Children’s Services Performance and Data

Sheena Poley: Head of Place Planning & Admissions

Michael Marks: Director of Education and Early Intervention Services

David Brockie: Senior Education Advisor

Akwal Gill: Senior Primary Advisor

Chrissie Elam: Head of Early Years and Childcare

Ian Duke: Head of Policy and Performance

Taru Jaroszynski: Policy and Performance Scrutiny Officer

Stephen Hutchinson: Youth Services Officer

Apologies for Absence

Councillors Alan Mitchell and Robert Was

11. Welcome and Introductions The Chair, Cllr Chaudhary opened the meeting and welcomed members of the panel, Cllr

Bruce and the Children and Adult Services team to the meeting.

12. Apologies for absence, declarations of interest or any other communications from Members

Apologies received from Robert Was and Cllr Alan Mitchell.

13. Minutes of the meeting held on 15th November 2016 The minutes were agreed as an accurate record.

14. Matters Arising Under Item 6 in the minutes, Cllr Green asked for an update on the Good Shepherd Project

and potential funding sources. Ian Duke provided a brief overview of the work of the Community Partnership Unit to look at alternatively funding sources such as crowd funding and also provided a brief update on the Funding Fair.

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Agenda Item 3

15. Educational Standards in Hounslow The Chair introduced this item noting that the Panel had considered educational performance

in previous years, with the last two reports in December 2014 and September 2015 focusing on school readiness. This was because in recent years educational attainment at schools had been strong in Hounslow, whereas school readiness had been lower.

Cllr Tom Bruce introduced his team and noted their hard work. Sean Hays, on behalf of Children and Adult Services, provided a presentation on the performance of children in the borough. This was benchmarked against performance in London and England. Some highlights included:

School readiness was improving year-on-year and on some measures LBH was outperforming the averages for London;

Despite a new assessment framework for Key Stage 1, Hounslow was in the top 10 authorities;

Similarly there was an improvement trajectory at Key Stage 2 and LBH was performing above national levels;

New measures were also introduced at Key Stage 4 and hence the data was less robust, however, LBH is performing in the top third of all authorities in England;

Hounslow had five schools whose GCSE Progress 8 performance placed them in the top 200 schools in England;

There were also similarly good results at Key Stage 5 and in terms of SEN provision, LBH is a leading authority;

The percentage of all schools judged ‘Good’ or ‘Outstanding’ by Ofsted was 93%, up from 87% in November 2015.

Sean Hayes identified the following areas for improvement:

Improving the percentage of children in the Early Years achieving a Good Level of Development (GLD) to above the London performance;

Closing the gap at the Early Years between pupils who are eligible for free school meals and those pupils who are not eligible;

Improving performance in reading at Key Stage 2;

Closing the performance gap in reading, writing and mathematics at Key Stage 2 between pupils who are eligible for free school meals and those pupils who are not eligible;

Improving the percentage of students achieving A* - C grades in GCSE English and Mathematics;

Closing the performance gap at GCSE between pupils who are eligible for free school meals and those pupils who are not eligible;

Improving the average point score per examination entry (APE) at A Level. Following the presentation, several of the Panel Members thanked the team on the schools performance and emphasised the need to publicise and communicate these results. Oher key points emerging from the discussion included:

The need to share the schools achievement through other fora such as the Youth Council and Councillors own newsletters;

The potential risk on performance if funding was reduced for the School Effectiveness Team;

The potentially poorer performance of schools in the West of the Borough and the need to focus on these schools;

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The overemphasis on A-level results for certain children when it would be better to focus on alternative post-16 education.

Resolved:- To note the report.

16. Secondary School Place Planning Sheena Poley gave a presentation on the School Expansion programme and its effectiveness

in meeting local government’s statutory duty to provide high quality school places for all children despite the fact that local authorities do not have the power to open new schools or access sufficient funding to meet the needs of expanding schools. The presentation and report provided an update on the progress and the ongoing challenges faced by the Borough in the face of significant population growth.

Sheena outlined the projections of school places and reminded the Panel that the borough is a net importer of students. She noted that most children are placed in one of the six schools where they have stated a preference. The Primary School Expansion Programme was almost complete. The Secondary School Expansion Programme was more complex and should be met through the expansion of Academies and new Free Schools. The demand for SEN School places far outstripped demand and the Authority planned to seek funding for two new schools. Sheena also noted a series of meetings with Members in November aimed at briefing Members on projects at a local Ward level. (20:47 Cllr John Chatt arrived) Following the presentation, the key points emerging from the question and discussions were:

The need to look at alternatives for SEN provision in light of the large demand and a reluctance to transport children out of the borough;

The likelihood that LBH would not receive the funding requested from Education Funding Agency(EFA) for two new SEN schools but may be able to access funding for one of these schools;

There were no clear reasons why more SEN school places were required but it may be due to population growth and the associated prevalence in a larger population or, better identification and diagnosis. It was noted that it was more difficult to predict the numbers of SEN places required. The situation in Hounslow appeared to mirror the national picture which shows a rise in the number of SEN places required;

The local authority needed to consider the alternative spaces for SEN schools as schools moved to new sites;

School Place Planning was a high profile issue for the borough. The issues involved emerged within a Call-In of two decisions in 2015-16 and the processes involved were reviewed by Scrutiny in October 2015 and it was important to commitment to learning from these lessons.

Resolved: The Panel noted: -

The report and presentation on the school expansion programme and the degree to which it was meeting the local authority statutory duty to provide high quality school places for all children.

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That since the beginning of November, briefing sessions on school developments either in or near their wards using Area Forum membership have either taken place or are scheduled with Councillors.

Additional Item

The Chair noted that she would allow the response to Cllr Collins’ letter dated 25 November 2016 to be dealt with under this item.

Cllr Collins wrote to Cllr Bruce with regards to the Cabinet decision REG 430: The Bridge Pupil Referral unit. This was not included in the papers but copies were circulated to the Panel ahead of the meeting. The letter requested answers to the following questions:

1. How was the original figure of £3m reached and by whom? 2. How could it be that the scheme has proven to be more than £1.1m more than the high-

level estimate? What justification is given by your advisors for this increase? 3. Did the new total cost of £3.96m represent value for money for 30 places? How was this

benchmarked? 4. In developing the original estimate, and in developing the design of the scheme, was there

sufficient oversight, due diligence and project management? How could this be demonstrated?

5. The Council is taking on increasing costs for school expansion despite the Government efforts to remove schools from local government control. Within this scheme what financial input should there be from the EFA?

Cllr Bruce provided a response to each question. (Circulated to members on 19 December 2016 and attached as an appendix to the minutes). He emphasised that the initial figures in 2013 were estimates. Inflation, changes to the design to increase the footprint, more extensive external work, changes in market conditions and new standards have increased costs. Cllr Bruce also explained the various processes aimed at ensuring oversight, cost saving and good project management. He also explained that this has been financed through Section 106 and funding from Heathrow. No EFA funding was used as EFA will only fund new schools and this scheme is the relocation of an existing provision, so is seen as the responsibility of the local authority. There was some discussion and concerns raised on the cost of the projects in the context of the increased pressures to save money as well as the delay between the project planning and rollout. It was noted that Scrutiny has a role in ensuring that all steps are taken to ensure cost savings and value for money. Cllr Bruce assured the Panel that he is committed to cost saving but believed that there were good reasons for this spend and that the PRU will serve an essential need to assist children at Key Stage 1 and 2 and prevent their exclusion from mainstream schools. Resolved:-

To note the response and thank Cllr Bruce.

The written report would be circulated.

Any response or decision shall be discussed by the Chair of the Children and Young People’s Panel and the Chair of Overview and Scrutiny and would be referred back to Cllr Bruce if required.

17. Task and Finish Group Feedback Report Taru Jaroszynski provided an overview of the work of the Task and Finish Group and

focussed on the draft findings and recommendations that had emerged from the research and

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school visits. The Panel was asked to comment on these draft findings and recommendations and agree to a revised timeline for the group in order to submit a report on 23 February 2017. Panel Members suggested using clearer and plainer language on some of the recommendations and findings Resolved:

To note the progress of the Task and Finish Group and the reports from the school visits to date;

To note that the Findings and Recommendations would be subject to further development and brought back in a final form in the February meeting.

18. Work Programme 2016-2017 : Any Updates or Revisions The Panel considered the work programme for the next meeting and resolved

To add the Task and Finish Group report to the next meeting

Next meeting agreed as set out in the work Programme and shall include:

o (1) Local Safeguarding Children Board Annual Report and

o (2) Outcomes for Looked after Children and care leavers

19. Urgent Business There was no urgent business.

20. Date of Next Meeting The date of the next meeting was scheduled for Thursday 23rd February 2017 at 7.00pm.

The meeting finished at 9.30pm The minute taker at this meeting was Taru Jaroszynski

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REG 430 The Bridge Pupil Referral Unit (PRU)

Response to Questions from the Overview & Scrutiny Committee

2 December 2016

1) How was the original figure of £3m reached and who by?

On 25 April 2013 The Bridge PRU budget is noted as £3m. I do not have specific details on how the

budget was set, but understand that this follows initial studies to establish the extent of the schools’

expansion programme. This work was commissioned and led by Malcolm Holdsworth at the time,

who was acting as the Head of Projects and Construction.

A cost plan issued by Pick Everard dated 26 November 2013 estimates the project costs at

£3,038,327. This cost plan notes that the project involves the construction of a single-storey

standalone new build to accommodate classrooms as well as a small Hall and other accommodation

areas. The works also include the creation of new car parking, road, external drainage including

SUDs, soft play area and landscaped areas. The high level estimate is based on a building area (Gross

Internal Floor Area) of 798m2.

2) How can it be that the scheme has proven to be more than £1.1m more than the high level

estimate? What justification is given by your advisors for this increase?

On 4 December 2014 the cost plan was reviewed. It was noted by the cost advisor, Pick Everard that

there is no programme for this school, therefore a delivery date of August 2017 has been assumed.

Cost estimate adjusted for inflation.

The cost estimate was adjusted to £3,248,200 with the GIFA still at £798m2.

LBH subsequently instructed Pick Everard to proceed with the design of the scheme towards the end

of 2015.

There was further engagement with WPES following the recommencement of design work in late

2015. During this process, WPES identified the need to increase the number of classrooms to four,

and associated facilities to accommodate between 30 and 36 pupils. WPES identified the

requirement for specific accommodation to support the development of the Primary Curriculum and

the pastoral needs of the pupils.

Pick Everard noted changes in the Brief. The original specification from Woodbridge Park Education

Services was for three classrooms to accommodate up to 30 pupils. It was on this basis that the high

level feasibility and initial cost plan were prepared.

The incorporation of the extra accommodation increased the GIFA from 798m2 to 860m2. In total,

222m2 of additional accommodation was added but omission of a group room and the Site

Manager’s office, rationalisation of toilets and office spaces, reduction of circulation spaces and

optimisation of the design kept the increase down to 62 m2.

Stage 1 design was completed in April 2016 and an updated cost plan was issued. This cost plan

estimated the project costs at £4,172,871 an increase of £924,671.

The increase in cost is identified by the advisors as:-

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1) Design development £204,711

2) Increased preliminaries cost to reflect current market conditions £134,925

3) Increased risk allowance to reflect level of design development £135,299

4) Changes in inflation indices since previous cost plan -£55,387

5) Increased project and design team fees £75,693

6) Additional FF&E / ICT costs £134,000

7) Additional floor area added to scheme - 62m2 £295,430

The cost plan is an estimate of the project costs, and does not incorporate contractors pricing of the

scheme. Nevertheless, to improve accuracy, the costing had been benchmarked against the average

cost of tenders that had recently been received for the expansion of St Mary’s RC Primary, Isleworth.

Allowances have been made for costs such as FF&E and ICT that were not included in the original

cost plan.

Hence, the estimated cost of the project increased by circa £925k as a result because of changes to

the design that have increased the footprint, more extensive external works and changes in market

conditions.

A further additional cost pressure on the scheme was the imposition of the requirement to achieve

BREEAM Excellent. The original costing for the scheme was on the basis of BREEAM Very Good.

However, requirements changed following the introduction of the Local Plan which was after the

Cabinet approval for this scheme.

Planning had previously indicated that BREEAM Very Good would be sufficient in cases where it is

possible to demonstrate that a scheme’s viability was confirmed during the 2014/15 financial year

before the Local Plan was adopted. On 7 April 2016 the head of development control advised that

the Bridge PRU scheme must be BREEAM excellent. Thee cost associated with this is estimated to be

5% (£208K).

3) Does the total cost of £3.96m represent value for money for 30 places? How is this

benchmarked?

The project was originally designed to comply with BB102, subject to the WPES request for smaller

classrooms (39m2) that are better suited to the needs of the pupils. These children have a different

need that sets a higher level of accommodation and specification criteria, and can’t be directly

compared with other primary schools.

The shortage of SEN places means that an increasing number of children will be place in the

independent /maintained sector outside the borough at a significantly higher unit cost and distance

away from their home address, than would be the case if these students could be placed in

Hounslow.

The average capital cost of a special educational needs (SEN) place is £69,701, around three times

the average cost of a mainstream place.

After the introduction BB104 the design was reviewed to gauge the impact of the new guidance on

the design. BB104 gives specific guidance for Alternative Provision, which is more appropriate to the

Service than the SEND category in BB102.

The advisors have confirmed that proposed design meets the key requirements of BB104 and is

towards the lower end of the size range.

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Any further significant cost reduction would require the reduction in the footprint of the building.

Comparison with the BB104 guidance shows that the building is significantly under size in some

areas. Teaching spaces have been sized to meet BB104 and the other accommodation is deemed to

be the minimum required for effective operation. Any further reduction in accommodation or the

size of spaces will potentially reduce the capacity of the school and impact on teaching and learning.

4) In developing the original estimate, and in developing the design of the scheme, was there

sufficient oversight, due diligence and project management? How can this be demonstrated?

The design is developed in stages and at each stage a cost plan is prepared as a check. Initial

estimated cost increases were related to allowances for inflation and the scheduling of the works

themselves.

Following completion of the Stage 1 design an updated cost estimate was prepared in April 2016.

The design had developed following engagement with WPES. There had been an increase in the

building footprint and more extensive external works. Budget setting and cost reporting on the

programme had also been developed and improved and now consider the risks associated with a

project, benchmarking information from current LB Hounslow schemes and allowances for all

project elements.

Following the Stage 1 design and costing gateway, the LB Hounslow corporate property Project

Manager asked the advisors to look at opportunities for reducing the cost of the Bridge PRU scheme.

A value engineering and cost review was undertaken. Pick Everard issued their report and

suggestions on 9 May 2016. This was issued to CHAS for review.

Positive comments on the scheme design were returned from CHAS on 26 May 2016. In addition

during May 2016 it was indicated that the funding shortfall could be met by section 106

contributions.

However, the scheme was subsequently placed on hold on 4 June 2016 for a number of weeks,

pending the outcome of a review of the service area by The Behaviour Task and Finish group.

Approval was given to recommence by CHAS, design work was completed and tender documents

prepared. The GIFA remained at 860m2. A pre-tender estimate of £4,156,013 was issued.

A report was drafted for approval of the additional monies at Cabinet in September 2016. This

report was subsequently withdrawn as insufficient section 106 monies had been identified.

A further value engineering and cost reduction exercise was undertaken, that involved reviewing the

scheme with CHAS and advising WPES of potential changes at a meeting on 13 October 2016.

Savings of the order of £200K were identified and the revised report was issued to the Cabinet for

November 2016, which confirmed HAL and section 106 contributions and estimated the cost for the

scheme at £3,956,000.

5) The Council is taking on increasing costs for school expansion despite the Government efforts

to remove schools from local government control. Within this scheme what financial input

should there be from the EFA?

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None from the EFA. The EFA will only fund new schools and this scheme is the relocation of an

existing provision under the governance of the WPES, so is seen as the responsibility of the local

authority.

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Item 5

Report for: INFORMATION

Contains Confidential or Exempt Information

Title Hounslow Safeguarding Children Board (HSCB) Annual report 2015-16

Member Reporting NA

Contact Details Hannah Miller, Independent Chair (HSCB); [email protected]

For Consideration By Children & Young People Scrutiny Panel

Date to be Considered 23 February 2017

Implementation Date if Not Called In

N/A

Affected Wards All

Keywords/Index Children, Safeguarding

1. Details of Recommendations

The Panel is asked to note the Hounslow Safeguarding Children Board (HSCB) Annual

Report 2015-16, Business Plan 2016-17 and Targeted Priorities 2016-18, as well as an

update on Child Sexual Exploitation set out in the appendices to this report.

If the recommendations are adopted, how will residents benefit?

Benefits to residents and reasons why they will benefit,

link to Values

Dates by which they can

expect to notice a difference

The HSCB Annual report provides an overview of the

work undertaken by the Board and its members both in a

single and multi-agency capacity to safeguard children in

Hounslow.

2016 onwards

The report enables consideration of further safeguarding

work required in Hounslow including consultations with

children and families.

2017 onwards

2. Report Summary

a) Section 14 A of the Children Act 2004 sets out the statutory requirements of an Local

Safeguarding Children Board Independent Chair in relation to publishing an annual

report. The Independent Chair of the Board must publish an annual report on the

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Agenda Item 5

effectiveness of child safeguarding and promoting the welfare of children in the local

area. The annual report should be published in relation to the preceding financial year

and should fit with local agencies’ planning, commissioning and budget cycles. The

report should be submitted to the Chief Executive, Leader of the Council, the local

police and crime commissioner and the Chair of the Health and Well-Being Board.

b) The Hounslow Safeguarding Children Board has been producing an annual report

since it became a statutory function. The attached annual report is for the 2015 –16

financial year and is an overview of the work undertaken for that period.

c) The last twelve months have been very busy for board members and supporting

officers as Hounslow partners have accelerated progress on their joint commitment to

improve safeguarding practice as well as the supporting systems and processes.

d) The key pieces of work undertaken by the Board include considerable work in the area

of Child Sexual Exploitation (CSE), the serious case review concerning Anita B,

continued work in the areas of FGM, Gangs and hearing the voice of children placed at

Feltham YOI.

e) Attached as appendices to this report is also a comprehensive up-to-date overview of

Hounslow’s approach to managing CSE, namely the work completed to-date, actions

remaining and the challenges the Board faces with this issue.

f) Part 2 of the Annual Report is a compilation of supplementary reports (including annual

subgroup summaries and work plans) submitted to the Board providing assurances in

safeguarding and related activity including: the Child Death Overview Panel; the work

of Forward with Prevention FGM; the management of allegations and annual reports

for child protection and looked after children.

g) The annual report considers the work undertaken and challenges experienced by the

Board and its partners across 12 key areas including: Children at risk of sexual abuse

and exploitation; Female genital mutilation; Gang activity; Governance; Regular

scrutiny and challenge of frontline practice including application of thresholds; A local

quality assurance framework; Vulnerable children including those missing, with mental

health or complex needs and substance misuse; Improving strategic partnerships;

Facilitating and evaluating the effectiveness of multi-agency learning and training;

Scrutiny of performance and effectiveness of local services, including holding partner

agencies to account for their contribution to the safety and protection of children and

young people; Learning from serious case reviews and other learning reviews;

Increasing the voice of the child within the work of the board.

h) The board has continued to work closely with the voluntary and community sectors and

to draw them into the work of the board. A member of the Voluntary and Community

Network has been an active member of the Board over the last 12 months, although

retired in September 2016. This is part of the board’s objective in advancing several

areas of its objectives for the next 2 years including the issues of FGM, Forced

Marriage, PREVENT, trafficking and modern slavery as volunteers and community

representatives are often uniquely placed to spot early warning signs that a child may

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be at risk of abuse.

i) The board continues to be committed to hearing the voice of children and as such, a

young people’s forum was set up to ensure that the Board is able to access the views

of children and young people on Board issues and to ensure that the Board is able to

take account of their priorities. Young people have also been actively engaged through

the work of the CSE subgroup.

j) A key function of the Safeguarding Children Board is to provide individual and

collective challenge in order to hold agencies to account and ensure that the local

safeguarding system is as robust as it can be. To this end, the board has been

provided various assurances through single and multi-agency reports about various

activities including audits and related action plans, consultations with service users,

annual reports with future plans and commenced a Section 175 safeguarding audit of

all schools in the local area. The Board hopes to hold a ‘challenge’ event in the next

financial year after it has implemented a Section 11 audit of safeguarding practices

across all statutory partners and child facing agencies, where each agency will present

the results of their self-audit covering achievements and challenges and will be

questioned on them by fellow board members.

k) The Children Safeguarding Board cannot operate in isolation from other partnership

structures within Hounslow as the safeguarding children agenda has key overlaps with

those of the Adult Safeguarding Board, the Community Safety Partnership and the

Health and Wellbeing Board. As such, all Board meeting agendas include information

exchange from these other strategic structures and where possible the Chair of the

Board has attended these to ensure that the children’s safeguarding agenda is joined

up, where appropriate and relevant. The Chair of the Children’s Safeguarding Board

was also the Chair of the Adult Safeguarding Board until August 2015 and as such key

issues relevant for both Boards were discussed regularly between the two.

l) This annual report recommends the direction it intends to take for the next 2 years

(2016-18) as set out in its Targeted Priorities. These recommendations are being made

because the members of the Board have identified these to be key issues for children

and families within Hounslow through single and multi-agency work, data and key

indicators. The Targeted Priorities include: Safeguarding children from sexual abuse

including CSE, familial sexual harm and inappropriate internet exposure (P1); Harmful

Practices – FGM, exposure to extreme beliefs and radicalisation, modern slavery and

forced marriage (P2); Protect children from neglect (P3); Safeguard children with

specific vulnerabilities – children with hidden disabilities, severe disabilities and mental

illness (P4) and have been set for two years to allow the Board and its partners to have

the opportunity to undertake key pieces of work and have assurances that appropriate

measures are in place to safeguard children impacted by these issues.

m) The HSCB’s overarching priorities for the 2016 -17 year include: Governance and

Accountability (O1); Quality Assurance (O2); Partnership Working (O3); Learning and

Improvement (O4); Case Reviews and Learning and Development (O5).

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3. Reason for Decision and Options Considered

The report is for noting.

4. Key Implications

Not applicable

5. Financial Details

a) Financial Impact On The Budget (Mandatory)

None.

6. Legal (to be completed in conjunction with the Legal Department)

Not applicable

7. Value for Money

Not applicable.

8. Sustainability Impact Appraisal

Not applicable

9. Risk Management

Not applicable

10. Links to Council Priorities

The work of the Hounslow Safeguarding Children Board seeks to support the

Corporate Plan 2014-19 thematic priorities of: Brighter futures for our children -

Providing the best start in life for our children and young people with improvements

in health and education. Keeping them safe from harm to help inspire more fulfilling

lives.

11. Equalities, Human Rights and Community Cohesion

There are no direct implications arising from this report. However, equality and

diversity issues are a mandatory consideration in decision making in the council

pursuant to the Equality Act 2010. This means the council and all other organisations

acting on its behalf must have due regard to the equality duties when exercising a

public function.

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12. Staffing/Workforce and Accommodation implications:

Not applicable

13. Property and Assets

Not Applicable

14. Any Other Implications

Not applicable

15. Consultation

As per the requirements of the Children Act 2004, the board’s annual report,

business plan and targeted priorities is submitted to:

• The Chief Executive and Leader of the Council

• The Borough Commander

• The Health and Wellbeing Board

16. Timetable for Implementation

The Hounslow Safeguarding Children Board annual report, business plan and

targeted priorities are produced annually.

17. Appendices

1) The Hounslow Safeguarding Children Board annual report 2015-16, business plan

2016-17 and targeted priorities 2016-18 are set out in the appendices to this report.

2) HSCB Annual Report 2015-16 Part 2 Supplementary Report

3) HSCB CSE Report January 2017

18. Background Information

Not applicable

REPORT ENDS

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HSCB Annual Report 2015-16 1

Hounslow Safeguarding Children Board

Hounslow Safeguarding Children Board Annual Report

2015-2016

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Agenda Item 5a


Table of Contents

1. Foreword from the Chair 3

2. Introduction 4

3. Hounslow’s Children 5

4. Children at risk of Sexual Abuse and Exploitation 11

5. Female Genital Mutilation Prevention 14

6. Gang Activity 15

7. Governance 15

8. Regular Scrutiny and Challenge of Frontline Practice 17

including Application of Thresholds

9. HSCB Quality Assurance Framework 18

10. Vulnerable Children including those Missing, 19

with Mental Health or Complex Needs and

Substance Misuse

11. Improving Strategic Partnerships 22

12. Facilitating and Evaluating the Effectiveness of 24

Multi-Agency Learning and Training

13. Scrutinise the Performance and Effectiveness of 25

Local Services including holding Partner Agencies to Account

for their Contribution to the Safety and Protection of

Children and Young People

14. Learning from Serious Case Reviews and other 31

Learning Reviews

15. Increasing the Voice of the Child within the 32

Work of the Board

16. Conclusion 32

17. Appendices 33

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1) Foreword from the Chair

This is my sixth and final annual report as the Independent Chair of the Hounslow

Safeguarding Children Board (HSCB). My independent role is defined in Working Together

(2015) and was created by the Government to strengthen partnership working and hold

leaders accountable for safeguarding children within the local area.

This annual report covers the business of the 2015-16 financial year. It has been a busy year

for the HSCB including the completion of the Serious Case Review (SCR) for Anita B. The

Serious Case Review began in November 2014 and was a significant part of the Board’s

work within the 2015-16 financial year. The SCR has been published and is on the Board’s

website.

In 2015/16, the Hounslow Safeguarding Children Board has been well supported by its

constituent agencies to address national issues that affect children and young people in

Hounslow. In particular, we have been seeking to understand and strengthen services

relating to child sexual exploitation, female genital mutilation, and gang activity. These

agendas have necessarily required the Board to forge new and strengthen existing

relationships to ensure that there are neither gaps nor overlaps in strategic planning in

responding to these complex areas.

Alongside addressing these areas of development, much of the work of the Board has been

focused on making improvements across the following: governance; regular scrutiny and

challenge of frontline practice including application of thresholds; vulnerable children

including children missing, those with mental health or complex needs, substance misuse;

improving strategic partnerships; facilitating and evaluating the effectiveness of multi-agency

learning and training; scrutinise the performance and effectiveness of local services,

including holding partner agencies to account for their contribution to the safety and

protection of children and young people; learning from serious case reviews and other

learning reviews; HSCB Quality Assurance Framework; increasing the voice of the child

within the work of the Board. The Board has also continued to keep abreast of staffing

issues and organisational change across the area.

A great deal of the work of the Board is undertaken in its Sub-Committees and I wish to

acknowledge the commitment and contribution of Sub Committee members as well as

members of the Board in managing the wide span of work evident in this annual report.

I want to take this opportunity to thank those who have worked hard with me in the last year

and indeed over the 6 years of my time as the Independent Chair of the HSCB. In particular,

I would like to thank the Chairs of the sub groups and the HSCB Operational team for their

contribution to deliver the priorities of the Board. I take this opportunity to bid farewell to and

wish the HSCB well in its journey as I retire later this year.

Donald McPhail, HSCB Independent Chair

17



Annual Report 2015-16

2) Introduction

Chapter 3 of the Working Together (2015) to Safeguard Children stipulates that the Chair

must publish an annual report on the effectiveness of child safeguarding and promoting the

welfare of children in the local area. The purpose of this report is to present the effectiveness

of safeguarding arrangements for children and young people in Hounslow in order to impact

on strategic developments and set improvement priorities for the Hounslow Safeguarding

Children Board (HSCB) to take forward with individual agencies.

The work of the Board for the 2015-16 financial year has focused on the national issues that

have impacted on children and young people in Hounslow, namely, child sexual exploitation,

gang activity, and female genital mutilation. On top of this, the Board has also been making

improvements and changes in its core functions as outlined in Working Together to

Safeguard Children (2015) and the most recent OFSTED inspection (2014).

This report considers the following areas:

1. Hounslow’s Children

2. Children at risk of sexual abuse and exploitation

3. Female genital mutilation

4. Gang activity

5. Governance

6. Regular scrutiny and challenge of frontline practice including application of

thresholds;

7. A local quality assurance framework

8. Vulnerable children including those missing, with mental health or complex needs

and substance misuse;

9. Improving strategic partnerships;

10. Facilitating and evaluating the effectiveness of multi-agency learning and training;

11. Scrutiny of performance and effectiveness of local services, including holding partner

agencies to account for their contribution to the safety and protection of children and

young people;

12. Learning from serious case reviews and other learning reviews;

13. Increasing the voice of the child within the work of the board.

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The evidence is gathered from the HSCB Meeting minutes, sub group reports and minutes,

individual agency reports, the annual HSCB training evaluation report and data presented to

the HSCB and other relevant sources.

3) Hounslow’s Children

This section provides an overview of the general child population in Hounslow, setting the

context for understanding the needs of vulnerable and ‘at risk’ children who are the concern

of the HSCB. Equality and diversity considerations are an integral part of the work of the

HSCB to tackle the harmful effects on children and young people of discrimination.

Population

Hounslow is the 11th largest London Borough (out of 33) by size and the 18th largest by

population.

The 2011 Census showed that the total resident population of Hounslow was 253,957

persons, of which 251961 people in a total of 94,902 households. The remaining lived in

communal settings. This was a 19.6% increase on the size of the population measured by

the 2001 Census (212,341 persons) – the fifth largest growth in London. This comprises of

127,397 males and 126560 females. The age profile of the population has not changed

greatly between 2001 and 2011. The child population (0 to 17) years is 57,487 and makes

up 22.6% of the population in Hounslow. This is about the same as the London average

(22.55) but slightly higher than the England average (21.5%) (The Hounslow JSNA

Population Overview 2014).

In 2011, 19.1 per cent of the population was under the age of 15. In 2001, the under-5 age

group comprised 6.7% of the population, and in 2011 this has increased slightly to 7.7%,

confirmed by an increase in the fertility rate in Hounslow over the last decade.

Overcrowding, as measured by whether there are more occupants than rooms, has

increased from 16 per cent in 2001 to 22 per cent in 2011. Across Hounslow’s wards the age

bands with the biggest increases in size (0 to 4, 25 to 34 and 55 to 64) shows a similar

distribution to the wards with the biggest growth in dwellings and households. The growth in

age groups of 0 to 4 and 25 - 34 year olds suggests an increase in young families moving

into the borough (The Hounslow JSNA Population Overview 2014).

In 2011, of the 94,902 households in Hounslow, 5.5 per cent had dependent children living

in the household but no adults in current employment. This is 16 per cent of the 32,763

households in Hounslow where there are dependent children (The Hounslow JSNA

Population Overview 2014).

Ethnicity, Language and Religion

The percentage of the Hounslow population that identifies as ‘White British’ has reduced by

32 per cent, from 55.8 per cent in 2001 to 37.9 per cent in 2011. The second largest group in

the population identify as Indian or British Indian, making up 19 per cent of the population

(an increase of 9.4 per cent from 2001), followed by the ‘Other White’ category (11.5 per

cent; an increase of 86.4 per cent from 2001). The pattern across Hounslow’s wards of

English speakers as a percentage of the ward population has a similarity to the profile for

where ‘White British’ Hounslow residents live. After English (71.3 per cent), Panjabi (4.8 per

cent) Polish (4.1 per cent) and Urdu (2.1 per cent) are the three most common first

languages in Hounslow.

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In terms of religion, Christianity is on the decline in Hounslow, falling 19 per cent between

2001 and 2011, but remains the largest religious group (42 per cent) followed by no religion

(15.9 per cent), Muslims (14 per cent) and Hinduism (10.3 per cent). The biggest growth is in

Buddhism; the per cent of Buddhists has doubled from 0.7 per cent to 1.4 per cent (The

Hounslow JSNA Population Overview 2014).

Schools

Schools league tables (2015) show that the performance of primary schools (total of 48),

79% of primary schools achieve the expected levels in both English and Maths. There are

approximately 16 secondary schools within the Borough of which 61.8% achieve 5 good

GCSEs. OFSTED report that out of the total number of maintained and academy primary

and secondary schools, inspected since 2006: 15 were rated outstanding, 35 rated good and

3 require improvement.

Child Poverty and Inequalities

Hounslow has a higher than average low pay rate among residents than London, at 24%. It

also has the fifth highest pay ratio between the 20th and 80th percentile of earners. There is

a slightly higher rate of overcrowding in Hounslow than across London, with 13% of all

households overcrowded. Trends in housing and homelessness have been in line with the

rest of the capital over the past five years, with landlord repossession orders, homelessness

acceptances and households in temporary accommodation all rising. Similarly, trends in

worklessness and low pay have followed trends across London, with unemployment falling

between 2011 and 2014 and low pay rising, including by 10 percentage points to 22% of

jobs in the borough between 2010 and 2014. (London’s Poverty Profile, New Policy Institute)

The child poverty rate in Hounslow is estimated at 30% in comparison to the London

estimate of 37%. Hounslow is ranked the 19th worst of Borough in London. Homelessness

per 1000 households increased from 2% in 2009 to 4.2% in 2014 and those in temporary

accommodation within the Borough increased from 7.7% in 2009 to 10.3% in 2014.

Community Safety in Hounslow

Overall, there has been an 18 percent reduction in recorded crimes by the Police since

2011. This equates to 355 fewer crimes per month. This decrease is even more positive in

the outset of a population increase of about 2,000 more residents since 2011. Using

population estimates from the Office for National Statistics, the rate of crime per 1,000

residents in the borough over the last three years has reduced from 98 in 2011/12, to 76 in

2013/2014 (Community Safety Strategy 2014-17).

The Community Safety Partnership undertook a series of consultations in 2013 to develop

the Hounslow Community Safety Strategy for 2014-17. The overall feedback was that there

was a subculture of peer pressure and bullying making children and young people feel

unsafe in schools and the wider community. They also spoke about feeling unsafe when

using virtual, online and social media communication. Bullying and safety concerns vary

depending on the individual circumstances of each child and other factors including gender,

sexuality, ethnicity, health and disability. The role of the HSCB is to assure itself that there is

20


information and support available to parents, schools and support services in the statutory

and voluntary and community sector (Community Safety Strategy 2014-17).

Hounslow has an active and diverse voluntary and community sector (VCS) which is made

up of more than 90 not for profit organisations, who are all listed in a service directory

published by the Hounslow Community Voluntary Service. The directory provides a list of

targeted services for the most vulnerable children and their families.

The journey of the child through referral, assessment and care planning

pathways.

The effectiveness of the multi-agency child protection system is best understood by the

perspective of the ‘journey of the child’ which is the process through the referral, assessment

and care planning pathways of children in need. The definition of children in need refers to

the Section 17 of the Children Act 1989 which defines the child as being in need if: ‘he or

she is unlikely to achieve or maintain or to have the opportunity to achieve of maintain a

reasonable standard of health or development without the provision of services from the

Local Authority.

The reports about concerns of children come either from professionals or the public and

most of these are defined as contacts by the Children’s Social Care Front Door Service,

which operates a Multi-Agency Safeguarding Hub (MASH. The decision to undertake a ‘child

in need assessment’ is made in partnership by Children’s Social Care Front Door Service,

Metropolitan Police and key safeguarding partners. The criteria for assessing that a child is

in need and the threshold pathways for accessing assessments and services for children is

outlined in the Children’s Social Care Threshold Guidance and Assessment Protocol 2016-

2020. All staff are trained and supported to assess the needs of children against the criteria

set out in the document.

The table below outlines the number of children and young people who were referred and

assessed in the last year and those subject to statutory services in 2015-16.

Hounslow’s Referral, Assessment and Care Planning Pathways

1. Vulnerable Children Numbers between 2013 and 2016

Target Group 2013-14 2014-15 2015-16

Total number of contact received through the front door. 23,601 30,352 28,627

% of contacts actioned within 24 hours 90% 97.8% 81.3%

2. Children in Need

Number of referrals 2648 3338 3250

Repeat referrals within 12 months 438 843 591

Children and young people subject of an assessment - 2855 3240

Children subject to a Section 47 starting in the year 503 535 628

Initial Child Protection Conferences starting 279 261 227

Transfer in conferences starting 14 17 44

Child Protection Plans starting 258 235 243

Child Protection Plans ending 236 262 225

Child Protection Review Conferences 584 600 518

Number of Child Protection Plans throughout the year 458 426 439

Children and young people who were Looked After on 31

March 2016

289

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The following is a breakdown of the sources of referrals received in Hounslow for the last 2

financial years.

Source of referral in Hounslow Number of referrals and percentage per

sources type

2014/15 % of

total

2015-16 % of

total

Police 697 20.9 % 898 27.6 %

Schools 683 20.5 % 746 23.0 %

LA Services – Social Care 377 11.3 % 253 7.8 %

Other 259 7.8 % 244 7.5 %

Health Services - other 247 7.4 % 211 6.5 %

LA Services – external 210 6.3 % 192 5.9 %

LA Services – other internal 295 8.8 % 139 4.3 %

Individual – Family member, relative, carer 119 3.6 % 129 4.0 %

Health Services – A+E 47 1.4 % 107 3.3 %

Other legal agency 73 2.2 % 85 2.6 %

Individual – acquaintance 17 0.5 % 51 1.6 %

Health Services – health visitor 59 1.8 % 46 1.4 %

Individual – self 83 2.5 % 44 1.4 %

Health Services – GP 29 0.9 % 26 0.8 %

Health Services – other primary health

services

53 1.6 % 26 0.8 %

Education Services 18 0.5 % 14 0.4 %

Housing 26 0.8 % 12 0.4 %

Anonymous 39 1.2 % 12 0.4 %

Unknown 3 0.1 % 12 0.4 %

Individual – other 4 0.1 % 3 0.1 %

Health Services – school nurse 0 0 % 0 0 %

Total number of referrals 3338 3250

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The key areas identified at the end of the assessment as the most common reason for

referral are:

Factors Identified at the end of

Assessment

Number and percentage of factors

2014/15 % of

total

2015-16 % of

total

Other 873 30.6 % 1149 35.5 %

Domestic Violence (parent, carer, child) 851 30 % 1190 36.7 %

Mental Health (parent, carer, child) 1037 36.3 % 1006 31.0 %

Emotional Abuse 462 16.1 % 427 13.2 %

Neglect 416 14.6 % 410 12.7 %

Physical Abuse 383 13.4 % 313 9.7 %

Sexual Abuse 105 3.7 % 137 4.2 %

Drug misuse (parent, child, carer) 993 34.7 % 1036 32.0 %

Disability (child) 310 10.6 % 363 11.2 %

Disability (parent, carer) 230 0.8 % 261 0.8 %

Missing 67 2.3 % 81 2.5 %

Child Sexual Exploitation 71 2.5 % 73 2.3 %

Gangs 30 1.1 % 46 1.4 %

Unaccompanied Asylum Seeking Children 14 0.5 % 19 0.6 %

Trafficking 5 0.2 % 3 0.1 %

Privately Fostered 8 0.3 % 1 0 %

Total number of completed assessments 2855 3240

The work of the HSCB for the 2016-17 year is reflective of some of the key issues

represented in the table above.

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The pie charts below shows the ethnicity of Children Subject to a Child Protection Plan,

compared to the general population of Hounslow aged 0-17 (source 2011 census).

The pie chart below on the left shows the breakdown of category for the current month and

the pie chart on the right shows the West London average category of Children subject to a

Child Protection Plan as at 31/03/2015.

LBH Breakdown of category for current month West London Average as at March 2015

24


The table below shows the percentage of the total number of Children Subject to a Child

Protection Plan for the current month by Gender and Age.

Age Band /

GenderUnder 1 1 - 4 5 - 9 10 - 15 16 plus Total

Total 32 54 53 64 12 215

Female 8 26 25 29 6 94

Male 20 28 28 35 6 117

Unborn 4 4

% Female 25% 48% 47% 45% 50% 43.7%

% Male 63% 52% 53% 55% 50% 54.4%

% Unborn 13% 4.3%

4) Children at Risk of Sexual Abuse and Exploitation

Over the last year, the Board has continued to be made aware of the progress with the CSE

Partnership Improvement Plan in Hounslow. This has included some key areas of activity

including:

Reviewing the Strategy to Address Child Sexual Exploitation

A strategy to address child sexual exploitation was agreed by the Board in December 2013

This strategy is based on four key themes:

Prevention

Disruption

Protection and Support

Prosecution

A review of this strategy began in February 2016 with a view to being finalised and

disseminated to all partner agencies by the end of August 2016.

Child Sexual Exploitation Partnership Improvement Plan

A 79 point action plan, named the Partnership Improvement Plan has consolidated the

learning from the Rotherham report and the peer review held in Hounslow in 2014, which

has now been implemented. The effectiveness of the work undertaken and the impact of it

on practice within Children’s Social Care was considered in a single agency audit completed

in January 2016. The HSCB hopes to implement a multi-agency audit in order to ascertain if

the practice has improved across partner agencies before June 2016.

Operation Makesafe

In conjunction with the national child sexual exploitation day on the 18th March 2015,

Hounslow undertook a coordinated local response to the Metropolitan Police’s Operation

25


Makesafe. The aim of the local action was to develop an understanding of child sexual

exploitation and how to respond to it within the wider community in Hounslow. The detailed

plan for the local response included information being presented to hotels, fast food outlets,

and local public houses in the area.

Although the London wide Operation Makesafe was a one off activity, there was commitment

within Hounslow to this being on-going, and two further such days have been held during the

financial year.

Multi Agency Sexual Exploitation Panel (MASE)

A Multi-Agency Sexual Exploitation Panel was established in Hounslow in July 2013. This

group oversees the issues emerging from cases of sexual exploitation in Hounslow to

ensure that there is a full understanding within the multi-agency network of the profile of

sexual exploitation in Hounslow and an ability to recognise and respond to the challenging

issues

This panel is now held in two parts: the first to review progress of each young person

presented to the panel; and the second to identify relevant strategic issues to support an

intelligence led approach to child sexual exploitation in the Borough.

Work has been undertaken to ensure that there is appropriate information sharing with

involved professionals and parents when a young person is accepted on to the MASE. This

is aimed to strengthen the support available to the most vulnerable young people.

Child Sexual Exploitation Data in Hounslow

Data from the MASE Panel is presented to the Child Sexual Exploitation Sub Group and this,

along with general updates is presented to each meeting of the Hounslow Health and

Wellbeing Board.

More young people, who are not looked after, are now being identified and reported to the

MASE panel for consideration. This indicates that there is a greater understanding of the

dangers of child sexual exploitation by the agencies in the Borough and that their staff are

reporting their concerns to the MASE panel.

The other factor in the recognition of risks to the non- looked after population in Hounslow is

the greater emphasis now being placed on looking at the risks to the peers of those who

have been identified as at risk of sexual exploitation.

A Child Sexual Exploitation screening tool has been developed to assist agencies to review

their concerns about young people with a view to establish which young people should be

referred as a child sexual exploitation concern.

Support to young people

Several young people (8) within the MASE cohort have been referred to the NSPCC’s

Protect and Respect project, which provides support to the young people to address their

vulnerabilities and develop strategies to stay safe.

Some young people have been unwilling to be referred to the Project, but further work is

being undertaken to encourage their future participation.

26


In addition to providing support to young people, the group will also seek the views of their

participants to provide feedback to Hounslow agencies on how best to identify and reach out

to young people at risk.

An issue emerging from national reviews on child sexual exploitation was the need to ensure

that agencies listen to the views of young people who have experienced child sexual

exploitation to ensure that preventative and support activity is relevant to their needs. The

Child Sexual Exploitation subgroup has worked on the principles of this engagement and an

implementation process is being developed.

Chelsea’s Choice

This drama presentation was rolled out in most secondary school in the autumn term 2015.

Arrangements were made to provide access to professional support in the aftermath of the

performances.

The production was well received and the message of child sexual exploitation was strongly

communicated. A number of young people have come forward after the production to

express concerns to members of staff about how they may have been exploited.

Training

Targeted training has been provided to social workers, early help staff, and the fostering

service to develop skills in talking to young people about the risks of child sexual

exploitation. Fourteen such training sessions have already been held.

Training is available on child sexual exploitation either by attendance at the courses run by

the Hounslow Safeguarding Children Board or individually, usually the online training course

of the virtual college. The statistics of completion of the on-line training course across

agencies is reported as being high for Hounslow agencies.

The Exploitation and Vulnerabilities Coordinator and the faith police officer for the Borough

have met with members of faith communities to raise awareness of CSE.

CSE Champions

The Exploitation and Vulnerabilities Coordinator has been working with the CSE sub group

to develop a method of information sharing and learning in relation to sexual exploitation.

This has resulted in the development of CSE champions within the Borough. There have

been a number of people showing interest in becoming CSE champions and most agencies

have identified representatives. The training will be rolled out in the 2016-17 financial year.

NSPCC PANTS Campaign Proposal

The Vulnerabilities Coordinator met with the NSPCC school service and campaign service to

put together the PANTS campaign proposal, which will be offered to primary schools from

September 2016. This campaign is a key element in the prevention of child sexual abuse.

Primary schools will welcome the programme and it is hoped that it is received in the same

way as Chelsea’s Choice was for secondary school children. Schools will allow parents to

withdraw their children from sessions should they wish to. Parents from particular

communities are likely to not let their children take part in the programme. Educating parents

about the programme content will help and it will be explained that even if they do not allow

27


their child to be part of the sessions they are likely to hear it from their peers in the

playground.

CSE Resources

There are still no CSE resources available in other languages. The agencies of the Board

will use their networks to establish if there are information leaflets translated into the

languages in use in Hounslow to assist in informing parents of the risks associated with child

sexual exploitation. This will be progressed further in 2016-17 once identified.

Sexual abuse in the family

There was discussion at the Board of the apparent lack of identification of child sexual abuse

within the family as the focus has moved to consider the sexual exploitation of children in the

community. The Board was concerned about the low reported number of cases, but

agencies were not able to identify concerns about individual cases that had not been

managed appropriately. It was agreed that the Board’s conference on child sexual abuse

would look further at this and that participants would be asked for their views on how we can

be assured that we are not missing child sexual abuse within the family. This conference is

set to take place in May 2016. An action plan will be developed following the conference.

Other work undertaken and reported to the Board include

Child Sexual Exploitation Referral Pathway introduced

A range of CSE training provided, including the virtual college

NSPCC provision of group work to address 4 phases in relation to CSE

Strengthening of approaches to listening to young people who have been abused

Introduction of a child sexual exploitation screening tool

Young people affected by CSE being assessed and supported within normal

safeguarding processes

Overall, the CSE Subgroup has been busy with the support of the Exploitation and

Vulnerabilities Coordinator and partner agencies with implementing the Partnership

Improvement Plan and safeguarding children vulnerable to sexual abuse and exploitation.

The subgroup which has consistent representation from the key agencies within Hounslow,

has a number of actions which are currently underway and some key priorities that will

inform its work for the coming year (see SR 3 and Appendix H – Subgroup Report and Work

plan)

5) Preventing Female Genital Mutilation

Work has continued by Forward, which has a two year commission, to engage with schools,

parents, and the communities in Hounslow to develop an understanding of the illegality and

risks associated with female genital mutilation.

In advance of guidance in the London Child Protection Procedures, pathways for the

identification of risks to children were developed. The pathway for risks relating to children

was immediately implemented, but the pathway for responding to potential risks to children

arising from adult issues was deferred, pending publication of the London Procedures.

28


Legislation was introduced to create an individual responsibility for practitioners to report

female genital mutilation and the Board asked agencies to confirm that this responsibility had

been made known to their staff.

The work overseen by the FGM Prevention Subgroup has included significant training and

awareness raising and identification of gaps within the local area:

Several local women (11) have been trained as community champions who have

carried out prevention work through one to one work, group meetings, speaking

at their local mosques and schools reaching 790 residents.

A further 5 women have completed training on mental health and wellbeing

course which is an 8 week course on basic counselling skills.

A total of 7 men have agreed to be part of the Men’s group, which will focus on

how men can support the prevention work in Hounslow. Three meetings have

taken place and the first men’s FGM awareness workshop is scheduled for April

2016

Twelve professionals have been trained to deliver FGM prevention work in

schools

Numerous teaching staff (415) from 7 schools have received the training on FGM

Two hundred professionals have also been trained within the area including -

Midwives, Health Visitors, Young People & Teenage Pregnancy Forum

Mini mapping exercise carried out highlighted no counselling/therapeutic services

locally for women and girls

Overall, the FGM Prevention Subgroup continues with the work lead by FORWARD in

ensuring that prevention of FGM continues to be a priority in Hounslow. The sub-group,

which has consistent representation from the key agencies within Hounslow and regularly

reports into the Missing and Vulnerable subgroup, has a number of actions, which are

currently underway, and some key priorities that will inform its work for the coming year (see

SR 5 and 12 – Subgroup Report and FORWARD Annual Report).

6) Gang Activity

Fatal Stabbing Review

The Board commissioned a review which was finalised in November 2015, following a fatal

stabbing incident and considered the action plan arising from this in January 2016. The

incident occurred in a gang related context, and it was concluded that there was a need for a

gang strategy to be developed for Hounslow. The Board is linking with the Community

Safety Partnership on this issue and it has been concluded that the Community Safety

Partnership will take the lead on the Gang Strategy and the implementation of the

recommendations from the Review.

Ending Gang violence and Exploitation

The Police report that while there is some gang activity in Hounslow, it is not at a level for

Hounslow to be designated a gangs Borough. Concerns were expressed about the complex

29


nature of gang activity as it related to drugs, exploitation and violence, and that it was not

exclusively a young people’s issue as gang activity was often adult led.

The Board undertook to write to the various agencies involved, including the Youth Crime

Management Board (January 2016) to ensure that the crime strategy took account of these

various dimensions.

Overall, the board continues to consider this issue when it becomes apparent that there is

evidence of activity relating to gangs. This is further considered in the Feltham YOI subgroup

in relation to how it impact for young people placed within the YOI.

7) Governance

Since the last inspection of the Board (January 2014), the HSCB has been steadily making

improvements and progress on the key areas identified by OFSTED in relation to its

operation and governance. Improvements made include:

o Board meetings minutes contain more analysis and recorded accordingly.

o More analysis within the annual report and an ability to consider the

effectiveness of the Board.

o The above information is now used to develop and monitor local plans as it was

done for the 2015-16 and 2016-17 financial years.

o That the work of the subgroups has become more focused, especially that of

the Monitoring and Evaluation, Missing, CSE and Training subgroups as

demonstrated in this annual report and the work plans devised for the 2016-17

financial year.

o Publication of Minutes - In response to a request from an elected member who

is not on the Board, the Board agreed that it wished to make its work more

transparent. As such, although there was no requirement for Board minutes to

be published, it agreed that minutes would be published, in redacted form if

necessary. The Board minutes are now available on the website of the Board.

o A revamped website for the Board independent of its partners was approved for

development and is currently in progress with a view to a launch in May 2016.

o All subgroups complete reports for every Board meeting and an annual

summary is presented to the Business Panning Day in March of every year.

o A Business Planning Day was held in March 2016 to review the work

undertaken in 2015-16, consider both national and local issues that impact on

children in Hounslow as well as plan for the year ahead. The plans developed

for HSCB now include an overarching Business Plan for the Board with

targeted priorities for the next 2 years (Appendices D and E). As part of this

planning, each subgroup also now has a work plan, leading on various aspects

of both the overarching and targeted priorities (Appendices F to L). These

developments have resulted from the work undertaken in 2015-16 financial

year.

30


o Challenge and performance of individual agencies and that of the Board has

increased during the year as indicated by the Board and subgroup minutes. It is

the intention that this will continue to be a priority for the forthcoming year.

Review of Safeguarding Children Boards

In 2015, the Government announced that it would undertake a national review of LSCBs. In

May 2016, Department of Education published the Wood Review, which considered the role

that LSCBs play in protecting and safeguarding children. The Government endorsed and

confirmed support for Wood’s main finding that the current duty to cooperate does not

sufficiently promote effective collaboration between health, the police and the local authority.

Subsequent to this, the Children and Social Work Bill was put to the Parliament, which

incorporates the changes to the statutory regulations governing LSCBs and is expected to

have an impact on the role and functions of the LSCBs. The Government proposals for

managing Serious Case Reviews at a national level and ensuring that learning reviews

continue to be managed locally require statutory changes to the LSCB regulations and

Working Together 2015 which are currently being considered in parliament. It is also the

intention by the Government to move the responsibilities of managing Child Death Overview

Panels from the Department of Education to the Department of Health, where the NHS

would host CDOPs rather than the LSCBs.

Board Membership and contribution

Over the last year the Board has made significant progress with ensuring that it is more

reflective of partners within Hounslow. As such, it now has regular participation and input

from the voluntary sector, local community representation and views from the young people

and appropriate representation from all statutory partners (see Appendix A). Overall, there

were 33 Board members across Children’s Social Care, Health (West Middlesex Hospital,

Clinical Commissioning, CAMHS, Health Visiting, School Nursing) Police, I-Hear, Schools

and Colleges, CAFCASS, Youth Offending Services, Probation, Education, Voluntary

Sector, Youth Participation, Councillor and Lay member. Over the 2015-16 year, seventy

eight percent (78%) of Board members attended at least 50% (3 or more) of Board meetings

held. Partner agency attendance and input into Board discussions is reflected in Appendix B.

Board’s Budget

The HSCB was presented with a paper in the last financial year (2014) which discussed the

funding formula agreed in Hounslow. This was not reviewed in 2015-16, partly due to not

knowing what recommendations would be made in the Wood Review regarding LSCBs. This

will require further consideration in 2016-17 and when the Wood Review and its implications

are better known (Appendix C).

Overall, the HSCB has made significant progress in improving several aspects of its

governance during 2015-16. There is considerably more work to be undertaken and the

business plans reflect this.

8) Regular Scrutiny and Challenge of Frontline Practice Including

Application of Thresholds

The HSCB actively oversaw the scoping and reconfiguration of the Early Help and MASH

Services across its partners in January 2014. Since then the Board has received regular and

consistent data from the MASH to determine the progress of the service. However, during

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the last financial year, this was reviewed again by the Local Authority and changes took

place during 2015-16.

Strategic Review of Early Help Hounslow

The Local Authority undertook a Strategic Review of the Early Help Hounslow Service during

this financial year. The review has led to a change in the location of the service to Children’s

Specialist Services and the threshold for access to early help remains the same. There is a

dedicated telephone line for schools to be able to access Early Help Hounslow.

Application of Thresholds in Hounslow

The Board was informed in the latter part of 2015 that the Threshold Guidance for Hounslow

would be reviewed to ensure it reflects Working Together 2015, the London Child Protection

Procedures (March 2016) and Threshold Document: Continuum of Help and Support. This

work has begun and will be completed in 2016-17 with appropriate training and awareness

raised in its application.

Increase in safeguarding referrals

The West Middlesex Hospital raised concerns about the increase in safeguarding referrals

from the Hospital. This was further looked into and it was found that while there had been an

increase in the hospital making referrals, the data related to all safeguarding referrals,

irrespective of the local authority area. Once recognised, the data relating to Hounslow

accorded with the Local Authority’s understanding of the referral situation.

Combining with Chelsea and Westminster Hospital

The plans for the merger of West Middlesex Hospital with Chelsea and Westminster were

reported to the Board. It was clarified that, while there would be no change of safeguarding

lead for the hospital, a new lead at senior level would be appointed.

The challenge to frontline practice will be further considered under the heading of Quality

Assurance and Learning and Development. The effectiveness of the application of the

thresholds and the practice in MASH is scheduled to be considered via multi-agency audits

in the coming year and plans for this are reflected in the HSCB Quality Assurance

Framework.

9) A Local Quality Assurance Framework – Evaluating Safeguarding

Performance through Single and Multi-Agency Audits and Performance

Monitoring

The Monitoring and Evaluation Subgroup

The Monitoring and Evaluation subgroup has undertaken a range of work during the last

twelve months to become more effective and focused on evaluating the safeguarding

performance of all agencies. Some of the key achievements of the sub group include (see

SR 6 and Appendix F – Subgroup Report and Work plan):

The Monitoring and Evaluation Sub Group has considered agency data sets,

where available, with a view to recommending to the HSCB a combined data set

that may provide a measure of the effectiveness of the arrangements to

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safeguard children in Hounslow. Central to this debate has been the variability in

detail and timeliness between different agency data sets. Whilst improving the

understanding of the data sets that are available, members of the subgroup have

yet to agree a final, combined version of the data set that could usefully be

reported to the HSCB on a regular basis. This is to be finalised in the next twelve

months.

As part of this discussion, the subgroup has considered the MASH data set.

Following the change in the arrangements for the management of the MASH, a

revised reporting format is awaited.

The subgroup has received audit reports from a number of agencies over the

course of the year (including GPs, Midwifery, Probation and FGM) as well as

updates on work being undertaken on multi agency audits (“deep dive” and

Feltham Young Offenders Institute). The learning from individual audits was

discussed and in some instances reported to the LSCB. However, the subgroup

has identified a need to be more focussed in audit work that is reported so that:

o Individual agency audits are undertaken as part of an overall Quality

Assurance Strategy to improve learning across the partnership;

o Multi Agency Audits are devised to be proportionate and realistic.

For the first time the Board is undertaking a section 175 process to audit

schools preparedness to undertake safeguarding activities. This will be given

priority before the section 11 audit of Board statutory agencies is repeated.

Implementation of the Section 175 Schools Safeguarding Audit undertaken in

November 2015 and the analysis of the returns are currently in progress. The

Board will receive this information, before the end of September 2016. Once

finalised, it will be featured into its ongoing work to improve safeguarding in

schools.

A Quality Assurance Framework for the HSCB is currently being drafted and the

subgroup will ensure it is appropriately endorsed and implemented for the Board

in May 2016.

Health Annual Reports

The Board reviewed each of the annual reports of the Health Trusts in the area. It was

recognised that the quarterly reports would assist the work of the Monitoring and Evaluation

Sub Committee and the Training Sub-Committee.

Safeguarding and Homelessness

The Board asked for a report on the safeguarding of children who had been made homeless.

An audit had found that when needs were identified on initial assessment, the needs of

children were addressed and appropriate support offered. There was concern that the needs

of children may be masked at the initial assessment period and a further audit is to be

undertaken to identify if secondary assessments are required to fully identify the needs of

young people.

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The Board was informed that children in families without recourse to public funds were being

appropriately supported. Assurance of this will be sought by the Monitoring and Evaluation

sub group within the next 12 months.

Overall, the subgroup recognises that further work is required in the areas of HSCB data,

quality assurance of single and multi-agency safeguarding practice and measuring the

effectiveness of the Board. These issues have been incorporated into the work plan of the

Board and the subgroup accordingly.

10) Vulnerable Children including those Children Missing, with Mental

Health or Complex Needs and Substance Misuse

Missing and Vulnerable Sub Group

The Missing and Vulnerable sub group has completed the following areas of work over the

course of the last year (see SR 7 and Appendix G – Subgroup Report and Work plan):

With the formation of the LSCB CSE Subgroup, responsibility for the development of a local

response to CSE was handed over to that sub group. However, this followed the creation of

the post of Exploitation and Vulnerabilities Coordinator and the appointment to that post,

leading to significant improvements to the recording of information about young people at

risk of CSE / MASE data; improvements to the matching of data about young people at risk

of CSE and those recorded as missing from home or care.

The sub group has seen an improvement to the reporting on children missing from home or

care, those missing from education and those at risk of sexual exploitation.

The completion of the “Grab Pack” for missing children, which has also been shared with

providers in the private and voluntary sector.

Information sharing with the Prevent Coordinator and the development of joint processes to

identify children and young people at risk of radicalisation has increased and improved.

Introduction to Trafficking / Modern Slavery and improved recording of trafficking concerns

within the social care recording system has been implemented in 2015-16.

i-Hear – transition to adult services

Work has been undertaken to clarify and strengthen the support to young people affected by

drug problems as they reached the age of 18 and thus transitioning to adult services.

While the link between I Hear and adult services has been clarified, the Board identified that

there was less clarity about how other services linked into the continuous support for young

people who required on-going support for drug problems. The Board raised this with the

Children’s Delivery Group and asked for this to be investigated.

Feltham Young Offenders Institute (YOI) Sub Group

As per the requirements in Working Together to Safeguard Children 2015 (Chapter 3,

paragraph 18) which states that a Local Safeguarding Children Boards (LSCBs) with a

secure establishment within their area are required to include a review of the use of restraint

within that establishment in the LSCB’s annual report on the effectiveness of child

safeguarding, the Hounslow Safeguarding Children Board (HSCB) has a dedicated

subgroup named the Feltham YOI which meets 6 times per year to review data as well as

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any key trends relating to safeguarding the children residing at Feltham YOI. With this in

mind, clear terms of reference are set for the sub group and a significant portion of the

meeting considers the data of all activity pertaining to safeguarding, progress made with

meeting the educational, health and care needs of the children and the monitoring of

statutory processes such as Children Looked After reviews (see SR 4 and Appendix I –

Subgroup Report and Work plan):

The key areas of work it has undertaken within the last 12 months include Revised

safeguarding data set to include use of restricted regime.

o Revised safeguarding data set to include use of restricted regime.

o The consultation with YOI users about their experience of the use of ‘isolation’

o Review of arrangements of Education and Health provision

o

FYOI - Data Analysis 2015/2016

End of year analysis shows a continued reduction in Use of Force (UoF) and Control and

Restraint (C&R). Use of force incidents remained high in 2015 (Jan – Dec) at 848, however

this is less than the previous year (1019). Most of these were to restrain and protect boys in

fights and assaults. The end of year figures for 2015/16 were lower than the same time

period for the previous year.

This is being closely monitored in the current year and it is anticipated that there will peaks in

Q3 over the festive / winter period versus Q4. It is anticipated that overall, FYOI will be able

to maintain the projected overall reduction in UOF and C&R for longer than the seasonal

changes which they usually see.

HMIP during their inspections of the FYOI have acknowledged and validated some key

examples of how well staff have managed difficult incidents and situations – these examples

have been shared with the FYOI subgroup during the year. Over the last 2 years incidents

have reduced by 20% (approximate) – especially with a reduction in fights and assaults.

These numbers are the lowest that have been seen.

The use of separation had increased in 2015-16 in comparison to the previous year. On

average young people were in the segregation unit for three days.

In 2015-16 more young people (71%) were supported by the Psychosocial Services team.

This was identified as an improvement from the 2014-15 year. Young people received a

range of services including support, needs led assessments, advocacy and supported LAC

reviews.

In August 2011, the Restraint Advisory Board (RAB) presented its report titled 'Assessment

of Minimising and Managing Physical Restraint (MMPR) for the Children in the Secure

Estate', to the Restraint Management Board (RMB) in the Ministry of Justice. The

expectation of this report, for all YOIs and STC was to implement the new MMPR Model.

Feltham YOI was expected to implement this accordingly.

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At the end of 2015/2016, Feltham YOI had yet to “go-live” and was the last remaining YOI to

implement the above system. The above report contained 37 recommendations designed to

assist all YOIs with the implementation of the new system. However, Feltham YOI is a

unique service in that it not only cares for young people securely but also young adults over

the age of 18. MMPR was introduced for Children in the Secure Estate but it did not consider

the challenges for an establishment where both children and young adult reside in the same

facility albeit in 2 separate wings.

To allow for Safe Secure and successful implementation of MMPR, Feltham had to consider

the complexities of MMPR and C&R where it related the crossover of 2 age groups.

Negotiations with Trade Unions and Stakeholders have continued with an expectation that

“go-live” will take place in July 2016.

Current Position – Implementing the Minimisation and Management of Physical

Restraint:

MMPR went live on the 1st of October 2016 (the last of the 3 YOI establishments) and

currently in transition stage. The sub group has seen the details of the overall quality policy,

which sets out how the framework and the National Assurance /Restraint minimisation

Programme will operate, what quality assurance activity will be undertaken and with who and

how the young people will be supported after the use of restraint. The terms of reference

(TOR) for the weekly assurance meeting, where stakeholders report, investigate, review and

feedback procedures as part of the Minimising & Managing Physical Restraint process has

also been sighted.

The FYOI subgroup considers the following issues at each of its meetings including input

from Children’s Social Care – Front Door, FYOI, Health and Education Providers, Local

Authority Designated Officer, the Heads of Safeguarding and Quality Assurance and Youth

Offending Services and the Social Workers based at the FYOI:

The FYOI’s referral thresholds to Children’s Social Care for incidents of injury

following the use of restraint

An outline of what the FYOI is doing to minimise the use of restraint and whether

this is sufficient

Any concerns about the safety of holds or the use of restraint

Any concerns regarding injuries to young people and staff during or following the

use of restraint

Whether and how FYOI effectively de-escalates situations in order to prevent the

use of restraint

The effectiveness of de-briefings with young people

In 2015, as a result of challenge within the subgroup and concerns raised by the Howard

League, the HSCB undertook consultations with the young people across the secure estate

at Feltham on two separate occasions, once led by NOMS and once on its own. These

consultations did not reveal any significant concerns about how restraints are managed or

any other safeguarding matter. The Howard League was provided with assurances that

there were no concerns regarding restraints and single cell unlock by the HSCB in

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December 2015 through a meeting convened by the Chair of the Board. It is anticipated that

similar quality assurance activity will be initiated before the end of this current financial year.

Protocol for complex Education Safeguarding cases

A protocol for managing the most complex cases was presented to the Board. The Board

agreed this. This is intended to ensure that there is full communication and cooperation by

the many agencies that may be involved with a young person who has particularly complex

needs that does not fit within existing child protection procedures.

11) Improving Strategic Partnerships

Strategic Boards and Partners

The HSCB has improved links with other strategic agencies and boards including the Health

and Well Being, Children’s Scrutiny Panel, Youth Justice Board, MAPPA, and housing

authorities and partners (particularly the police, schools and colleges, the voluntary sector,

and the corporate parenting panel) and ensure they attend and contribute to meetings.

The Chair of the HSCB was the Chair of the Hounslow Adult Safeguarding Board for a

period in 2015-16 and the links between the two Boards has continued through the ongoing

participation with other Board members.

The Health Network

The Board continues to have input from Health Network, which is a forum, utilised to share

information with and receive feedback from all health agencies / economies (see SR 8 and

Appendix L – Subgroup Report and Work plan).

The Education Network

The Education network is a forum utilised to share information with and understand the key

issues from the majority of education partners (see SR 9 Subgroup Report and Work plan)

Reference Group

A local reference group made up of various local communities met once during the financial

year (November 2015) with the Chair of the Board to inform the Board of local issues and be

informed of the Board’s work.

NSPCC programme in Hounslow

NSPCC are a key provider of services within Hounslow and are a member of the Board and

CSE Subgroup. Following discussion with Hounslow Children’s Services, the NSPCC

reported that their plans for 2015/16 included:

o SafeCare, the one to one parenting programme, would continue for another two

years.

o BabySteps was due to continue for another one year. NSPCC are looking for

somebody to take over following this.

o Family Group Conference would take no further referrals after July. Once the

referrals stopped, a report is to be prepared on feedback and numbers.

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o The Taking Care programme would be transferred to Children’s Social Services

together with all information on the.

o Protect and Respect is a new programme for 11 – 19 year olds, which will be

introduced from July 2015. The programme will support children at risk of, or

involved in, child sexual exploitation

o In relation to the Protect and Respect initiative, the Board asked that

appropriate links were established with schools and the Police to ensure the

availability of the services was known and that young people would be

supported through Court process, when required.

Local Assurance Test

The Director of Children and Adult Services sought the view of the Board on the impact on

Children Services of there being a Director leading both Children and Adults Services, as

required by regulation. The Board concluded that it was unable to identify any negative

impact on Children’s Services and could identify helpful links with Adult Services, and could

identify the potential for further development.

12) Facilitating and Evaluating the Effectiveness of Multi-Agency Learning

and Training

Hounslow Safeguarding Children Board Website

The HSCB endorsed the development of a website independent of partner agencies in 2015-

16. The website was to become a way of communicating learning and training material,

provide access to local communities, professionals and children and families on a range of

safeguarding matters, facilitate the access to the multi-agency training offered by the Board

alongside the dissemination of useful information. The launch of the website is due to take

place in May 2016.

The Training Subgroup

The Training Subgroup has made several improvements in its work and the roll out of the

Multi-Agency Training and Learning Program. The HSCB Training Strategy and work plan

was reviewed for the 2015-16 year (see SR 10 and Appendix K – Subgroup Report and

Work plan)

The HSCB Training offer for 2015-16 included both face to face and online/e-learning

courses. The face to face courses for the year comprised of 23 safeguarding related

subject areas reflecting the Board’s priorities and the London Child Protection

Procedures (2015) which totalled seventy nine sessions.

Of the 23 subject areas, 5 were commissioned which were neglect, familial sexual

abuse, gangs, abusive adolescent relationships and parental mental illness. This was

at a cost of £5,900 for the year for a total of 8 courses. The remaining 18 subject

areas covering 71 sessions were delivered with the by the HSCB training and

Development Manager with the assistance and support of all partners represented on

the Board and Training subgroup. There were 655 attendees who participated in

these face to face sessions, largely from Children’s Social Care, Health, Schools

Early Intervention and early Years. The cost for catering to deliver all face to face

courses run by the HSCB totalled £3,600 for the full year.

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Online courses developed and delivered by the Virtual College spanned 5

safeguarding related subject areas, with 32 courses and accessed by 3069 users.

The online courses were largely accessed by Primary Schools (1279, 41.7%)

Academy staff (472, 15.4%), faith schools (275, 9%), Special Schools (242, 8%),

foster carers (140, 5%) and other non-identified persons (123, 4%). Evaluation of the

online courses were completed by 2756 users, of who 95% found the course to be

satisfactory and meeting their needs. The online courses offered by Virtual College

were purchased on a three year licence for a total cost of £28,000. This licence is

due to expire in October 2017.

An annual conference was held in 2015, which focused on the gap between children

and adult services.

A self-harm and suicide awareness group was established to consider the roll out of

training to increase awareness of self-harm and suicide awareness. New members

have been recruited to replace lost members and enable possible roll out to

interested schools.

A film on Domestic Violence was made and a course developed to include the

video material.

Course evaluation forms have been revised and implemented to better

measure the effectiveness of the HSCB training and learning. Overall, the

course evaluations undertaken for the year indicated: 94.6% of participants

found that that the level of course they attended was appropriate; 95% rated

the facilitator was good or excellent and 93% rated their knowledge to have

improved after they attended the course. The data from these evaluations have

been included in the sub-group’s annual report.

The Training and Learning Plan for the coming year has been devised with

input from the needs of partners on the subgroup and it is anticipated that

further improvements will be made to the work of the sub group and the training

and learning offered by the Board over the coming twelve months.

13) Scrutinise the Performance and Effectiveness of Local Services,

including holding Partner Agencies to Account for their Contribution to the

Safety and Protection of Children and Young People

Attendance at Child Protection Conferences

School Nursing Attendance at Child Protection Conferences

A review of school nurses’ attendance at child protection conference by Public Health was

reported to the Board with the request that the Board agree the principles that:

The school nurse attendance should attend the child protection conference if

he/she has an active contribution to make,

The school nurse should attend is believed that he/she may have a

contribution to make to a child protection plan.

The Board agreed these principles. The chairs of child protection conferences will alert the

Board to any concerns arising from the application of these principles.

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Audit of Attendance at Child Protection Conferences

An audit of attendance at child protection conferences was undertaken which demonstrated

good attendance by most agencies in Hounslow, but concerns were expressed about the

attendance by CAMHS workers and GP’s. It was agreed that further work would be

undertaken to improve contributions from these agencies, both by attendance and by the

availability of reports to child protection conferences. A further audit will be required to

establish if there has been an improvement in contributions from these agencies.

Annual Reports

Annual Report for Managing Allegations

The overview of the management of allegations against the children’s workforce and the role

of the Local Authority Designated Officer (LADO) in the London Borough of Hounslow for the

period 1st April 2015 to 31st March 2016 (SR 13) is included in the Supplementary Report of

this Annual Report.

The report indicates that for 2015-16 there were a total of 87 allegations managed, of which

29 related to staff in educational, 16 in fostering, 11 in early years, 6 each in health and

Feltham YOI and 5 in transport settings. In Hounslow physical abuse (34) concerns make up

the majority of enquiries and this is consistent with Pan London allegation referral statistics.

The physical abuse category includes allegations ranging from: inappropriate restraining

methods, physical assaults, domestic violence. Sexual abuse (27) referrals included

concerns over inappropriate text messages, sexual assault, rape, online images of children

and historical abuse etc. Neglect category (12) included concerns where conduct of the staff

member was deemed as neglectful, this category also includes emotional abusive situations

There has been an increase in the number of sexual abuse referrals and this effect was

seen especially after Operation Yewtree; a police lead operation to investigate historical

sexual abuse. In Hounslow where allegations of historical sexual abuse were identified they

were robustly managed by the LADO process. Other sexual abuse LADO enquiries

concerned inappropriate use of online communication and text communication between staff

and young people.

Education referrals have increased this year; this is partly due to a clearer referral pathway

for schools, and improved understanding of thresholds. There is also now more effective

system of recording data within the service, which will be resulting in improved reporting in

this area.

Overall, the outcomes for the allegations include 7 that were substantiated, 35 not

substantiated, 23 which lead to criminal investigates, 4 that proceeded to section 47

enquires, 3 who were disqualified by associated and a further 4 referred to DBS.

Annual Reports for Child Protection Conferences and Care Plan Reviews for Children

Looked After (SR 14 and 15)

The annual report for Child Protection Conferences and Care Plan reviews for Children

Looked After for the period of 2014-15 was considered by the Board in 2015. The annual

40


reports for the 2015-16 period will be discussed at the Board Meeting on the 15th of

November 2016.

Child Protection Conferences (See SR 14)

At the end of March 2015, 194 children were subject to Child Protection plans and 215

children were subject to Child Protection Plans at the end of March 2016.

In 2014/15, 54% of children were subject to a CP plan for neglect, by 2015/16 this had

decreased slightly to 46%. Despite the decrease Hounslow still has more children subject to

CP plans for neglect than other west London authorities. Neglect is a priority for Hounslow

Safeguarding Children’s Board and further work is being undertaken to improve outcomes

for children suffering neglect, as this remains the most prevalent categories for CP plans. A

strategic plan for tackling neglectful parenting in Hounslow is currently being developed and

will be launched with along with the revised Quality of Care (QoC) assessment tool. There is

an expectation that the QoC assessment tool is undertaken for all cases where neglect is the

primary concern.

In 2015/16, the number of CP plans under the category of emotional abuse almost doubled

and this could be attributed to an increase in cases of domestic violence and the emotional

impact this has on children. Additionally, there was a noted decrease in the percentage of

CP plans with the category of physical abuse this year. At this point, this data appears

similar to other west London boroughs, but comparative data from 2015/16 regarding CP

plan category percentages will not be published until October 2016 and we review the

information at this time to look at any trends.

In total, 77.7% of Initial Child Protection Case Conferences (ICPCCs) were held within

timescales and of the 504 Review Child Protection Case Conferences (RCPCCs) held

97.8% of these were within timescales.

There were 46 repeat CP plans during the course of the year. These concern 46 children

from 26 families, which was 18.9% of all new CP plans and this is less than outer London

Boroughs presenting with 25% repeat CP plans. Twenty-nine of these cases had a

significant gap between the first and subsequent period of CP, which was between 3-10

years between the two periods. There were, however, 17 cases returned for a further period

of CP planning within a 2 years period. Of all 46 children, 30 had at least one period of CP

planning under the category of neglect.

There were 44 Transfer in Conferences in 2015-16, which was a significant increase from

the last reporting year. Due to a significant increase in Transfer in Conference requests, an

audit was undertaken in December 2015 to review the situation and consider any trends

identified. It was recognized that the increase in transfer in conferences has an impact on

resources within Hounslow. This trend is expected to continue with the challenges to

housing stock across London and Hounslow having comparatively reasonably prices

housing. IROs continue to scrutinize the conference reports and risk factors presented at

these conferences to ensure that the most appropriate plan is agreed for the child.

From April 2015 – March 2016, feedback from CPCCs was gathered from 666 professionals

and 176 parents. The feedback provided (both positive and areas for improvement) have

been included in the work of the IRO Service for the oncoming year.

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Care Plan Reviews for Children Looked After (See SR 15)

The Looked After population for 2015-2016 has ranged from 279-290.

15/16 15/16 15/16 15/16

Quarter & Year Q1 Q2 Q3 Q4

CLA 281 290 287 279

In 2015-16 there were between 279-290 children in care at any one time, which was a slight

decrease from last year. There were approximately 725 LARs held for these children/young

people, both initial and review LAR meetings. Of these 725 LARs, 81.1% were held within

statutory timescales. This is a slight decrease from last year and the IRO service is working

to ensure improvements in this area.

The majority (30%) of children and young people who became LAC were age 16+. There

was a significant increase in the number of looked after children between the ages of 10 and

12 who were discharged from care and either reunited with their parents or transitioned into

the care of kinship carers or connected persons. This could be attributed to further scrutiny

of Section 20, identifying family members earlier in the stages of removal and increasing the

use of Family Group Conferencing, which IROs continue to monitor.

Overall, the IRO service has undertaken considerable quality assurance work during 2015-

16. Some of the key areas considered include: audit of transfer in conferences; repeat CP

plans; review the Section 20 arrangements; IRO challenge systems and follow up; children

vulnerable to CSE and subject to the Multi-agency Sexual Exploitation panel and pathway

plan reviews for children aged 18 and over;

Accommodation for Young People Leaving Care

To follow up on the action plan from the most recent OFSTED inspection, an up-date on

accommodation for young people leaving care was presented to the Board. This reported

that there was work with the West London Alliance to provide guidance to potential providers

of residential places and that Hounslow was leading on a project to provide a formal list of

approved providers by autumn 2015.

The quality of accommodation provided by known providers is good and there is an attempt

to place the more vulnerable care leavers in accommodation with on-site staff.

One of the Board’s concerns has been the use of bed and breakfast accommodation for care

leavers and it was reported that this has reduced, but that at times there is a need to use

bed and breakfast when the young people in the age range of 19-20 have been evicted from

others forms of accommodation because of behavioural challenges. It was reported that

there were no young people under the age of 16 in bed and breakfast accommodation.

It was recognised that access to, and use of; leaving care accommodation should not be

separate from work being done with young people to prepare them for, and support them in,

their preparation for adulthood and independence.

Concern was expressed about the future impact of Universal Credit for over 21’s as it was

felt that there was a need for additional support to prepare them for managing rent payments

themselves.

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The Board requested further up-dates on leaving care accommodation for young people.

MARAC

The MARAC annual report was reported to the Board. This raised concerns about referrals

to the MARAC process from child facing services and the Board asked for further work to be

undertaken to ensure that there was knowledge of the MARAC process and of how to

access it.

This work was undertaken and a referral pathway was developed and agreed by the Board.

The effectiveness of this will be reported in subsequent MARAC annual reports.

West Middlesex Hospital

Inspection Action Plan

Following a CQC inspection, it was reported that the Hospital has developed an Inspection

Action Plan to respond to issues identified in the Accident and Emergency Service. This plan

has been implemented. There were no aspects of the requirements from the inspection that

related specifically to the safeguarding of children and young people.

Public Health Update on School Nursing and Health Visiting Services

Public Health reported that the recruitment of Health Visitors remains a problem, but that 32

Health Visitors were currently in post, which in itself was an improvement on previous

numbers. Further work is being undertaken to recruit to additional posts.

The Board ask for the risk associated with recruitment difficulties to be identified. The risk

was reported to be the workload pressured for individual staff. Priorities for staff had been

identified as:

Ante-natal health promotion visits

New baby review

6-8 week review including maternal mood review

1 year assessments

2year review

Private Fostering

An annual review of private fostering was reported to the Board. This demonstrated

considerable activity within Children Social Care to ensure that professionals and agencies

and the community understood private fostering and knew how to report it. However, the

number of cases reported remains low and there was concern that more of the same activity

would not achieve better results.

It was agreed that the Board would support the Private Fostering Lead to find new

approaches to recognising private fostering in the community. The Board undertook to use

meetings with the School Safeguarding leads to reinforce messages about private fostering.

Children Detained in Police custody

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The Board asked the Police to report on children detained in custody. Because of the

closure of the custody suite in Hounslow for four months, it was not possible to give

information that was comparable to other areas in the recent period. However, it was

identified that in a 7 week period, 32 children had been held in the custody suite for over 4

hours.

The Board asked for further work to be undertaken to identify the needs of children who

were being held in custody, particularly between midnight and 8 am, as this is the period

when it was reported that the Local Authority has most difficulty in accessing care

placements, in accordance with the Police Crime and Evidence Act.

Child Death Overview Panel (CDOP – See SR 2 and 11)

A brief overview of the CDOP Annual Report is as follows:

Overall there were seven CDOP meetings held during 2015-16. Chairing has continued to

be undertaken by a representative of Public Health from the three boroughs. Attendance

was good with all but one of the meetings quorate - see section 3.3 of the CDOP Annual

Report for further commentary. The number of deaths across the three boroughs has

decreased with a total of 43 deaths for 2015-16 compared to 51 for 2014-15, comprising 22

in Hounslow, 9 in Kingston and 12 in Richmond - see section 4 of the CDOP Annual Report

for details of deaths occurring in 2015-16.

A total of 78 case reviews were completed during 2015-16. This is a significant increase on

last year, when 42 cases were reviewed. The number of cases awaiting review as at 31st

March 2016 was 27 (11 Hounslow, 7 Kingston, and 9 Richmond). In 2015-16, 12 of the 78

deaths reviewed were thought to have modifiable factors present, representing 15% of the

reviews completed. This is a decrease from last year when 29% of reviews completed were

found to have modifiable factors - see section 5 for full commentary on cases reviewed

during 2015-16.

During 2014-15 Hounslow had the lowest number of deaths on record (19) since the child

death review process was initiated in 2008 but this has increased in 2015-16 to 22 which is

more typical of previous years, 8 of these were unexpected deaths. Seventeen of all child

deaths involved children under the age of 1 and seven of these were neo-natal.

There were 15 unexpected deaths across the three boroughs during 2015-16. For 11 of

these deaths, formal meetings were held as part of the rapid response process – in one case

this was coordinated by another borough as the child died out of area. This is in accordance

with Working Together Guidance 2015. Physical rapid response meetings for 10 of the 11

cases were held within 3-10 working days of the child’s death. For the final case in which a

child died abroad the physical meeting was held some months after the child’s death with a

prior period of virtual information sharing and gathering. In respect of a further 4 neonatal

deaths, no physical meetings were held but information was gathered from the necessary

sources and the panel were satisfied that these deaths were being investigated internally

and that support was in place for families affected via the relevant hospital trusts. This

approach is consistent with current guidance in Working Together 2015 and is usually

applied locally in the case of neonatal deaths where the baby has not left hospital and there

are no safeguarding concerns in respect of the family. The appropriateness of this approach

will be kept under review in respect of national guidance and best practice.

44


The CDOP held a development session in October 2015 which focused on end of life care.

The panel were joined by guests from Great Ormond Street Hospital (GOSH) and Shooting

Star Chase Children’s Hospice. The panel heard about local provisions for palliative care

and the developments and challenges affecting this specialty both locally and nationally.

It was reported to the Board in September 2015 that there had been a delay in the review of

some Hounslow cases being concluded at the Panel and the Board asked that additional,

dedicated Hounslow Panels were held to resolve the backlog. Although this has been

implemented, the Board was further informed that the tri-borough arrangement it had with

Richmond and Kingston could no longer be supported. As such, the arrangements for

Hounslow managing its own CDOP and the review of all its cases including the

implementation of learning began on the 30th of March 2016. Arrangements for the handover

of all cases and appropriate procedures commenced in early March 2016 and finalised in

November 2016. The Hounslow CDOP has held 2 meetings, which include the 30th of March

and 27th of September 2016.

14) Learning From Serious Case Reviews And Other Learning Reviews

Case Subgroup

The cases sub-group has made progress with reviewing its terms of reference to include the

consideration of cases for learning as well as those that may meet the criteria for a serious

case review. Since these changes have been made, the subgroup has considered the

following (see SR 1 and Appendix J – Subgroup Report and Work plan):

Review and progress of the fatal stabbing report

Child C review and its progress to an SCR

Good Case review – Portsmouth SCR reviewed and learning discussed.

Child FDC review – Case presented to the subgroup and learning event held

with practitioners in February 2016.

Consideration of CDOP and high level learning

Overview of Domestic Homicide Review

Consideration of five cases for review

Prevent

In view of issues arising in a current serious case review in Hounslow and because of

national concerns about the safeguarding of children in relation to radicalisation, a meeting

of the Board was dedicated to considering the Prevent agenda and its significance for

agencies working with children. The Hounslow Prevent Lead addressed the Board and a

Home Office approved intervention provider.

It was recognised that early intervention was key to the successful safeguarding of children

and that all agencies needed to be alert and responsive to children and young people who

were vulnerable to negative influence. It was clarified that the Channel Panel only addressed

the needs of individuals when there was a risk of violent radicalisation.

It was identified that the challenge for the Board was ensuring that the children and young

people who did not meet the threshold for the Panel itself, but who could be influenced by

radicalisation could be identified and supported.

45


The Board agreed that all agencies should report on their internal training on radicalisation,

that Children’s Services should become members of the Channel Panel, and that the

Missing and Vulnerable Sub-Committee of the Board should oversee issues of radicalisation

of children and young people.

15) Increasing the Voice of the Child within the Work of the Board

Young People’s Views and Forum

A Young People’s Forum for the Board was set up to ensure that the Board is able to access

the views of young people on Board issues and to ensure that the Board is able to take

account of their priorities.

Young people have also been actively engaged through the work of the CSE subgroup and

the Exploitation and Vulnerabilities Coordinator.

16) Conclusion

The overall conclusion is that the HSCB has focused its attention on frontline practice to

keep children safe, improve its governance, challenge and hold accountable partner

agencies with their safeguarding practices and the national issues which have impacted in

Hounslow, namely child sexual exploitation, female genital mutilation and gang activity.

The work of the Board has been progressed through the strong commitment by the partners,

sub groups Chairs and the members, the HSCB Operational team and the senior executives

to support the priorities set by the HSCB in last year’s annual report.

Considerable work has been undertaken in the area of Child Sexual Exploitation over the

last 12 months, impact of this work is more evident in the way children, and young people

receive services within Hounslow. Improvements have been made to the manner in which

the Board functions alongside the completion of the Serious Case review initiated in 2014.

A key concern for the HSCB is that the multi-agency MASH front door to services is working

effectively and that there is appropriate application of thresholds in the decision making of

referrals and assessments. Scrutiny of this work is scheduled for the next 12 months and the

HSCB will continue to make it a priority to review the effectiveness of the service.

Other challenges for the HSCB include formalising a dataset reflective of the work of

partners and the availability of timely data that could measure the Board’s effectiveness in

safeguarding children; undertaking multi-agency audits which ae proportionate and realistic

in line with the Board’s newly devised Quality Assurance Framework.

The HSCB will continue to build on its progress in the last year whilst responding to priorities

that arise from this annual review of the effectiveness of the HSCB. It is anticipated that next

year will include consolidation of work initiated in the last year in addition to implementing the

Board priorities identified in March 2016 as part of the Boards business plans.

The Business Plan for the Hounslow Safeguarding Children Board for 2016-17, the Targeted

Priorities for the next 2 years and the work plans for each sub group are attached at

46


Appendix D to L. All appendices referred to in this annual report are also included in the

Supplementary Report as a separate bundle.

47



APPENDICES

The following Appendices are attached to this report

1. Appendix A The Membership of the Board 34 2. Appendix B Agency Attendance of the Board 38 3. Appendix C HSCB Budget 40 4. Appendix D HSCB Overarching Business Plan 42 5. Appendix E HSCB Targeted Priorities 45 6. Appendix F Monitoring and Evaluation Subgroup Work plan 47 7. Appendix G Missing and Vulnerable Subgroup Work plan 49 8. Appendix H CSE Subgroup Work plan 52 9. Appendix I Feltham YOI Subgroup Work plan 53 10. Appendix J Cases Subgroup Work plan 55 11. Appendix K Training Subgroup Work plan 56 12. Appendix L Health Network Work plan 59

The Supplementary Report to the HSCB Annual Report includes all annual

reports referenced throughout the body of this document.

48


Appendix A

The Membership of the Board (1st April 2015 – 31st March 2016)

Name Designation Role

Donald McPhail LSCB Independent Chair Chair of the LSCB

Alan Adams Director of Children’s and Adults Services, LB Hounslow

Member of the Board

Sarah Bennett CDOP Coordinator Member of the Board

Member of CDOP

Member of Case Sub-Committee

Kylee Brennan Borough Manager, iHear Member of the Board

DCI Mark Broom DCI, Hounslow Borough Police, Metropolitan Police

Member of the Board

Member of Monitoring & Evaluation Sub-Committee


Chair of Cases Sub-Committee (December 2015 – present)

Member of Missing and Vulnerable Sub-Committee

Member of Child Sexual Exploitation Sub-Committee

Nicky Brownjohn Associate Director of Safeguarding, CWHHE CCG

Member of the Board

Chair of Cases Sub-Committee (September 2014-December 2015)

Councillor Tom Bruce Lead Member for Children, Young People and Families, LB Hounslow

Participant Observer of the Board

Permjit Chadha Community Safety Manager, LB Hounslow

Member of the Board

Member of Training Sub-Committee


Chair of Female Genital Mutilation Sub-Committee

Imran Choudhury Director of Public Health, LB Hounslow

Member of the Board

Chair of CDOP Panel

Stuart Crichton Operations Manager, Ambulance Service

Member of the Board

Julie Hulls Designated Nurse for Safeguarding Children, NHS England, Hounslow CCG

Member of the Board


49


Member of Feltham YOI Sub-Committee



Member of Health Network

Member of Case Review Sub-Committee


Chair of Health Network

Steve Davis Deputy Head Teacher Representing Hounslow Secondary Schools

Member of the Board

Chris Domeney Head of the Youth Offending Service, LB Hounslow

Member of the Board

Chair of Feltham YOI Sub-Committee



Niamh Farren Assistant Chief Officer, Hillingdon and Hounslow, Probation Service

Member of the Board

Siobhan Gregory Director of Quality and Clinical Excellence, HRCH, NHS

Member of the Board

Mary Harpley Chief Executive, LB Hounslow

Member of the Board

Paul Hewitt Head of Safeguarding & Quality Assurance, LB Hounslow

Member of the Board

Chair of Monitoring & Evaluation Sub-Committee

Chair of Missing and Vulnerable Sub-Committee

Chair of Training Sub-Committee



Member of Education Network

Member of CDOP


DCI Coretta Hine DCI, Child Abuse Investigation Team, Metropolitan Police

Member of the Board

50


Janet Johnson LSCB Training & Development Manager

Training & Development Manager


James Jolly Assistant Chief Officer, Hounslow, Kingston and Richmond, Probation Service

Member of the Board

Shan Jones Director of Quality Improvement, West Middlesex University Hospital

Member of the Board


Debra Kane Head teacher Representing Hounslow Primary Schools

Member of the Board

Monica King Named Nurse Safeguarding Children, West London Mental Health Trust

Member of the Board


Bhupinder Lakhanpaul Lay Member Member of the Board

Michael Marks Assistant Director, Education and Early Intervention Service, LB Hounslow

Member of the Board

Chair of Education Network


Jacqui McShannon Assistant Director of Children’s Services, LB Hounslow

Member of the Board

Vice Chair of the Board



Melissa Neilson-Rai LSCB Business Manager Business Manager




Member of CDOP






Member of Female Genital Mutilation Sub-Committee

51


Margaret O’Connor Voluntary Sector Representative, LB Hounslow

Member of the Board

Johan Redelinghuys Director of Safeguarding Children and Vulnerable Adults, West London Mental Health Trust

Member of the Board


Dr Nirmala Sellathurai Designated Doctor for Safeguarding Children, NHS England, Hounslow CCG

Member of the Board



Roger Shortt Education In Partnership Facilitator, LB Hounslow

Member of the Board

Member of the Education Network

Alison Stewart-Ross Service Manager, NSPCC Member of the Board

Judi Walsh Senior Service Manager, CAFCASS

Member of the Board

Jonathan Webster Director of Quality, Nursing & Patient Safety

Member of the Board

Glyn Williams West Thames College Representative

Member of the Board

Caroline Wright Head of Safeguarding at Feltham YOI

Member of the Board



52


Appendix B

Agency Attendance of the Board (1st April 2015 – 31st March 2016)

LSCB Board Date:

27th April 2015; 22nd June 2015; 14th September 2015; 23rd November 2015; 18th January 2016;

14th March 2016

Agency Number of

Boards

Attended

Number of

Boards Not

Attended

LSCB Independent Chair 6 0 Member

Children’s and Adults Services, LB Hounslow 5 1 Member

iHear 6 0 Member

Hounslow Borough Police, Metropolitan Police 6 0 Member

CWHHE, CCG 5 1 Member

Lead Member for Children, Young People and

Families, LB Hounslow

4 2 Member

Community Safety, LB Hounslow 6 0 Member

Public Health, LB Hounslow 4 2 Member

Ambulance Service 1 5 Member

Representing Hounslow Secondary Schools 2 4 Member

Youth Offending Service, LB Hounslow 6 0 Member

Hillingdon and Hounslow, Probation Service 4 1 Member

Quality and Clinical Excellence, WMUH 4 2 Member

Chief Executive, LB Hounslow 4 2 Member

Safeguarding & Quality Assurance, LB Hounslow 6 0 Member

Child Abuse Investigation Team, Metropolitan

Police

3 3 Member

LSCB Training & Development Manager 5 1 Training &

Development

Manager

Hounslow, Kingston and Richmond, Probation

Service

1 5 Member

Service and Transformation, WMUH 2 4 Member

53


Representing Hounslow Primary Schools 3 3 Member

West London Mental Health Trust 6 0 Member

Lay Member 5 1 Member

Education and Early Intervention Service, LB

Hounslow

6 0 Member

Children’s Services, LB Hounslow & Vice Chair of

LSCB

6 0 Member

LSCB Business Manager 5 1 Business

Manager

Voluntary Sector, LB Hounslow (Joined

September 2014)

5 1 Member

Safeguarding Children, Hounslow CCG 6 0 Member

Education In Partnership, LB Hounslow 4 2 Member

NSPCC 3 3 Member

CAFCASS 2 4 Member

West Thames College 0 6 Member

Feltham YOI 4 2 Member

54


Appendix C

LSCB BUDGET 2015 / 2016

Annual Income

Children Services Base Budget Contribution. 142,974

Public Health (CDOP) 18,000

CCG 20,000

Police 5,000 The London Community Rehabilitation Company Ltd / Probation 1,000

Housing 1,000

CAFCASS 550

Early Years 4,000

London Fire Brigade 500

Misc. Income for Attending Safeguarding Training Courses 350

Total Income 192,874 Annual Expenditure

Employee Costs 129,500

Employee Expenses 800 Achieving for Children (Formally CDOP charge to Richmond) 17,800

Safeguarding Board Chairman 24,500

Chronolator Licence 2,700

Serious Case Review 7,800

Case Reviews 7,200

Subscriptions / Annual Memberships 6,100

Training Spend : Events / Catering / AV Services / Training Materials 9,000

Training 5,900

Gangline 2,000

J Lee (Trainer) 3,600

J Sellen (Trainer) 1,500

J Wiffen (Trainer) 1,200

Total Expenditure 219,600

Variance 26,700

Shortfall = £26,700 Reserve, Total Spend & Deficit Reserve carried over 2015/16 = £23,300 (to offset Shortfall)

55


London Borough Comparisons Ealing Overall Budget - £307,472.00 Local Authority Contribution - £142,000.00 CCG Contribution - £69,000.00 Sutton Overall Budget - £310,000.00 Local Authority Contribution - £242,300.00 CCG Contribution - £45,000.00 Croydon Overall Budget - £337,500.00 Local Authority Contribution - £249,000.00 CCG Contribution - £33,800.00 Hackney Overall Budget - £310,000.00 Local Authority Contribution - £186,929.00 CCG Contribution - £24,000.00

56


Appendix D


OVERARCHING BUSINESS PLAN 2016 -17 Overarching Priorities – to ensure that HSCB is able to deliver its core business in line with Working Together 2015

Overarching Priority

Outcome Milestones Lead Timeframe

Governance and Accountability (O1)

The HSCB has robust governance and accountability in pace in line with WT 2015

Review and implement the HSCB governance to reflect WT15.

Strengthen accountability of HSCB Chair with all partner agencies and lead member / chief executive of CS.

Statutory partners to report annually on safeguarding performance

Strengthen partnership working with strategic Boards

HSCB membership to reflect local services and local communities.

HSCB to undertake regular review of published information on thresholds, access to early intervention services and referral protocols.

Be aware of and understand the implications of any reviews and be ready to implement the relevant recommendations including the current review of LSCBs (Role and function of LSCBs, SCRs and CDOPs).

Board Chair and Subgroup Chairs Board Chair, BM Board Chair, BM Business Team Board & ME Subgroup Chair Board Chair and Senior Executives

Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing

Quality Assurance (O2)

Improve scrutiny of HSCB partners safeguarding performance

Develop and Implement a Quality Assurance Framework focused on learning for the HSCB through a programme of themed audits, deep dives and themed learning events to reflect identified Safeguarding issues

Review, implement, analyse and share the learning of a section 11 audit as per requirement.

BM BM and ME Subgroup

April – May 16 December 2016

57


Review, implement, analyse and share learning of the Section 175 / 157 audit of schools.

Implement a partnership performance management framework including an agreed dataset to identify the effectiveness of early help and safeguarding services

Ensure that the HSCB is prepared for any inspections.

Chair BM and Education Network Chair Business Team and ME Subgroup Chair

September 2016 Ongoing

Partnership Working (O3)

All partner agencies are compliant with WT 2015 and assurance processes are in place to ensure robust safeguarding of children and families

Promote the work of the HSCB with children and young people across Hounslow through working with:

o Children in Care Council o Children with Disabilities o Young Carers o Hidden Communities o Children as service users o Voluntary and Faith Sector.

Improve the input of the voice of children and families across all areas of the Board’s work.

Enhance the relationship between the HSCB and Voluntary & Independent Sector, Faith & Community Sector to promote safeguarding.

Promote safeguarding as everybody’s business across schools, academies and colleges through workshops, learning and development events

Business Team Board & All Subgroup Chairs

Ongoing

Learning and Improvement (O4)

To ensure that the children and families workforce in Hounslow are confident and competent to undertake their safeguarding responsibilities

To review and implement the multi-agency training strategy and program

To QA the multiagency training program and ensure it feeds into the Strategy and Training Program

HSCB to capture single agency training data and ensure there are appropriate QA mechanisms in place.

Ensure appropriate training and learning events are facilitated to promote the changes to and raise awareness of the London Child Protection Procedures.

Training and Development Manager & Training Subgroup Chair

Ongoing

Case Reviews and Learning and Development (O5)

The HSCB has an agreed process for reviewing unexpected child death and seriously injured and

Multi-agency learning & development offer

Annual conference

Multi agency case learning discussions

National learning from SCRs and thematic reviews (inspection)

Business Team Board & Cases Subgroup Chair

Ongoing

58


maximising learning across the partnership

Identification of national and local good practice

Undertake SCRs where appropriate and ensure the learning is shared appropriately.

Consider the practicalities and implement the agreed changes to the local arrangements of the Child Death Overview Panel in Hounslow.

59


Appendix E

Hounslow Safeguarding Children Board TARGETED PRIORITIES FOR 2016 -18

Priority Milestones

Timeframe

Safeguarding Children from Sexual Abuse including Child Sexual Exploitation, Familial Sexual Harm and inappropriate internet exposure (P1)

Support services for young people are informed by feedback / input from young people who are / were and or vulnerable to being sexually exploited.

Finalise and Implement the revised sexual exploitation strategy.

Establish any impediments to the recognition of familial sexual abuse and devise plans to overcome these.

Develop and implement an E-safety strategy (which includes the use of smart phones, tablets and computers) with the input of local young people, communities and where appropriate families.

July 2016 June 2016 August 2016 November 2016

Harmful Practices – Female Genital Mutilation (FGM), Exposure to Extreme Beliefs and Radicalisation, Modern Slavery and Forced Marriage (P2)

The HSCB is informed of and where relevant included in the implementation of actions addressing the prevention of FGM in the Violence against Women and Girls Strategy.

The HSCB is informed of and where relevant included in the implementation of actions addressing the prevention of forced marriage in the Violence against Women and Girls Strategy.

The HSCB to be assured that agencies and partners are equipped to fulfil their responsibilities with radicalisation and extreme beliefs through regular updates and audits including Sections 11, 175 and 157 audits)

The HSCB is informed of the implementation of relevant plans in respect of young people who are trafficked into the country / Hounslow and have appropriate engagement with relevant services.

July 2016 September 2016 November 2016 July 2016

60


Priority Milestones

Timeframe

The HSCB to facilitate training and information sessions to all Children’s workforce in Hounslow on the changes to the Child Protection Procedures which target harmful practices.

Protect Children from Neglect (P3)

Develop and implement a neglect strategy.

Implement and review relevant training

Complete multi-agency audits to review the work completed on relevant cases and share the learning.

August 2016 December 2016 September 2016 July 2016

Safeguard Children with specific vulnerabilities – children with hidden disabilities, severe disabilities and mental illness (P4)

LSCB to be assured the safeguarding needs of children with hidden disabilities are identified and appropriately addressed.


LSCB to ensure the emotional and mental health needs of young people are included in the revised mental health strategy and to be made aware of the progress of its implementation.

September 2016 November 2016 July 2016

61


Appendix F


MONITORING AND EVALUATION SUB GROUP WORKPLAN 2016-17

Description Lead Officer Milestones

Timeframe

Governance and Accountability (O1) BM / Sub Group Statutory partners to report bi-annually on safeguarding performance


Be aware of and understand the implications of any reviews and be ready to implement the relevant recommendations including the current review of LSCBs (Role and function of LSCBs, SCRs and CDOPs

July 2016

Ongoing

May 2016 -

ongoing

Quality Assurance (O2) BM

Sub Group

BM / Sub Group

BM / Sub Group


Core Data set for the HSCB to be identified, confirmed, reviewed / scrutinised regularly.



Implement a partnership performance management framework including

April 2016

June 2026

September

2016

May 2016

62


Sub Group Chair

Sub Group Chair

an agreed dataset to identify the effectiveness of early help and safeguarding services


June 2016 –

ongoing

April 2016 -

ongoing

Safeguarding Children from Sexual

Abuse including Child Sexual

Exploitation, Familial Sexual Harm

and inappropriate internet exposure

(P1)

BM Undertake CSE Multi Agency Audits June 2016

Harmful Practices – Female Genital

Mutilation (FGM), Exposure to

Extreme Beliefs and Radicalisation,

Modern Slavery and Forced Marriage

(P2)

Sub Group

Members

Sub group participants submit / facilitate relevant data for discussion,

scrutiny and analysis across all areas of Harmful practices

Report to the Board accordingly

June 2016 /

ongoing

Ongoing

Protect Children from Neglect (P3) BM

Sub Group

Chair

Implement relevant sections of the Neglect Strategy drafted by the

MAV sub group.

Confirm data set to monitor progress


Ongoing

Safeguard Children with specific

vulnerabilities – children with hidden

disabilities, severe disabilities and

mental illness (P4)

BM To be confirmed after MAV sub group have undertaken data gathering. Ongoing

63


Appendix G


MISSING AND VULNERABLE SUB GROUP WORKPLAN 2016-17


Timeframe

Partnership Working (O3) Sub group

chair

BM

BM

Promote the work of the HSCB with children and young people

across Hounslow through working with:

o Children in Care Council

o Children with Disabilities

o Young Carers

o Hidden Communities

o Children as service users

o Voluntary and Faith Sector.

Improve the input of the voice of children and families across all

areas of the Board’s work.

Enhance the relationship between the HSCB and Voluntary &

Independent Sector, Faith & Community Sector to promote

safeguarding through consultation events and participation in HSCB

training events.

Case Reviews and Learning and BM / Sub In partnership with Cases sub group, facilitate at least 3 multi-

64


Development (O5) group Chair agency case learning discussions focusing on the priorities.

Ensure that National learning from SCRs and thematic reviews

(inspection) are analysed and implications for the Board discussed.

Consider the practicalities and implement the agreed changes to the

local arrangements of the Child Death Overview Panel in Hounslow.





(P1)

Sub Group

/ BM

Training Manager

Coordinate an E-Safety Workshop with schools to catalogue good

practice, training and strategies to prevent internet related harm.

Develop and Implement E-Safety strategy in partnership with local

communities, young people, school and other relevant partner

agencies.

Ensure appropriate training and training material is made available

for all Hounslow workforce, local communities, parents and young

people on E-Safety and sexual harm

June 2016

October 2016

October 2016




Modern Slavery and Forced

Marriage (P2)

Sub group

chair

Invite the Community Safety Manager / VAWG strategy coordinator

to present up to date progress on the strategy and the role for the

HSCB

Discuss / scrutinise the outcomes from the Section 175 /157 and 11

audits and implement relevant actions.

Consider the take up of training across these areas and the impact

on the service delivery through the Training Sub Group

To facilitate training and information sessions to all Children’s

workforce in Hounslow on the changes to the Child Protection

Procedures which target harmful practices.

June 2016 /

ongoing

August 2016

October 2016




mental illness (P4)

Sub group

chair

Invite relevant leads to the sub group to outline key areas to focus

Seek opportunities to include HSCB input into key strategies and

plans targeting the needs of children with hidden and severe

disabilities and mental illness.

August 2016

65



BM Develop and implement a neglect strategy.


August 2016 –

March 2017

Quality Assurance (O2) BM Implement the Quality Assurance and Learning Framework Ongoing

Learning and Improvement (O4) L&D

Manager

Implement the Training Strategy Ongoing

66


Appendix H


CSE SUB GROUP WORKPLAN 2016-17


Timeframe

Partnership Working (O3) Implement the CSE Champions project

Case Reviews and Learning and

Development (O5) Undertake multi-agency audits and share the learning and good

practice

Discuss implications of national reviews and policy directions





(P1)

Review and implement the CSE Strategy

Participate and contribute to the development of action plan for

addressing familial sexual harm

Participate and contribute to the development of a E-Safety Strategy

for Hounslow





(P2)

Review and implement the VAWG strategy which addresses FGM

and Forced Marriage.

Review and implement the Community Safety Partnership Strategy

Facilitate consultation and learning opportunities with community

groups and ensure awareness of legislation and procedures are

increased.

67


Appendix I


FYOI SUB GROUP WORKPLAN 2016-17


Timeframe




Modern Slavery and Forced

Marriage (P2)

Caroline

Wright

Scrutinise Safeguarding data and reports presented to the sub

group.

Consider variations / new information.

Where appropriate undertake case audits.

Implement learning from case audits.

Ongoing

Ongoing

1 / year

ongoing




mental illness (P4)

Education &

Health Leads

Scrutinise Health and Education reports presented to the sub

group.

Scrutinise data set for emotional well-being referrals made for

each quarter

Where appropriate undertake consultations with residents

Implement learning from consultations

Oversight and quality assurance of use of care and separation

strategy including audit of implementation

Ongoing

Ongoing

1/ year

Ongoing

October 2016

Quality Assurance (O2) Caroline

Wright

Scrutinise Restricted Regime data and reports presented to the

sub group.

Ongoing

68



Where appropriate undertake case audits with the input /

consultation of residents.

Implement learning from case audits and consultations.

Complete Section 11 audit when required.

Ongoing

1/ year

Ongoing

March 2017.

Partnership Working (O3) Caroline

Wright

Scrutinise data and reports presented to the sub group re

partnership working.

Ensure FYOI and the sub group are informed by local and national

guidance – invite relevant speakers to the sub group to consider

impact and implementation of training and referrals including

Radicalisation, Gang activity.

FYOI training plans to reflect guidance and learning accordingly

including Radicalisation, gang activity and any other key issues.

Ongoing

June 2016

November

2016

69


Appendix J


CASES SUB GROUP WORKPLAN 2016-17


Timeframe


Development (O5) Chair of

Sub

Group /

BM

Facilitate a minimum of 3 learning events during the year

Implement / share learning from SCRs and case learning (local and

national)

Develop and implement a SCR process strategy for Hounslow

Compile a list of all cases discussed both with single and multi-

agency perspectives which include elements of good practice and

areas for improvement.

Report to the Board accordingly.

March 2017

Ongoing

September

2016

Ongoing

Ongoing

70


Appendix K


TRAINING SUB GROUP WORKPLAN 2016-17


Timeframe

Learning and Improvement (O4) TM

Sub-group Members

Sub-Group Members, BM

TM, BM





April 2016

April – June

Ongoing

Ongoing


Development (O5)

TM

Sub-Group Members


TM / BM





April 2016

April – June

Ongoing

Ongoing




Sub-group

members, TM,

Arrange and facilitate HSCB Annual Conference about familial sexual

abuse and related discussions.

May 2016

71



(P1)

HSCB

Sub-group

members, TM

CSE & Vul Coord,

TM

Sub-group

members

CSE & Vul Coord,

TM

Sub-group

members

Provide HSCB conference finding to the HSCB for consideration of

developing a Child Sexual Abuse Strategy.

Review current course offered for Child Sexual Abuse

Continue to provide face to face CSE training

Promote related Virtual College e-learning modules ‘Safeguarding

Children and Young People from Abuse by Sexual exploitation’, and

PACE course for parents across all partner agencies.

Focus on CSE training evaluation.

Promote related Virtual College e-learning module ‘E-Safety –

Guidance for Practitioners’ across all partner agencies.

October 2016

July 2016

Ongoing

Ongoing

Ongoing

Ongoing





(P2)

Sub Group

Members

Sub Group

Members

Sub Group

Members

TM, EACH

Sub-group

members

Maintain ‘Prevent’ training programme via HSCB course programme

for Prevent Team.

Promote Virtual College e-learning module ‘Understanding Pathways

to Extremism and the Prevent Programme’, across all partner

agencies.

Promote Virtual College e-learning module ‘Trafficking, Exploitation

and Modern Slavery’, across all partner agencies.

Continue to provide face to face Forced Marriage training via EACH

specialist service.

Continue to provide face to face FGM training via FORWARD

programme.

Promote Virtual College e-learning module ‘An Introduction to FGM,

Forced Marriage, Spirit Possession, and Honour Based Violence’,

across all partner agencies.

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

Protect Children from Neglect (P3) Sub Group Chair,

TM

Re-launch Quality of Care Assessment tool

Create project group for Quality of Care Assessment Tool.

December 2016

72


Provide training for Quality of Care Assessment trainers

Focussed evaluation of Quality of Care in practice

Develop Neglect Strategy

October 2016

Ongoing

June 2017




mental illness (P4)

TM

Sub-group

members

TM, Peer Support

Members

Continue to provide face to face course ‘Safeguarding disabled

children and young people’.

Promote Virtual College e-learning module ‘Safeguarding children with

disabilities’ across all partner agencies.

Continue to work with and develop the peer support group delivering

two relevant courses (see below) and enabling us to take this learning

into schools.

Continue to provide face to face courses ‘Understanding and working

with young people who self-harm’ and ‘Youth Suicide prevention

Introduction’.

Ongoing

Ongoing

Ongoing

Ongoing

73


Appendix L


HEALTH NETWORK WORKPLAN 2016-17


Timeframe





(P1)

Julie to

identify at

Health

Network

Complete Multi-Agency audit from a health perspective and

contribute to the learning and review of practice.

Ensure that the guidelines for CSE are embedded into practice

across health agencies.

Complete Section11 audit as required.

Identify CSE champions to represent all health agencies.





(P2)

Julie to

identify at

Health

Network

Complete, finalise and publicise the midwifery audit, its outcomes

and learning as well the progress of the action plans and

implementation.

Ensure staff are trained adequately across the Health partnership in

the areas of Extreme Religious / cultural beliefs and Radicalisation.

Implement the policies and procedures which guide FGM and

Forced Marriage and report / refer where appropriate.

Protect Children from Neglect (P3) Julie to

identify at

Health

Participate and implement the Neglect strategy and training.

Undertake impact / evaluation of training on partnership working /

74


Network multi-agency assessments.

Undertake where appropriate case audits and or raise cases for

learning / sharing good practice.




mental illness (P4)

Julie to

identify at

Health

Network

Ensure that the Board is kept informed about the MH strategy and

impact for services for children and young people in Hounslow.

Implement learning from Cases discussed re partnership working

between the LA and admissions to acute interventions within health

services

Any other?

Governance and Accountability (O1) Julie to

identify at

Health

Network

Report to the board accordingly.

Review TORs

Review Health Network Action plan

Quality Assurance (O2) Julie to

identify at

Health

Network

Implement the HSCB Quality Assurance Framework

Complete Section 11 audit

Work in partnership with the LA to consider the implications and

prepare for any inspections.

Report to the Board accordingly on any quality assurance work

undertaken by the Health Partnership.

Learning and Improvement (O4) Julie to

identify at

Health

Network

Report accordingly to the Training sub group and the HSCB on

health agencies’ learning needs, impact of training and feedback

about both single and multi-agency safeguarding training.


Development (O5)

Julie to

identify at

Health

Network

Participate and complete relevant requirements for any multi-agency

case learning events.

Participate and complete relevant requirement for any SCRs.

Contribute and participate in the HSCB Annual Conference.

75


76

HSCB Annual Report 2015 -16 1



Supplementary to the Annual Report 2015-2016

77

Agenda Item 5b


APPENDICES

AND

SUPPLIMENTARY REPORTS (SR)

78


Table of Contents

APPENDICES AND SUPPLEMENATRY REPORTS

1. Appendix A The Membership of the Board 4 2. Appendix B Agency Attendance of the Board 8 3. Appendix C HSCB Budget 10 4. Appendix D HSCB Overarching Business Plan 12 5. Appendix E HSCB Targeted Priorities 15 6. Appendix F Monitoring and Evaluation Subgroup Work plan 17 7. Appendix G Missing and Vulnerable Subgroup Work plan 18 8. Appendix H CSE Subgroup Work plan 22 9. Appendix I Feltham YOI Subgroup Work plan 23 10. Appendix J Cases Subgroup Work plan 25 11. Appendix K Training Subgroup Work plan 26 12. Appendix L Health Network Work plan 29 13. SR 1 Cases Subgroup Report 32 14. SR 2 CDOP Subgroup Report 33 15. SR 3 CSE Subgroup Report 34 16. SR 4 Feltham YOI Subgroup Report 35 17. SR 5 FGM Subgroup Report 36 18. SR 6 Monitoring and Evaluation Subgroup Report 37 19. SR 7 Missing and Vulnerable Subgroup Report 39 20. SR 8 Health Network Report 40 21. SR 9 Education Network Report 41 22. SR 10 HSCB Training Annual Report 42 23. SR 11 CDOP Annual Report 57 24. SR 12 Forward (FGM) Annual Report 110 25. SR 13 Allegations Annual Report 121 26. SR 14 Child Protection Annual Report 130 27. SR 15 Looked After Children Annual Report 141

79


Appendix A

The Membership of the Board (1st April 2015 – 31st March 2016)

Name Designation Role

Donald McPhail LSCB Independent Chair Chair of the LSCB

Alan Adams Director of Children’s and Adults Services, LB Hounslow

Member of the Board

Sarah Bennett CDOP Coordinator Member of the Board

Member of CDOP


Kylee Brennan Borough Manager, iHear Member of the Board

DCI Mark Broom DCI, Hounslow Borough Police, Metropolitan Police

Member of the Board



Chair of Cases Sub-Committee (December 2015 – present)



27Nicky Brownjohn Associate Director of Safeguarding, CWHHE CCG

Member of the Board

Chair of Cases Sub-Committee (September 2014-December 2015)

Councillor Tom Bruce Lead Member for Children, Young People and Families, LB Hounslow

Participant Observer of the Board

Permjit Chadha Community Safety Manager, LB Hounslow

Member of the Board



Chair of Female Genital Mutilation Sub-Committee

Imran Choudhury Director of Public Health, LB Hounslow

Member of the Board

Chair of CDOP Panel

Stuart Crichton Operations Manager, Ambulance Service

Member of the Board

Julie Hulls Designated Nurse for Safeguarding Children, NHS England, Hounslow CCG

Member of the Board

80










Steve Davis Deputy Head Teacher Representing Hounslow Secondary Schools

Member of the Board

Chris Domeney Head of the Youth Offending Service, LB Hounslow

Member of the Board

Chair of Feltham YOI Sub-Committee



Niamh Farren Assistant Chief Officer, Hillingdon and Hounslow, Probation Service

Member of the Board

Siobhan Gregory Director of Quality and Clinical Excellence, HRCH, NHS

Member of the Board

Mary Harpley Chief Executive, LB Hounslow

Member of the Board

Paul Hewitt Head of Safeguarding & Quality Assurance, LB Hounslow

Member of the Board

Chair of Monitoring & Evaluation Sub-Committee

Chair of Missing and Vulnerable Sub-Committee

Chair of Training Sub-Committee




Member of CDOP

81



DCI Coretta Hine DCI, Child Abuse Investigation Team, Metropolitan Police

Member of the Board

Janet Johnson LSCB Training & Development Manager

Training & Development Manager


James Jolly Assistant Chief Officer, Hounslow, Kingston and Richmond, Probation Service

Member of the Board

Shan Jones Director of Quality Improvement, West Middlesex University Hospital

Member of the Board


Debra Kane Head Teacher Representing Hounslow Primary Schools

Member of the Board

Monica King Named Nurse Safeguarding Children, West London Mental Health Trust

Member of the Board


Bhupinder Lakhanpaul Lay Member Member of the Board

Michael Marks Assistant Director, Education and Early Intervention Service, LB Hounslow

Member of the Board

Chair of Education Network


Jacqui McShannon Assistant Director of Children’s Services, LB Hounslow

Member of the Board

Vice Chair of the Board



Melissa Neilson-Rai LSCB Business Manager Business Manager




Member of CDOP




82




Member of Female Genital Mutilation Sub-Committee

Margaret O’Connor Voluntary Sector Representative, LB Hounslow

Member of the Board

Johan Redelinghuys Director of Safeguarding Children and Vulnerable Adults, West London Mental Health Trust

Member of the Board


Dr Nirmala Sellathurai Designated Doctor for Safeguarding Children, NHS England, Hounslow CCG

Member of the Board



Roger Shortt Education In Partnership Facilitator, LB Hounslow

Member of the Board

Member of the Education Network

Alison Stewart-Ross Service Manager, NSPCC Member of the Board

Judi Walsh Senior Service Manager, CAFCASS

Member of the Board

Jonathan Webster Director of Quality, Nursing & Patient Safety

Member of the Board

Glyn Williams West Thames College Representative

Member of the Board

Caroline Wright Head of Safeguarding at Feltham YOI

Member of the Board



83


Appendix B

Agency Attendance of the Board (1st April 2015 – 31st March 2016)

LSCB Board Date: 27th April 2015; 22nd June 2015; 14th September 2015; 23rd

November 2015; 18th January 2016; 14th March 2016.

Agency Number of

Boards

Attended

Number of

Boards Not

Attended

LSCB Independent Chair 6 0 Member

Children’s and Adults Services, LB

Hounslow

5 1 Member

iHear 6 0 Member

Hounslow Borough Police,

Metropolitan Police

6 0 Member

CWHHE, CCG 5 1 Member

Lead Member for Children, Young

People and Families, LB Hounslow

4 2 Member

Community Safety, LB Hounslow 6 0 Member

Public Health, LB Hounslow 4 2 Member

Ambulance Service 1 5 Member

Representing Hounslow Secondary

Schools

2 4 Member

Youth Offending Service, LB

Hounslow

6 0 Member

Hillingdon and Hounslow, Probation

Service

4 1 Member

Quality and Clinical Excellence,

WMUH

4 2 Member

Chief Executive, LB Hounslow 4 2 Member

Safeguarding & Quality Assurance,

LB Hounslow

6 0 Member

Child Abuse Investigation Team,

Metropolitan Police

3 3 Member

84


LSCB Training & Development

Manager

5 1 Training &

Development

Manager

Hounslow, Kingston and Richmond,

Probation Service

1 5 Member

Service and Transformation,

WMUH

2

4 Member

Representing Hounslow Primary

Schools

3 3 Member

West London Mental Health Trust 6 0 Member

Lay Member 5 1 Member

Education and Early Intervention

Service, LB Hounslow

6 0 Member

Children’s Services, LB Hounslow

& Vice Chair of LSCB

6 0 Member

LSCB Business Manager 5 1 Business Manager

Voluntary Sector, LB Hounslow

(Joined September 2014)

5 1 Member

Safeguarding Children, Hounslow

CCG

6 0 Member

Education In Partnership, LB

Hounslow

4 2 Member

NSPCC 3 3 Member

CAFCASS 2 4 Member

West Thames College 0 6 Member

Feltham YOI 4 2 Member

85


Appendix C

LSCB BUDGET 2016 / 2017

Annual Income

Children Services Base Budget Contribution. 160,974

CCG 20,000

Police 5,000 The London Community Rehabilitation Company Ltd / Probation 1,000

Housing 1,000

CAFCASS 550

Early Years 4,000

London Fire Brigade 500

Misc Income for Attending Safeguarding Training Courses 350

Total Income 192,874 Annual Expenditure

Employee Costs 129,500

Employee Expenses 800 Achieving for Children (Formally CDOP charge to Richmond) 17,800

Safeguarding Board Chairman 24,500

Chronolator Licence 2,700

Serious Case Review 7,800

Case Reviews 7,200

Subscriptions / Annual Memberships 6,100

Training Spend : Events / Catering / AV Services / Training Materials 9,000

Training 5,900

Gangline 2,000

J Lee (Trainer) 3,600

J Sellen (Trainer) 1,500

J Wiffen (Trainer) 1,200

Total Expenditure 219,600

Variance 26,700

Shortfall = £26,700 Reserve, Total Spend & Deficit Reserve carried over 2015/16 = £23,274 (to offset Shortfall)

86


London Borough Comparisons Ealing Overall Budget - £307,472.00 Local Authority Contribution - £142,000.00 CCG Contribution - £69,000.00 Sutton Overall Budget - £310,000.00 Local Authority Contribution - £242,300.00 CCG Contribution - £45,000.00 Croydon Overall Budget - £337,500.00 Local Authority Contribution - £249,000.00 CCG Contribution - £33,800.00 Hackney Overall Budget - £310,000.00 Local Authority Contribution - £186,929.00 CCG Contribution - £24,000.00

87


Appendix D


OVERARCHING BUSINESS PLAN 2016 -17 Overarching Priorities – to ensure that HSCB is able to deliver its core business in line with Working Together 2015

Overarching Priority

Outcome Milestones Lead Timeframe

Governance and Accountability (O1)

The HSCB has robust governance and accountability in pace in line with WT 2015

Review and implement the HSCB governance to reflect WT15.

Strengthen accountability of HSCB Chair with all partner agencies and lead member / chief executive of CS.

Statutory partners to report annually on safeguarding performance

Strengthen partnership working with strategic Boards

HSCB membership to reflect local services and local communities.


Be aware of and understand the implications of any reviews and be ready to implement the relevant recommendations including the current review of LSCBs (Role and function of LSCBs, SCRs and CDOPs).

Board Chair and Subgroup Chairs Board Chair, BM Board Chair, BM Business Team Board & ME Subgroup Chair Board Chair and Senior Executives

Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing

Quality Assurance (O2)

Improve scrutiny of HSCB partners safeguarding performance


BM

April – May 16

88






BM and ME Subgroup Chair BM and Education Network Chair Business Team and ME Subgroup Chair

December 2016 September 2016 Ongoing

Partnership Working (O3)

All partner agencies are compliant with WT 2015 and assurance processes are in place to ensure robust safeguarding of children and families




Enhance the relationship between the HSCB and Voluntary & Independent Sector, Faith & Community Sector to promote safeguarding.

Promote safeguarding as everybody’s business across schools, academies and colleges through workshops, learning and development events

Business Team Board & All Subgroup Chairs

Ongoing

Learning and Improvement (O4)

To ensure that the children and families workforce in Hounslow are confident and competent to undertake their safeguarding responsibilities




Training and Development Manager & Training Subgroup Chair

Ongoing

89




The HSCB has an agreed process for reviewing unexpected child death and seriously injured and maximising learning across the partnership

Multi-agency learning & development offer

Annual conference

Multi agency case learning discussions

National learning from SCRs and thematic reviews (inspection)

Identification of national and local good practice

Undertake SCRs where appropriate and ensure the learning is shared appropriately.

Consider the practicalities and implement the agreed changes to the local arrangements of the Child Death Overview Panel in Hounslow.

Business Team Board & Cases Subgroup Chair

Ongoing

90


Appendix E

Hounslow Safeguarding Children Board TARGETED PRIORITIES FOR 2016 -18

Priority Milestones

Timeframe


Support services for young people are informed by feedback / input from young people who are / were and or vulnerable to being sexually exploited.

Finalise and Implement the revised sexual exploitation strategy.

Establish any impediments to the recognition of familial sexual abuse and devise plans to overcome these.

Develop and implement an E-safety strategy (which includes the use of smart phones, tablets and computers) with the input of local young people, communities and where appropriate families.

July 2016 June 2016 August 2016 November 2016


The HSCB is informed of and where relevant included in the implementation of actions addressing the prevention of FGM in the Violence against Women and Girls Strategy.

The HSCB is informed of and where relevant included in the implementation of actions addressing the prevention of forced marriage in the Violence against Women and Girls Strategy.

The HSCB to be assured that agencies and partners are equipped to fulfil their responsibilities with radicalisation and extreme beliefs through regular updates and audits including Sections 11, 175 and 157 audits)

The HSCB is informed of the implementation of relevant plans in respect of young people who are trafficked into the country / Hounslow and have appropriate engagement with relevant services.

The HSCB to facilitate training and information sessions to all Children’s workforce in Hounslow on the changes to the Child Protection Procedures which target harmful practices.

July 2016 September 2016 November 2016 July 2016

91


Priority Milestones

Timeframe


Develop and implement a neglect strategy.

Implement and review relevant training


August 2016 December 2016 September 2016 July 2016




LSCB to ensure the emotional and mental health needs of young people are included in the revised mental health strategy and to be made aware of the progress of its implementation.

September 2016 November 2016 July 2016

92


Appendix F


MONITORING AND EVALUATION SUB GROUP WORKPLAN 2016-17


Timeframe

Governance and Accountability (O1) BM / Sub Group Statutory partners to report bi-annually on safeguarding performance


Be aware of and understand the implications of any reviews and be ready to implement the relevant recommendations including the current review of LSCBs (Role and function of LSCBs, SCRs and CDOPs

July 2016

Ongoing

May 2016 -

ongoing

Quality Assurance (O2) BM

Sub Group

BM / Sub Group

BM / Sub Group


Core Data set for the HSCB to be identified, confirmed, reviewed / scrutinised regularly.



April 2016

June 2026

September

2016

May 2016

93


Sub Group Chair

Sub Group Chair



June 2016 –

ongoing

April 2016 -

ongoing





(P1)

BM Undertake CSE Multi Agency Audits June 2016





(P2)

Sub Group

Members

Sub group participants submit / facilitate relevant data for discussion,

scrutiny and analysis across all areas of Harmful practices


June 2016 /

ongoing

Ongoing

Protect Children from Neglect (P3) BM

Sub Group

Chair

Implement relevant sections of the Neglect Strategy drafted by the

MAV sub group.

Confirm data set to monitor progress


Ongoing




mental illness (P4)

BM To be confirmed after MAV sub group have undertaken data gathering. Ongoing

94


Appendix G


MISSING AND VULNERABLE SUB GROUP WORKPLAN 2016-17


Timeframe

Partnership Working (O3) Sub group

chair

BM

BM

Promote the work of the HSCB with children and young people

across Hounslow through working with:

o Children in Care Council

o Children with Disabilities

o Young Carers

o Hidden Communities

o Children as service users

o Voluntary and Faith Sector.

Improve the input of the voice of children and families across all

areas of the Board’s work.

Enhance the relationship between the HSCB and Voluntary &

Independent Sector, Faith & Community Sector to promote

safeguarding through consultation events and participation in HSCB

training events.

95



Development (O5)

BM / Sub

group

Chair

In partnership with Cases sub group, facilitate at least 3 multi-agency

case learning discussions focusing on the priorities.

Ensure that National learning from SCRs and thematic reviews

(inspection) are analysed and implications for the Board discussed.

Consider the practicalities and implement the agreed changes to the

local arrangements of the Child Death Overview Panel in Hounslow.





(P1)

Sub

Group /

BM

Training Manager

Coordinate an E-Safety Workshop with schools to catalogue good

practice, training and strategies to prevent internet related harm.

Develop and Implement E-Safety strategy in partnership with local

communities, young people, school and other relevant partner

agencies.

Ensure appropriate training and training material is made available

for all Hounslow workforce, local communities, parents and young

people on E-Safety and sexual harm

June 2016

October 2016

October 2016





(P2)

Sub group

chair

Invite the Community Safety Manager / VAWG strategy coordinator

to present up to date progress on the strategy and the role for the

HSCB

Discuss / scrutinise the outcomes from the Section 175 /157 and 11

audits and implement relevant actions.

Consider the take up of training across these areas and the impact

on the service delivery through the Training Sub Group

To facilitate training and information sessions to all Children’s

workforce in Hounslow on the changes to the Child Protection

Procedures which target harmful practices.

June 2016 /

ongoing

August 2016

October 2016




mental illness (P4)

Sub group

chair


Seek opportunities to include HSCB input into key strategies and

plans targeting the needs of children with hidden and severe

disabilities and mental illness.

96



BM Develop and implement a neglect strategy.


Quality Assurance (O2) BM Implement the Quality Assurance and Learning Framework

Learning and Improvement (O4) BM Implement the Training Strategy

97


Appendix H


CSE SUB GROUP WORKPLAN 2016-17


Timeframe

Partnership Working (O3) Implement the CSE Champions project


Development (O5)

Undertake multi-agency audits and share the learning and good

practice

Discuss implications of national reviews and policy directions





(P1)

Review and implement the CSE Strategy

Participate and contribute to the development of action plan for

addressing familial sexual harm

Participate and contribute to the development of a E-Safety Strategy

for Hounslow





(P2)

Review and implement the VAWG strategy which addresses FGM

and Forced Marriage.

Review and implement the Community Safety Partnership Strategy

Facilitate consultation and learning opportunities with community

groups and ensure awareness of legislation and procedures are

increased.

98


Appendix I


FYOI SUB GROUP WORKPLAN 2016-17


Timeframe





(P2)

Caroline

Wright

Scrutinise Safeguarding data and reports presented to the sub

group.


Where appropriate undertake case audits.

Implement learning from case audits.

Ongoing

Ongoing

1 / year

ongoing




mental illness (P4)

Education

& Health

Leads

Scrutinise Health and Education reports presented to the sub group.

Scrutinise data set for emotional well-being referrals made for each

quarter

Where appropriate undertake consultations with residents

Implement learning from consultations

Oversight and quality assurance of use of care and separation

strategy including audit of implementation

Ongoing

Ongoing

1/ year

Ongoing

October 2016

Quality Assurance (O2) Caroline

Wright

Scrutinise Restricted Regime data and reports presented to the sub

group.

Ongoing

Ongoing

99



Where appropriate undertake case audits with the input /

consultation of residents.

Implement learning from case audits and consultations.

Complete Section 11 audit when required.

1/ year

Ongoing

March 2017.

Partnership Working (O3) Caroline

Wright

Scrutinise data and reports presented to the sub group re

partnership working.

Ensure FYOI and the sub group are informed by local and national

guidance – invite relevant speakers to the sub group to consider

impact and implementation of training and referrals including

Radicalisation, Gang activity.

FYOI training plans to reflect guidance and learning accordingly

including Radicalisation, gang activity and any other key issues.

Ongoing

June 2016

November 2016

100


Appendix J


CASES SUB GROUP WORKPLAN 2016-17


Timeframe


Development (O5)

Chair of

Sub

Group /

BM

Facilitate a minimum of 3 learning events during the year

Implement / share learning from SCRs and case learning (local and

national)

Develop and implement a SCR process strategy for Hounslow

Compile a list of all cases discussed both with single and multi-

agency perspectives which include elements of good practice and

areas for improvement.

Report to the Board accordingly.

March 2017

Ongoing

September

2016

Ongoing

Ongoing

101


Appendix K


TRAINING SUB GROUP WORKPLAN 2016-17


Timeframe

Learning and Improvement (O4) TM

Sub-group Members


TM, BM





April 2016

April – June

Ongoing

Ongoing


Development (O5)

TM

Sub-Group Members


TM / BM





April 2016

April – June

Ongoing

Ongoing

102






(P1)

Sub-group

members, TM,

HSCB

Sub-group

members, TM

CSE & Vul Coord,

TM

Sub-group

members

CSE & Vul Coord,

TM

Sub-group

members

Arrange and facilitate HSCB Annual Conference about familial

sexual abuse and related discussions.

Provide HSCB conference finding to the HSCB for consideration of

developing a Child Sexual Abuse Strategy.

Review current course offered for Child Sexual Abuse

Continue to provide face to face CSE training

Promote related Virtual College e-learning modules ‘Safeguarding

Children and Young People from Abuse by Sexual exploitation’, and

PACE course for parents across all partner agencies.

Focus on CSE training evaluation.

Promote related Virtual College e-learning module ‘E-Safety –

Guidance for Practitioners’ across all partner agencies.

May 2016

October 2016

July 2016

Ongoing

Ongoing

Ongoing

Ongoing





(P2)

Sub Group

Members

Sub Group

Members

Sub Group

Members

TM, EACH

Sub-group

members

Maintain ‘Prevent’ training programme via HSCB course programme

for Prevent Team.

Promote Virtual College e-learning module ‘Understanding

Pathways to Extremism and the Prevent Programme’, across all

partner agencies.

Promote Virtual College e-learning module ‘Trafficking, Exploitation

and Modern Slavery’, across all partner agencies.

Continue to provide face to face Forced Marriage training via EACH

specialist service.

Continue to provide face to face FGM training via FORWARD

programme.

Promote Virtual College e-learning module ‘An Introduction to FGM,

Forced Marriage, Spirit Possession, and Honour Based Violence’,

across all partner agencies.

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

103


Protect Children from Neglect (P3) Sub Group Chair,

TM

Relaunch Quality of Care Assessment tool

Create project group for Quality of Care Assessment Tool.

Provide training for Quality of Care Assessment trainers

Focussed evaluation of Quality of Care in practice

Develop Neglect Strategy

December 2016

October 2016

Ongoing

June 2017




mental illness (P4)

TM

Sub-group

members

TM, Peer Support

Members

Continue to provide face to face course ‘Safeguarding disabled

children and young people’.

Promote Virtual College e-learning module ‘Safeguarding children

with disabilities’ across all partner agencies.

Continue to work with and develop the peer support group

delivering two relevant courses (see below) and enabling us to take

this learning into schools.

Continue to provide face to face courses ‘Understanding and

working with young people who self-harm’ and ‘Youth Suicide

prevention Introduction’.

Ongoing

Ongoing

Ongoing

Ongoing

104


Appendix L


HEALTH NETWORK WORKPLAN 2016-17


Timeframe





(P1)

Julie to

identify at

Health

Network

Complete Multi-Agency audit from a health perspective and

contribute to the learning and review of practice.

Ensure that the guidelines for CSE are embedded into practice

across health agencies.

Complete Section11 audit as required.

Identify CSE champions to represent all health agencies.





(P2)

Julie to

identify at

Health

Network

Complete, finalise and publicise the midwifery audit, its outcomes

and learning as well the progress of the action plans and

implementation.

Ensure staff are trained adequately across the Health partnership in

the areas of Extreme Religious / cultural beliefs and Radicalisation.

Implement the policies and procedures which guide FGM and

Forced Marriage and report / refer where appropriate.

Protect Children from Neglect (P3) Julie to

identify at

Participate and implement the Neglect strategy and training.

105


Health

Network

Undertake impact / evaluation of training on partnership working /

multi-agency assessments.

Undertake where appropriate case audits and or raise cases for

learning / sharing good practice.




mental illness (P4)

Julie to

identify at

Health

Network

Ensure that the Board is kept informed about the MH strategy and

impact for services for children and young people in Hounslow.

Implement learning from Cases discussed re partnership working

between the LA and admissions to acute interventions within health

services

Any other?

Governance and Accountability (O1) Julie to

identify at

Health

Network

Report to the board accordingly.

Review TORs

Review Health Network Action plan

Quality Assurance (O2) Julie to

identify at

Health

Network

Implement the HSCB Quality Assurance Framework

Complete Section 11 audit

Work in partnership with the LA to consider the implications and

prepare for any inspections.

Report to the Board accordingly on any quality assurance work

undertaken by the Health Partnership.

Learning and Improvement (O4) Julie to

identify at

Health

Network

Report accordingly to the Training sub group and the HSCB on

health agencies’ learning needs, impact of training and feedback

about both single and multi-agency safeguarding training.


Development (O5)

Julie to

identify at

Health

Network

Participate and complete relevant requirements for any multi-agency

case learning events.

Participate and complete relevant requirement for any SCRs.

106


Contribute and participate in the HSCB Annual Conference.

107

HOUNSLOW SAFEGUARDING CHILDREN BOARD ANNUAL REPORT 2015-16 32

Supplementary Report 1 (SR 1)

Sub-Group Reporting to Business Planning Day 2016

Sub-Group - Cases

Work Completed by the Sub Committee in the course of the year

Review and progress fatal stabbing report

Child C review and progress SCR

Good Case review - Portsmouth case reviewed

Child FDC review - gather timeline for SCR consideration

Consideration of CDOP high level learning

Overview of Domestic Homicide Review

Consideration of five cases for review

Work underway at the end of the year

Child FDC - information from agencies still sought

Child C report to be approved and distributed

Priorities for 2016/17

Increasing referrals from range of agencies

Embedding learning from fatal stabbing report - review interagency cooperation on youth violence

Key factors in the effectiveness of the sub committee

Attendance by key partner agencies, health, police, social care, education

Timely response to requests for information from the group in order that any review / learning can be identified and implemented at the earliest opportunity.

108




Sub-Group: Child Death Overview Panel


34 child death reviews completed between Apr-Oct 2015 (a final CDOP meeting is due to be held on 30/03/16 so the final case reviews completed for 15/16 is expected to be more)

The panel had two special meetings: one was dedicated to the review of neonatal deaths and the second was a development session focused on end of life care. The panel were joined by guests experts for each.

6 rapid response meetings were held in respect of unexpected deaths (correct as at 08/03/16)

Arranged for the Lullaby Trust to hold information stand at West Middlesex University Hospital in Safer Sleep Week (01/06/15)

A multi-agency child death learning event was held in November to share the CDOP review outcomes with various service leads for further consideration and dissemination

A presentation on CDOP was given at a GP safeguarding forum meeting to promote GP awareness of and engagement with the process


Safe sleeping audit report – to be shared with CDOP/LSCB asap

Change in configuration with Hounslow moving to single borough CDOP and transfer of coordination responsibility from Richmond to Hounslow effective from 01/04/16

LSCB1 Annual Returns to the Department for Education

Final Joint CDOP Annual Report for 2015/16


Undertaking work plan as detailed in CDOP Annual Report(s)

Ensuring smooth transition in context of changes to CDOP Chair, Designated Doctor and Coordinator


We have worked hard to reduce the number of open cases awaiting review and improved the overall timeliness of case review completion – this is an ongoing priority.

We have increased avenues for sharing learning from local and national child death reviews including regular CDOP newsletters and input into other agencies communications for example CCG safeguarding newsletter, as well as organising a Hounslow child death learning event

109




Sub-Group: Child Sexual Exploitation


Reporting of local data on CSE

Re-arrangement of MACE to provide focus on trends

Operation Makesafe with continuing activity

Child Sexual Exploitation Referral Pathway introduced

Information to looked after young people on the risks of CSE

Chelsea’s Choice run in most secondary schools

A range of CSE training provided, including the virtual college

NSPCC provision of group work to address 4 phases in relation to CSE

Strengthening of approaches to listening to young people who have been abused

Targeted briefing sessions for professionals

Introduction of a child sexual exploitation screening tool

Links established with faith communities in the Borough

Regular reporting of CSE to Health and Wellbeing Board

Young people affected by CSE being assessed and supported within normal safeguarding processes


Reviewing progress in relation to the Partnership Improvement Plan

Identifying resources for use with older primary school children

Establishing the resources available to integrate teaching the risks of CSE in secondary schools as a regular activity

Youth Service support to vulnerable young people in the community

Strengthening access to shared intelligence information

Establishing the capacity to meet the support needs of young people affected by CSE


Integrating teaching the risks of CSE into primary and secondary schools

Establishing the resources available for meeting the therapeutic needs of young people

Maintaining and developing links with the communities in Hounslow, the voluntary and faith sectors, and parents

Revising the CSE strategy, taking into account the views of young people


The sub-committee has consistent representation from most agencies

The Partnership Improvement Plan consolidates local and national issues

110




Sub-Group Feltham YOI


Revised safeguarding data set to include use of restricted regime.

Audit of use of ‘isolation’.

Review of arrangements of Education and Health provision


Planning for further audit of use of isolation

Review of sub-groups Terms of Reference

Monitor implementation of MMPR in 2016/17


Completion of Audit

Monitor implementation if MMPR and impact on Violence Reduction


Representation from operational staff at the YOI

Regular reports from Social Work team in the YOI

111




FGM Prevention Subgroup


11 women trained as community champions who have carried out prevention work through one to one work, group meetings, speaking at their local mosques and schools reaching 790 residents.

5 women also completed 8 weeks training on mental health and wellbeing course – basic counselling skills

7 men have agreed to be part of the Men’s group, which will focus on how men can support the prevention work in Hounslow. 3 meetings have taken place and the first men’s FGM awareness workshop is scheduled for April 2016

12 professionals trained to deliver FGM prevention work in schools

415 teachers and frontline staff from 7 schools have received the training: Green Dragon Primary School Ivybridge Primary School Feltham Hill Infant School Brentford School for Girls William Hogarth Primary School Oakland School Gumley House Convent Secondary School

200 professionals have been trained i.e. Midwives, Health Visitors, Young People & Teenage Pregnancy Forum, etc

Mini mapping exercise carried out highlighted no counselling/therapeutic services locally for women and girls


4 schools have confirmed training dates and 8 schools have shown interest and need following up


Data collection and analysis

Continue to work with schools

Provide training to professionals

Secure funding to continue FGM Prevention Project


Funding for the project comes to end December 2016

112




Sub-group: Monitoring and Evaluation


The Monitoring and Evaluation Sub Committee has considered agency data sets, where available, with a view to recommending to the LSCB a combined data set that may provide a measure of the effectiveness of the arrangements to safeguard children in Hounslow. Central to this debate has been the variability in detail and timeliness between different agency data sets. Whilst improving the understanding of the data sets that are available, members of the sub group have yet to agree a final, combined version of the data set that could usefully be reported to the LSCB on a regular basis.

o As part of this discussion, the sub group has considered the MASH data set. Following the change in the arrangements for the management of the MASH, a revised reporting format is awaited.

The M&E Sub Committee received audit reports from a number of agencies over the course of the year (including GPs, Midwifery, Probation and FGM) as well as updates on work being undertaken on multi agency audits (“deep dive” and FYOi). The learning from individual audits was discussed and in some instances reported to the LSCB. However, the sub-committee has identified a need to be more focussed in audit work that is reported so that:

o Individual agency audits are undertaken as part of an overall Quality Assurance Strategy to improve learning across the partnership;

o Multi Agency Audits are devised to be proportionate and realistic.


The two themes identified above continued to be issues for discussion at the sub group at the end of the year whilst individual agency data sets and audits have been considered. The year concluded with consideration of the following issues:

o What can we learn from the FGM Audit / what other data is available to provide a wider context;

o Neither the FYOI Audit nor the “Deep Dive” Audit were successfully completed – what can we learn from the work that was done / what can we learn for future multi agency audits?

o AND o Following further discussion of Children’s Social Care and Police CAIT

Data, members of the sub group are considering what sub set of the data available should be reported to the LSCB.


The priority for 2016/17 is the development of an overall quality assurance framework for the LSCB that will enable the Board to monitor the quality and effectiveness of the work undertaken by partner agencies to safeguard children and young people in Hounslow. This will include the following components:

o A set of data from across partner agencies that can provide the board with a meaningful basis upon which to consider the effectiveness of the services provided; 113


o An audit strategy that can link single agency audits; o The development of an approach to multi-agency audits that is

proportionate and realistic to provide a better understanding of the data and single agency audits.


The availability of data from across partner agencies together with an understanding of and the ability to manipulate and compare data across agencies.

Sufficient time to focus on either single or multi-agency audits.

114




Sub-Group: Missing and Vulnerable Children


The Missing and Vulnerable Sub Committee has completed the following areas of work over the course of the last year:

o With the formation of the LSCB CSE Sub Group, responsibility for the development of a local response to CSE was handed over to that sub group. However, this followed the creation of the post of Exploitation and Vulnerabilities Coordinator and the appointment to that post; improvements to the recording of information about young people at risk of CSE / MASE data; improvements to the matching of data about young people at risk of CSE and those recorded as missing from home or care.

o Improved reporting on children missing from home or care, those missing from education and those at risk of sexual exploitation.

o Completion of the “Grab Pack” for missing children, which has also been shared with providers in the private and voluntary sector.

o Information sharing with the Prevent Coordinator and the development of joint processes to identify children and young people at risk of radicalisation.

o Introduction to Trafficking / Modern Slavery and improved recording of trafficking concerns within the social care recording system.


The improvements with the reporting of information about missing children need to be further refined, particularly with reference to the reporting of information about children missing from home, the cross referencing of that data and making that information available to the health services.

o Further work needs to be done with MASH to match up the data recorded by children’s services with that reported by the police.

Now that new systems have been introduced within the social care recording system in respect of CSE, allegations management and missing children, the sub group needs to receive reports on from those records.

Data matching needs to be extended to include children who are educated at home.

Further work to be undertaken on identifying children who may have been trafficked.

A new providers forum is due to be created

Priorities for 2016/17 Missing children from care, education and home Children with complex needs including hidden and diagnosed disabilities, mental health and substance misuse.


Liaison with other sub committees to ensure a coordinated response

Continued provision and improvements to information about individual vulnerable children and young people.

115




Health Network


Terms of reference updated

Presentation from NSPCC re Respect and Protect, Lianne Conway re CSE awareness and CSE Tool, FORWARD re FGM for all health representatives to share across the health economy.

Health IDVA commenced into post and is creating links with GP’s and midwifery regarding DV

Working towards the priorities for the Board

Health providers preparing for CQC inspections

A review of MARAC and health economy’s engagement with the process with discussion with Leo Hutchinson

Monitoring and evaluating the supervision processes across the health economy

Monitoring, reviewing and evaluating the safeguarding training across the health economy whilst maintaining links with the LSCB sub training group.

NHS England Safeguarding Deep Dive Audit completed in November 2015 which involved the CCG and the health providers.

Audits shared by WMUH maternity and LAC regarding quality audit.


Continuing to work towards the priorities for the board for all the health organisations.


To monitor the action plans form the SCR when published and also any case reviews and link into LSCB SCR sub-group.

Review of school nursing attendance at case conferences.

For each of the health agencies to submit 2016/17 audit planner and for the health agencies to share their audits with the Health Network Group as this is still not happening from all agencies.


A lot of work is happening in the individual health agencies and the health network meeting is now going to be focusing on capturing this information to then feed into the LSCB.

116




Education Network


Reviewed any safeguarding issues arising from Ofsted inspections and the strategic plans to address them

Signed of the Revised Safeguarding, Education and Social Care Protocol.

Initiated S175 self-audit process with all Schools

Briefed Head teachers on CSE and from that identified a primary and secondary HT rep to sit on the CSE subgroup.

Awareness of online CSE training raised with schools.

Briefing to Head teacher on ‘Prevent’ which included trailing the Prevent training.

SENCO event which LSCB Chair attended


Following up with schools who have not submitted their S175s

Clarify and confirm the process for investigating and tracking Ofsted notifications with schools

Publish revised and clear guidance for Heads


Self-harm and mental health issues

Embed S175 practice as an annual tool in all maintained schools

Ensure clear links and updates are in place between the LSCB website, when it is operational, and the Knowledge Hub for schools.

Monitor the number of Schools accessing the Prevent Training


Retain the existing agencies and their reps on the network

Identify a new Chair

117




Sub-Group - Training Sub Group.


Annual conference 2015.

Self-harm and suicide awareness group; new members recruited to replace lost members and enable possible roll out to interested schools.

Meeting with partners re self-harm.

DV film made and course developed.

CSE briefings for all social work teams and key EIS staff by LSCB L&D manager and Vulnerabilities coordinator.


Quality of care re-launch

Annual conference to consider a strategic approach to preventing child sexual abuse in the family environment.

Proposed priorities for 2016/17

Quality of Care assessment re-launch.

Improve learning needs overview from partner agencies with which to plan.

Virtual college to be extended to other key agencies particularly health.

Develop self-harm and suicide awareness group to offer in-school training for interested schools/colleges.

Improved take up of training by voluntary sector.


Housing partners have been inactive members for some time. Take up of relevant training is poor within housing.

Several changes of chairperson in past few years have led to lack of strategic leadership.

118



TRAINING ANNUAL REPORT

1 APRIL 2015 - 31 MARCH 2016.

In 2015-16 HSCB delivered its ongoing varied learning programme:-

Face to face safeguarding courses reflecting board priorities and the London Child protection procedures totaling 23 safeguarding subject areas.

79 planned courses.

Made available extensive online learning with the Virtual College. 1. Face to face courses.

Of the 23 different courses 5 were commissioned. (Neglect, Familial sexual abuse, Gangs, Abusive adolescent relationships, Parental mental illness.) See appendix 1 for breakdown of costs. The remaining 18 courses are delivered by partner agency workers representing value for money as the main associated costs for the majority of LSCB courses this year were for catering rather than course delivery. See appendices 1 and 2 for breakdown of costs and course delivery partners. The course programme represents a major collaborative effort on behalf of HSCB partner agencies, sharing local expertise and building our capacity to promote inter professional knowledge, local networking and understanding of multiple aspects of safeguarding. To enable applicants to navigate the wide range of courses were grouped as below in publicity material.

LSCB priorities Sexual abuse Older CYP Parental

vulnerability DV & related issues.

Introductory course Introduction disabled children Early help NAI Neglect Prevent Familial sexual abuse MARAC Forced marriage FGM CSE

Familial sexual abuse Sexually active CYP Sexual exploitation Gang involvement

Sexually active CYP Sexual exploitation Gang involvement Forced Marriage Self-harm Suicide awareness

Empowerment in DV MARAC Parental substance misuse

Familial sexual abuse Empowerment in DV MARAC F.G.M. Forced marriage

2. Course attendance. 119


In this financial year we provided 57 courses attended by 665 people. Courses were accessed by the following agencies.

ADULTS SOCIAL CARE 7

CHILDREN’S SOCIAL CARE 191

EIS 58

Early Years Setting 48

VOLUNTARY SECTOR 37

HMYOI 17

HOUSING 4

PROBATION 3

POLICE 11

Schools 106

HEALTH 131

UNKNOWN AGENCY 42

TOTAL 655

3. Evaluation is available for 45 courses. This is summarized in more details at the end of this report (Pages 46-56) Overall findings from course evaluations.

Participant views of the level of training.

94.6% of participants found the level of the course they attended appropriate

Participant ratings of knowledge prior to courses.

41.6% of attendees recorded prior knowledge was good or excellent

Participant ratings of knowledge following courses.

93.1% of attendees rated knowledge as good or excellent after their course

Ratings of facilitators 95% rated the facilitator as good or excellent

4. Quality of care assessment. Re-launch. The LSCB decided to re-launch the quality of care assessment. To support this the training group formed a training pool to cascade training and to champion the use of the tool in practice. The group comprises social workers, specialist worker for disabled pre-school children and partners from community health, mental health, school nursing, CCG. The group had two days of preparation to understand the development of the tool and to consider how to deliver the training. Work is ongoing to digitalise the tool and develop a strategy to tackle neglectful parenting. Once complete the training of workers in health and social care will begin. 120


5. Self-harm and suicide awareness.

TSG responded to professional concerns at the increasing incidence of self-harm and increasing need to support young people in emotional distress and concerns about how to respond to young people when there may be concerns about suicide. A multi professional group was recruited to work with Jude Sellen, a mental health expert, and undertook ‘training for trainers’ in two courses written by Jude and published by Pavilion. The aims of these courses are to combat stigma and empower professionals in their relationships with young people, to hear directly from young people 6. Cancellations. We offered 76 courses in total but cancelled 19. 5 cancellations due to illness or accidents, 14 due to lack of applicants making courses unviable. It can be difficult to estimate demand e.g. 9 early help assessment dates were offered but we cancelled 4 of these due to receiving between only 1 - 4 applicants. Most cancellations were made with notice to applicants but this causes inconvenience. For the future we are considering how to minimise cancellations.

7. Conference planned and organized and attended by 127 delegates. Organisational change ‘Mind the Gap’ conference reflected the SCB priority to enhance links between services for adults and children’s services. Conference considered the repetitious nature of serious case review findings and the barriers to making lasting change to practice particularly in

terms of organisational change. Legacy This aspect of the conference influenced LSCB decision to re-launch the quality of care assessment as an element of change at organisational level to make available to workers an improved assessment tool. Recurrent care proceedings Conference heard from Claire Mason who undertook the first UK research into recurrent care proceedings. We heard about working more effectively with vulnerable women, often care leavers, whose lives are affected by mental illness, domestic violence or substance misuse and as a result experience recurrent reception into care of, in some cases, multiple children.

Legacy Subsequently children’s services explored whether to express interest in joining the extended innovation funding for the Pause project. This identified Hounslow has the second lowest rate of recurrent proceedings nationally. This led us to a decision not to join at that time but to consider what work is possible internally with this cohort of women. 8. Online training. Learner feedback continues to be positive reinforcing that this is a good quality online product

121


Online Learner Feedback Total completed evaluations 2756 Very Satisfied 1462 Satisfied 1154 Partly Satisfied 122 Not At All Satisfied 18

Courses are most extensively used by schools. Just over half of Hounslow schools have accessed Virtual College online learning. For many agencies online learning is a valuable resource that is well used but for others it has been rarely accessed or accessed mainly when courses have been compulsory. See Appendix 3 for breakdown of agency usage. (NOTE health is not included as the extension to health went live in June 2016) The transition to online learning can be difficult as many people have had negative experiences of online learning such as health and safety requirements which can be a ‘turn off’. This is currently a ‘free’ resource as it was fully funded be EIS. Partner agencies are encouraged to make full use of the resource over the remainder of the contract duration.

9. SUMMARY OF COURSE EVALUATIONS 2015 –16

Introduction to safeguarding children. 5 courses. 82 attendees.

Too basic Appropriate Too advanced

Course level 0 79 3

Poor Fair Good Excellent

Course overall 1 31 47

Course facilitator 8 72

Extent to which course aims were met. 9.2 out of 10

Pre course participant knowledge rated fair to good 57.3%

Post course participant knowledge rated good to excellent 92.7%

How will your everyday work change following this course?

80% commented, focusing on improved confidence and awareness and understanding of role and responsibility.

Course comments

55% commented mainly on good quality of content and delivery. One would have liked to see the quality of care tool, two would have liked more visual aids.

Individual delegate messages for SCB.

Would be helpful to have a sheet to sign up for more information.

Introduction to safeguarding children with a disability. Number of courses 1. Attendees 11.


Course level Not recorded



Course facilitator 1 2 6



Post course participant knowledge rated good to excellent 100%


No comments. 122


Course. Sexual exploitation. 4 courses. 55 attendees.


Course level 55


Course overall 22 32






60% of participants commented focusing mainly on having gained understanding awareness and confidence in identifying concerns and ability to use tools to work directly with young people including in schools.


Insufficient services for young people at risk of CSE and thresholds are too high.

Practitioners need more time to work with young people as opposed to being measured by outcomes and evidence.

A course on violent youth crime would be useful. (We do have a course on Gangs covering CSE related issues)

Safeguarding Sexually Active Children and Young People. 2 courses. 31 attendees


Course level 1 30








84% (26) of participants provided a comment. These mainly focused on the quality of the course rather than precise comments on how to put learning into practice. One participant suggested the course should cover more for the under 12s


No comments

Prevent. Number of courses. 1. Attendees, 18


Course level 4 14








No comments


No comments

Core groups and child protection plans. Number of courses 5. Attendees 47 123



Course level 45








45% (21) commented. Mainly focused on:

Improved confidence in working with and challenging parents

Improved awareness and understanding of role and responsibility

Being child-centred and outcome focused

Message for facilitator


The good quality of the content including case studies and assessment tool

Interactive nature of the session helped learning

One participant would have liked to have seen Quality of Care assessment

One participant thought the course could have been more timely


Cascade information to agencies about thresholds

Understanding the Complexities of Parental Mental Ill-health. Courses 1. Attendees 18


Course level 18


Course overall 7 11







Improved approach to risk assessment

Building better working relationships with families

Help to keep in mind to see the parent as a person first

Place more emphasis on a parent's past experiences to understand better how to help them

Be more careful about the language used with the parent and child/more aware of assumptions/stereotypes that the professional may have projected unknowingly

Better understanding of the impact on families and parenting

More confidence in talking to parents and young people about mental health

More confidence in requesting guidance and support from adult mental health services

Message for facilitator.


The good quality and detail of the content including interactive group work offering good debates with professionals

The usefulness of the tools provided

Facilitator was seen as trustworthy due to the level of experience and knowledge

One participant thought that the course could be extended over 2 days

One participant though that some of the course was difficult to access for non social workers

One participant thought that hand-outs would have been useful 124



39% (7) commented. These included:

The time it takes for families to receive support/specialist services after referral or needs identified

Safeguarding concerns not being accepted about emotional abuse even when accumulative evidence has been provided

Request to provide more networking opportunities for front line professionals to improve inter-agency working and service delivery

Frustration that the experience level of social workers is not always matched to the level of complexity for families using a particular service

Comment referred to supervision of cases in terms of theory and child development and reflection as opposed to case management

Comment about promoting a change towards incorporating mental well-being as a positive

More awareness of general mental well-being and strategies to improve it

Empowerment and Domestic Violence Work with Women. Number of courses 3 Attendees 38


Course level 38









Greater empathy and increased reflection on practice

Improved awareness and better understanding of risk and how to assess it



The good quality of the content including interactive group work offering good debates with professionals

More information about alcohol misuse in relation to DV and more information about perpetrators and what work has worked well would have been useful


One comment - Cascade information to agencies about thresholds

Female Genital Mutilation (FGM) Number of courses 1. Attendees 20


Course level 20


Course overall 7 9


NB 4 no response


Pre course participant knowledge rated fair to good 25%




Improved knowledge and understanding of responsibilities

More confidence to address the issue 125



50% (10) commented Mainly focused on:

Good quality of content and delivery


Three participants provided a comment:

Consider a support group for Hounslow girls as well as a support group for men partners/fathers impacted by FGM

Improve promotion of the FORWARD Coordinator

Ensure procedures are in place to enable professionals to address concerns

Early Help Assessments. Number of courses 4. Attendees 51


Course level 43 3









Improved confidence

Improved knowledge and understanding of role and responsibility

Message to facilitator.


The good quality of the content and delivery

Two participants would have liked more interactive and group activities

One participant would have liked more agency specific content


Two comments

More training for private nurseries

More support for education staff in raising concerns with professionals

Understanding Self harm. Number of courses 3. Attendees 40


Course level 40









Improved empathy - less judgemental

Improved knowledge and understanding



The good quality of the content and delivery including visual materials

Three participants would have liked more up to date research/statistics 126


Non-accidental Injury. Number of courses 4. Attendees 56


Course level 52 1


Course overall 1 1 21 24

Course facilitator 2 10 35

NB 9 no comments





64% (36) commented. Mainly focused on: Improved awareness, knowledge and understanding


46% (26) commented. Mainly focused on: The good quality of the content and delivery, three participants recommended improvements to the visual content/hand-outs

Youth Suicide Awareness. Number of courses. 2. Attendees 14


Course level


Course overall 5 8


NB 1 no comment

Extent to which course aims were met. 9 out of 10




100%(14) commented focusing on:

Improved awareness and confidence in addressing the issue

Hope is a good tool to support 1:1 conversations with young people


71% (10) commented focused on: Good quality of the content and delivery One recommended more work around advice and practical ways to address suicide with young people


One participant noted a lack of mental health resources to refer to such as CAMHS and counselling

Parental substance misuse. Number of courses 3. Attendees 45.


Course level 44 1


Course overall 7 34

Course facilitator 42



Post course participant knowledge rated good to excellent 93.3% 127



76% of participants provided a comment. Focused on: - improved awareness, knowledge and understanding - improved confidence in approaching and working with clients - better empathy and less judgemental when working with clients


69% (31) of participants provided a comment. These mainly focused on: - the good quality of the content and delivery including interactive activities - two participants recommended improvements to materials - one participant recommended encouraging networking

Forced marriage 1 course. 16 attendees.


Course level 15


Course overall 7 9






86% (14) of participants provided a comment. These mainly focused on improved awareness, better prepared to manage a disclosure and to support colleagues, better empathy and less judgemental when working with clients

Course comments

63% (10) of participants provided a comment. These mainly focused on the good quality of the content and delivery, two participants referred to the afternoon session being too long - one thought an interactive session would have been better


One participant suggested that forced marriage should be discussed in schools

DV empowerment for managers. 1 course. 5 attendees.


Course level 4


Course overall 3 2


Extent to which course aims were met. 6 out of 10




80% of participants provided a comment. These mainly focused on: how it will improve their use of language and approach, how it will improve reflection on the tension/dynamics between child protection and DV

Course comments

100% of participants provided a comment. These were:

Afternoon session was not as challenging/ too slow

Course had a blaming culture - this participant felt the facilitator did not listen

Course message and structure was confusing

Victim feedback was needed 128


Familial child sexual abuse. Courses 2. Attendees 21.


Course level 21


Course overall 5 14






86%of participants provided a comment. These mainly focused on improved knowledge and one commented on not being influenced by police perspective; knowledge of perpetrators, improved confidence in addressing concern


91% of participants provided a comment. These mainly focused on:

Good quality of the content and delivery

Two participants referred to good group work and debates with other professionals and to the course being thought-provoking about the perpetrator.

Neglectful parenting.1 course Attendees 18


Course level


Course overall 8 10






83% of participants provided a comment. These mainly focused on ability to use practical tools to improve practice and to set clear expectations with parents.

Course comments

56% (10) of participants provided a comment. These mainly focused on:

Good quality of the content and delivery

One suggestion course should be longer another thought introduction too long

One participant referred to lack of information sharing between participants.

Another participant thought the level of knowledge of all participants was too varied.

Young people’s substance misuse. 1 Course 8 Attendees


Course level 8


Course overall 6 2






63% of participants provided a comment. These mainly focused on - improved confidence in addressing the issue and using learning to understand clients.

Course comments. 129


88% of participants provided a comment. These mainly focused on:

Good quality of the content and delivery including use of case examples and role play

One participant suggested more information and guidance to support young people with additional needs and was keen to have this training for specialist disability team.

10. Costs and Courses for 2015-16

Fee paying courses Number Cost per day Total

Neglectful parenting.

x 2 £600

£1,200

Familial Child Sexual Abuse

x 2 £600

£1,200

Gangs.

x 2 £1,000

£2,000

Violence in young people’s relationships

x 1 £1,000

£1,000

Parental mental illness x 1 £500 £500

COST FOR FEE PAYING COURSES

£5,900

Nil cost for these courses

Nil cost courses Number Delivered by

Introduction

x 6 Janet Johnson

Intro. Disabled children

x 3 Janet Johnson, Mandy O’Donoghue, ATM SWTCWD

Prevent x 1 Joan Conlon; Najeeb Ahmed

EHA x 8 Stephanie Clancy; Debbie Eldridge

Core groups CP plans x 3 Janet Johnson; Melissa Goodman; IROs

NAI x 4 Nimmi Selathurai (Named Paediatrician)

CSE x 3 Janet Johnson. Richard West (Sexual health)

Sexually active CYP x 2 Janet Johnson, Richard West (Sexual health)

Substance misuse x 4 Visions team

Youth suicide intro

x 3

Janet Johnson, Patricia David HYCS Nana Owusu CAMHS; Cheree Baker CAMHS; Lita Hasker Gumley School; Davina Patel Chiswick School; Mary Walsh HYCS and FIS; Allison Cuthill Ed Psych; Dawn Collard Ed Psych;

Violence in young people’s relationships x 1

Forced marriage x 3 Gayatri Shah, EACH

Self harm x 4 As above

DV empowerment x 4 Janet Johnson, Permjit Chadha

130


MARAC x 2 Leo Hutchinson MARAC co-ordinator

Parental substance misuse x 2 Ihear

FGM x 3 Naima Ibrahim, Forward

MAST x 2 MOPAC funded.

Approximate catering costs for all courses. £3,600.

11. Departments/agency usage of online learning

Department Completed

Not specified 1

Academy 472

Advisory Teachers 30

Business support officers 2

Childminder 1

Children’s Centres 42

Children’s Services 4

Connexions 3

Corporate parenting and placements 2

Early Help Hounslow 7

Educational Psychology Service 8

EIS Support Officers 4

FAAST 8

Faith schools 275

Families First 1

Family Support Practitioners 6

Foster carers 140

Fostering team 6

Free schools 29

Governors 80

Hounslow Youth Counselling Service 10

IHear 6

Independent schools 49

Intake teams 5

Intensive Family Support 5

Late entry team 3

Learning to Respect 4

Leaving care team 1

Let’s Talk 1

MASH 8

Nursery 23

Other 123

Placements team 0

Primary Schools 1279

Safeguarding and quality assurance 49

131


Safeguarding and support teams 33

Schools/College 16

Special Schools 242

Support for Learning 2

Targeted Youth Service 12

The Ride 0

Third Sector 35

West Thames College 3

Young Carers Project 0

Youth Offending Service 3

Youth Service 36

Total completions 3069

132



Annual Report for the Joint

Child Death Overview Panel for

Hounslow, Kingston and

Richmond

April 2015 – March 2016

133


CONTENTS Page

1. Introduction 4

2. Introduction to CDOP 5

2.1 Terms of reference 5

2.2 Core membership 7

2.3 Definitions used for child deaths 7

3. Overview of CDOP operation 9

3.1 Meetings held and reviews conducted 9

3.2 Organisation and resourcing 9

3.3 Operation 10

3.4 Training and Development 11

3.5 Rapid response to unexpected deaths 12

4. Child deaths in the area 2015-16 15

4.1 Number of deaths in Joint CDOP area 15

4.2 Number of expected and unexpected deaths 16

4.3 Gender 17

4.4 Age 18

4.5 Neonatal deaths 20

4.6 Ethnicity 20

4.7 Numbers occurring each quarter 23

4.8 Deaths of children resident in other local authorities 23

5. Commentary on cases reviewed 24

5.1 Categories of death and ‘preventability’ 24

5.2 Deaths classified as the result of a neonatal or perinatal event 24

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5.3 Sudden Unexpected Death in Infancy 27

5.4 Unexpected deaths 27

5.5 Expected deaths 28

5.6 Time taken to review deaths 29

5.7 Deaths in three borough area reviewed by other CDOPs 30

according to child’s area of residence

6. Key themes and issues 31

6.1 Neonatal deaths 31

6.2 Sepsis and other deaths resulting from infection 32

6.3 Epilepsy 32

6.4 Accidents in under 5 year olds 33

6.5 Access to healthcare by people from other cultures 33

6.6 Sudden Unexpected Death in Infancy 33

6.7 Cardiac deaths in babies 34

6.8 Children on a child protection plan placed out of area 34

6.9 Contact between CDOP and families 34

6.10 General Practice 35

6.11 Delays in inquests 35

6.12 Capacity issues 36

6.13 Serious Case Reviews 36

7. Progress against work-plan for 2015-16 37

8. Recommendations 40

9. CDOP work-plan for 2016-17 41

10. References 42

Appendices:

(i) Membership of the Joint CDOP as at 31/03/16 43

(ii) Attendance at panel meetings during 2015-16 44

(iii) Categories used to classify child deaths 45

(iv) Cumulative child death figures 2008-2016 47

135


1. Introduction

This is the eighth annual report of the Joint Hounslow, Kingston and Richmond

Child Death Overview Panel (CDOP) and covers the year 1 April 2015 to 31 March 2016. This

annual report is the final report based on joint arrangements following a decision for Hounslow

to split from Kingston and Richmond effective from 01/04/16.

Seven CDOP meetings were held during 2015-16. Chairing has continued to be undertaken by a

representative of Public Health from the three boroughs.

Attendance was good with all but one of the meetings quorate - see section 3.3 for further

commentary.

The number of deaths across the three boroughs has decreased with a total of 43 deaths for

2015-16 compared to 51 for 2014-15, comprising 22 in Hounslow, 9 in Kingston and 12 in

Richmond - see section 4 for details of deaths occurring in 2015-16.

A total of 78 case reviews were completed during 2015-16. This is a significant increase on last

year, when 42 cases were reviewed. The number of cases awaiting review as at 31st March 2016

was 27 (11 Hounslow, 7 Kingston, and 9 Richmond).

In 2015-16, 12 of the 78 deaths reviewed were thought to have modifiable factors present,

representing 15% of the reviews completed. This is a decrease from last year when 29% of

reviews completed were found to have modifiable factors - see section 5 for full commentary on

cases reviewed during 2015-16.

Key themes and issues identified are described in section 6 and recommended work arising from

the learning is detailed in Sections 8 and 9.

Appendix iv shows cumulative data over the past six years, from 1 April 2008 to 31 March 2016.

The CDOP Annual Report has been prepared for the respective LSCBs as per the requirement of

Working Together 2015 Guidance. Unlike the LSCBs’ Annual Reports, in which the work of the

CDOP is summarised, the CDOP Annual Report is not a public document. Data in the report

includes small numbers which according to general best practice in statistical reporting would

ordinarily be supressed to avoid possible identification; however, we have included these as

they are important in providing comprehensive local information. Please note therefore that this

report should not be shared or reproduced, in whole or in part, without prior permission of the

CDOP and LSCB Chairs.

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2. Introduction to CDOP

2.1 Terms of reference

The review of deaths of children under 18 years old is a statutory requirement, and a Child

Death Overview Panel must be established to fulfil this duty. The main functions of the CDOP are

set out in Chapter 5 of Working Together 2015. The panel evaluates all deaths of children

resident in the three boroughs to identify any issues of concern and lessons to be learnt. It also

aims to identify any risk factors and trends in the local pattern of child deaths, with a view to

informing policies and procedures across all agencies and advising the Local Safeguarding

Children Boards (LSCB) on resources and training required to improve responses to child deaths

and reduce numbers of preventable deaths.

One of the functions of LSCBs set out in Children Act 2004; regulation 6, in relation to the deaths

of any children normally resident in their area is as follows:

(a) Collecting and analysing information about each death, with a view to identifying-

Any case giving rise to the need for a review mentioned in reg 5(1)(e) ( i.e. Serious Case

Review)

Any matter of concern affecting the safety and welfare of children in the area of the

authority, and

Any wider public health or safety concerns arising from a particular death or from a pattern

of deaths in that area

(b) Putting in place procedures for ensuring that there is a coordinated response by the authority,

their Board partners and other relevant persons to an unexpected death

Working Together to Safeguard Children 2015 and LSCB Guidance (DCSF 2006) set out the

regulations and guidance for reviewing these child deaths.

Two inter-related processes were established:

A rapid response by a team of key professionals who come together for the purpose of

enquiring into and evaluating each unexpected death of a child

An overview of the deaths of all children (birth up to 18th birthday, excluding stillborn and

planned terminations) normally resident in each LSCB area

From April 2008 each Local Safeguarding Children Board (LSCB) has a responsibility for

convening and maintaining a CDOP with members drawn from key organisations represented on

the LSCB. CDOPs are accountable to the LSCB.

The CDOPs functions are to:

Collect and collate information on each child’s death, seeking relevant information from

professionals and, where appropriate, family members;

137


Discuss each child’s case and provide relevant information or any specific actions related to

individual families to those professionals who are involved with the child’s family so that

they, in turn, can convey this information in a sensitive manner to the family;

Ensure that families are appropriately informed and involved with the child death review

processes including rapid response, where applicable, and that they are enabled to

contribute should they wish to;

Determine whether the death is deemed preventable, that is those deaths in which

modifiable factors1 may have contributed to the death and decide what, if any, actions could

be taken to prevent future such deaths;

Make recommendations to the LSCB(s) or other relevant bodies promptly so that action can

be taken to prevent future such deaths where possible;

Identify patterns or trends in local data and reporting these to the LSCB(s);

Provide regular subgroup updates to the LSCBs as per their requirements;

Where a suspicion arises that neglect or abuse may have been a factor in the child’s death,

referring a case to the relevant LSCB Chair for consideration of whether a serious case

review is required;

Agree local procedures for responding to unexpected deaths of children;

Cooperate with regional and national initiatives to identify lessons on the prevention of child

deaths;

Provide an annual report of relevant information to the LSCBs to inform their annual

reports; and

Provide anonymised information on behalf of the LSCBs to the Department for Education to

enable the Department to commission research and publish nationally comparable analyses

of these deaths.

The joint CDOP and rapid response arrangements were in place as required from April 2008. The

Terms of Reference were reviewed during 2015 and have been updated in line with Working

Together to Safeguard Children 2015.

2.2 Core membership

Membership was established in line with statutory requirements, with core members at a senior

level from each Borough as follows:

138


Designated Paediatrician for child deaths;

Public Health Associate Director or Consultant;

Health safeguarding representatives such as Designated Nurse/ Named Nurse, from CCG and

providers;

Local Authority Safeguarding managers; and,

Detective Inspectors from Police Child Abuse Investigation Teams

There has to be at least one representative from each of the five core service areas in order for

the CDOP to be considered as quorate, although this is a local agreement and not a statutory

requirement. A full membership list can be found in appendix i. Due to capacity and scope of

responsibilities, agencies may rotate their attendance at meetings. The chair is not considered

as a public health representative on the panel.

The Terms of Reference also stipulate that where possible, the panel will have a representative

of a bereavement agency or similar. In this regard, the panel have been very fortunate to have

consistent representation from Shooting Star Chase Children’s Hospice. This member assists the

panel with respect to best practice in bereavement support and end of life care, as well as

ensuring information sharing in relation to individual children and their families who have

received care and support from the hospice.

2.3 Definitions used for child deaths

Neonatal – death of a newborn child under 28 days old - includes premature births but

excludes stillbirths.

Sudden Unexpected Death in Infancy (SUDI) – unexpected unexplained death of a child

under one year of age, including those less than 28 days if discharged home.

Expected – describes a death that was anticipated and did not arise from an unexpected

cause or complication. Expected deaths may be due to known illness, and include those with

a palliative care plan.

Unexpected – the death of a child (up to 18 years) which was not anticipated as a significant

possibility, for example, 24 hours before the death, or where there was a similarly

unexpected collapse or incident leading to or precipitating the events which led to the

death. Unexpected deaths may be

due to a child who dies sooner than expected from a pre-existing condition, or who

experiences external trauma, such as accident or homicide.

The responsibility of deciding whether a death is defined as unexpected rests with the

designated paediatrician for child deaths. Unexpected deaths will trigger a rapid response

process

139


3. Overview of CDOP operation

3.1 Meetings held and reviews conducted

The CDOP met seven times this year (four joint meetings and three separate meetings: 2

Hounslow, 1 Kingston and Richmond) – two further Hounslow only meetings were scheduled for

July and December but were unavoidably cancelled). The meetings have been an average of 3.5

hours in duration. The CDOP meeting in October 2015 included the annual development session.

As in previous years, the CDOP devoted one meeting to the review of neonatal deaths, to which

guest experts were co-opted from a range of disciplines across several NHS Trusts. This has been

helpful in assisting the CDOP to assess modifiability and gain a picture of best practice. Neonatal

focused meetings will continue to be held on an annual basis.

A total of 78 case reviews were completed during 2015-16. The number of cases awaiting review

at 31st March 2016 was 27.

3.2 Organisation and resourcing

Guidance allowed for the establishment of combined CDOPs, depending on population size, and

the three LSCBs for Hounslow, Kingston and Richmond agreed to establish a joint CDOP with

pooled funding for coordination and administration.

Following the departure of the Independent Chair in June 2011, it was agreed that the three

public health representatives on the panel would rotate responsibility for chairing on an annual

basis. This is at no additional cost to the CDOP or the LSCBs. Khadidja Bichbiche, Consultant in

Public Health (LBH), held the role from February 2015. Latterly this has been undertaken by

Imran Choudhury, Director of Public Health (LBH) and Russell Styles, Associate Director of Public

Health (RBK).

Sarah Bennett has provided business support to the panel since 2010. As CDOP Coordinator she

is the single point of contact for child death notifications and other communications to the Joint

CDOP across the three boroughs and has responsibility for coordinating the relevant processes

involved in the panel reviews including rapid response. The panel is managed and administered

in Richmond and information (including the database) is stored there in accordance with London

Borough of Richmond upon Thames/Achieving for Children procedures.

A decision was made by the LSCB Chairs that Hounslow would separate from the Joint CDOP

arrangement with Kingston and Richmond, including ceasing arrangements for shared business

support, effective from 01/04/16.

Henceforth Hounslow’s responsibilities for undertaking child death reviews will be undertaken

by the London Borough of Hounslow and a plan is in place for transition to these arrangements.

Common issues across London are discussed at the London CDOP Chairs & Designated

Paediatricians group. The Single Point of Contact (Coordinators) group has not met during 2015-

16 and is no longer being convened. CDOP Coordinators are welcome to attend the CDOP Chairs 140


and Designated Paediatricians groups, and the local CDOP Coordinator has attended several of

these meetings, particularly in cases where the Chair and Designated Paediatricians are not able

to. These network meetings also provide a useful opportunity to discuss issues relating to

practice.

The costs of management and administration of the CDOP including the coordinator post are

shared between the three respective LSCBs on a proportionate basis. The funding for the

Kingston designated paediatrician is included in the acute contract for Kingston Hospital NHS

Foundation Trust and the funding for designated paediatricians in Hounslow and Richmond is in

the community contract for Hounslow and Richmond Community Healthcare NHS Trust (HRCH).

3.3 Operation

Attendance is shown in full in appendix ii. Attendance has been good during 2015-16 with only

one meeting which was not quorate due to it being a single borough meeting from which the

police were unavoidably absent. In this case the papers for the meeting had been reviewed and

discussed in advance with the police panel member to ensure their views were represented at

the meeting.

CDOP members are expected to review both the papers and minutes of CDOP meetings

irrespective of attendance and ensure that any required contribution is made in a timely way via

correspondence with their nominated equivalent for those members that rotate attendance, or

via the CDOP Chair, Coordinator or relevant Designated Paediatrician.

The panel has continued to have at least one meeting per calendar year dedicated to reviewing

neonatal deaths with the contribution of guest obstetricians, neonatologists, midwives and key

support staff. This has increased the general knowledge of the panel as to neonatal and

obstetric issues. It also allows the panel to defer the review of any complex cases which it is felt

would benefit from the additional expertise at this dedicated panel.

3.4 Training and Development

The CDOP held a development session in October 2015 which focused on end of life care. The

panel were joined by guests from Great Ormond Street Hospital (GOSH) and Shooting Star Chase

Children’s Hospice. The panel heard about local provisions for palliative care and the

developments and challenges affecting this specialty both locally and nationally.

The panel had the opportunity to explore a number of issues raised in particular child death

reviews and gain a better understanding of these, for example ambulance directives, best

practice in initiating discussion with families around end of life care planning, and organ

donation. It was very helpful to make better links with these services and the information shared

at this meeting helped inform the Designated Paediatricians for Kingston in their work producing

a local guideline for managing children with life limiting illnesses, which will be shared with

other organisations for their consideration.

141


The development session also heard about the work of the Bereavement Service at GOSH.

Again, it was beneficial for the panel to hear about best practice working and to be made aware

of a range of helpful local and national resources.

The CDOP Coordinator undertook the following during this period:

Attended a webinar on a Kent ECDOP initiative;

Visited Cambridgeshire and Peterborough CDOP;

Attended a database consultation meeting led by the NPEU;

Attended a London Child Death Workshop led by Healthy London Partnership;

Attended the three respective LSCBs’ Annual Conferences;

Observed a meeting of the CDOP for Hammersmith and Fulham, Kensington and Chelsea and

Westminster;

Delivered, in collaboration with the Designated Nurse, a child death learning event in

Hounslow;

Delivered a presentation on CDOP processes and learning to GPs in Hounslow; and,

Attended a London CDOP Chairs and Designated Paediatricians Meeting.

The Designated Paediatricians and/or CDOP Chair undertook the following during this period:

Attended a London CDOP Chairs and Designated Paediatricians Meeting;

Attended a London Child Death Workshop led by Healthy London Partnership;

Took part in a study day held at Kingston Hospital on End of Life Care;

Attended Study sessions on neonatal palliative care;

Attended Child Death Review Process Training provided by the University of Warwick; and,

Continued dialogue with pathologists and Coroner over rapid response protocols.

3.5 Rapid response to unexpected deaths

There were 15 unexpected deaths across the three boroughs during 2015-16.

For 11 of these deaths, formal meetings were held as part of the rapid response process – in one

case this was coordinated by another borough as the child died out of area. This is in accordance

with Working Together Guidance 2015.

Physical rapid response meetings for 10 of the 11 cases were held within 3-10 working days of

the child’s death. For the final case in which a child died abroad the physical meeting was held

some months after the child’s death with a prior period of virtual information sharing and

gathering.

In respect of a further 4 neonatal deaths, no physical meetings were held but information was

gathered from the necessary sources and the panel were satisfied that these deaths were being

investigated internally and that support was in place for families affected via the relevant

hospital trusts. This approach is consistent with current guidance in Working Together 2015 and

is usually applied locally in the case of neonatal deaths where the baby has not left hospital and

there are no safeguarding concerns in respect of the family. The appropriateness of this

approach will be kept under review in respect of national guidance and best practice.

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The table overleaf gives a breakdown of attendance at rapid response meetings by agency. All

meetings, with the exception of one death out of area, were chaired by the relevant borough’s

Designated Paediatrician for Child Deaths.

The rapid response meetings were generally well attended. There are some professionals such

as GPs and tertiary hospital staff who find it difficult to be released from their commitments to

attend these meetings at short notice. In these cases the panel requests summary information

which can be shared on their behalf and they receive the minutes and action points, as with the

other attendees.

The rapid response team has also looked into trying to enable teleconferencing to meetings held

at the hospital but this facility is not currently available in the meeting rooms used to convene

these meetings. Alternative venues may be considered in the future in circumstance where this

option might assist in external professionals making important contributions to discussions.

Meetings have also on occasion been held in schools, usually in circumstances where acute

health services have no/little information to contribute and holding the meeting in the

community might assist in attendance of those professionals more directly involved with a child.

Unusually there were three meetings to which the London Ambulance Service were invited but

did not attend. In these cases summary information in the form of patient report forms and

Form B, were obtained after the meeting.

Table 1 (overleaf) shows that there are some inconsistencies regarding invitation of nurseries

involved to rapid response meetings. This is due to this information often being unavailable at

the time a case is notified to the CDOP Coordinator, who arranges the rapid response meeting.

The CDOP Coordinator has taken this learning on board and has resolved to be proactive, in

conjunction with other professionals, in establishing details of nurseries involved as applicable,

to ensure consistent invitation and enable important contribution to these meetings in future.

For any deaths that are subject to a rapid response which are also being investigated by the

Coroner, the minutes of the rapid response meeting are sent to the relevant Coroner for their

information.

143

Restricted Document – This is not a public document and is for distribution to CDOP & LSCB members and other agreed agencies only. Please seek permission of CDOP and LSCB Chairs before using data for other purposes.

Table 1

Case Hospital/ other

health

professionals

with

involvement

Designated Nurse for Safeguarding Children

Safeguarding

leads for health

orgs

HV School

Nurse Ambulance Service

Social

Care Police GP Nursery/

School/ College

1 Yes Yes Yes Yes N/A N/A N/A info

only

N/A info only Apols,

report

provided

N/A

2 Yes Yes Yes Apols

represented

by HRCH S/G

Nurse

N/A Yes Yes Yes Apols,

report

provided

N/A

3 Yes Yes Yes Yes N/A DNA Yes Yes Yes N/A

4 Yes Yes Apols Yes N/A Yes Yes Yes Apols,

report

provided

N/A

5 N/A Apols Yes N/A N/A DNA Yes Yes Apols,

report

provided

Yes

6 Yes Apols Yes Yes N/A N/A Yes Yes Apols Not invited as

N/K at time

7 Yes Apols Not invited N/A Not

invited N/A Yes Apols no

involvement Yes Yes

8 Yes No, out of area No, out of area No, out of area N/A N/A No, out

of area Yes No, out of

area N/A

144

9 Yes Yes Yes Yes N/A N/A Yes N/A Apols,

report

provided

N/A

10 Yes Apols Yes Yes N/A Yes Yes Yes Yes Not invited

11 Yes Yes Yes N/A Yes DNA Yes Yes Yes Yes

14

145

70

4. Child deaths in the area 2015-16

4.1 Number of child deaths in Joint CDOP area

Figure 1 – Number of child deaths in each borough 2015-16

The number of deaths across the three boroughs has decreased with a total of 43 deaths for

2015-16 compared to 51 for 2014-15.

During 2014-15 Hounslow had the lowest number of deaths on record (19) for their borough

since the child death review process was initiated in 2008 but this has increased in 2015-16 to 22

which is more typical of previous years.

Kingston had the highest number for their borough on record in 2014-15 but this has decreased

to 9 during 2015-16 which is also more typical of average annual figures from 2008 onwards.

There were 12 deaths in Richmond during 2015-16 and this is fairly consistent with previous

years.

4.2 Numbers of expected and unexpected child deaths

Figure 2 – Number of unexpected child deaths in each borough 2015-16

22

9

12

Number of child deaths in each borough 2015 - 16

Hounslow

Kingston

Richmond

146

71

The number of unexpected deaths for each borough is in line with the typical number for each

borough. Kingston had fewer unexpected deaths this year following an unprecedentedly high

number in 2014-15.

One Kingston death reported here as unexpected, was reclassified locally by the relevant

Designated Paediatrician for child deaths, having originally been notified as expected. Whilst

their death was anticipated at the time of death, the events precipitating this were unexpected

and therefore the definition of unexpected death applied.

Details of rapid response processes initiated in relation to unexpected deaths are provided in

section 3.5.

Figure 3 – Number of expected and unexpected child deaths in each borough

2015-16

The number of expected deaths during 2015-16 is greater than the number of unexpected

deaths, and this is a return to the typical distribution.

Three deaths originally notified as unexpected (1 Hounslow & 2 Kingston) were reclassified by

the Designated Paediatricians as expected. These babies were born at extremes of prematurity

0

2

4

6

8

Hounslow Kingston Richmond Unexpected deaths 8 4 3

Number of unexpected child deaths in each borough 2015 - 16

0

5

10

15

Hounslow Kingston Richmond Expected deaths 14 5 9 Unexpected deaths 8 4 3

Number of expected and unexpected deaths in each borough 2015 - 16

147

72

not compatible with life and locally it has been decided that these are more appropriately

classified as expected.

Whilst there may be variance between different CDOPs nationally as to their application of the

definitions of expected and unexpected deaths, it is important to note that this is not reported

on nationally via the annual LSCB1 returns to the Department for Education. The definitions are

used for local reporting and analysis and to inform the need for a rapid response in cases of

deaths classified as unexpected.

4.3 Gender

Figure 4 – Number of child deaths by gender in each borough 2015-16

The majority of deaths across the three boroughs were female at 56%. Small numbers overall

make it difficult to draw meaningful comparisons.

4.4 Age

Figure 5 – Number of child deaths by age category by borough 2015-16

0

5

10

15

Hounslow Kingston Richmond Male 11 4 4 Female 11 5 8

Number of child deaths by gender in each borough 2015 - 16

0 2 4 6 8

10 12 14 16 18

yr <1 1-2yrs 2-5yrs 6-10yrs 11+yrs Hounslow 17 2 1 0 2 Kingston 6 0 0 2 1 Richmond 8 0 1 2 1

Number of child deaths by age category by borough 2015 - 16

148

73

As in previous years, the highest proportion of deaths is in children aged up to 12 months.

These deaths comprised 77% of deaths in Hounslow, 67% of deaths in Kingston and 67% of

deaths in Richmond, with an average across the three boroughs of 72% of the deaths overall

occurring within the first year of life.

Table 2 – Number of child deaths by age range across the three boroughs with

number of neonatal deaths indicated in brackets 2015-16

Borough 0-12 months 1-2 yrs 2-5yrs 6-10 yrs 11+yrs

Hounslow 17 (7) 2 1 0 2

Kingston 6 (4) 0 0 2 1

Richmond 8 (5) 0 1 2 1

Figure 6 – Number of child deaths in Hounslow 2015-16 by age range as a

percentage

Figure 7 – Number of child deaths in Kingston 2015-16 by age range as a

percentage

% 77

9 %

% 5 % 0 % 9

Number of child deaths in Hounslow 2015 - 16 by age range as a percentage

<1 yr

1-2yrs

2-5yrs

6-10yrs

11+years

149

74

Figure 8 – Number of child deaths in Richmond 2015-16 by age range as a

percentage

4.5 Neonatal deaths

Figure 9 – Number of neonatal deaths in each borough 2015-16

67 %

% 0

% 0

% 22

% 11

Number of child deaths in Kingston 20115 - by age range as a 16 percentage

<1 yr

1-2yrs

2-5yrs

6-10yrs

11+yrs

% 67

% 0

% 17 8 %

Number of child deaths in Richmond 2015 - 16 by age range as a percentage

<1 yr

1-2yrs

2-5yrs

6-10yrs

11+yrs

150

75

The proportion of neonatal deaths (all deaths under 28 days of age) overall across the three

boroughs is 37%. This is a significantly decreased proportion from last year’s 63%. Trends in the

proportion of neonatal deaths in terms of the proportion of overall child deaths notified can be

seen in Figure 25 on page 49.

4.6 Ethnicity

Figure 10 – Child deaths by ethnicity as a percentage proportion of overall deaths

within Hounslow 2015-16


within Kingston 2015-16

0

2

4

6

8

Hounslow Kingston Richmond Neonatal deaths 7 4 5

Number of neonatal deaths in each borough 2015 - 16

% 18

% 23 % 41

% 4 % 0 % 14

Deaths in Hounslow by ethnicity as a percentage 2015 - 16

White Black Asian Mixed Other NK

151

76


within Richmond 2015-16

It takes time to gather accurate ethnicity data as this is not always gathered, recorded, and

reported by different agencies. Of the forty-three deaths notified this year, there are four deaths

for which ethnicity is not recorded amongst the information gathered to date.

The tables overleaf show the percentage proportion of deaths by ethnic group notified during

2015-16 against the ethnic distribution of the 0-17 population in the borough according to the

data from the 2011 census (link to data source provided in section 10):

Table 3 – Comparison of child deaths by ethnic group against 0-17 population

ethnic mix in Hounslow according to 2011 census data

Ethnic group Percentage of child deaths in

Hounslow in this ethnic group during

2015-16

Percentage of 0-17 population in

Hounslow of this ethnic group

according to 2011 census

White 18% 43%

78 %

0 %

% 0 % 22

% 0 % 0

Deaths in Kingston by ethnicity as a percentage 2015 - 16


% 59

% 0 % 8

% 8

% 17 % 8

Deaths in Richmond by ethnicity as a percentage 2015 - 16


152

77

Asian 41% 34%

Black 23% 10%

Mixed 4% 9%

Other 0% 4%

Not known 14% N/A

Table 4 – Comparison of child deaths by ethnic group against 0-17 population

ethnic mix in Kingston according to 2011 census data


Kingston in this ethnic group during

2015-16


Kingston of this ethnic group


White 78% 67%

Asian 0% 18%

Black 0% 3%

Mixed 22% 9%

Other 0% 3%

Not known 0% N/A

Table 5 - Comparison of child deaths by ethnic group against 0-17 population

ethnic mix in Richmond according to 2011 census data


Richmond in this ethnic group during

2015-16


Richmond of this ethnic group


White 59% 81%

Asian 8% 7%

Black 0% 1.5%

Mixed 8% 9%

Other 17% 1.5%

Not known 8% N/A

Cumulative data concerning the ethnic distribution of deaths notified to the panel for each

borough can be seen in Figures 26-28, pages 49-50.

The small numbers of deaths in each borough make it very difficult to provide meaningful

comparisons of death rates across ethnic groups. Presenting these numbers as percentages to

protect small numbers also has the effect of distorting the distribution. To further consider this

area we will as part of the CDOP work plan for 2016-17, analyse cumulative data for ethnicity

from 20082016, with assistance from a data analyst from the public health teams. We will also

seek opportunities to compare regionally and/or with statistical neighbours.

4.7 Numbers of child deaths occurring each quarter

153

78

Figure 13 – Number of child deaths by fiscal quarter 2015-16

There are no identified trends in terms of when deaths occur, with fairly even distribution in

each quarter across the three boroughs.

The relatively small numbers make trend analysis difficult; however, even in cumulative data for

2008-16 (see figures 29 and 30, page 53) there appears to be no typical pattern year on year,

with a small increase in numbers of deaths in the winter months when looked at cumulatively. In

future, we may look in further detail at the cumulative data from 2008 by specific month of

death, rather than grouping in fiscal quarters, and whether there are any discernible patterns

breaking down by category of death.

4.8 Deaths of children resident in other local authorities

There were 13 deaths during 2015-16 where the place of death was within the three borough

area of Hounslow, Kingston and Richmond, i.e. at a local hospital (8 deaths) hospice (4 deaths)

or public place (1 death), but where the child was ordinarily resident in an out of area local

authority (7 different local authorities in total). In each case the notification and any additional

information received was forwarded to the relevant CDOPs.

The outcomes of the review at the respective CDOPs have been requested in respect of these 13

deaths and are reported in the next section where these have been concluded and shared (see

section 5.7).

5. Commentary on cases reviewed

To date we have reviewed 93% (387 deaths) of the 414 deaths notified to the panel from April

2008 to March 2016.

This year 78 cases were reviewed. This is a significant increase on the number of cases reviewed

last year, which totalled 42. The number of cases awaiting review has halved during 2015-16,

0 1 2 3 4 5 6 7 8

Apr-Jun Jul-Sep Oct-Dec Jan-Mar Hounslow 3 8 6 5 Kingston 0 8 1 0 Richmond 4 3 3 2

Child deaths by fiscal quarter 2015 - 16

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with 26 open cases at 31/03/16 (see section 5.6 for further analysis of time taken to review).

One further case was discussed but is not recorded within the reviews commented upon here as

this death should not have been reported to the CDOP as it followed a legal termination of

pregnancy.

It is important to note that the deaths reviewed during 2015-16 did not all occur within the

same period, but include deaths occurring in previous years also (please refer to section 5.6 for

further information).

5.1 Categories of death and ‘preventability’

CDOPs categorise deaths using three sets of criteria: expected and unexpected, category of

death, and modifiability. Category of death and modifiability are reported as part of the annual

LSCB returns to the Department for Education - see appendix iii for further details of definitions.

In 2010-11 the CDOP was required to change the classification of deaths whereby all those for

which it had identified possible ‘modifiable factors’ will be recorded in the annual reports to the

Department for Education as ‘preventable’. This change has the effect of increasing those deaths

recorded in national annual LSCB returns as preventable. The CDOP has continued to make a

judgement on the previous categorisation as well for comparison purposes across all years of

the child death review process – so for all deaths with modifiable factors, the panel also records

whether in their view they are preventable or potentially preventable.

Overall in 2015-16, 12 of the 78 deaths reviewed were thought to have modifiable factors

present. This is 15% of reviews completed during 2015-16. This is a lower overall proportion

than the national average according to the Statistical First Release of Child Death Reviews - Year

ending 31 March 2016 (SFR 24/2016), in which overall 24% of deaths reviewed were found to

have modifiable factors.

Cumulative data on preventability can be seen in appendix iv on pages 54-55.

Table 6 – Reviews as recorded in Form C (new categorisation) 2015-16

Category Expected Unexpected Total

1. Deliberately inflicted injury, abuse or neglect 3n 3

2. Suicide or deliberate self-inflicted harm 1m 1

3. Trauma and other external factors 2m, 1n 3

4. Malignancy 7n 7

5. Acute medical or surgical condition 2n 2m, 5n 9

6. Chronic medical condition 4n 1n 5

7. Chromosomal, genetic and congenital anomalies 1m, 10n 3n 14

8. Perinatal/neonatal event 1m, 23n 1m, 5n 30

9. Infection 3m, 2n 5

10. Sudden unexpected, unexplained death 1m 1

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* Note (m) = modifiable factors identified (n) no modifiable factors identified (ii) inadequate

information upon which to make a judgement

Table 7 – Reviews as recorded in Form C (old categorisation) 2015-16


1. Deliberately inflicted injury, abuse or neglect 3np 3

2. Suicide or deliberate self-inflicted harm 1pp 1

3. Trauma and other external factors 2p, 1np 3

4. Malignancy 7np 7

5. Acute medical or surgical condition 2np 2p, 5np 9

6. Chronic medical condition 4np 1np 5

7. Chromosomal, genetic and congenital anomalies 1pp, 10np 3np 14

8. Perinatal/neonatal event 1pp, 23np 1pp, 5np 30

9. Infection 3pp, 2np 5

10. Sudden unexpected, unexplained death 1pp 1

* Note: (p) = preventable, (pp) = potentially preventable, (np) = not preventable, (ii) =

inadequate information upon which to make a judgement

5.2 Deaths classified as the result of a neonatal or perinatal event

A total of 30 deaths reviewed were classified as category 8 i.e. due to a perinatal or neonatal

event – 14 in Hounslow, 5 in Kingston, 11 in Richmond. Unexpected deaths accounted for 6 of

the total. Of these 6, 3 had been reclassified by the local Designated Paediatrician for Child

Deaths as unexpected, having initially been notified as expected.

All of the deaths classified as a death from a neonatal or perinatal event, occurred within the

first 28 days of life, i.e. were classified as neonatal deaths.

Prematurity was indicated in the formal cause of death in a total of 23 cases. Of these 23 cases,

21 were extremely premature, defined as birth before 28 weeks of completed pregnancy.

Prematurity is defined as birth before 37 weeks completed pregnancy.

Two deaths were judged by the panel to have modifiable factors; in both cases babies had

sustained oxygen deprivation causing an irreversible brain injury. Serious Incident Investigations

were convened by the relevant NHS Trusts in respect of each of these unexpected neonatal

deaths.

These deaths were reviewed at the special neonatal focused panel meeting, attended by guest

experts including Consultant Obstetricians and Risk Managers. Learning was highlighted in the

following areas:

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Cardiotocography (CTG: foetal heart) monitoring and recording and staff competency in

this area; and,

Recording of discussions and decisions in birthing choices.

The following issues were identified in cases that were not deemed to have modifiable factors

by which future deaths could be prevented but were nonetheless important areas to highlight:

Raised maternal Body Mass Index and implications for pregnancy and delivery;

IVF with multiple embryo transfer conducted abroad; and,

The importance of sending the placenta for examination in cases where mother is

exhibiting signs of infection such as raised temperature or tachycardia.

With respect to the latter point and following learning from other cases and feedback from the

CDOP, the local hospital has amended their relevant guidelines to highlight this

recommendation.

The panel monitor follow-up provided to mothers to ensure they have had access to advice

regarding planning of possible future pregnancies should they wish to do so, and to ensure that

parents have had an opportunity to discuss the death of their baby and care received by their

family.

The panel reviewed one case in which a bereavement appointment had not been offered in a

timely way. This was investigated by the hospital concerned and amendments were made to

their internal processes to prevent this problem arising in future.

The panel reviewed a separate case in which there had been a failure of communication from

the hospital at which the baby died, to the hospital at which the baby was booked to be

delivered, which resulted in inappropriate contact being made to the mother concerning missed

antenatal appointments. The panel is writing to these NHS Trusts to highlight this error and to

enquire what can be done to limit the risk of this being repeated in future.

5.3 Sudden Unexpected Death in Infancy

There was one death from Sudden Unexpected Death in Infancy reviewed during this period.

There were known risk factors including inappropriate sleep surface and overheating. The panel

also noted that the supervision of this baby had been inappropriate and that this family had

struggled to seek assistance from the emergency services which may have been impacted by

cultural and linguistic barriers.

5.4 Unexpected deaths

There were 30 unexpected deaths reviewed during the year, 18 in Hounslow, 8 in Kingston and 4

in Richmond. Of these, 10 were found to have modifiable factors, including the 3 deaths detailed

previously (see sections 5.2 and 5.3).

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One death was due to a complication following a burn injury sustained by a toddler at home.

The panel identified learning for the multi-agency child death review process and a multi-agency

child death learning event was held to explore this further.

Another death of a toddler resulted from partial drowning in a garden pond. Both this death and

the previous death highlight the need for professionals to continue to work with families around

reducing risks of accidents (see sections 6 and 7 for further recommendations).

The panel reviewed a death of a child with a complex surgical condition who developed sepsis.

This death was considered to be modifiable as there had been inadequate recognition and

appropriate escalation and treatment of the sepsis, including inadequate communication

between hospital teams and trusts. It was noted that there needed to be a high level of

suspicion of possible infection in such cases and for the involvement of paediatrics early on, as

well as antibiotic guidance for complex patients with sepsis. The panel received a Serious

incident Report undertaken by one of the hospitals with involvement. The panel raised

additional questions/feedback following the review with both hospitals with involvement.

The panel reviewed a death of a child from septicaemia. The panel noted the importance of

training GPs in recognition of sepsis in children as the signs are subtle and it requires urgent

hospital referral. This case also highlighted the reluctance of some members of the public to

attend Accident & Emergency Departments due to media reports that these units are

overstretched. A variety of learning was identified in this case including for multi-agency

response to child deaths. A number of activities are planned to highlight the need for awareness

of signs of sepsis and appropriate medical care.

The panel reviewed the suicide of a young person in Kingston. This death had been subject to a

Serious Case Review (please see documents concerning Child B on the following webpage

http://kingstonandrichmondlscb.org.uk/aboutkingston-lscb/learning-improvement-case-

reviews-41.php). The panel determined that the modifiable factors in this case were firstly the

delay in triage through the Single Point of Access which affected the appropriateness of the

response and secondly, that the helicopter emergency services had not been able to attend the

scene due to a lack of capacity meaning a delay in access to advanced life support. The panel is

pursuing this to ensure that the helicopter emergency services concerned document and

monitor, call-outs to which they are unable to respond.

The findings from this child death review will be shared with a national confidential inquiry being

undertaken in respect of deaths of children and young people from suicide which aims to

maximise learning from these tragic events.

The panel determined that in the case of a death of an infant from volvulus there had been a

missed opportunity for early diagnosis after green vomiting was reported by parents. The panel

will share this learning point by writing to local health professionals and highlighting in the CDOP

newsletter.

In the case of a baby that died as a result of bronchopneumonia the panel felt that as the

findings of the post mortem were that the infection was well established, there may have been a

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missed opportunity by parents to identify the seriousness of the condition and to seek urgent

medical help. There may also have been an opportunity for the Health Professional who had

contact with the family in the period preceding death to identify illness; however, baby was

documented by the health professional as looking well.

Finally the panel reviewed a further death of a baby from an infective cause. The panel

determined that there were modifiable factors in respect of the GP consultation and that the

NICE Guidance on fever in under 5s should be promoted locally through all available channels

including the CDOP newsletter. Consideration will also be given to training available to local GPs

in signs of sepsis, following the learning in both this and other cases.

5.5 Expected deaths

There were 48 expected deaths reviewed during 2015-16, 26 in Hounslow, 8 in Kingston, and 14

in Richmond.

Of these, 24 were due to a perinatal or neonatal event, 11 were due to a chromosomal, genetic

or congenital anomalies, 7 were due to malignancy, 4 were due to a chronic medical condition,

and 2 were due to acute medical or surgical condition.

Two expected deaths were found to have modifiable factors. One was the death of a baby

detailed further in section 5.2. The second concerned the death of a baby (not neonate as older

than 27 days of age at time of death) from a complication of surgery for a congenital defect. The

panel determined that delivery in a surgical neonatal unit may have improved outcome in this

case, if this defect had been antenatally diagnosed.

5.6 Time taken to review deaths

Table 8 - Time from date of death to review at CDOP 2015-16

Time from death to review Expected Unexpected Total and %

Under 6 months 13 2 (1) 15 (19%)

6-7 months 14 7 (3) 21 (27%)

8-9 months 6 (1) 5 (2) 11 (14%)

10-11 months 4 1 5 (6%)

12 months 0 0 0 (0%)

Over 1 year 11 (1) 14 (4) 25 (32%)

The table above shows the time taken from the date of death to the completion of the final

review at panel for reviews completed during 2015-16. The time taken for the completion of

reviews where modifiable factors were identified by the panel is indicated in brackets in the

relevant columns. Of the 12 deaths found to have modifiable factors, 7 (58%) were reviewed

within 9 months of date of death.

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Table 9 – Breakdown of fiscal year death occurred by borough for reviews

completed during 2015-16

Borough

of residence

of child

Number of deaths reviewed in 15-16 where date of death was during 2012-13




Hounslow 1 13 18 12

Kingston 0 1 12 3

Richmond 0 1 11 6

The timeliness of reviews this year has increased from last year with 68% of reviews being

completed in less than one year from the date of the child’s death. This compares to a national

average of 70% of all deaths being reviewed within one year (SFR 24/2016).

Hounslow child death reviews are less timely than the other boroughs and this is partly

explained by the greater numbers of deaths each year. Considerable effort has been made this

year to reduce the number of cases awaiting review across all the boroughs. The table below

shows the distribution by year that death occurred, of the cases awaiting review as at 31/03/16.

Table 10 – Breakdown of fiscal year death occurred by borough for cases awaiting

review as at 31/03/16

Borough

of residence

of child

Number of deaths

in 2012-13 awaiting

review

Number of deaths in

2013-14 awaiting

review

Number of deaths in

2014-15 awaiting

review

Number of deaths in

2015-16 awaiting

review

Hounslow 1 0 0 10

Kingston 0 0 1 6

Richmond 0 1 2 6

5.7 Deaths in three borough area reviewed by other CDOPs according to

child’s area of residence

During 2015-16 there were thirteen deaths of children resident outside of the three borough

area but whose death occurred within the three borough area. According to Working Together

2015 these were notified to the CDOP in their area of residence and reviewed there.

The panel has requested the outcome of the CDOP reviews in these cases. To date 7 have been

reviewed, 6 are awaiting review.

Of the 7 deaths that have been reviewed, none were found to have modifiable factors. In

respect of one, learning was identified in relation to the need for access to out of hours’ death

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registration services to support families’ religious needs and the CDOP with case responsibility

was pursuing this. The CDOP Coordinator will confirm whether processes have been adapted to

support families in these circumstances.

6. Key themes and issues

6.1 Neonatal deaths

A significant proportion of the deaths notified and reviewed by the panel each year are a

consequence of perinatal or neonatal events. From the reviews conducted in respect of this

category during 2015-16, the following issues were highlighted:

High number of deaths at extremes of prematurity;

Lack of recognition of foetal compromise and need for increased competency in CTG

interpretation;

Recording of discussions and decisions in birthing choices;

Raised maternal Body Mass Index and implications for pregnancy and delivery;

IVF with multiple embryo transfer conducted abroad;

The importance of sending the placenta for examination in cases whether mother is

exhibiting signs of infection such as raised temperature or tachycardia;

The importance of offering families bereavement appointments and timely and

proactive communication concerning these;

The importance of communication between trusts, where babies have died at a

separate hospital to the one in which their delivery was originally booked; and,

Apparent failure to follow policies on FGM and non attendance (to be explored in

further detail with the hospital involved).

A clinical enquiry programme, Mothers and Babies: Reducing Risk through Audits and

Confidential Enquiries across the UK, monitors all neonatal deaths and stillbirths. Their most

recent Perinatal Mortality Surveillance Report which pertains to deaths in 2014 (available at

https://www.npeu.ox.ac.uk/mbrraceuk/reports) notes that at present they review in depth

neonatal deaths and stillbirths from 24 weeks gestation upwards only, but that in future they

intend to extend this to babies born below 24 weeks gestation.

Two of the three recommendations made in their 2014 report apply to local processes and are

monitored and promoted by the CDOP:

All organisations should carry out local reviews for all stillbirths and neonatal deaths using a

standardised process, assessing quality of care for each individual death, identifying local

factors which may be responsible and any lessons to be learned.

All parents should be offered a post-mortem when their baby dies to help establish or

exclude possible causes which may affect a future pregnancy. A specialist perinatal

pathologist should perform post-mortem and placental examinations.

The panel will continue to monitor that local reviews are being held as applicable. The panel will

also monitor that post mortems are being offered to parents in cases of neonatal death and help

to promote available resources for the information of parents in their decision making. In this

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respect MBRRACE recommends the following https://www.uk-

sands.org/support/practicalinformation/deciding-on-a-post-mortem

6.2 Sepsis and other deaths resulting from infection

The panel reviewed five deaths in which signs of sepsis/infection may have been recognised and

escalated sooner including by family members and professionals. The panel is working with local

health colleagues to promote available resources and training to raise awareness of sepsis and

appropriate management according to NICE Guidance on fever in under 5 year olds. The panel

also noted the need for balance in messages to the public regarding access to emergency

healthcare to ensure that parents are not discouraged from accessing A&E in cases of urgent

need. Both issues have been highlighted in the LSCB1 returns to the Department for Education.

The panel have also noted learning regarding the need for timely communication between

hospitals, schools/nurseries and health protection teams, in cases where deaths may be the

result of communicable infections from which others in the community may be at risk and will

require advice.

6.3 Epilepsy

The panel reviewed five deaths this year of children and young people who had epilepsy. Three deaths were understood to be the result of Sudden Unexpected Death in Epilepsy or similar, and epilepsy was a contributory factor in the cause of death in the other two children.

The panel noted historic issues relating to compliance with medication in two cases reviewed, and the need for appropriate clinical management of all children with epilepsy and support to their families.

Recommendations from a, ‘Clinical Outcome Review Programme Report 2013, Coordinating Epilepsy Care: a UK-wide review of healthcare in cases of mortality and prolonged seizures in children and young people with epilepsies’ include the need for a clear risk assessment, an epilepsy passport, and a named consultant with overall responsibility and consistent oversight over the management of a child’s epilepsy. The panel will consider any future child deaths reviewed in which epilepsy has been contributory in the context of this report and related NICE Guidance, to ensure that any learning is identified and fed back to the professionals involved.

6.4 Accidents in under 5 year olds

The panel reviewed two deaths of toddlers that were a consequence of accidents in the home.

The CDOP through the LSCB will seek to explore with key partners how the government

guidance published in June 2014 ‘Reducing unintentional injuries in and around the home

among children under five years’ is being implemented and explore further opportunities for

awareness raising and risk reduction, including ensuring that learning from other CDOPs

nationally is being shared appropriately.

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6.5 Access to healthcare by people from other cultures

The CDOP have highlighted in each annual report for the last few years, cases in which language

and cultural barriers impact on child deaths by delaying access to healthcare. In 2015-16 the

panel again reviewed a case in which a parent delayed calling the emergency services after

finding her baby unresponsive as they were not familiar with the process for doing so. It is

important that both locally and nationally professionals in contact with care-givers from other

cultural and linguistic backgrounds ensure that they are aware of how to access both routine

and emergency services. The CDOP will work with the LSCBs to consider how this can be

promoted locally.

Following from last year’s survey of board members in Kingston and Richmond, on the

availability of translation and interpreting services, the LSCB for Kingston and Richmond will be

producing a model Interpreting and Translation Policy.

6.6 Sudden Unexpected Death in Infancy

One death from Sudden Unexpected Death in Infancy was reviewed this year. As with the

majority of child deaths reviewed from this cause, there were known risk factors identified.

Co-sleeping was additionally identified as a risk factor in two babies whose deaths resulted from

infection. It was noted as important that health professionals such as health visitors reinforce

safe-sleeping advice at every opportunity.

Sudden Unexpected Death in Infancy continues to be the leading cause of death found to have

modifiable factors in the three-borough area (see tables 10 and 11 on pages 53-54). The CDOP

will continue to highlight the need for safe sleeping advice to families by all relevant

professionals and means, at every opportunity, including consideration of sleeping

arrangements across multiple locations i.e. when families may be staying temporarily with

extended family, enquiring and ensuring that appropriate arrangements are in place at all

locations.

6.7 Cardiac deaths in babies

The review of the death of a baby with a congenital heart defect which had not been diagnosed

previously highlighted the need for a message that the first 2-3 weeks of the neonatal period is a

very vulnerable time for changing cardiac physiology. There is probably a need to highlight to

parents and healthcare professionals the fact that a perfectly normal baby check in the first 72

hours while reassuring, does not completely rule out a cardiac condition since things may

change very quickly as the pulmonary vascular resistance falls/duct closes, and subtle changes of

temperature, and breathing pattern may be the first and only clues to pathology. We must also

acknowledge the challenge for new parents and professionals alike in detecting these subtle

changes. The CDOP will highlight this message in future communications with GPs and Health

Visitors and will explore whether other panels in the national network have found similar

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learning, to consider if there is a broader recommendation that could be made with respect to

universal advice given to new parents.

6.8 Children on child protection plans placed out of area

In one child death review some incidental learning was identified that was not in any way

contributory to the child’s death but is an important learning point for multi-agency working and

assuring children are safeguarded effectively. There is a need for a robust system of notifying

the relevant local authority when a child on a child protection plan is living out of borough, for

example when they are placed in temporary accommodation in a different local authority area.

The CDOP recommends that the LSCBs seek assurances that a robust system is in place locally

and this recommendation was passed to the LSCBs via the quarterly updates to the main board

meetings.

6.9 Contact between the CDOP and families

The panel were in contact with 7 families during 2015-16 who had responded to the letter to

parents. Issues raised included delays in post mortem results, inquests and related processes,

and those who wished to contribute to the learning from their perspective and to be informed

of the outcome of panel reviews.

One parent made a complaint about the information sharing at the rapid response process and

the appropriateness of this in the absence of parents and without parental consent. This was

escalated, reviewed and responded to by the relevant LSCB.

Whilst the child death review process, as laid out in Working Together to Safeguard Children

2015 Guidance, does not stipulate that parental consent should be sought for routine

information requests such as Form B, it is important that all partners contributing to this process

share information on a proportionate basis.

6.10 General Practice

In two child death reviews conducted during 2015-16 it was highlighted that GPs did not seem

aware of domestic violence concerns that were known about by other professionals, for

example family support workers, according to the information they provided on the Form B. This

highlights the need for professionals to ensure that this information is shared appropriately and

flagged up on primary care systems to enable GPs to support families appropriately including

participating in any multi-agency response. The CDOP fed back to GPs and other agencies in

cases where there appeared to be a lack of awareness and information sharing.

There were three child death reviews in which the panel did not receive a response, or received

a limited response, to information requests to assist a child death review. There is now a process

in place for escalating non/insufficient responses and this involves the respective Named GPs for

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Safeguarding and Designated Nurses. During 2015-16 the CDOP Coordinator attended a meeting

of Hounslow GP Safeguarding Forum and gave a presentation on the purpose, process and

learning from local child death reviews. These materials have now been adapted for use at

similar presentations/training in Kingston and Richmond. The CDOP will continue to work with

partners to ensure that the process is well understood and engaged with.

The panel identified in the course of a number of separate case reviews, a range of learning

relating to/or that would benefit, GPs. This will be shared through newsletters and the

promotion of relevant training.

6.11 Delays in inquests

The panel reviewed two cases in which there were significant delays in the

Coroner’s inquest being undertaken. In one case, where the panel was in touch with the family,

this was reported by them as contributing to their distress. On the whole, the timeliness of local

coronial investigations has improved significantly. The panel will continue to monitor this and to

feed back to the Coroner in those cases where there are delays causing distress to families.

The Designated Paediatricians and CDOP Coordinator have been invited to attend a meeting

with the local Coroner’s Office team to discuss the importance of information sharing and joint

protocols during 2016-17. This will be an opportunity to present the CDOP’s work and raise any

issues/difficulties we are aware of.

6.12 Capacity issues

The panel reviewed a death of a young person in which the local helicopter emergency services

were requested to attend but were unable to respond due to a lack of capacity, resulting in a

delay in access to advanced life support for the young person. The panel is pursuing this to

ensure that the helicopter emergency services concerned document and monitor call-outs to

which they are unable to respond, in order that any capacity issues are identified and can be

demonstrated in order to advocate for increased funding and capacity.

6.13 Serious Case Reviews

One death notified during 2015-16 was referred to the relevant Serious Case Review subgroup

for consideration as to whether a learning lessons exercise was appropriate. The case review

subgroup concluded a learning lessons review should be held and this work was ongoing as at

31/03/16.

One death reviewed during 2015-16 was referred to the case review subgroup and it was agreed

a learning event would be held to share the CDOP’s findings in this case. This was undertaken in

late 2015.

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The panel reviewed four deaths during 2015-16 which had been subject to a serious case review

(a sibling group of three and a separate death of a young person from suicide). For these cases

the serious case review findings were

formally presented to the panel and the panel recorded only additional learning points, where

these were identified.

7. Progress against work-plan for 2015-16

The following is an update against the stated aims of the work-plan for 2015-16 for the CDOP as

per the previous year’s annual report:

Aim: Take steps to improve the timeliness of case review completion.

The timeliness of case review completion has significantly improved this year through

considerable work including extra/dedicated meetings and changes to preparation processes.

The number of cases reviewed has doubled and the number of cases reviewed within one year

of the death has increased to 68% which is in line with the national average. The number of

cases awaiting review as at 31/03/16 was 27, which was less than half of the total awaiting

review at the same time the previous year.

It will be important to try and maintain timeliness of case reviews following the reconfiguration

of the panel arrangements.

Aim: Conduct in-depth analysis regarding ethnicity of child deaths reviewed to consider whether

there are any issues, particularly amongst deaths found to have modifiable factors, which are

disproportionately affecting BME residents

This has been postponed and the CDOP will consider how to take this forward during 2016-17.

Aim: Participate in regional and national initiatives for the sharing of data and analysis to

promote shared learning and action.

The panel has continued to contribute to informal and formal opportunities to share data and

analysis including the following during 2015-16:

Responding to emails from the national CDOP network

Joining the National Network of CDOPs

Joining a webinar on ECDOP in Kent

Attending a NPEU database consultation meeting

Attending a London Child Death Workshop convened by Healthy London Partnership

Attending meeting(s) of the London CDOP Chairs and Designated Paediatricians Network

Two visits to other CDOPs to share learning on processes.

Responded to a cross London drowning audit convened by Brent CDOP

The CDOP will continue to participate in all similar activities seeking agreement from the

respective LSCB Chairs where necessary.

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Aim: Request the review outcomes for deaths of children occurring in this borough but resident

elsewhere that are therefore reviewed by other CDOPs, and share any identified learning and

recommendations with the corresponding CDOP/LSCB in cases of deaths of children resident

within our CDOP area, that occur out of borough.

The panel has been copying learning to corresponding CDOP/LSCBs as appropriate, where this is

being shared with out of area organisations.

This year we have requested for the first time, the outcome of all deaths which occurred in one

of the three boroughs in the joint CDOP area, but where they were reviewed by another CDOP

according to child’s residence there (see section 5.7 for further details).

Aim: Promote awareness of local bereavement services and referral processes through all

available channels to ensure families have access to these.

Locally available bereavement services have been promoted via rapid response meetings and in

correspondence with relevant professionals.

There are plans for each CCG GP intranet to have links to available bereavement services, where

these are not already in place; the respective Designated Nurses for Safeguarding are leading on

this work.

Local Bereavement Services in Kingston and Richmond are featured on the LSCB Website.

Aim: Review local rapid response processes and their compliance with London procedures and

WT2015 including agreed protocols with the Coroner, and ensure the actions agreed at rapid

response meetings are robustly followed up.

A meeting has been held in Kingston. This process has yet to be undertaken in Hounslow and

Richmond and has been postponed pending CDOP reconfiguration, expected changes in

personnel, and the outcome of the Government commissioned review of LSCBs and any

consequent changes to child death review processes.

Aim: Develop avenues for sharing local and national learning from child death reviews with the

LSCBs’ partners including current and emerging themes such as record keeping, safe-sleeping,

road-safety, harmful/risky behaviours, and suicide.

The activities listed under the previous aim have all contributed to the achievement of this aim

and should be read in conjunction with the following.

The CDOP has continued to publish a newsletter which shares local and national learning with

multiagency professionals. This is also published on the Kingston and Richmond LSCB website

(http://kingstonandrichmondlscb.org.uk/aboutrichmond-lscb/child-death-overview-panel-

40.php) Issues during 2015-16 have included safe-sleeping and road safety.

The CDOP organised for the Lullaby Trust to hold stalls at West Middlesex University Hospital

and Kingston Hospital during Safe Sleep Week in June 2015, to provide information to parents

and professionals.

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The CDOP promoted road safety awareness initiatives such as Road Safety Week as well as

highlighting training and resources available to schools for addressing road safety awareness

with pupils.

The social media and website for Kingston and Richmond LSCB has been used to promote safe

sleeping, water safety, road safety, and self-injury awarenes

8. Recommendations

The CDOP is responsible for undertaking work with regard to panel processes and analysis of

learning; full details of proposed work for the CDOP are provided in Section 9.

The LSCBs should consider taking forward the following

recommendations:

LSCBs to maintain a focus on resources available to their partners to support the diverse

communities served to ensure children and families’ needs are identified and met

appropriately, for example access to interpreting and translation services, training around

equality and diversity, and sources of information on minority ethnic communities within

the borough.

LSCBs to support the CDOPs in disseminating learning from local and national child death

reviews to partners, including with respect to reduction of risk from accidents in and around

the home, sepsis awareness, best practice in the review of neonatal deaths, Sudden

Unexpected Death in Infancy and safe-sleeping etc.

LSCBs to be assured that a robust system is in place for alerting out of borough local

authorities where a child on a child protection plan is placed there.

9. CDOP work-plan for 2016-17

The CDOP will undertake the following:

Consider in-depth analysis regarding ethnicity of child deaths reviewed to consider whether

there are any issues, particularly amongst deaths found to have modifiable factors, which

may be disproportionately affecting BME residents.

Continue to develop means for sharing learning identified in child death reviews such as the

need for sepsis awareness, including through possible joint CDOP conference with

neighbouring authority and regular bulletins to local partners.

Support and promote national campaigns aimed at improving the health and wellbeing of

children and young people for example Safer Sleep Week, Road Safety Week and Child

Safety Week.

168

93

To liaise with local health colleagues to consider their compliance with best practice derived

from for example, confidential enquiry reports and NICE Guidance, on issues such as

neonatal deaths and sepsis which have been highlighted in local child death reviews.

10. References

HM Government (2015). Working Together to Safeguard Children; A guide to inter-agency

working to safeguarding and promote the welfare of children accessed at:

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/41959

5/Working_Together_to_Safeguard_Children.pdf published 25 March 2015

WT2015

Statistical First Release: Child Death Reviews – Year ending 31 March 2016

(SFR 24/2016) accessed at:

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file

/537359/SFR24_2016_Text.pdf

DC2101EW - Ethnic group by sex by age – ONS Crown Copyright Reserved from NOMIS

accessed at:

https://www.nomisweb.co.uk/census/2011/dc2101ew

MBRRACE Perinatal Mortality Report 2014 accessed at:

https://www.npeu.ox.ac.uk/mbrrace-uk/reports

Appendix (i) – Membership of the Joint CDOP as at 31/03/16

Representatives from the London Borough of Hounslow

Brindha Emmanuel, Hounslow LSCB Business Manager, London Borough of Hounslow

Daniela Lessing, Designated Paediatrician for Child Deaths, Hounslow Clinical Commissioning

Group (CCG)

Imran Choudhury, Director of Public Health, London Borough of Hounslow (Chair for

Hounslow CDOP)

Joanna Parkinson, Detective Inspector, Feltham Child Abuse Investigation Team,

Metropolitan Police Service

Julie Hulls, Designated Nurse for Safeguarding Children, Hounslow CCG

Steve Liddicott, Interim Head of Safeguarding and Quality Assurance, London Borough of

Hounslow

Representatives from the Royal Borough of Kingston upon Thames

169

https://www.gov.uk/government/publications/working-together-to-safeguard-children





94

Andrea Knock, Designated Nurse for Safeguarding Children and Looked After Children,

Kingston CCG

Elisabeth Major, Professional Adviser to Kingston and Richmond Local Safeguarding Children

Boards, Achieving for Children

Roger Jones, Associate Director for Safeguarding Children, Achieving for Children

Rowan Heath, Designated Paediatrician for Child Deaths, Kingston CCG (job-share)

Russell Styles, Associate Director of Public Health, Royal Borough of Kingston

Suzanne Luck, Designated Paediatrician for Child Deaths, Kingston CCG

Trevor Normoyle, Acting Detective Inspector, West Child Abuse Investigation Team

Representatives from the London Borough of Richmond upon Thames

Anna Bryden, Consultant in Public Health, London Borough of Richmond

Claire Scott, Designated Paediatrician for Child Deaths, Richmond CCG

Elisabeth Major, Professional Adviser to Kingston and Richmond Local Safeguarding Children

Boards, Achieving for Children

Joanna Parkinson, Detective Inspector, Feltham Child Abuse Investigation Team,

Metropolitan Police Service

Sara Doyle, Associate Director for Safeguarding Children, Achieving for Children

Sian Thomas, Designated Nurse for Safeguarding Children, Richmond CCG

General

Sarah Bennett, CDOP Coordinator, Achieving for Children

170

Restricted Document – This is not a public document and is for distribution to CDOP & LSCB members and other agreed agencies only. Please seek permission of CDOP and LSCB Chairs before using data for other purposes.

Appendix (ii) Attendance at CDOP meetings during2015-16

April

(neonatal

meeting)

April (Hounslow only)

June August October February (Kingston &

Richmond only)

March

(Hounslow

only)

Hounslow

Designated Doctor Yes Yes Yes Yes Yes N/A Yes

Designated Nurse Yes Yes Yes Yes Yes N/A Yes

Social Care Yes Yes Yes Yes Yes N/A Yes

Observer Yes Yes N/A Yes Yes N/A N/A

Kingston

Designated Doctor Yes N/A Yes Yes Yes Yes N/A

Designated Nurse Apols N/A Yes ABA Yes ABA N/A

Social Care ABA N/A ABA Yes Apols Yes N/A

Observer Yes N/A Yes N/A N/A N/A N/A

Richmond

Designated Doctor Apols N/A Yes Apols Apols Yes N/A

Designated Nurse Yes N/A ABA ABA ABA Yes N/A

Social Care Yes N/A Yes ABA Yes ABA N/A

Observer N/A N/A N/A N/A N/A N/A N/A

General/Shared

Public Health Yes Yes Yes Yes Yes Yes Yes

Police Yes Yes Yes Yes Yes Yes Apols

171

Chair Yes Yes Yes Yes Yes Yes Yes

LSCB Management Yes Yes Yes Yes Yes Yes Yes

Coordinator Yes Yes Yes Yes Yes Yes Yes

Shooting Star Chase Hospice Yes N/A Yes Yes Yes Apols N/A

Guests Yes N/A N/A N/A Yes N/A N/A

ABA: Absent by arrangement/agreement

44

172

97

Appendix (iii) Categories used to classify child deaths

The Child Death Overview Panel should categorise the deaths according to the following

scheme:

1 Deliberately inflicted injury, abuse or neglect

This includes suffocation, shaking injury, knifing, shooting, poisoning and other means of

probable or definite homicide; also deaths from war, terrorism or other mass violence; includes

severe neglect leading to death.

2 Suicide or deliberate self-inflicted harm

This includes hanging, shooting, self-poisoning with paracetamol, death by self-asphyxia, from

solvent inhalation, alcohol or drug abuse, or other form of self harm. It will usually apply to

adolescents rather than younger children.

3

Trauma and other external factors

This includes isolated head injury, other or multiple trauma, burn injury, drowning, unintentional self-poisoning in pre school children, anaphylaxis and other extrinsic factors.

Excludes Deliberately inflected injury (category 1).

4 Malignancy

Solid tumours, leukaemias and lymphomas, and malignant proliferative conditions such as

histiocytosis, even if the final event leading to death was infection, haemorrhage etc.

5 Acute medical or surgical condition

For example, Kawasasaki disease, acute nephritis, intestinal volvulus, diabetic ketoacidosis, acute

asthma, intussusception, appendicitis, sudden unexpected deaths with epilepsy.

6 Chronic medical condition

For example, crohn’s disease, liver disease, neurodegenerative disease, immune deficiencies,

cystic fibrosis, even if the final event leading to death was infection, haemorrhage etc. Includes

cerebral palsy with clear post-perinatal cause.

7 Chromosomal, genetic and congenital anomalies

Trisomies, other chromosomal disorders, single gene defects, and other congenital anomalies

including cardiac.

8 Perinatal/neonatal event

Death ultimately related to perinatal events, e.g. sequelae of prematurity, antepartum and

intrapartum anoxia, bronchopulmonary dysplasia, post-haemorrhagic hydrocephalus, irrespective

of age at death. It includes cerebral palsy without evidence of cause, and includes congenital or

early-onset bacterial infection (onset in the first postnatal week)

9 Infection

Any primary infection (ie,not a complication of one of the above categories), arising after the first

postnatal week, or after discharge of a preterm baby. This would include septicaemia,

pneumonia, meningitis, HIV infection etc.

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98

10 Sudden unexpected, unexplained death

Where the pathological diagnosis is either ‘SIDS’ or ‘unascertained’, at any age.

Excludes Sudden Unexpected Death in Epilepsy (category 5)

The panel should categorise the ‘preventability’ of the death – tick one box.

Modifiable factors

identified

The panel have identified one or more factors, in any domain,

which may have contributed to the death of the child and which,

by means of local or national interventions, could be modified to

reduce the risk of future child deaths

No Modifiable

factors identified

The panel have not identified any potentially modifiable factors in

relation to this death

Inadequate information upon which to make a judgement. NB

this category should be used very rarely indeed.

* Note – previously the panel were asked to categorise the preventability of death as follows:

Preventable Identifiable failures in the child’s direct care by any agency, including

parents; latent, organisational, systemic or other indirect failure (s) within

one or more agency.

Potentially

Preventable

Potentially modifiable factors extrinsic to the child

Not preventable Death caused by intrinsic or extrinsic factors, with no identified modifiable

factors

Inadequate information upon which to make a judgement.

NB this category should be used very rarely indeed.

Appendix (iv) Cumulative child death figures April 2008-2016

Figure 15 – Number of child deaths per year for each borough 2008-16

174

99

Figure 16 – Number of expected child deaths per year for each borough 2008-16

175

–

100

Figure 17 Number of unexpected child deaths per year for each borough 2008-16

Figure 18 – Expected and unexpected child deaths as a percentage share of total

deaths in each borough 2008-16

Hou nslow King ston Richmond

Expected 1 6 1 6 62

Unexpected 9 3 9 3 38

0 10 20 30 40 50 60 70 80 90

100

Expected and unexpected child deaths as a percentage share of total deaths in each borough 2008 - 2016

176

101

Figure 19 – Number of child deaths by gender in Hounslow 2008-16

Figure 20 – Number of child deaths by gender in Kingston 2008-16

21 deaths by gender in Richmond 2008-16

15 14

20

13

19

15 13

11

14 12

16

12

15 15

5

11

0 2 4 6 8

10 12 14 16 18 20

2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Number of child deaths by gender in Hounslow 2008 - 16

Male

Female

4 4

7

9

4 4

8

4

2

7

5 4

6

3

9

5

0

2

4

6

8

10

12

14

16

18

20

2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Number of child deaths by gender in Kingston 2008 - 16

Male

Female

177

102

Figure 22 – Number of child deaths by age range in Hounslow 2008-16

0

2

4

6

8

10

12

14

16

18

20

2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Number of child deaths by gender in Richmond 2008 - 16

Male

Female

19

1

4

22

1 1 1

21

4 5

2

4

19

0

2

22

5

3

1

3

17

2

4 4 3

10

1 2

0

5

0

5

10

15

20

<1 yr 1-2 yrs 2-5 yrs 6-10 yrs 11+ yrs

Number of child deaths by age range Hounslow 2008 - 16

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

2015-16

178

Figure – Number of child

103

23 deaths by age range Kingston 2008-16

5

9

7

1 2

1

8

0

2

4

2 1

0

10

0

4

0

3

0

5

10

15

20

yr <1 yrs 1-2 2-5 yrs yrs 6-10 11+ yrs

Number of child deaths by age range Kingston 2008 - 16

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

2015-16

179

104

24 deaths by age range Richmond 2008-16

Figure 25 Percentage proportion of child deaths that were neonatal in each

borough 2008-16

10

3 2

4

9 8

1 0

1 1

6

2 2

14

0

2

0 0 0

5

10

15

20

<1 yr yrs 1-2 2-5 yrs 6-10 yrs 11+ yrs

Number of child deaths by age range Richmond 2008 - 16

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

2015-16

180

105

Figure 26 – Child deaths in Hounslow by ethnicity in terms of approximate

percentage proportion of deaths each year 2008-16

0

10

20

30

40

50

60

70

80

90

100

2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Percentage proportion of child deaths that were neonatal in each borough 2008 - 16

Hounslow

Kingston

Richmond

181

106

Figure 27 Child deaths in Kingston by ethnicity in terms of approximate


Figure 28 – Child deaths in Richmond by ethnicity in terms of approximate


182

107

Figure 29 Total child deaths across three boroughs by quarter 2008-16

Figure 30 – Cumulative total inclusive 2008-2016 of child deaths across three

boroughs for each quarter

Table 11 - 2008-16 reviews as recorded in Form C by expected/unexpected,

category and modifiability

2008-16 review outcomes as recorded in Form C (old categorisation)


5

12

7

17 17

13

18

14

19

9 8

15

10

8

19 18

11

16

9

13 14

11 10

16

0

2

4

6

8

10

12

14

16

18

20

Apr-Jun Jul-Sep Oct-Dec Jan-Mar

Total child deaths across three boroughs by quarter 2008 - 16

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

2015-16

92 100 104

117

0

20

40

60

80

100

120

140

Apr-Jun Jul-Sep Oct-Dec Jan-Mar

Cumulative total inclusive 2008 - 2016 of child deaths across three boroughs for each quarter

183

108

1. Deliberately inflicted injury, abuse or neglect 3np 3

2. Suicide or deliberate self-inflicted harm 2p, 1pp 2ii 5

3. Trauma and other external factors 10p,1pp, 6np,1ii 18

4. Malignancy 30np 3np 33

5. Acute medical and surgical condition 1pp, 4np 2p, 6pp,15np 28

6. Chronic medical condition 1pp, 15np 1p, 1pp, 4np 22

7. Chromosomal, genetic and congenital anomalies 3pp, 67np 15np 85

8. Perinatal/neonatal event 5pp, 113np 3p, 8pp, 18np 147

9. Infection 3np 7pp, 11np, 1ii 22

10. Sudden unexpected, unexplained death 19pp, 5np 24

387

*Note: p= preventable, pp= potentially preventable, np= not preventable, ii= inadequate

information upon which to make a judgement.

Table 12 - 2008-16 deaths with modifiable factors by category

Category Total number of deaths review in this category found

to be potentially preventable/

preventable

Percentage of total cases

reviewed in this category with

modifiable factors

1. Deliberately inflicted injury,

abuse or neglect

0 0%

2. Suicide or deliberate

selfinflicted harm

3 60%

3. Trauma and other external

factors

11 61%

4. Malignancy 0 0%

5. Acute medical and surgical

condition

9 32%

6. Chronic medical condition 3 14%

7. Chromosomal, genetic and

congenital anomalies

3 4%

8. Perinatal/neonatal event 16 11%

9. Infection 7 32%

10. Sudden unexpected,

unexplained death

19 79%

184

109

185

110


1. FORWARD’s work in Hounslow

FORWARD was contracted in 2014 by the Community Safety Partnership, Public Health

and Hounslow Safeguarding Children Board to carry out a significant developmental

prevention project to tackling a very sensitive and in time complex issue and the project

operates with one staff coordinating the project over 20 hours per week.

The partnership between FORWARD and Hounslow is unique because of the multi-

agency holistic approach to service provision. This is underpinned by utilising a culturally

nuanced strategy to ensure effective access to services. In order to achieve a change in

the mind-set of people, we work with community champions who themselves become

multipliers of change: we are able through this project to get the buy in of communities

because it is needs led and delivers value for money which is evident in the outcomes

achieved since the outset of the project.

This is a model FORWARD would recommend to other local authorities to adopt

throughout the UK.

2. Project Objectives:

Communities affected by FGM feel empowered to change their attitude and behaviour in order to eliminate this harmful practice

To improve the health and wellbeing of communities, safeguarding the rights of girls and women at risk of FGM and to support those affected

3. Project Targets:

• To enable women from FGM affected communities to acquire leadership skills, increase

confidence and become knowledgeable and active health leaders in their own community

through the Community Health Advocates for Change action by:

- Recruiting 15 women as Community Health Advocates who represent the affected

communities in the borough;

- Delivering 6 one-day training sessions on women’s health and leadership skills to these

Community Health Advocates;

- Identifying, engaging and establishing an Action Group containing 8 men;

- To increase public awareness on FGM among key communities and the general public

by delivering 5 community events; and

- Identifying and collaborating with 2 community organisations in the borough for the

delivery or activities at community level.

• To engage the 10 primary and 5 secondary schools in the London Borough of Hounslow

in the FGM Schools Engagement Action;

186

111

• To provide professional training and resources to 300 key professional; and

• To strengthen collaboration and partnership among key professional agencies through

multi- agency partnership working by attending the Hounslow FGM Prevention multi-

agency steering group.

4. Measuring Outcomes (18 months into the project):

It is important to note that many of the outcomes highlighted in this report are qualitative

because they relate to a change in people’s behaviours and attitudes towards FGM.

The measurement of this change poses a significant challenge for several reasons:

- Attitudinal and behavioural change is often long-term;

- It is not always possible to establish a direct correlation between the intervention put in

place, the outcome achieved and the impact made. The increase in reports to Hounslow

police, for example, might be ascribed to both the introduction of the “duty to report”

introduced at the end of 2015 as well as improved awareness and understanding in the

borough achieved by the project.

To measure the outcomes achieved in the 18 months the project assessed information

from:

- Log of activities and interventions based on workplan agreed - Numbers of beneficiaries reached by the project coordinator and community

champions - Number of events and outreach sessions - Number of community champions and men reached - Numbers of schools trained - Number of professional who attended trainings - Community courses delivered - Pre knowledge assessment of community, including the male champions - Review of written materials produced - Project progress reports - Training evaluation forms - Community engagement reflective reports - Feedback from group discussion

187

HSCB Annual Report 2015 16 112

Project Outcomes

Increased awareness of FGM as a safeguarding concern which has health impact on the health and wellbeing of women and girls among the public and policy makers

100% of the 884 Hounslow residents reached reported that they are better informed about FGM as a harmful and illegal practice, including the current legislation

2 community events delivered with around 50 attendees each

3 outreach sessions delivered in the community

FGM leaflet developed and distributed

“It corrected much of my misunderstanding about FGM especially what my religion says”

“I learnt that FGM is HARAM in Islam and against law of this country”

“I learned that FGM is very bad practice and is illegal and is not good for our health”

“I think I have to pass on others to know that is not for religion and stop to do their daughters horrible things”

Hounslow residents

Community champions from FGM affected communities are confident and effective advocates in changing attitudes towards FGM at local level

100% of the 18 Community Champions (men and women) trained stated that they feel confident in their understanding of how FGM affects them and other victims and empowered to raise awareness and challenge attitudes in their communities

100% of Community Champions (men and women) trained are engaging with their communities to raise awareness on the FGM health complication and the law

2 training courses on FGM and mental health wellbeing delivered to community champions (women only)

“Sometimes we received negative feedback in the community but...

…we were determined to keep going and build a better understanding in the community”

Hounslow Community Champion

188


Professionals have a better understanding of FGM as a safeguarding concern and are more engaged in raising awareness and responding to FGM

100% of 365 key statutory professionals trained fed back that they: - have a better understanding of FGM, its social and cultural context, safeguarding policy and legislation - feel more confident about supporting victims as well as reporting cases of girls at risks

100% of front line professionals trained reported they feel confident to ask appropriate questions, conduct consultation and assess risk

11 single agency training sessions delivered to police, youth and social workers and health care professionals

6 multi-agency training delivered via LSCB

“This is a big issue – it should be made mandatory training for all Hounslow children’s service staff” Social worker

“All trainers knew what they were talking about and answered all questions asked”

Early Intervention

“It made me think about how people of a different race / culture need to address the issues directly and not assume to cause offense” Health visitor

“I am more vigilant / aware and ask appropriate questions if in doubt i.e. recently questioned why father planned on taking 10 year old

daughter abroad (without rest of family)” School Nurse

“I feel it is crucial to keep FGM on the agenda and engage all professions to raise awareness”

Midwife

Young people have a better understanding of FGM as a safeguarding issue and harm caused by FGM and are more able to access support and challenge practice

100% of 447 teachers and school staff in 9 primary and 4 secondary school trained reported greater understanding of FGM and risk factors and increased confidence in:

- their knowledge of the UK law, safeguarding policies - reporting cases to relevant agencies and ways to seek advice compared to before training

189


4. In the next 6 months, the project aims to: Build on the success of the community development work of the first year in order to reach more communities Work with new communities e.g. West Africans Explore opportunities for a qualitative research project to capture to what extend FGM is practiced in Hounslow and assess the changes in

attitudes Reach more schools in the Borough Provide one to one support to victims of FGM

FORWARD was founded in 1983 and is now one of the longest standing organisations tackling FGM in the UK and is continuing the work to support women affected and girls at risk of FGM through engaging and supporting affected communities, empowering young people; raising awareness in schools and offering a range of FGM training sessions for front line professionals including health, education, social services and the police, as well as to organisations from FGM practicing communities, and the voluntary sector at large.

85% of teachers felt confident to embed their knowledge into their curricula

Specialist advice provided to school staff

Posters and leaflets distributed in schools

2 secondary schools delivered FGM sessions to their pupils

2 secondary schools are making plans to raise awareness with their pupils

7 of the primary schools distributed Hounslow FGM leaflets to all parents and displeased FORWARD Posters at school

1 of the primary school held awareness session with parents from affected communities “ I had no idea FGM happened in many countries” “ I know what to do if a child disclose FGM to me”

Hounslow Teachers

190



HOUNSLOW BOROUGH LOCAL AUTHORITY DESIGNATED OFFICER ANNUAL

REPORT

April 2015 to March 2016

Contents

1. Introduction

2. The role of the LADO & LADO related activities

3. Breakdown of allegations

4. Analysis

5. Action Plan: 2016/17

1. Introduction

1.1 The purpose of this report is to provide an overview of the management of

allegations against the children’s workforce and the role of the Local Authority

Designated Officer (LADO) in the London Borough of Hounslow for the period 1st

April 2015 to 31st March 2016.

1.2 All agencies that provide services for children, provide staff or volunteers to work

with, or care for children are required to have a procedure in place for managing

and reporting allegations against staff. This procedure needs to be consistent with

statutory guidance published by HM Government (revised guidance: Working

Together to Safeguard Children 2013 and 2015). The Guidance outlines the

requirement of the LADO to oversee the effectiveness of the process, not only in

terms of protecting children, but also ensuring that staff who are the subject of an

allegation are treated fairly and that the response and subsequent action is

consistent, reasonable and proportionate.

1.3 In April 2015, the new “Working Together Guidance” made the following

amendments to the guidance:

191


Policies around allegations against staff should include a distinction between

an allegation, a complaint and a care or practice standard concern.

Actions on allegations should be co-ordinated and carried out without delay by

a designated officer or team of officers; the officer(s) should have sufficient

qualifications and experience to carry out this role – normally it should be a

social worker. New appointments to the role should be qualified social workers

unless the designated officer is currently in post and is moving from one

authority to another.

1.4 In Hounslow the named LADO for the borough is the Head of Safeguarding and

Quality Assurance. The LADO duties are deputised to the Safeguarding Advisor.

1.5

2. The role of the LADO and other LADO related activities

2.1 The LADO’s key role is to:

provide advice/guidance to employers or voluntary organisations;

liaise with the police and other agencies, including Ofsted and other

professional bodies;

monitor the progress of referrals to ensure that they are dealt with as

quickly as possible, consistent with a thorough process;

to provide oversight of the investigative process through to its conclusion;

chair LADO strategy meetings and establish an agreed outcome of the

LADO investigation;

facilitate resolution to possible inter-agency issues;

liaison with other local authority LADOs where there are cross-boundary

issues;

collect allegations data and maintain a confidential database in relation to

allegations referrals and contacts

2.2 All agencies have a duty to contact the LADO where there are safeguarding

allegations in respect to employees or volunteers who work with children.

Behaviours are considered in the context of the 4 categories of abuse: Physical,

192


Sexual, Neglect and Emotional abuse. In Hounslow we have not been separately

recording emotional abuse and this will be an area of development next year.

2.3 LADO procedures may also apply to an individual who works with children where

allegations or concerns arise in his/her private life. The LADO will also discuss

these cases with social workers who are involved with the family to determine if

there is a safeguarding concerns. If the LADO advice is that the threshold is met

to consider disclosure to employers the LADO would give parents the opportunity

to make their own disclosure. If a parent refuses to make a disclosure, the LADO

and social worker will risk assess and evidence why a breach in confidentiality is

appropriate and proportionate to the risk which may be posed in the workplace and

if it is they will then disclose.

2.4 In 2015 the government issued supplementary guidance to ‘Keeping Children Safe

in Education’. Further Statutory Guidance was also issued in 2015 entitled

Disqualification under the Childcare Act 2006. These regulations prohibit anyone

who is disqualified themselves under the regulations, or who lives in the same

household as a disqualified person, from working in relevant settings. Relevant

settings include nurseries, child-minders and some schools. The LADO advises

these settings on further steps once an employee has made a disclosure which

meets the criteria for disqualification. The LADO will liaise closely with OFSTED

regarding these cases and support the setting with the process.

2.5 Relationship building and networking with internal and partnership agencies is a

key area of work for the LADO. There has been very positive multi-agency

feedback from agencies regarding consistency, threshold application, advice given

and timeliness of response from the Hounslow LADO.

2.6 The LADO assists in Subject Access Requests where a professional who has been

the subject of a LADO investigation requests access to the LADO data held on

them.

193


2.7 The LADO attends the National LADO Conference annually and also London

LADO meetings quarterly to liaise with LADO’s across London and make use of

training opportunities these meetings provide.

3. Breakdown of Allegations

Allegations by agency 2014/15

Health 1 Education 16 Police 1 LBH Internal 2

FYOI 2 Early Years 19 Voluntary Sector 2 Sports Clubs 1

Faith Groups 2 Scouts 1 Children's Centres 1 Transport 3

Fostering 4 Children's Homes 5 Probation 0

194


Total number of allegations: 60

Total Number of Allegations 87

Allegations by Outcome 2015/16

Substantiated 7 Not Substantiated 35 Malicious/False 2

DBS Referrals 4 Criminal Invesigations 23 S47 Investigations 4

Disqualification by Assoc. 3

Allegations by agency 2015/16

Health 6 Education 29 Police 3 LBH Internal 5

FYOI 6 Early Years 11 Voluntary Sector 2 Sports Clubs 3

Faith Groups 0 Scouts 0 Children's Centres 1 Transport Services 5

Fostering 16 Children's Homes 0 Probation 0

Allegations by category 2014/15

195


4. Outcomes and Achievements

4.1 LADO enquiries where effectively, progressed ensuring that clear threshold

decisions were made and safeguarding processes robustly managed. Of the 87

LADO referrals in the year; 24 cases progressed to LADO strategy meetings. On

Allegations by category of abuse 2015/16

Physical 34 Sexual 27 Neglect 12 Fraud 1

196


many of those 24 cases a series of strategy meetings were held on each case to

allow the LADO to review the progress until a final conclusion was reached.

4.2 On all enquires that did not reach the threshold for LADO strategy the referrer was

given advice on why the threshold was not met and on the next steps required to

address any outstanding concerns. The cases which did not progress to strategy

meetings are categorised as: no further Action, Referred to another Local Authority

and Advice and support only. No Further Action cases involve those cases where

it was clear from the onset that it didn’t meet LADO remit; where the outcome of the

enquiry led to no further action from police or Children Services or where it was an

internal investigation with the agency with no LADO involvement. These are cases

were concerns raised did not reach a safeguarding threshold and were therefore

managed through internal processes as required.

Since 2015 we have a spreadsheet that reflects the outcomes as specified by

current guidance and this will enable improved reporting and data comparisons next

year. Outcomes for the 2014/2015 allegations were not collated in the same format

as the 2015/2016 data as a result we are not able to compare the year on year

outcomes data.

4.3 In Hounslow physical abuse concerns make up the majority of enquiries and this is

consistent with Pan London allegation referral statistics. The physical abuse

category includes allegations ranging from: inappropriate restraining methods,

physical assaults, domestic violence. Sexual abuse referrals included concerns

over inappropriate text messages, sexual assault, rape, online images of children

and historical abuse etc. Neglect category included concerns where conduct of the

staff member was deemed as neglectful, this category also includes emotional

abusive situations

4.4 There has been an increase in the number of sexual abuse referrals and this effect

was seen especially after Operation Yewtree; a police lead operation to investigate

historical sexual abuse. In Hounslow where allegations of historical sexual abuse

were identified they were robustly managed by the LADO process. Other sexual

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abuse LADO enquiries concerned inappropriate use of online communication and

text communication between staff and young people.

4.5 The LADO observed some criminal investigations have taken longer than previous

years to conclude, they were however efficiently reviewed and progress monitored

through strategy meetings. There is a number of challenges to ensuring a swift

resolution of criminal case, including the complexity of cases where there is a

number of victims and the investigation is across local authorities. There can also

be challenges with capacity within police and CPS.

4.6 Education referrals have increased this year; this is partly due to a clearer referral

pathway for schools, and improved understanding of thresholds. There is also now

more effective system of recording data within the service, which will be resulting

in improved reporting in this area.

4.7 In January 2016 the LADO referral process was revised to ensure that an efficient

and resilient service could be provided. There is now a LADO duty system and

enquiries are received by responded to by either an Independent Reviewing Officer

or Safeguarding Advisor in a timely manner. If the referrals reach the threshold of

a LADO allegation they are then progressed and strategy meeting/s arranged to

plan this process.

4.8 The current LADO process seeks to achieve the right balance between; enabling

professionals to act within their agency processes when it is clear that LADO

threshold is not met and ensuring the right matters are referred to safeguard

children. The majority of LADO time has been spent advising on issues that did

not met the threshold of an allegation or an investigation.

5. Action Plan for the LADO service 2016/2017

5.1 Reviewing the new duty system to cover Safeguarding Advice and LADO duty

calls. SAAM (Safeguarding Advice and Allegation Management) duty involves the

Independent Review Officers and the Safeguarding Advisor implementing a rota

duty system where all incoming new calls are dealt with by duty officer.

Investigations will still be done by the LADO – the Independent Review officers will

offer advice on calls only. This system will be reviewed regularly to assess whether

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it fits the needs of the agencies and meets criteria for quality assurance in the

LADO service.

5.2 Building resilience within the service through the development of others in the

service to be able to competently provide cover for the LADO role. This will be

achieved through the training and development of identified staff in the service with

support from the LADO and the IRO Team Manager.

5.3 LADO to raise awareness of the LADO role by delivering briefing sessions to the

wider workforce including education, voluntary groups, health, faith groups and

sports clubs. LADO to identify emerging themes from LADO referrals in order to

ascertain key areas for training / extra support and guidance.

5.4 Continue to review and update the LADO spreadsheet and new database due on

LCS.

5.5 LADO to play a key role in developing and implementing the allegations module on

the LCS system.

5.6 LADO to work alongside the Head of Safeguarding for MASH and Intake West Team

and Head of Safeguarding for Feltham YOI to develop an overview and recording

system for allegations from young people at Feltham YOI.

5.7 The LADO to develop a clear Hounslow protocol for Managing Allegations against

Staff who work with children. This protocol should be accessible to all staff /

agencies. This could also include a user-friendly version for families and young

people who wish to raise a concern.

Hetsie van Rooyen

Safeguarding Advisor

Lara Wood

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Head of Service

Safeguarding & Quality Assurance

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Independent Reviewing Officers Annual

Report

Child Protection


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Contents

Page

1 Introduction 1

2 Purpose and Overview of IRO Service 1-5

Professional Profile 4-5

3 Review of Activities 2015 – 2016 5-9

CP Context 5-6 CPCCs and Timescales 6-7

Repeat CP Plans 7 Length of CP Plans 7-8 Transfer In CPCCs 8 Participation 8-9

4 Priorities and Activity 2016 – 2017 9-10

Timeliness of ICPCCs 9

IRO Scrutiny of CP plans/ repeat CP plans 9

Neglect strategy/QoC 9-10

Participation in CPCCs 10

5 Glossary 10

1 Introduction

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1.1 This IRO Annual Report - Child Protection contains a summary of activities

undertaken by Hounslow IROs from 2015 – 2016 in relation to safeguarding and

protection of children and young people It explains the IRO’s role in relation to

safeguarding functions, analyses performance information and considers key

achievements in the year. It discusses areas for future development and identifies priorities

for 2016-2017.

2 Purpose and Overview of Service

2.1 In Hounslow IRO’s preform a dual role of reviewing both Child Protection Case

Conferences (CPCCs) and Looked After Children Reviews (LARs). This is an

effective way to run a service; it utilizes their skills and knowledge and gives a holistic

view of the journey of a child through these processes. This CP reviewing process

is legislated for in Children’s Act 1989 & 2004, it adheres to Pan London Child

Protection Procedures and Working Together. IROs chair all CPCCs to decide if

child protection thresholds are met. Together with the family and the multi-

professional network, IROs facilitate the creation of the CP Plan. At RCPCC they

consider if the threshold for child/ren to be subject to CP plans remains and consider

the progress of CP plans along. Reviewing and updating these are required to

ensure that they remain effective

2.2 IROs are described as the circulatory system of the organisation with a role in

monitoring the CP process and identifying any areas of good practice, as well as

areas for improvement. The IRO has a key role in relation to the improvement of

child protection planning for children at home and at risk of harm, as well as

earmarking permanency early in the CP stages and escalating concerns

accordingly. One of our primary functions is to quality assure the CP process and to

ensure the wishes and feelings of a child/young person are given full consideration,

while challenging all aspects of a child/young person’s journey as a means of

achieving the best possible outcomes for them.

2.3 The core function of the IROs discussed in this report is reviewing CP plans through

chairing CPCCs for children living in their homes who are at risk of harm. However,

it is crucial to note that the scope of service is far wider than this, and incorporates

quality assurance processes, monitoring, challenge and escalation of cases within

the CP process when necessary to ensure that safeguarding is effective. From May

2015, the IRO Service has had a full complement of permanent staff members

allowing IROs to contribute to Hounslow Safeguarding Children’s Board (HSCB)

subgroups, participate fully in the Duty system, attend/co-facilitate trainings, as well

as undertaking more quality assurance and auditing functions.

2.4 In 2015-2016, the IRO service took part in developing the Case Audit Framework

that was launched in June 2016. The aim of this framework is to ensure that:

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outcomes for vulnerable children, young people and their families are I improved;

Children’s Specialist Services are achieving consistently high standards;

our organisational culture demonstrates commitment to the continuous improvement and development of the children’s workforce

2.5 Cases audits are a key part of our quality assurance framework and an important means of evaluating the quality of practice and decision making. They are intended to build an understanding of the strengths and challenges in local safeguarding practice. They enable managers to monitor the effectiveness of safeguarding practice and recognise areas of good practice that can be shared and built upon, and areas in which there may be policy, training and development needs. This audit framework provides a structure for the process of case work audit and review, creating a culture in which both quantitative and qualitative aspects of case management are routinely examined and reported in a systematic way to ensure the best possible outcomes for children and young people.

2.6 The IRO service contributed to developing a multi-agency audit tool that Children’s

Services and parent agencies have adopted and will use when undertaking audits in their respective areas. The IRO service will contribute to the audit schedule with one audit per week undertaken by the IRO on Duty using the tool as part of the thematic requirements. The IRO Manager will audit and observe IRO’s practice on a quarterly cycle as part of an internal quality assurance mechanism.

2.7 In 2015-2016, the IRO service undertook an audit on Transfer-In Conferences.

The purpose of that audit was to provide initial background information for further discussion and consideration in regards to the number of transfer-in conferences to Hounslow from April 2013 – December 2015. The table below outlines the number of Transfer-In CPCCs per year in 2013, 2014, (Apr-Dec) 2015 and the prevailing issue each year:

Year 2013 – 2014 2014 – 2015 April 2015 -

December 2015

Number of Transfer-In CPCCs

14 16 25

Prevailing Issue DV, Physical Harm

DV, Physical Harm

DV, Neglectful Parenting

2.8 There was also an increase in the number of older children represented in the

Transfer-In cohort (44%, 11 children). There was also a higher number of Transfer-In CPCCs from adjacent boroughs such as Ealing, Hillingdon and Hammersmith & Fulham. The increase in transfer in conferences is in part due to the lower cost of accommodation in the borough. This increase has impacted on resources in Hounslow, including housing, health, education and social care services.

Professional Profile

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2.9 IROs are based in the Safeguarding Children and Quality Assurance Service and

work alongside a Safeguarding Advisor, 3.5 dedicated Minute Takers and a

Business Support Manager. The Case Progression Manager, Exploitation and

Vulnerabilities Coordinator, Social Work Standards Manager, Social Work

Standards Coordinator, HSCB Manager, HSCB Business Manager, and HSCB

Learning and Development Manager also work as part of this service.

2.10 IROs are located in the Work Smart area in the Hounslow Civic Centre; and

work remotely some of the time. The location supports effective work with social

work teams and managers. The team has 7 full-time permanent IROs. Three

IROs have taken up their post within the last 9 months and are still establishing

their position within Children’s Services as a whole, while 4 have been working

as IROs for more than 3 years.

3 Review of Activities 2015 - 2016 3.1 CP Context

Comparative details of the London Borough of Hounslow’s population of children subject to Child Protection Plans from April 2014 – March 2015 and April 2015 – March 2016 are outlined below:

At the end of March 2015, 194 children were subject to Child Protection plans and 215 children were subject to Child Protection Plans at the end of March 2016.

In 2014/15, 54% of children were subject to a CP plan for neglect, by 2015/16 this had decreased slightly to 46%. Despite the decrease Hounslow still has more children subject to CP plans for neglect than other west London authorities. Neglect is a priority for Hounslow Safeguarding Children’s Board and further work is being undertaken to improve outcomes for children suffering neglect, as this remains the most prevalent categories for CP plans. A strategic plan for tackling neglectful parenting in Hounslow is currently being developed and will be launched with along with the revised Quality of Care (QoC) assessment tool. There is an expectation that the QoC assessment tool is undertaken for all cases where neglect is the primary concern.

In 2015/16, the number of CP plans under the category of emotional abuse almost

doubled and this could be attributed to an increase in cases of domestic violence and the emotional impact this has on children. Additionally, there was a noted decrease in the percentage of CP plans with the category of physical abuse this year. At this point, this data appears similar to other west London boroughs, but comparative data from 2015/16 regarding CP plan category percentages will not be

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published until October 2016 and we review the information at this time to look at any trends.

3.2 CPCCs and Timescales

77.7% of Initial Child Protection Case Conferences (ICPCCs) were held within timescales.

26%

54%

15%5%

CP Plan Category 2014/15

Emotional Negelct

Physical Sexual

42%

46%

7% 5%

CP Plan Category 2015/16

Emotional Neglect

Physical Sexual

0%

10%

20%

30%

40%

50%

Emotional Neglect Physical Sexual Multiple

Proportion of children subject to a CP Plan by categoryLBH compared to West London

West London Avg March 2015 LBH March 2016

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This is not within the expectations of 100% ICPCCs held within timescales. The

deterioration in timeliness has been proactively addressed to improve performance

in this area. Further work has been undertaken with social work team managers

to ensure that when strategy meetings have occurred the outcome is consistently

recorded on LCS within 24hours. This enables SQA to receive notification of the

referral for an ICPCC and organise the conference with in timescales.

The SQA service has also developed a Safeguarding and Allegations

Management (SAAM) duty system ensuring IRO availability to cover ICPCCs every

week day. This system enables ICPCCs to be held at short notice if necessary to

ensure timescales are met and children are kept safe.

504 Review Child Protection Case Conferences (RCPCCs) were held throughout this year and 97.8% of these were held within timescales. This is a good outcome in relation to review timescales and the service will continue

to ensure that all RCPCCs are held within timescales.

3.3 Repeat CP Plans

There were 46 repeat CP plans during the course of the year.

These concern 46 children from 26 families, which was 18.9% of all new CP plans

and this is less than outer London Boroughs presenting with 25% repeat CP plans.

Twenty-nine of these cases had a significant gap between the first period of CP,

which was between 3-10 years ago and the second period. There were, however,

17 cases returned for a further period of CP planning within a 2 years period and I

have considered these further below.

Upon reviewing these 17 cases, 10 were removed from their first CP Plan at the

second RCPCC; however, there was an observation that the 2nd RCPCC was

convened earlier than the due date for 3 of these. For example, there should be 9

months between ICPCC and the 2nd RCPCC and there were only 6 months

between 1st Review and 2nd Review conferences. One case was removed before

the first RCPCC within 2 months and returned within 8 months for a further period

of CP planning.

Of the 29 other cases, 8 more were removed from CP plans at a 2nd RCPCC that

was held early. Repeat plans raise concern about whether previous plans were

ended prematurely and there is evidence to suggest that in these cases some

children were taken off CP plans prematurely, as there was a lack of evidence of

mitigating factors, parental insight and sustainability of situation. These issues will

need to be more closely scrutinized by IROs to prevent unnecessary periods of

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repeat CP planning, and ensure that decisions are made within children’s

timelines.

A large proportion of child protection plans were made when children were under

10 years old, therefore there is always the potential for children from the most

vulnerable families to have a further period of CP planning later in their childhood.

Nevertheless, in view of the relatively small numbers of children subject to a child

protection plans at any one time and bearing in mind they will always be from the

most vulnerable families, it may not be unreasonable for there to be repeat plans

in certain cases and these will continue to be monitored and scrutinized in relation

to escalation where appropriate.

Of all 46 children, 30 had at least one period of CP planning under the category of

neglect. A QoC neglect tool could have been useful in organizing the themes and

impact of neglect for the children and family and build evidence in relation to long

term entrenched neglect to make for clearer CP plan outcomes and more

evidenced escalation route, as well as collaborative working with parents to

recognize neglectful parenting and make improvements.

3.4 Length of CP Plans

There were 10 CP plans that ended after a 2 year period and this was a decrease by 12 (3.8%) from the previous year.

IROs worked throughout the past year to review and consider CP plans ensuring

outcomes were focussed, relevant and attainable. They scrutinized these plans to

ensure that children remained safeguarded and their lives improved in a period of

time that is reasonable to their timelines. Of these 10 two-year plus CP plans, 4

were escalated by the IRO and the children are now LAC. The other 6 progressed

successfully through the CP plan and ended.

3.5 Transfer in Conferences

There were 44 Transfer in Conferences this year, which was a significant increase from the last reporting year.

As discussed above, due to a significant increase in Transfer in Conference

requests, an audit was undertaken in December 2015 to review the situation and

consider any trends identified. It was recognized that the increase in transfer in

conferences has an impact on resources within Hounslow. This trend is expected

to continue with the challenges to housing stock across London and Hounslow

having comparatively reasonably prices housing. IROs continue to scrutinize the

conference reports and risk factors presented at these conferences to ensure that

the most appropriate plan is agreed for the child.

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3.6 Participation

From April 2015 – March 2016, feedback from CPCCs was gathered from 666

professionals and 176 parents. Professionals that provided feedback include

those from children’s services and adult services. Overall, all areas of feedback

responses in relation to the overall chairing, organization, structure and ability to

provide threshold guidance and advice during the CPCCs were rated strongly

agree to agree by parents and professionals.

“Difficult conference with parental dispute handled exceptionally well and professionally by Chair with child focus.”

“Chair showed experience in handling a highly charged environment and was very good at explaining what various se3rvices involved could do.”

“Very structured and clear when discussing outcomes and plan.”

“The focus was on my children and strengthening my family.”

“Good chairing, good

summary, good joint partnership working.”

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Areas identified by professionals and parents that require improvement, related to

consistently receiving reports for the CPCC before the actual meeting both social

work CP reports and other professional reports. Parents having the opportunity to

discuss the reports with professionals prior to the conference. The further area

requiring improvement was consistence in receiving the minutes in a timely

manner. Information from these forms will be feedback to the Monitoring and

Evaluation subgroup within the HSCB to cascade the feedback from parents in

relation to ensuring professional reports from partner agencies are shared with the

family before the CPCC where possible.

Young people did attend some CPCCs from April 2015 – March 2106, and their

views were recorded within the minutes; however, specific feedback was not

gathered from these young people. This is an area for improvement and feedback

forms are being devised specifically for CPCC when young people attend. All

children who attended CPCCs did meet with the Chair before the CPCC to gain

clarity about the conference process and to express their views.

4 Priorities for 2016 - 2017

Timeliness of ICPCCs

Continued monitoring and scrutiny of timeframes when receiving a request for ICPCCs and use of the SAAM Duty system to ensure 100% of ICPCCs are held within statutory timescales

Proactively trouble shooting any problems / trends that arise regarding ICPCC timeliness.

“They listened to me, we spoke very well and there was very good communication overall.”

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IRO scrutiny of repeat CP plans particularly for those returning within a year

IROs will ensure they scrutinize progress of CP plans and where there are concerns regarding; lack of mitigating factors, parental insight and sustainability, they will ensure CP plans do not end prematurely and RCPCCs are not held prematurely.

IRO’s to ensure that there is robust oversight of any cases were the social work team recommendation is to end the CP plan at the first review and utilise their authority to make the final decision on this matter as conference chairs.

Collaborative work to be undertaken with SW teams and partner agencies to scrutinize thresholds at RCPCCs to ensure impact and change are evidenced thoroughly before children’s names are removed from CP plans.

IROs to contribute to embedding Hounslow’s neglect strategy into practice and

QoC assessment tool into practice.

IROs will work with the HSCB through the subgroups in relation to the development and implementation of the neglect strategy in ensuring the QoC assessment tool is used in cases where neglect is prevalent, particularly due to the high number of CP plans and repeat CP plans with the category of neglect.

From the point of ICPCC, the IRO chairing the conference will ensure that undertaking the QoC assessment tool forms part of the CP plan for all cases where neglect is the category of abuse.

Participation in CPCCs

IROs will develop a CPCC feedback form for children/young people when they attend CPCCs. This will be used to monitor attendance and review feedback to improve practice.

IROs will work with Children’s Services and partner agencies through the HSCB to improve timeliness of SW reports and partner agency reports to parents before CPCCs.

IROs and Minute Takers will ensure that all minutes from CPCCs are completed

within 15 days of the conference and work in partnership with the social work teams to ensure parents are receiving these minutes within timescales.

5 Glossary

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CP Child Protection CPCC Child Protection Case Conference DV Domestic Violence HSCB Hounslow Safeguarding Children’s Board ICPCC Initial Child Protection Case Conference IRO Independent Reviewing Officer LAR Looked After Review LBH London Borough of Hounslow QoC Quality of Care RCPCC Review Child Protection Case Conference SAAM Safeguarding Advice and Allegations Management SQA Safeguarding Quality Assurance

Melissa Goodman

Independent Reviewing Officer Team Manager

Lara Wood

Head of Safeguarding Children and Quality Assurance

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Independent Reviewing Officers Annual Report

Looked After Children


Completed by: Lara Wood Head of Safeguarding Children and Quality Assurance Melissa Goodman Independent Reviewing Officer Team Manager

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Contents Page 1 Introduction 1 2 Priorities and Activity 2015 – 2016 1-5

Section 20 Scrutiny 3-4

Duty System 4

IRO Challenge (Midway Reports & Foot-printing) 4-5

3 Purpose and Overview of IRO Service 5-10

Professional Profile 5-6

Core Functions 6-10 Case Review 6 Quality Assurance 6-9

Legal and Policy Developments 9-10

4 Key Data/Analysis/Trends 10-13 5 Priorities for 2016 – 2017 13-14

Continued Improvement in IRO Escalation 13 and Challenge SQA &Service-wide Quality Assurance 13-14 and Safeguarding Oversight Permanence and Outcomes 14 for Care Leavers LAR Process and Timeliness 14 6 Glossary of Terms 15

1 Introduction

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1.1 This IRO Annual Report contains a summary of the priorities and activities

undertaken by Hounslow IROs from 2015 - 2016. It focuses on the IRO role and function; in particular the key trends with LAC in Hounslow over the past year against the backdrop of recent legislative changes and other developments. The IROs in Hounslow preform a dual role of reviewing both Child Protection Case Conferences (CPCCs) and Looked After Reviews (LARs), which is an effective way to run a service as it utilizes their skills and knowledge and gives a more holistic view of the journey of a child through these processes that often times follow one another. This report is focusses on the LAC duties, as this is a statutory requirement to produce this annually. There is a separate report regarding the CPCC process and function.

2 Priorities and Activity 2015 - 2016 2.1 The three main priorities for the IRO service in 2015-2016 were:

Section 20 Scrutiny

Duty System

IRO Challenge (Midway Reports and IRO Foot-printing)

The outcomes of these priority areas are explored below.

Section 20 Scrutiny 2.2 IRO scrutiny of Section 20 specifically in relation to informed consent from parents

and length of time children remain subject to Section 20 before permanency is achieved this area of practice shall continue to be robustly monitored by the IROs. Discussion of all cases where children are looked after under Section 20 was a standing supervision agenda item and continues to be.

2.3 The IRO service participated in auditing 7 cases to review the Section 20

arrangements. Three other cases were challenged in relation to Section 20 arrangements (1 currently in proceedings, 1 is subject to a full care order and 1 returned home with a brief period with a successful Child Protection Plan). As an outcome and learning from these audits, all IROs attended special Section 20 briefing sessions facilitated by the Case Progression Manager and legal services to ensure the details of compliance with Section 20 was understood and could then be effectively and appropriately scrutinized going forward.

2.4 The Terms of Reference for the Case Monitoring Board (CMB, previously the PLO

Board) have been revised to ensure that all cases where children under the age of 14 are LAC under Section 20 were reviewed at Board. Backing lists are now circulated to IROs with the details of these cases to ensure they are aware of and quality assuring the details accordingly, which is subsequently discussed and reviewed in supervision sessions.

2.5 A reduction in the number LAC under Section 20 was achieved in 2014/2015

and this has stabilized throughout 2015/2016. This can be attributed to joint

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efforts between IROs and the area teams in reviewing and scrutinizing these cases accordingly.

Duty System 2.6 Building resilience within the service was a major goal for 2015 – 2016. This was

done by amalgamating the safeguarding advisory duty process and the IRO duty process into one dedicated duty system to ensure complete ICPCC coverage of the service. The duty system has ensured that there is IRO presence in the office on any given day, which has raised the profile and visibility of our service and allowed for discussions between IROs, social workers, managers and other external professionals if necessary.

2.7 The duty system also enables the IROs to provide initial advice and guidance for

LADO calls, as well as cover for safeguarding advice where required.

IRO Challenge (Midway Reports & Foot-printing)

2.8 Further work was undertaken this year to ensure that challenge is documented within

the child’s file in case notes and this continues to be a priority of the service. Challenge consists of discussions about issues with the care plan such as: pocket money, changes to contact, placement changes. These issues have been resolved between the IRO and SW or ATM without escalation to TM / HoS / Director level. There were 179 documented SW / ATM IRO challenge on LCS last year.

2.9 The Issues Resolution Protocol has also been used to resolve IRO challenges that

escalated to TM / HoS level. The cases challenged by IROs related to Section 20 arrangements (3), permanence (2), legal planning meeting/public law outline (3), placement stability (4) and general issues with care planning (4). All of these cases moved forward with an outcome that was agreed upon in the best interest of the children and young people involved.

2.10 Following a request from the IRO service, the IROs now have access to legal advice regarding specific queries about orders or legal questions that will help enable them to fully scrutinize case issues to make balanced and informed decisions and recommendations.

2.11 IROs are undertaking midway monitoring and LAR reports; however, this is not

consistently being achieved and remains to be an area for improvement. IROs continue to use creative methods to engage with children and young people outside of LAR meetings to ascertain their views. This has included having going out for lunch, trips to Kew Gardens, playing video games and attending basketball games to relationships enabling children and young people feel safe and trusting to open up to the IRO about any issues they may have in their placement or any other area of their life.

3 Purpose and Overview of Service

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3.1 The Independent Review Officers’ (IRO) service is set within the framework of

the updated IRO Handbook, linked to revised Care Planning Regulations and Guidance which were introduced in April 2011. The responsibility of the IRO has changed from the management of the Looked After Review (LAR) process to a wider overview of the case including regular monitoring and follow-up between Reviews. The IRO has a key role in relation to the improvement of care planning for children Looked After and for challenging drift and delay.

3.2 IROs are described as the circulatory system of the organisation with a role in

monitoring the local authority’s function as a corporate parent and identifying any areas of good practice, as well as areas for improvement. Our primary function is to quality assure the care planning process for LAC, and ensure the wishes and feelings of a child/young person are given full consideration, while challenging all aspects of a child/young person’s journey as a means of achieving the best possible outcomes for them.

3.3 Practice continued to be guided by the National Children’s Bureau (NCB) research

‘The Role of the Independent Reviewing Officers in England’ (March 2014) referenced in the Annual Report from 2014 – 2105, which provides a wealth of information and findings regarding the efficacy of IRO services.

Professional Profile 3.4 IROs are based in the SQA Service and work alongside a Safeguarding Advisor, 3.5

dedicated Minute Takers and a Business Support Manager. The Case Progression Manager, Exploitation and Vulnerabilities Coordinator, Social Work Standards Manager, Social Work Standards Coordinator, Hounslow Safeguarding Children’s Board (HSCB) Manager, HSCB Business Manager, and HSCB Learning and Development Manager also work as part of this service.

3.5 IROs are located in the Work Smart area in the Hounslow Civic Centre; however,

they work remotely most of the time. The location supports effective work with social work teams and managers. The team has 7 full-time permanent IROs. Three IROs have taken up their post within the last 9 months and are still establishing their position within Children’s Services as a whole, while 4 have been working as IROs for more than 3 years.

3.6 All IROs are permanent, full time and qualified staff members; this is the first time in

many years that the service has experienced a permanent staff group of IROs. They are directly supervised by the IRO Team Manager who also manages the day-to-day operations of the team. The IROs in Hounslow are qualified social workers with management experience who are all registered with the Health and Care Professions Council (HCPC).

Core Functions Case Review 3.7 The core functions of the IROs consists of reviewing care plans/pathway plans for

children in care and monitoring the Local Authority in respect of its corporate

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parenting and safeguarding responsibilities. The IROs in Hounslow have a dual role in fulfilling the IRO function including chairing CPCCs and LARs, as their primary core business. The scope of service is far wider than this, providing a pivotal role in ensuring the quality of care plans for children through their monitoring and challenging functions.

3.8 IRO caseloads for LARs remained between 45-65 per IRO depending on the LAC

population and number of IROs in the service last year. This compares with the recommended case load of 50-70 set out in the IRO Handbook, overall their caseload has reduced slightly which is reflective of team being fully staffed combined with reduction in the LAC populations. As well as chairing LAC meetings and CPCC meetings, IRO’s contribute to placement stability meetings, strategy meetings and other related professional meetings, providing monitor and challenge regarding care plans and safeguarding issues.

3.9 The LAR timeliness of initial LAR meetings has identifies as an area for further

improvement. We have identified two factors impacting on timescales these are; the IRO Service receiving some late notification of a child becoming LAC which reduces the time available to arrange the initial LAR and a lack of consistency of recording LAR review outcomes. The IRO service will continue to work closely with the social work teams and the Management of Information Team (MIT) to ensure that the system works efficiently.

Quality Assurance 3.10 In 2015-2016, the IRO service took part in developing the Case Audit Framework

that was launched in June 2016. This framework will help ensure that:

outcomes for vulnerable children, young people and their families are improved;

Children’s Specialist Services are achieving consistently high standards;

our organisational culture demonstrates commitment to the continuous improvement and development of the children’s workforce

3.11 Cases audits are a key part of our quality assurance framework and an important

means of evaluating the quality of practice and decision-making. They are intended to build an understanding of the strengths and challenges in local safeguarding practice. They enable managers to monitor the effectiveness of safeguarding practice and recognise areas of good practice that can be shared and built upon, and areas in which there may be policy, training and development needs. This audit framework provides a structure for the process of case work audit and review, creating a culture in which both quantitative and qualitative aspects of case management are routinely examined and reported in a systematic way to ensure the best possible outcomes for children and young people.

3.12 The IRO service also contributed to developing a multi-agency audit tool that

Children’s Services and parent agencies have adopted and will use when undertaking audits in their respective areas. The IRO service will contribute to the audit schedule with one audit per week undertaken by the IRO on Duty using the tool as part of the thematic requirements. The IRO Manager will audit and

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observe IRO’s practice on a quarterly cycle as part of an internal quality assurance mechanism.

3.13 Detailed case audits were undertaken of the 21 young people in the January 2016

Multi Agency Sexual Exploitation (MASE) cohort this past year. The young people on the MASE cohort were identified as being at risk of Child Sexual Exploitation (CSE) and their cases remain on the cohort until the risk of CSE has been sufficiently reduced. These audits focussed specifically on the work being undertaken by Social Care, including the IROs in relation to CSE concerns for those on the cohort. The audits were also timely given the new Joint Area Targeted Inspection (JTAI) regime. The first round of JTAI’s will include a “deep dive” focus on the response to child sexual exploitation and those missing from home, care or education.

3.14 Within these audits, there were several examples of good IRO practice of IRO’s

ensuring that CSE was discussed and considered as part of CP conferences and LARs, and of ensuring that young people’s views were heard in relation to this. There were, however, too many cases where there was no reference to the MASE panel or reference to CSE at all. The following recommendations were made in relation to the IROs: 1) IROs to ensure that conferences / LARs reference when a young person is on the MASE cohort and that CSE risks are discussed as part of plan reviews – to be monitored through IRO audits and 2) the IRO Team Manager will receive the list of MASE cases monthly and ensure that IROs know which young people are on the cohort, this action has been completed.

3.15 In 2015-2016, the IRO service undertook a thematic audit on 18+ Pathway Plan

Reviews to: 1) review the current number of PPRs that have occurred since May 2014, 2) assess whether the practice/procedure that was developed as part of this PPR backlog project in September 2013 was embedded and sustained and 3) to review the current LCS workflow process for undertaking and documenting PPR meetings. The recommendations to be implemented 2016/17 following this audit included: 1) IROs to chair the first post 18 Pathway Plan review to provide continuity for young people during this pivotal transition point and 2) improve the current Pathway Plan workflow process on LCS in partnership with the Leaving Care service.

3.16 This year the Social Work Team for Children with Disabilities (SWTCD) moved

from Children’s Service to Education. To ensure that there was continued oversight and enhanced working together, quarterly SWTCD Safeguarding meetings were held between SWTCD, Education representatives, IRO service and the Director to discuss regular liaison both to and from each service in relation to ensuring there is effective safeguarding and quality assurance systems in place. These meetings will continue throughout next year and an IRO will be identified to take a lead in this area.

3.17 The IRO service participated in an internal Quality Assurance audit with an

overall objective to provide assurance that the system of control in respect of Children’s Safeguarding and Quality Assurance with regards the areas set out below:

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Policies and Procedures There are adequate processes in place for maintaining policies and procedures

to enable compliance with legislation and best practice. Staff are made aware of these policies and procedures.

Training There are adequate processes in place for identifying staff training needs and

there is a record of training undertaken. Staff are aware of the training available and their training requirements. Quality assurance of training is completed.

DBS and HCPC Checks

There are adequate processes in place to ensure that all appropriate staff are registered with the Health and Care Professions Council and have received a DBS check. Monitoring of agency and locum staff is also completed where appropriate.

Quality Assurance and Monitoring There are adequate processes in place for the quality assurance of assessing

cases, including reporting on case conferences and core group meetings. A system is in place for the monitoring of statutory obligations which includes monthly monitoring of the time taken to implement each stage following contact. Benchmarking indicates that this process is operating effectively.

Partnership Working There are adequate arrangements in place for regular engagement with

external partners for knowledge sharing and the production of strategies for the prevention of abuse. This includes sharing outcomes from Serious Case Reviews. Adequate processes are in place for the data protection of information shared between partners.

3.18 There were two areas that had recommendations for improvement: Training and

DBS/HCPC checks. Social workers were reminded to maintain their learning portfolios and managers were reminded to these learning portfolios were in place. Random audits will be undertaken to ensure that Continuing Professional Development is completed to contribute to HCPC registration. With the change from CRB to DBS checks, not all roles require DBS checks. This was not reflected in the findings of this audit so there was a recommendation to cleanse the data to ensure that all posts that no longer had this requirement were removed and all posts that did require DBS checks were updated accordingly.

Legal and Policy Developments 2015 - 2016

3.19 The IRO service has continued to work with the guidance of the Care Planning and

Fostering Regulations March 2015, particularly in relation to virtual LAR meetings and recommending Taking Care assessments where the local authority considered returning a child home.

3.20 IROs continue to be informed by the judicial rulings concerning the use of Section 20

arrangements and the role of IROs in reviewing, scrutinizing and escalating cases

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where these Section 20 arrangements are drifting or where informed consent and withdrawal of consent require further review. These cases are discussed in supervision and escalated through Challenge and Issues Resolution Protocol with area teams and then further discussed/monitored at the Case Monitoring Board.

3.21 Nationally, there was a trend of other Authorities having HR applications made

against them challenging the use of Section 20. There was one judgement levied against Hounslow in 2015/2016, which further reflects the need for there to be robust scrutiny of the plans to secure permanency for looked after children and young people. Challenge and escalation processes have been reviewed in light of these judgements and IROs continue to learn from these and prioritize scrutiny of these cases.

3.22 This year, guidance for Local Authorities managing LAC young people under Legal

Aid, Sentencing Punishment of Offenders Act (LASPOA) arrangements at Feltham Young Offenders Institute was ratified. This outlined details about planning and attending a LAR meeting with YP who are detained, as well as what happens during and after the LAR meeting. This includes trying to arrange the LAR meeting in line with the YPs remand planning review to ensure the attendance of the YPs Custody Case Worker. Feltham YOI facilitated an Open Day in June 2015 to improve the LAR process and practice for YP detained in YOI. Three IROs from Hounslow attended this open day and fed back to the rest of the service in a subsequent team meeting.

4 Analysis of Key LAC Data and Trends 4.1 The Looked After population for 2015-2016 has ranged from 279-290.

15/16 15/16 15/16 15/16

Quarter & Year Q1 Q2 Q3 Q4

CLA 281 290 287 279

4.2 The majority (30%) of children and young people who became LAC were age 16+

years and this has helped inform one of the priorities for 2016 – 2017.

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earlier in the stages of removal and increasing the use of Family Group Conferencing, which IROs continue to monitor.

4.4 In 2015-16 there were between 279-290 children in care at any one time, which was

a slight decrease from last year. There were approximately 725 LARs held for these children/young people, both initial and review LAR meetings. Of these 725 LARs, 81.1% were held within statutory timescales. This is a slight decrease from last year and the IRO service is working to ensure improvements in this area.

4.5 Upon analysis of the drop in LAR timeliness, the biggest issue appears to be in

relation to IROs ensuring they are putting the initial Outcomes of the LAR on the LCS computer system within 48 hours of the LAR meeting. This has been audited, discussed and is being closely monitored to ensure this does not remain an issue. The IRO service continues to work in close partnership with the area teams in relation to inputting LAR outcomes and information onto the computer system in a timely manner to ensure that the timeliness of LARs is accurately reported and considered.

4.6 Another issues identified regarding timeliness of LAR meeting involves late referrals

to the SQA service for Initial LAR meeting at the time a child becomes LAC. The IRO Team Manager has met with Team Mangers and Assistant Team Managers to improve timeliness of referrals to the IRO service for Initial LAR meetings to prevent lateness in LAR meetings and this continues to be closely monitored and reviewed.

4.7 Children and young people’s participation in their LAR meetings continued to be

positive with 92% attendance or views being shared with the IRO for LARs. This can be attributed to ongoing work with the participation service in developing training, regular attendance at the CICC via a rota system to ensure each IRO attends and the overall commitment the IROs to the children and young people they work with ensuring they truly understand their wishes, feelings and views. IROs do not receive written consultation forms with children and young people on a consistent basis and work needs to be done with the area teams and participation service to improve this.

4.8 IROs continued to provide Welcome Packs to children when they initially become

LAC; however, this stopped during the course of the year. This pack included documents about who would be involved in the LAR process, details about advocacy and information about what to expect in general with contact details for specific professionals. IROs discussed this with each LAC at the initial LAR as a way or building rapport and informing children and YP. Feedback from young people was that the information is useful and helpful, but they would like it electronically instead of in paper form and they were not keen on the boxes that the Welcome Pack was presented in. IROs will work with the CICC, Head of Corporate Parenting and Communications Service to improve the Welcome Pack in line with YP feedback and re-launch it so it can be introduced at each initial LAR meeting.

4.9 IROs offer a separate parental consultation meeting with all parents as part of the

LAR process if parents are unable to attend to LAR meetings. Not all parents wish to attend these consultation meetings, but when they do, their views are contained within the LAR write up. The IRO service has not tracked the exact figures of parental consultation, but improvements will be made on tracking this data by

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creating a case note heading specifically for IRO Parental Consultation where IROs can document these meetings specifically. IROs do not consistently receive written consultation forms from parents either and again, further work needs to be undertaken with the area teams in relation to this.

5 Priorities for 2016 - 2017 5.1 Continued improvement in IRO Escalation and Challenge

• 100% of LAC Midway Reports completed by IROs between 6 Monthly LAC Reviews – to be monitored and improved through random case file audits.

• IROs to regularly record challenge, escalation process and outcome

through LCS case notes, or if possible an alerts system built into the LCS system.

• IROs will continue to focus in these areas: Section 20, Permanence,

placement suitability and stability and the progression of children and young people’s Care and Pathway Plans.

5.2 SQA and Service-wide Quality Assurance & Safeguarding Oversight

• IROs will continue to work closely with multiagency panels relating to CSE, domestic violence and gang involvement to ensure that they have holistic oversight over such vulnerabilities.

• IROs will continue to contribute to and engage with the HSCB by

attending relevant subgroups.

• IROs will critically reflect on the multiagency support that is being offered to LAC (including professional participation and involvement in statutory review meetings) through the effective use of LAC Monitoring Forms.

• IROs will participate fully with the Case Audit Framework both in their regular audit function, as well as the quarterly and annual holistic scrutinizing and reporting of the audit functions/outcomes of all area teams.

• IROs will complete Regulation 44 visits for The Ride and Westbrook to

ensure the provisions are meeting children/young peoples’ needs.

• IROs will contribute to an internal quality assurance function that will involve observations and auditing of IRO practice on a quarterly basis. IROs will participate in a peer observation structure where IROs observe one another chairing LARs and CPCCs and provide feedback for development and continued service improvement in line with the NAIRO Toolkit.

• Identification of lead IRO to ensure that there is robust safeguarding

support and quality assurance mechanism for SWTCD

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• IROs will ensure that conferences / LARs reference when a young person is on the MASE cohort and that CSE risks are discussed as part of reviews.

5.3 Permanence and Outcomes for Care Leavers

• IROs to implement the recommendations from the Pathway Plan Review 18+ audit 1) IROs to chair the first post 18 Pathway Plan review to provide continuity for young people during this pivotal transition point and 2) improve the current Pathway Plan workflow process on LCS in partnership with the Leaving Care service.

• IROs will work in partnership with the Through Care team, Leaving Care

team and Children in Care Council to redevelop the pre-existing Independence Questionnaire, to ensure that it becomes an essential tool with respect to chronicling semi-independence skills.

• IROs will ensure that they raise a discussion about ‘Staying Put’ by age 15 in partnership with the supervising social worker to ensure a referral is made to the fostering team to ensure training is offered in good time and foster carers, as well as young people feel prepared for this pivotal transition point.

5.4 LAR process and timeliness

IROs will ensure that outcomes from LAR meetings are inputted on LCS within 48 hours of holding the review meeting

The IRO service will continue to work closely with the area teams and the Management of Information team to ensure that IROs are alerted when children become LAC in a timely manner to ensure all Initial LAR meetings are held within timescales.

The IRO service will continue to work with CICC, the Corporate Parenting service

and Comms to improve the Welcome Pack process, as well as the consultation feedback from YP, parents and foster carers for the LAR process.

Glossary of Terms ATM Assistant Team Manager CICC Children in Care Council CMB Case Monitoring Board

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CPCC Child Protection Case Conference CPP Corporate Parenting Panel CRB Criminal Records Bureau CSE Child Sexual Exploitation DBS Disclosure and Barring Service EHCP Education, Health Care Plans HCPC Health Care Professionals Council HoS Head of Service IRO Independent Reviewing Officer JTAI Joint Targeted Area Inspection LAC Looked After Child LAR Looked After Review MIT Management of Information Team

PLO Public Law Outline PPR Pathway Plan Review SQA Safeguarding & Quality Assurance SWTCD Social Work Team for Children with Disabilities TM Team Manager YOI Young Offenders Institute

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Child Sexual Exploitation (CSE) Sub-Group Report January 2017

Chair: Donald McPhail, Independent Chair HSCB (April to August 2016) Lara Wood, Head of Service Safeguarding & Quality Assurance (September 2016) Deputy Chair: Permjit Chadha, Manager of Community Partnership (May 2016)

Overall Progress Analysis: The CSE sub group was chaired by the Chair of the Hounslow Children Safeguarding Board (Donald McPhail) between the inception of the sub group right through to the end of August 2016. Donald retired at the end of August 2016. The new Head of Service for Safeguarding and Quality Assurance, Lara Wood has chaired the last two sub groups, as the newly appointed chair of the sub group. Over the last six months, each sub group has been organised to have both a Chair and a Deputy, which is reflective of the partners attending the sub group and the Board. The Deputy Chair of this sub group is the manager of the Community Safety Partnership as indicated above. The CSE sub group, similar to that of all other sub groups has a work plan reflective of the Business plan for the board. Each sub group meeting considers the work plan and actions from the previous meeting as well as how the sub group has contributed to safeguarding children in Hounslow. The key pieces of work completed over the last 6 months have included:

Review of the CSE Partnership Improvement Plan

Single and Multi-Agency audits of children exposed to Child Sexual Exploitation;

The implementation of the CSE Champions Programs within the Borough;

The start of NSPCC PANTS campaign;

Improved data collection through the MASE Panel and Children’s Social Care Systems;

Revised CSE strategy

Revised CSE screening tool;

Continued learning and development activities about CSE across the borough;

Input from Children and young People

Consideration of the HMIC Inspection Report and potential safeguarding implications for Hounslow’s children

Review of the sub group’s status

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Agenda Item 5c

Details of the Work Undertaken over the Last Six Months:

Review of the CSE Partnership Improvement Plan The CSE Partnership Improvement Plan which was developed in April 2015 incorporating the recommendations made from the OFSTED Single Inspection 2014, Peer Review 2014-15, Rotherham Report among other key documents, is regularly reviewed by the Head of Safeguarding and Quality Assurance, the Exploitation and Vulnerabilities Coordinator and the subgroup. This was last considered in detail on the 8th of December 2016. A total of 108 recommendations are included in this plan, of which 8 remain for it to be fully completed. Work has commenced on these 8 actions and they will be completed before the end of March 2017.

Single And Multi-Agency Audits Of Children Exposed To Child Sexual Exploitation

A single agency audit of all children within the MASE cohort was undertaken by Children’s Social Care in January 2016 and finalised after learning events were held with practitioners in April 16. The HSCB then undertook a multi-agency audit between May and June 2016. This included all agencies involved with 4 children identified on the MASE cohort and fitting the descriptions outlined in the OFSTED JTAI requirements, completing self-assessment of their work. Two learning events were held including the views of the children identified to consider the outcomes of the audits completed, best practice and areas for learning. The events were well attended and feedback from practitioners about best practice and the challenges were recorded. A comprehensive overview report was presented to the September sub-group for consideration and finalisation. This report evidences Hounslow’s journey of learning and improvement between the peer review in 2014 and these audits in June 2016 and includes the next steps. All agencies involved in the multi-agency audit are aware of the learning and recommendations in the report and should already be taking the necessary steps to address them.

The Implementation Of The CSE Champions Programs Within The Borough The CSE Champions program was implemented during the last 6 months with champions identified from numerous agencies across the Borough including several primary and secondary schools. On top of increasing awareness and facilitating ongoing work with CSE, the champions will also act as a conduit between the Exploitation and Vulnerabilities Coordinator and the Board in facilitating information, learning and any areas of vulnerabilities or gaps that require further action. The Exploitation and Vulnerabilities Coordinator (EAVC) has largely driven this work with the support and assistance of the CSE sub group.

The Start Of NSPCC PANTS Campaign A working group of the sub group was set up in July 2016 to begin planning the launch of the NSPCC PANTS campaign targeting children under the age of 12. This is similar to the work that was undertaken by the Chelsea’s Choice program launched within the Borough last year to raise awareness in secondary schools. The NSPCC PANTS campaign will be officially launched in January 2017 and will initially target primary schools and early settings, before additional events are held for faith and community groups towards the end of 2017.

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Improved Data Collection Through The MASE Panel And Children’s Social Care Systems

The sub group has been presented with data on a regular basis of all children considered at the MASE panel. Over the last six months, data recording has improved and become more effective, it is provided with a summary of progress by the EAVC. There are currently 17 children who fit the MASE cohort. This is lower than the numbers from last January (23). The current MASE cohort represents 8 LAC, 5 on CP Plan and 4 Child In Need. There are 16 females and 1 male, aged between 12-17 years and largely their ethnicity being White British (12) or White other (2) . There has previously been a higher number of LAC children on the MASE, however the number of children at home has increased over the last few months, which is evidence of greater recognition of CSE risks across children in Hounslow, long before a child becomes looked after. There has also been an increase in the number of cases presented to the MASE panel where there are CSE risks associated to young people through their peers. There have been case discussion groups set up where social workers allocated to associating peers discuss risks, share intelligence in order to ensure a more co-ordinated and shared approach to manage risks and behaviours. When the MASE panel was first developed children’s names were on occasion taken off MASE sooner than was appropriate for that child. This resulted in re-referrals. This process has been revised and improved and children are kept on the MASE panel until there is evidence that there has been a reduction in CSE risk, which has been sustained for a period of time. The MASE panel, is followed by a MASE intelligence meeting to ensure that key intelligence, in relation to people of concern, locations and hotspots is shared and acted on as required.

Revised CSE Strategy The CSE strategy for Hounslow was revised in April 2016 and finalised in October 2016. It was shared with the sub group for review in December 2016 and approved for dissemination. It includes the links with services offered to adults vulnerable to sexual exploitation. This is now included on the Board’s website.

Revised CSE Screening Tool The CSE screening tool has been revised to make it simpler and easier to use. The tool has been amended to include vulnerabilities to both boys and girls as part of a drive to ensure that boys who are victims of CSE are more effectively identified. There is evidence of increased awareness of CSE across the partnership and use of the CSE screening tool to consider and assess risk. More agencies are completing the tool now as part of their referral into Social Care.

Input From Children And Young People The Youth Participation Service have provided feedback on the design of the CSE leaflets. These leaflets were shared at the December sub-group. It is intended that these leaflets will be translated into one language other than English (the most prominent in Hounslow) before the end of March 2017. The Children in Care Council assisted in the development of a safety planning tool, which can be used with children / young people when creating safety plans for CSE, Missing and other risks. The safety plan tool is now embedded in LCS for ease of access by Children’s Social Care.

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Reporting to the Health and Well-Being Board and Council Members The Chair of the Hounslow Safeguarding Children Board and the CSE subgroup has regularly reported to the Health and Well-being Board, ensuring that feedback about the work undertaken and the progress of the CSE Partnership Improvement Plan has been shared. The Exploitation and Vulnerabilities Coordinator with the support of the Head of Safeguarding and Quality Assurance has also reported the same to the CSE Strategic Group made up of the Chief Executive of the Council and Councillors for the Borough.

Continued Learning And Development Activities About CSE Across The Borough

The Exploitation and Vulnerabilities Coordinator in partnership with Police colleagues and other partners has been involved with numerous learning and training events including:

Supporting police in their on-going awareness through Operation Makesafe,

targeting taxi firms, licensed businesses and hoteliers.

Delivery of the HSCB CSE Multi Agency Training.

Training staff on the LCS CSE Workspace. Overseeing, monitoring and co-

ordination of the CSE workspace.

Delivering CSE Briefings to teams within Children’s Services, including, Social

work teams, Youth Offending, Children with Disabilities, Fostering, Residential

Services, Youth Services, Children’s Centres, Family Support and Early

Intervention Services.

Delivering CSE Briefings to Health and Education professionals including,

Education Welfare, Education Psychologists, Head teachers Twilight Briefing,

PSHE School Co-ordinators, Health Visitors, Family Nurses, School Nurses,

Health Network, GP’s.

Delivering CSE Briefings to teams across the Council Directorate, including

Housing, Enforcement Teams, Caretakers, Hounslow Highways, Licensing,

Trading Standards, Noise, Health and Safety, Domestic Violence Outreach

Service, Planning.

Delivering CSE Awareness Briefings within community and faith groups.

Attendance at key CSE Awareness raising events i.e. - CSE National

Awareness Day, Chelsea Choice productions.

Organising and co-ordinating the West London Alliance CSE Co-Ordinators

meetings scheduled to meet four times a year. Establishing links and contacts

with other CSE Co-ordinators to share and learn from experiences.

Review of the sub group’s status The CSE sub-group was initially a part of the Missing and Vulnerable Sub Group and became a sub group of its own in April 2015 to focus the work on CSE in Hounslow and was intended to be time limited. With the commitment of the Exploitation and Vulnerabilities Coordinator and the multi-agency partners the majority of the CSE work plan has been implemented. In the sub-group meeting in September 2016, it was proposed that the CSE subgroup should now be incorporated back into the Missing and Vulnerable sub-group, given that it has undertaken considerable work and implemented majority of the work plan. All sub-

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group members agreed this and Board approval was given in November to proceed with closing the CSE subgroup in December 2016. A review of the terms of reference, subgroup membership, work plans and the ongoing work for both the CSE and MAV sub groups was undertaken at the December meetings. As such, as of the 8th of December 2016 (the last CSE subgroup), the remaining actions of the current CSE work plan will become part of the Missing and Vulnerable Sub Group and the membership will be reflective of the relevant partners key to CSE as well as the MAV children. The chair of the MAV subgroup is Jennifer Hopper (Head of Troubled Families and Edge of Care) and the deputy will be Lara Wood (Head of Safeguarding and Quality Assurance).

Consideration of the HMIC Inspection Report (HSCB Board Meeting 30th January 2017)

At the Board meeting on January 30th 2017, an overview of the HMIC Inspection and its implications for safeguarding children in Hounslow was provided by the DCI for Hounslow. Assurances were provided that there were no safeguarding implications for any of the children identified in the report.

Challenges:

At present, Hounslow does not have any CSE information translated into other languages. This is currently being explored and includes several options such as local practitioners in Hounslow translating the leaflets.

A dedicated advocacy service that is accessible to all young people subject or vulnerable to sexual exploitation is not available in Hounslow. However, Children’s Social Care are exploring if an existing application can be utilised as one method of getting access to advocacy. There are also counselling and support services which do not specifically provide advocacy but are able to advocate on behalf of children including victims of CSE. Children’s Social Care have a commissioned advocacy service for Looked after Children which provides advise, support and counselling services and can advocate for children and young people when required.

On-going Work:

Improving the quality of and understanding the data pertaining to Children missing from home, care and education is an area of work that the sub group is currently working on.

Single agency audits of 8 missing children were undertaken in October 16. This audit showed good partnership work when seeking to locate missing children. The audit however showed a lack of consistent use of grab packs and Return Interviews. Work is currently underway to improve and embed this practice. Work is being undertaken between the Police and Children Social Care to look at a process for sharing and utilising return interview information to inform police intelligence and actions. The safety plan, grab-pack and return interview forms are being embedded on the Children’s Social Care recording system to make the process more effective and to improve data collection.

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Further work is being undertaken to increase awareness of the steps to take when a child is missing from home, care or education. A workflow has been devised to guide practitioner in Hounslow for this purpose. The London Child Protection procedures continue to be applied to these cases whilst these improvements are embedded.

There is a small working group developing an e-safety policy for Hounslow. Information from the NSPCC and schools who are leaders in e-Safety policies will be consulted as part of this process.

A Learning Event, which focused on safeguarding children, was held during the week beginning the 21st of November 2016. Numerous events were facilitated in schools and early years settings across the borough focusing on raising awareness of and protecting children from Child Sexual Exploitation and Abuse. The event linked in with the NSPCC PANTS campaign and related material was distributed during this week. More than 600 parents and carers attended the various setting during this week and were interested in understanding more about safeguarding children from sexual harm. Further events to promote awareness of safeguarding children will be considered by the HSCB over the next few months.

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MISSING AND VULNERABLE SUB GROUP WORKPLAN 2016-17 (REVISED DECEMBER 2016)


Timeframe

Partnership Working (O3) Sub group chair

BM

BM




Enhance the relationship between the HSCB and Voluntary & Independent Sector, Faith & Community Sector to promote safeguarding through consultation events and participation in HSCB training events.

Ongoing Ongoing Ongoing

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BM / Sub group Chair

Discuss learning, policy changes and implications from National and local Serious Case Reviews, thematic reviews (inspection) and case learnings and share with the board as appropriate.

Discuss / scrutinise the relevant areas of learning from the Section 175 /157 and 11 audits and implement actions as required.

Consider key areas of data from the HSCB data set and identify themes and trends for learning reviews of both good practice and where outcomes could have been improved.

Implement the Quality Assurance and Learning Framework based on the remit of the sub-groups work plan and Terms of Reference.

March 2017 Ongoing Ongoing


Sub Group / BM

Develop and Implement E-Safety strategy in partnership with local communities, young people, school and other relevant partner agencies.

To continue to monitor the use of the revised Child Sexual Exploitation Strategy.

Participate and contribute in the development of the Familial Sexual Abuse Prevention Plan.

June 2016 October 2016 October 2016


Sub group chair

Be sighted on changes to the VAWG strategy, which addresses FGM and Forced Marriage and to be assured that changes are implemented effectively.

Be sighted on changes the Community Safety Partnership Strategy and to be assured that changes are implemented effectively.

To be assured that the Training sub-group are facilitating learning opportunities with community groups, ensuring improved awareness of legislation and procedures, relating to their area of work in line with Working Together 2015.

December 2016 / ongoing October 2016 October 2016

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Sub group chair


Seek opportunities to include HSCB input into key strategies and plans targeting the needs of children with hidden and severe disabilities and mental illness.

Ongoing Ongoing

Protect Children from Neglect (P3) BM Develop and implement a neglect strategy. October 2016

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Reviewed November 2016 10


Missing and Vulnerable Sub Group

Terms of Reference Purpose: The Missing and Vulnerable Subgroup (MAV) meets bi-monthly and was established in response to Local and National issues arising from an acknowledgement of specific areas of concern and vulnerability for children and young people. These include Missing, Gangs, Forced marriage, Sexual Exploitation, FGM, Radicalisation and Extremism and Trafficking. The role of this subgroup is to consider both local and national issues and facilitate appropriate responses and actions accordingly. Terms of Reference:

1. To work with members of the Board and partner agencies to ensure that there

is improved awareness of factors that cause children and young people to go

missing including sexual exploitation, gang activity, forced marriage,

trafficking, female genital mutilation, radicalisation and extremism.

2. To receive, review and challenge reports on numbers, trends and activities for vulnerable children in Hounslow

3. To establish if there is sufficient capacity is services to meet the short and long term needs of the young people who are vulnerable to exploitation.

4. To monitor the implementation of procedures relating to children missing from home, care and education.

5. To compare and analyse from a multi-agency perspective the data, circumstances and vulnerabilities of children, including data on Child Sexual Exploitation.

6. To ensure that strategy and policy developments impact on the quality of the provision of services to vulnerable young people

7. To continue to monitor the use of the revised Child Sexual Exploitation Strategy.

8. To ensure the completion of the Partnership Improvement Plan. 9. To contribute to the Business Plan of the Board 10. To contribute to the annual report of the Board

Membership:

Head of Service, Troubled Families, and Edge of Care, Children’s Social Care (Chair)

Head of Safeguarding Children and Quality Assurance, Children’s Social Care (Deputy Chair)

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Reviewed November 2016 11

Safeguarding Team Manager, Children’s Social Care

Exploitation and Vulnerabilities Coordinator, Children’s Social Care

Area Manager, Youth Offending Service

Representative, Social Work Team for Children with Disabilities, Children’s Services

Senior Education Adviser Vulnerable Groups, Children’s Services

Representative, Early Intervention Service, Children’s Services

Head teacher, Isleworth Town Primary School

Senior Assistant Head teacher. Lampton School

Named Nurse for Safeguarding, WLMHT

Designated Nurse for Safeguarding Children, Hounslow CCG

Community Safety Manager, LB Hounslow

DI CAIT Police

DCI, Hounslow Borough Metropolitan Police

HSCB Business Manager Other identified members / agencies to remain as virtual members and to be invited to contribute or attend as necessary:

Designate Paediatrician for Safeguarding Children, Hounslow CCG

HSCB Training & Development Manager

Representative, NSPCC NSPCC PANTS Working Group Membership:

Senior Education Adviser Vulnerable Groups, Children’s Services (Chair)

HSCB Training & Development Manager

HSCB Business Manager

Head of Safeguarding Children and Quality Assurance, Children’s Social Care

Exploitation and Vulnerabilities Coordinator, Children’s Social Care

Team Leader, Early Years Advisory Team, Children’s Services

Coordinator, Helping HANDZ & Parent Partnership Service, Children’s Services

Senior Public Health Commissioning Manager, Public Health, LB Hounslow

Communications Manager, Children’s, Housing, Adults Services, LB Hounslow

Representative, NSPCC

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Item 6



No

Title Corporate Parenting – Outcomes for Children in Care

Member Reporting Councillor Bruce, Cabinet Member for Education and Children's Services

Contact Details Moksuda Uddin, Head of Corporate Parenting, Children's Safeguarding & Specialist Services Moksuda Uddin [email protected] and Anne Fitz-Patrick Head of Corporate Parenting, Children's Safeguarding & Specialist Services [email protected]




N/A

Affected Wards All

Keywords/Index Looked After Children, Care Leavers, Corporate Parenting


Members are asked to note the following:

The profile of the looked after children in Hounslow in terms of age, gender, and ethnicity, and the particular needs and challenges presented.

Educational attainments and academic outcomes of looked after children with national level comparisons to help understand performance and local trends.

The health and well-being of children and how this compares to other children in the borough and out of the borough. This includes looking at how stable and secure the lives of the children are while in care.

The level of support offered to young people leaving care and outcomes of young people formerly in care.

The effectiveness of our commissioned services in addressing identified needs of children in care while offering value for money. To look at cost comparisons of how our local services compare with other boroughs.


Benefits to residents and reasons why they will benefit, link to Values

Dates by which they can expect to notice a difference

Not applicable

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Agenda Item 6

mailto:[email protected]


2

2. Report Summary

2.1 Introduction 1. The Corporate Parenting Service has the responsibility to fulfil the legal duties under

The Children Act 1989, Children Act 2004, Leaving Care Act 2000 and the Children and Young Persons Act 2008. The term Corporate Parenting is used widely to describe the duties and responsibilities associated within these Acts.

2. This report will provide an overview of the effectiveness of the Corporate Parenting Service in relation to the outcomes of looked after children (LAC) and care leavers. It will highlight key achievements in the service particularly since the last OFSTED inspection and since the re-structure in 2014. It will also draw on the feedback and participation of the young people and other service users to identify the challenges and areas for development.

3. The aim of the service is to provide a first-class, child-centred, and seamless service

that supports the best possible outcome for children and young people in care.

4. This report has been written in conjunction with a power point presentation for panel on the profile of Hounslow’s looked after children.

2.2 Summary The Corporate Parenting Service was reconfigured in 2014 with the establishment of three core teams to undertake all statutory duties and responsibilities of the corporate parenting service:

Through Care Team (0 – 17)

Late Entry Team (14 – 17)

Leaving Care Service (18 – 21, or up to 25 if in higher education). The ‘Through Care Team’ undertakes work with children to provide continuity of care through stable social work support until they reach 18 years of age. The ‘Late Entry Team’ is responsible for older children who come into care at age 14+ and supports them towards rehabilitation (where appropriate) as well planning for permanency. The team also take referrals of all unaccompanied minors and children who are subject to the ‘Southwark Judgement’ ruling (16 – 17 year olds with Housing needs). The Leaving Care Service works with all 18+ care leavers who require support through exiting the care system and transition to adult services. All looked after children (LAC) or young persons have an allocated social worker and a Care Plan around their current and future needs. These Care Plans are reviewed independently by the Independent Reviewing Officers (IROs) to monitor progress and outcomes, of which 83% are taking place within the statutory timescales. Similarly, the care leavers have Personal Advisors who support young people from the age of 18 to 21, or 25 if they are in education, with a Pathway Plan in place. These plans are monitored and reviewed by the Personal Advisor and his or her manager, or independently by an IRO if it is the first plan post 18.

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Since the last OFSTED inspection a number of improvements have been made in all areas of the Corporate Parenting Service. Recommendations from the inspection have been implemented to re-focus on practice and improve the experience of looked after children and care leavers. The service took a proactive role to improve partnership and collaborate with a range of agencies and networks. There was a drive to sharpen practice, improve management and leadership and build better collaboration with an openness to challenge. This is now a much improved service with good working relationships between key agencies such as Housing, Health, Education, the voluntary sector and commissioned services. Over the last two years, practice has improved and staff feel much more supported. There is evidence of quality intervention, better planning and a ‘team around the child/young person’ model of practice. Significant progress has also been made in assessing the risks of the most vulnerable children in the system especially missing children and children subject to sexual exploitation (CSE). 2.3 OFSTED – Single Inspection Framework 2014 Following the last inspection the Corporate Parenting Service has worked effectively to achieve the following:

Ensure that Hounslow is looking after the right children at the right time with the right outcomes.

Care proceedings initiated on children who were Section 20 and where the local authority is required to have ‘parental responsibility’ to make major decisions around their welfare.

Out of borough children were returned to local placements, as long as it was in their best interests to do so.

Placements at Bed & Breakfast and other accommodation provisions were reviewed to ensure that children and young people were moved from unsuitable accommodation to suitable accommodation.

A robust framework put in place to focus on costs, efficiency, and value for money.

Strong management and leadership put in place to ensure cases had good quality management oversight and decision-making.

A revised model and workflow for missing children and children subject to sexual exploitation (CSE).

Established the Virtual College to improve the educational outcomes for looked after children and care leavers.

2.4 Placement Outcomes We have a stable number of looked after children at 286, with the majority of children placed in Hounslow or nearby boroughs. Only 18% children are currently placed more than 20 miles away, compared to 22% in 2014. The large majority of them are placed with foster carers, with only 16 children placed in residential units, 5 of which are children with disabilities and 4 of which are children with complex needs such as mental health issues. There are currently 8 children who are placed beyond 100 miles away, 4 of whom are matched with long-term foster carers. The tables below show that over 50% of LAC that Hounslow were responsible for as at 31

March 2016 and as at 31 December 2016, were placed outside of the LAs boundary (this

figure includes the children placed within a 20 mile radius of the borough mentioned above).

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Figures are in line with Outer London where 57% of the LAC as at 31 March 2016 were

placed outside of the LA’s boundary. England however, reported a higher proportion of

LAC placed inside the LA boundary.

All placements are sourced through the Placements Team and processes are in place to negotiate the most appropriate placement to meet the child’s needs. Only providers with an OFSTED rating of “good” or “outstanding” are considered and placements are only made away from the borough if local options are not available or it is necessary to meet the child’s specific needs or ensure their safety. We have also increased our range of suitable placements for care leavers through “Staying Put” arrangements where young people can remain with their existing carers up to the age of 21. Currently there are 8 care leavers in this type of provision. There are two in house residential provisions within Hounslow – The Ride and Westbrook both have been rated as Good by Ofsted. The Ride was last inspected in October 2016 and the inspectors were very impressed by the young people’s experience of the care they received from the unit. The inspection outcome was Good in all areas and Outstanding for leadership and management. 2.5 Outcomes for Care Leavers The Leaving Care Service was identified as an area that required improvement. At the time of the inspection (January 2014) morale was low and staff felt unsupported and disconnected from the rest of the service. A major overhaul of the service resulted in the team being relocated at the Civic Centre with clear lines of accountability and transparency. Significant improvements have since been made to stabilise the team, create additional social work management capacity along with a clearer focus on more purposeful interventions for care leavers. The Pathway Plans have improved with the majority being completed within timescales, the recently introduced involvement of the Independent Reviewing Officer (IRO) to oversee the first post 18 Pathway Plan has contributed to improved care planning. Transition and communication across the services have also improved with cases being referred to the Leaving Care Service much earlier and joint work commencing between the personal advisor and the social worker well before the young person turns 18. There has been a drive by senior management to reconfigure the service to draw in multi-agency partners to develop a “Team Around the Child/Young Person” model including:

Department for Work and Pensions (Benefits)

Future Paths (Coaching for young people who are not in education, employment or training – NEET)

Recruitment of a second Looked After Children’s (LAC) Nurse

as at 31 December 2016

Placement Location Code

Number of children

% of children

IN 123 43%

OUT 163 57%

Grand Total 286

as at 31 March 2016

LAC as at 31 March 2016 IN Borough

Out of Borough

Hounslow 47% 53%

England 60% 40%

Outer London 43% 57%

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Adult Mental Health Social Worker – to improve transition between Children’s and Adults’ social care

The establishment of the Virtual College

The Grand Mentor scheme – providing post 18 mentoring support 2.6 Education, Employment and Training (EET) and those who are Not in Education, Employment and Training (NEET) Table 1 shows the percentage of care leavers who are in Education, Employment and Training (EET) and those who are Not in Education, Employment and Training (NEET). The rate of NEET among the care leaver population tends to be much higher than the NEET rate in the general population and the most recent data shows that the rate of NEET at the end of 2016 was 43%. The trend has been a rising one over the whole of 2016 and reducing the proportion of care leavers who are NEET is a significant challenge for Hounslow. Table 1: Percentage of EET/NEET Care Leavers from Sep 2015 to Dec 2016 % of Care Leavers

Sep-15 Nov-15 Jan-16 Sep-16 Oct-16 Nov-16 Dec-16

EET 60% 62% 64% 62% 59% 57% 57%

NEET 40% 38% 36% 38% 41% 43% 43%

Total Number

314 297 308 309 306 306 304

Housing is a key partner in achieving appropriate housing for care leavers. Young people are now receiving more direct offers or LIN numbers (to bid for Housing), although this is still an area of development. Pen Picture: ZL

ZL – 20 year old female ZL had experienced a difficult childhood and has had a number of placements. She had

been living in a semi-independent accommodation and was bidding for her own

permanent accommodation. The bidding process was protracted and as she was

nearing the age of 21 her case was due to be closed in the team. Her Personal Adviser

took her case back to the Housing Panel to request a direct offer. This request was

agreed and ZL successfully moved into a one bedroomed flat in December 2016. ZL is

now an independent young women, working full time, with a good support network

around her.

2.7 Participation Service and Children in Care Council The Participation Service, situated within the heart of the Corporate Parenting Service, aims to ensure that children and young people in care and care leavers have a voice and can effectively influence policy and practice within Corporate Parenting and Children’s Services. The Participation Service also aims to provide engagement and enrichment activities, giving young people the opportunity to socialise with other experienced young people, develop skills and qualities such as resilience and self-esteem and engage in training opportunities.

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The Children In Care Council is the main forum in which young people are able to influence policy and practice. For example, in 2016 children in care and care leavers took part in the annual survey, giving feedback on their care experience and making suggestions on how to improve things such as reducing stress and anxiety during transitions from changing placements and leaving care. In response to this, an action in the annual survey monitoring plan is for social workers to develop a checklist to carry out with young people when they enter a new home, which should include considering things from a young person’s perspective, such as "can I help myself to food?" or “get up during the night for a drink?” Other activities include young people taking part in interviews for social workers and some of them were part of the interview process in recruiting our new Head of Service for Corporate Parenting and the Participation Officer. They have participated in several consultations and given input to research for organisations such as the Who Cares? Trust now Become, and were consulted on the new service specification for the Life Project to provide supported accommodation in Hounslow. Total Respect training is delivered by experienced young people, giving professionals the chance to hear first-hand the effect of social care practice and engages them in activities designed to enhance their practice and ability to keep young people’s experiences at the centre of their work. Over the last year, a range of enrichment and training opportunities have been delivered. These included activities such as visiting the London dungeons, trampolining, drop-in sessions with arts and music tutors and an independence training workshop. This February half-term a money management course will be delivered. There is a UASC group once a month providing support and skills and a chance for them to meet with young people with similar experiences. Over the next year, it is planned to build on our successes, increase participation on our Children in Care Council and develop a Care Leavers’ forum. There will be monitoring of the implementation of actions from the 2016 annual survey and developing and consulting with young people again for our 2017 annual survey. Diversifying the way engagement with our young people is undertaken which will include social media, a revamped magazine and a new website page aims to reach a wider audience. There are a range of engagement activities planned for the coming year including residential trips in April and August. These aim to build confidence, self-esteem and resilience, as well as independent living skills. As the service continues to be shaped by the voice and needs of young people there will be more additions to report back on this time next year. 2.8 Corporate Parenting Panel Hounslow’s Corporate Parenting Panel was originally established in 2001 with representatives from elected members, senior officers, partners and representatives from the Children in Care Council who meet together on a quarterly basis. The Panel is chaired by the Cabinet Member for Education and Children’s Services. There is an agenda which is part of a forward plan that is agreed following consultation with looked after children, care leavers and elected members and there are minutes of the Panel meetings to record discussion and decisions. The Corporate Parenting Panel is responsible for driving significant improvements and developments to ensure that looked

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after children, young people and care leavers receive high quality care and services that meet their needs, support their progress and deliver positive outcomes. The Corporate Parenting Panel ensures that key issues and developments are well communicated and highlighted as part of the local governance arrangements for Children's Services. The Panel met four times last year and was attended by Councilors, council officers, invited guests and young people themselves. The young people who have attended have given positive feedback about their involvement. They see it not only as a way for their voice to be heard at the highest level but a good opportunity to see how the council works and how officers are held to account. Throughout the year the young people have reported enjoying delivering interactive elements during their young people's slot and they have led focus group activities to find out members’ views.

Quotes from young people

"The reason I come to CPP is because I want to know what is happening and to

make everyone's voices heard."

"I come to CPP meetings to gain insight of how professionals deal with things and

how the system can be made better.”

"Coming to CPP allows me to reflect and think about how things are being dealt with

and how hard some people work."

“You see that people actually care, they want to make a difference and change

things for us.”

2.9 Unaccompanied Asylum Seeking Children (UASC) The Corporate Parenting Service continues to support all unaccompanied minors who arrive through the Croydon rota or Calais UASC routes. The service has voluntarily accommodated four of the recent Calais UASC alongside three “Dublin 3” children (children who were reunited with their families). We are currently supporting 46 UASC children under the age of 18, with a further 60 young people aged 18 and above. Hounslow has now exceeded its capacity of 0.07% on the Home Office calculation. However, despite this Hounslow continues to take children under the Croydon rota and continues to support children who arrive in the borough unannounced often reporting to the local police station. The social workers meet these children on arrival, undertake age assessments and then refer them to Croydon for dispersal via the rota. Over the last two years the Corporate Parenting Service has developed a degree of expertise and skills in this area. The social workers (Late Entry Team) have been trained to undertake ‘Age Assessments’ and ‘Human Rights Assessments’ (HRA), which take into account the impact of separation, loss and trauma on the UASCs. Pen Picture: AK a UASC, wrote about his journey to the UK, then aged 15

Last year was very special. I crossed the Mediterranean Sea by myself for the first time. I

was very nervous but it was really impressive.

First, I took a taxi to Tripoli. Then, I took small boat with 200 other people. After that we

started crossing the sea. And then the boy next to me fell down for a moment. I didn’t

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know if he fainted or was dead, but then I saw that he was covering his eyes so he didn’t

have to see the waves any more.

A pregnant woman vomited and started screaming. Below the deck, people were

shouting that they couldn’t breathe. So the man in charge of the boat went down and

started beating them.

By the time we saw a rescue helicopter, it was two days after our boat had left Libya with

200 passengers on board. Some people were already dead. It is very difficult for me to

think about this but it’s very important for people to understand what happened then.

I hope you will enjoy it and that it makes you sad as well.

2.10 Missing/Child Sexual Exploitation Significant progress has been made on children missing from care and those who are at high risk of sexual exploitation (CSE). A comprehensive workflow is in place to track missing children and ensure action is taken promptly to assess immediate risks, locate the child and inform key parties. This often happens immediately after the alert is received via the Emergency Duty Team (EDT) which is sent daily. The activities include holding an urgent strategy discussion with the Police, completing ‘grab packs’ (essential information on the child), briefing senior managers and key professionals. Return interviews are conducted as soon as the child is located or found. In the more complex cases multi-agency strategy meetings would be held within 48 hours and referrals made to the MASE panel in cases where there is a concern around sexual exploitation. Pen Picture: MS

MS is now an eighteen year old young adult who recently became a mother. She has had a troubled adolescent life due to misusing alcohol and drugs, behaving in a manner that exposed her to risky situations and raising concerns of Child Sexual Exploitation (CSE). There were concerns that she was associating with older men who were providing her with drugs and alcohol. MS’s behaviour deteriorated while in her mother’s care culminating in her exclusion from the home and sofa surfing, before she was accommodated by the local authority. However, her continued missing episodes, association with older males and risk of CSE made the semi-independent accommodation untenable. A decision was made by the Head of Corporate Parenting to place MS in a therapeutic residential placement that will best suit her individual needs. Significant changes were noted within weeks of MS being at the placement as she was receiving consistent and appropriate service, reducing the risk of alcohol, drugs, CSE or going missing MS received support with her drug and alcohol use, and developed resilience to peer

pressure, which helped her to understand the risks around sexual exploitation and how

to keep herself safe. What is worth noting is that MS said; ‘for the first time, she will be

well cared for and not have the full responsibility to looking after herself’.

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2.11 Education All looked after children are required to have a Personal Education Plan (PEP) to ensure that their educational targets are set with a support plan in place. The PEPs are monitored very closely by the Virtual College and the social worker every six months. Hounslow’s target is to achieve 85% compliance with PEPs. Following the last review of PEPs, changes have been made to introduce a new ePEP system (an electronic database) incorporating Health information, Special Educational Needs (SEN) status and outcomes form Strengths and Difficulties Questionnaires (SDQs). A Pupil Premium Grant (PPG) of up to £1,900 per looked after child can also be allocated to the children to fund interventions to support their learning. Key Stage 2 Table 2 shows the Key Stage 2 results, comparing the performance of Hounslow LAC with all children in Hounslow schools. In comparison with Hounslow All Pupils, Hounslow LAC have done particularly well in reading, outperforming the Hounslow general population by 8 percentage points. In writing Hounslow LAC performance at 63% was below the outcome of Hounslow All Pupils by 17 percentage points. Also in grammar, punctuation and spelling Hounslow LAC were 17 percentage points lower than Hounslow All. In mathematics, the performance of Hounslow LAC at 50% was 27 percentage points lower than that of Hounslow All. Care should be exercised when analysing the outcomes for such a small cohort with only eight children. Table 2: Percentage of LAC achieving the expected standard in comparison to Hounslow all.

Key Stage 2 Hounslow

LAC Hounslow All

Pupils Difference in

% points

% achieving the expected standard: 2016 2016 +/-

Cohort number 8 2,779

Reading 75% 67% 8%

Grammar, Punctuation & Spelling 63% 80% -17%

Mathematics 50% 77% -27%

Writing TA 63% 80% -15%

Reading, Writing and Maths 38% 59% -19%

Source: OC 2 Dataset 2016. Notes: At the time of writing, national and Outer London benchmarks for LAC performance are currently unavailable for the 2016 outturns, as their publication date has been delayed by the DfE until March 2017.

Key Stage 4 There were 30 LAC in the OC 2 cohort eligible for GCSE and equivalent examinations at the end of Key Stage 4 in 2015/16, compared with 22 in 2014/15 and 26 in 2013/14. Table 3 shows the percentage of the looked after cohort achieving 5+ A* - C (Incl. English & Maths) over the last four years, comparing the performance of Hounslow LAC with outer London LAC and the national LAC cohort from previous years. The performance of Hounslow LAC on this GCSE measure in 2015/16 remains high and at 26.7% is almost twice the performance of LAC nationally (15.0%) in 2015, the last year for which we have benchmarking data.

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Table 3: Percentage achieving 5+ A* - C GCSEs including English and maths from 2012/13 to 2015/16

Area and benchmark % 5+ A* - C (Incl. English & maths)

2012/13 2013/14 2014/15 2015/16

Number in LAC Cohort 31 26 22 30

Hounslow LAC 16.1% 19.2% 27.3% 26.7%

Outer London LAC 18.1% 17.7% 13.8% N/A

National LAC 15.3% 14.4% 15.0% N/A Source: OC 2 Datasets 2013 to 2016 and DfE Statistical First Releases. Notes: At the time of writing, national and Outer London benchmarks for LAC performance are currently unavailable for the 2016 outturns, as their publication date has been delayed by the DfE until March 2017.

Recently, the Kids in Care Awards was jointly held with social care and the virtual school

to celebrate the educational achievements of the looked after children. The event was

organised well and the children, young people and professionals enjoyed the evening,

which was full of fun and appreciation.

Pen Picture: ZH now age 23

ZH came into care in 2010. She obtained impressive grades at GCSE and A levels, and completed a Level 2 Public Services course alongside a Level 3 BTEC in Dance. ZH wanted to join the army as this was the route she decided to pursue after completing her degree. Children’s Services supported ZH with £2,000 over a 3-year period and provided accommodation during holiday periods when she wanted to return. Although there were a few hiccups along the way, ZH graduated with a FIRST. ZH has travelled to Rome and written an article in ‘Chill out’. She was also chosen for Journey of A Life Time in 2012 and travelled to Latin America as part of this experience.

2.12 Health Achieving good health for the looked after children remains a very high priority for the service. It forms an integral part of the child’s well-being and development and this is recognised within the individual Care Plan of each and every child. It is a statutory requirement for all LAC to have health assessments within their specified timescale as part of their overall Care Plan. Over the last two years our performance in medicals has improved, however there has been a recent drop in performance at 72% against previous performance of 90%. This is being reviewed by an operational working group led by the Head of Corporate Parenting. Whilst it is recognised that some children, especially those over the age of 16 are deciding not to have a medical, and it is their right to do so, this information will feed into the working group. However, the service continues to perform well in regard to emotional and mental health needs and the SDQ 15/16 out return rate of 99% provided a helpful window into this crucial area. 2.13 Commissioning & Value for Money The Corporate Parenting Service has a range of commissioned service to provide efficient and accessible services that meet the needs of the young people. The LIFE project has recently been approved to provide supported accommodation to young people with a range of complex needs such as mental health issues or substance misuse.

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Hounslow is working with the West London Alliance (WLA) to help deliver strategic priorities including tendering for semi-independent placements, Independent Fostering Agencies (IFA) and external residential care. The aim of the combined purchasing power helps to improve price control and quality assurance and encourage more high quality providers to develop services in the West London area. In 2016/17 the West London Alliance is tendering the framework for Independent Fostering Agencies to establish a Dynamic Purchasing System which, in addition to enabling robust purchasing arrangements and quality assurance, aims to increase the number and quality of IFA placements available in the West London area. The sufficiency strategy is in draft for 2017-20 to look at the provision of placements for looked after children and care leavers. It will set out the current strategic context, the profile of Hounslow’s looked after children, including trends and projections and the challenges and plans to ensure sufficiency over the next 3 years. 2.14 Challenges Ahead

The ability to continuously meet the demands to take on Unaccompanied Asylum Seeking Children (UASC) who have become the responsibility of the UK Government.

Work with the Virtual College to improve Hounslow NEET, by getting more young people into education, employment and training.

Improve the range of housing provision for care leavers through more timely and appropriate allocation.

Develop the Corporate Parenting ‘Offer’ to include information on various aspects of their care including pocket money, sleepovers, travel allowances and the roles of the IRO, personal advisor, social worker and foster carer Refresh.

Work to improve the timeliness of LAC reviews

Refresh the Corporate Parenting strategy document 2017-2020.


Not applicable.

4. Key Implications

Not applicable.


Not applicable.

a) Financial Impact on the Budget

None.

b) Financial Background (optional)

Scrutiny has no financial decision-making powers. Any recommendations relevant to LB Hounslow that emerge from the discussions would be considered by Cabinet where there are implications for the Council.

c) Comments of the Assistant Director Strategic Finance

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The costs of Overview and Scrutiny activities must be met from within approved budgets.

6. Legal details/comments of the Head of Governance

None

7. Value for Money

Not applicable.


Not applicable.

9. Risk Management

Not applicable.


Through its role acting as a critical friend and in the review and development of policy, the Children & Young People Scrutiny Panel aims to support the Corporate Plan 2014-19 thematic priority: Brighter futures for our children - Providing the best start in life for our children and young people with improvements in health and education. Keeping them safe from harm to help inspire more fulfilling lives.


As part of Hounslow’s internal analysis of Children’s social care performance data, the indicators are analysed by a wide range contextual factors. These include analyses by gender, ethnicity and special educational needs and disability (SEND). This type of analysis ensures that the Corporate Parenting Service can identify any groups of children and young people who are over represented in those at risk of poor outcomes.

This work means that equality considerations can be reflected into the design of strategies and the delivery of services to improve outcomes for all children and young people in Hounslow, including the most vulnerable.

12. Staffing/Workforce and Accommodation implications

Not applicable.


Not applicable.


None.

15. Consultation

Not applicable.


Not applicable.

17. Appendices


None.

REPORT ENDS

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Children & Young People Scrutiny Panel

Outcomes for children in care

Children’s Services Performance and Data Team23 February 2017

251

Agenda Item

6a

Introduction

• This is a presentation on outcomes for Looked After Children (LAC)

• It covers a demographic overview for LAC and Care Leavers

• It highlights the outcomes for LAC, specifically:

o The number of LACo Health and wellbeingo Convictionso Placement stability and placement distanceo Adoptionso Educational performance

• Provides an overview of the role of the Corporate Parenting Panel

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Looked After Children

200

220

240

260

280

300

320

34020

11/1

2

2012

/13

2013

/14

2014

/15

2015

/16

Apr-

16

May

-16

Jun-

16

Jul-1

6

Aug-

16

Sep-

16

Oct

-16

Nov

-16

Dec-

16

Looked after children numbers 2011/12 to Dec 2016

Compared to London and national, our rate of LAC per 10,000 is lower.

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Demographics: Overview• At Dec 2016, Hounslow had 286 Looked After Children (LAC) and 189 Care

Leavers aged 17-21 years.

• From April to December 2016, there were 131 admissions into care:

• At Dec 2016, 45 of the 286 LAC (16%) were recorded as having a disability. Ofthese, 13 children (5%) were allocated to the Social Work Team for Childrenwith Disabilities (SWTCD).

• Of the school age (Nursery to Year 11) LAC population, 68 LAC (43%) havespecial educational needs, with either a statement, an Education, Health andCare Plan (EHCP) or are getting SEN support.

Age Banding Number %Under 5 years 30 23%5-9 years 25 19%10-15 years 44 34%16+ years 32 24%

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Demographics: LAC

Of the 286 Looked After Children as at 31 December 2016:

• Gender: 124 children (43%) were female and 162 children (57%) were male.

• Ethnicity: 53% were White, 15% Mixed Race, 13% Asian, 12% Black and 7% werereported as Other ethnicity. The proportion of Asian LAC was 21% lower than inthe general population, making Asian children the only under represented groupamong children in care.

• Legal Status of LAC:o 42% Full Care Ordero 10% Interim Care Ordero 35% of the children were accommodated under Section 20

• UASC: at Feb 2017, 43 children were Unaccompanied Asylum Seeking Children(UASC)o Of these, 34 children (79%) were aged 16-18 years, and nine were under 16.

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Demographics: Care Leavers

Of the 189 Care Leavers between April and December 2016:

• Gender: 66 young people (65%) were female and 123 young people (35%)were male.

• Age: 135 care leavers (71%) were aged 19-21 years and 54 (29%) were aged17-18 years.

• Suitable Accommodation: 132 relevant and former relevant care leavers(70%) were in suitable accommodation.o Our aim is to have a sufficient range of suitable placements.

• Education, Employment & Training (EET): 73 care leavers (39%) wereengaged in EET, 78 (41%) were NEET and 38 (20%) were not knowno Getting more care leavers into EET is an area we need to improve

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LAC health and wellbeing

Health Outcomes forLooked after Children

HounslowDec 2016*

Hounslow2015/16

England2015/16

Outer London2015/16

Dental Checks up to date 75% 90% 84% 90%

Health Assessments up todate 73% 91% 90% 93%

*Position as at 31 December 2016

Health Outcomes for children looked after continuously for 12 months

• More LAC have up to date dental and medical checks when they are placedin borough than out of borough.

257

LAC and Youth Offending

*2016/17: April to October 2016

Children looked after continuously for 12 months with legal convictions

LAC Convictions 2014/15 2015/16 2016/17*

Cohort: children aged 10+, and looked after continuouslyfor 12 months at year end 167 151 156

Number of children aged 10+ with a conviction 7 5 4

% of children aged 10+ with a conviction – Hounslow 4.2% 3.3% 2.6%

% of children aged 10+ with a conviction – Outer London 5.1% 5.9% -

% of children aged 10+ with a conviction – England 4.9% 5.0% -

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Placement stability

* as at 31 December 2016

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

2014/15 2015/16 2016/17*

LAC for more than 2.5 years aged 0-15,in the same placement for over 2 years

0%

2%

4%

6%

8%

10%

12%

2014/15 2015/16 2016/17*

LAC with 3 or more placements in theyear

259

LAC by distance

Distance Residential Fostering Other Total

Within 20 Miles 28 129 3 160

20-100 Miles 13 32 0 45

Over 100 Miles 2 4 2 8

Not Recorded 8 46 19 73Total 51 211 24 286% placed 20+ miles 29% 17% 8% 19%

Children looked After as at 31 December 2016 broken down by placement type anddistance from home to placement.

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Adoptions

0

5

10

15

20

25

2012/13 2013/14 2014/15 2015/16 2016/17*

Number of Adoptions from 2012/13 to 2016/17

CLA Adopted

Children Looked After and adopted between 2012/13 and 2016/17.

* April to December 2016

261

Educational performance – Key Stage 2

0%

25%

50%

75%

100%

Reading Grammar, Punctuationand Spelling

Mathematics Writing TA Reading, Writing andMaths

Key Stage 2 Performance of LAC v All Pupils in 2016% Achieving the Expected Standard

Hounslow LAC Hounslow All

• The cohort had 8 children in 2016.• Care should be exercised when analysing data on a small number of children.

NB: LAC benchmarking data for London and national is not available until March 2017.

262

Educational performance – Key Stage 4

0%

5%

10%

15%

20%

25%

30%

2012/13 2013/14 2014/15 2015/16

KS4: % of LAC achieving 5+ A*- C GCSEs including English and maths from2012/13 to 2015/16

Hounslow LAC Outer London LAC National LAC

• The cohort had 30 children in 2016.

NB: LAC benchmarking data for London and national in 2016/17 is not available until March 2017.

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Leadership

• Permanent Head of Corporate Parenting.

• A major restructure since OFSTED inspection in 2014 –considerable improvement work undertaken.

• Creation of three teams to improve child’s experienceand continuity of care.

• A drive to sharpen practice, focus on outcomes.

• Develop specialist skills specifically when working withUASC children

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Team Around the Child/Young Person• Virtual College – a key partner in achieving outcomes for YP in

education, training and employment (some challenges aheadaround NEET)

• Health (LAC Steering Group) – partnership with CCG/Healthcommissioning to improve health

• LAC Psychologists, LAC nurses and clinical social workers basedin Corporate Parenting (CP)

• A number of commissioned services and SLAs to improve accessto advocacy support (Coram), and mentoring and coachingsupport for young people

• Adult Mental Health Social Worker co-located in CP• Partnership with Housing (some key challenges)

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Participation Service

• Active participation of young people across a wide range offorums

• C&YP steering policy and practice forward

• Annual Survey – feedback directly influencing practice

• C&YP participating at Managers’ Forum, recruitment &selection, training

• Children in Care Council – re-launched, lots of progress madebut more on the way!

• Success stories shared…along with ideas for improvement

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Corporate Parenting Panel

• Overall governance and clear Terms of Reference

• Schedule of reports on performance of relevant servicese.g. adoption, fostering, residential

• Very well attended – good representation of YP

• C&YP very engaged and involved

• Commitment from senior management and ElectedMembers

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Challenges Ahead (1)

• Improve Hounslow’s NEET by getting more youngpeople into education, employment and training.

• Improve the range of housing provision for care leaversthrough more timely and appropriate allocation.

• To continuously meet the needs of UnaccompaniedAsylum Seeking Children (UASC)

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Challenges Ahead (2)

• Develop the Corporate Parenting ‘Offer’ to include informationon various aspects of their care such as:o pocket money and travel allowanceso sleepoverso the roles of the Independent Reviewing Officer (IRO),

personal advisor, social worker and foster carer Refresh

• Refresh the Corporate Parenting strategy document 2017-2020

• Work to improve the timeliness of LAC reviews

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Item 7



No

Title Findings and Recommendations from the Task and Finish Group: improving uptake of physical activity by children in the borough

Member Reporting Councillor Samia Chaudhary Chair of Children & Young People Scrutiny Panel

Contact Details Taru Jaroszynski, Policy and Scrutiny Officer, Office: 020 8583 2540, [email protected]




N/A

Affected Wards All

Keywords/Index Obesity; Physical activity; health


Members are asked to:

1.1. Comment on the Findings and Recommendations

1.2. Delegate responsibility to the Chair of the Panel to finalise the report in consultation with the Task and Finish group and the relevant Lead Members;

1.3. Refer the findings and recommendations to Cabinet with a request for a response within 6 weeks.




NA

2. Report Summary

On 7 December 2016, the Children and Young People Scrutiny Panel members received a report and draft set of Findings and Recommendations from the Task & Finish Group established to undertake the review on improving levels of uptake of physical activity by children and young people in the borough.

Following some further consultations and research into possible interventions to supplement the extensive research and engagement programme, the Task and Finish Group has developed a final set of findings and recommendations attached to this report in appendix 1.

The Children and Young People Scrutiny Panel is asked to consider these

271

Agenda Item 7


recommendations and the supporting documentation and refer to Cabinet for a response.

Background

In August 2016, the Children and Young People Scrutiny Panel established the Task and Finish Group to consider how to improve levels of physical activity by children and young people in the borough in an effort to address one of the contributory factors in childhood obesity.

A report in November 2016 detailed the following:

Term of Reference for the Group;

Desktop Literature Review;

Outline of the Key Lines of Inquiry; and

Proposed way forward

A subsequent report on 7 December 2016 provided the draft Findings and Recommendations for consideration. This report also included a summary of the school visits and the engagements (with over 46 individuals and organisations).

The group also conducted a rapid analysis of the websites owned or managed by the London Borough of Hounslow and developed some specific suggestions for improvement.

Subsequent to this meeting the team has

Engaged with the affected teams regarding the findings and recommendations in light of the development of the JSNA and 10 year strategy.

Conducted further research on population level interventions in order to understand best practice and evidence based interventions aimed at improving levels of physical activity.

This final report is composed of the

Final Findings and Recommendations and the following annexures:

a) Desktop Review

b) Summary of School visits

c) Assessment of online information

d) Research on local, national and international interventions and good practice

e) List of engagements

The Chair shall engagement with the relevant lead members over the next few weeks in preparation for this item being tabled at Cabinet.

Implications

The report sets out the findings of the Task and Finish Group and their recommendations to internal and external stakeholders in order to better facilitate improved physical activity levels in children.


3.1. The draft work programme was approved at the meeting of the panel on 20 July 2016, although there was a recognition that Members may well wish to make alterations at a later date.

272

4. Key Implications

4.1. Not applicable


Not applicable.


None






6.1. As Scrutiny has no decision-making powers, any recommendations that may emerge from a review undertaken would need to be referred to Cabinet for a decision.

7. Value for Money

7.1. Not applicable.



9. Risk Management



10.1. Through its role acting as a critical friend and in the review and development of policy, the Children & Young People Scrutiny Panel aims to support the Corporate Plan 2014-19 thematic priority: Brighter futures for our children - Providing the best start in life for our children and young people with improvements in health and education. Keeping them safe from harm to help inspire more fulfilling lives.


11.1. There are no direct implications arising from this report. However, equality and diversity issues are a mandatory consideration in decision making in the council pursuant to the Equality Act 2010. This means the council and all other organisations acting on its behalf must have due regard to the equality duties when exercising a public function.

273

11.2. The broad purpose of this duty is to integrate considerations of equality and good relations into daily business requiring equality considerations to be reflected into the design of policies and the delivery of services and for these to be kept under review. Hence equality considerations shall be included as part of the work of the Task and Finish Group.






14.1. None.

15. Consultation



16.1. The CYP Scrutiny Panel may submit a report to Cabinet based on this report.

17. Appendices

17.1. Overall summary of Findings and Recommendations

17.2. Desktop Review

17.3. Detailed reports from School Visits

17.4. Review of websites

17.5. Summary of interventions


18.1. None

19. REPORT ENDS

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1

Appendix A

Task & Finish Group Review: Physical Activity,

Children and Young People Scrutiny Panel

FINDINGS & RECOMMENDATIONS

1. FINDINGS

1.1. Regular physical activity in childhood and adolescence can improve health in adulthood and reduce the risk of developing obesity and chronic diseases. It has been linked to improve cognitive skills and academic behaviour. Furthermore it has been associated with psychological benefits in young people by improving symptoms of anxiety and depression. Physical activity can provide opportunities for social interaction, self-expression and achievement thus building self-confidence, social interaction and integration. It has also been suggested that physically active young people more readily adopt other healthy behaviours (e.g. avoidance of tobacco, alcohol and drug use)

1.2. An extensive consultation of national and local data and research indicated that, in Hounslow, levels of childhood obesity are high while self-reported levels of physical activity are low. The levels of physical activity decrease as children enter secondary school, however, some data indicates that the drop-off in physical activity starts earlier, in particular for girls. Girls are also significant less active than their male counterparts. Factors such as ethnicity, deprivation levels and disability also affect physical activity levels. (Please consult the Desktop Review for a more extensive review of the literature.)

1.3. The barriers and facilitators to physical activity are numerous and range from personal attributes and beliefs such as fitness levels and attitudes about exercise; family’s attitudes, behaviour and role modelling; peer group dynamics; school support or ethos; cultural factors to broader issues environmental issues such as access to opportunities for self-generated or organised physical activity, costs and information about activities.(This has been depicted visually in the Desktop Review.)

1.4. Evidence also indicates that the most significant health and clinical benefits are gained when an inactive person starts doing a little, even if this is below the CMO’s guidelines. This small amount of physical activity can reduce long-term risk for chronic disease and premature mortality and the associated financial costs are also reduced.

1.5. As HM Government’s Obesity Plan shows, schools tend to be the policy focus for improving levels physical activity among children and young people. However, the Task & Finish Group heard that young people, teachers and schools face increasing academic pressures which restrict the time and energy available to promote and provide active learning and physical activity, in particular at secondary school level. Despite these pressures, we saw some excellent practice, in particular when schools looked at activity in its widest sense rather than through a sports lens. There is a need to share this good practice and encourage a ‘whole school approach’ (Please see School Visit reports).

1.6. As a result of education policy, local government has fewer levers to initiate change in schools, particularly at a secondary school level where thirteen of the fourteen secondary schools are academies. The Council must, therefore, be strategic in how it seeks to influence. Considering the changing relationships between school and government, there is a need for LBH to take on a championing role in promoting physical activity in schools, with parents as well as lobbing National Government, PHE and Ofsted to seek measures to address the balance between academics and physical activity, health and well-being.

1.7. However, the Task & Finish Group heard that there is a lack of coordination between the various internal teams for example the School Effectiveness Team and Public Health. Considering that the School Effectiveness team is our best lever into schools, this is worrying.

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Agenda Item 7a

2

One of the potential outcomes is poor uptake of programmes by schools and programmes that do not meet school needs and are considered ‘unsustainable and tokenistic’ by schools.

1.8. Schools cannot be the only focus for improving levels of physical activity, and given the pressures within schools, it could be argued that greater strategic focus needs to be placed outside of school. Our research has shown that there are many opportunities for physical activity in Hounslow provided by schools, clubs and voluntary sector organisations and the Council. However the Task and Finish Group found that these are not always effectively communicated to young people and parents and uptake is often low or not targeted towards inactive children.

1.9. The provision of information through our websites are disjointed. There is replication and duplication of websites, materials and resources allocated to providing this information. Some of our sites are not well designed and are not updated regularly. There is no agreed site for signposting and there is insufficient targeting of young people. Hence the ability of LBH to signpost people to available opportunities is compromised. (See Assessment of Online Information).

1.10. After the success of Beat the Streets, the Task & Finish Group was particularly interested in potential large scale population-level initiative and programmes aimed at addressing inactivity and changing behaviours. The truth is that there are few examples of this nationally and few well-evaluated evidence based interventions that have been found to be effective. (See summary of Interventions Research). Furthermore, there are increasing financial burdens on schools, LBH and the VCSE sector and their ability to deliver opportunities for physical activity are under threat.

1.11. Until such ‘magic bullets’ are found, the Council must consider all the options at its disposal and take a marginal gains approach, i.e. lots of small changes that have collectively large impact. This will require better coordination across Planning, Housing, Public Heath, Transport, and Leisure in collaboration with schools, local clubs and voluntary organisation order to ensure any investment in the environment creates opportunities for active play, recreation and travel.

2. High-level Recommendations

The following recommendations are made:

2.1. LBH should place greater focus on a championing role at a local and national level to recognise the importance of physical activity for children. Work targeting children, schools and parents at a local level should be supplemented with activities to lobby HM Government, PHE and Ofsted to seek measures to balance academics pressures and physical activity, well-being and health. This should take place alongside ongoing work to promote behaviour change and address some of the structural barriers to physical activity in schools.

2.2. As part of this championing role, the LBH should place greater importance on its ability to effectively link provision and signpost people to available activity. This may be in the context of national or local campaigns. It includes streamlining and better coordinating our online information to provide updated and accessible information. Furthermore, we should consider our role in strategically connecting and coordinating stakeholders within the borough to address inactivity through forums and networks at a borough and ward level

2.3. LBH should actively influence schools to adopt a ‘whole-school approach’ to physical activity, which seeks to promote activity in the school activities, culture and contact with children, rather than thinking about it in terms of PE or sport. Greater emphasis should be placed on promoting this through the School Effectiveness Team who have the relationships with schools to be able to influence such thinking and promote the benefits.

2.4. Likewise LBH should consider how to better coordinate efforts internally to ensure a ‘whole-organisation approach’ to support young people’s activity and the environment conducive to this. These marginal gains collectively have a impact. In parallel, large, at-scale behaviour

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3

change programmes aimed at all young people, should be balanced with targeted support or interventions aimed at inactive groups through schools and or in the community.

Detailed recommendations emerging from school visits and research

Recommendation Lead

2.1. LBH should place greater focus on a championing role locally and nationally to recognise the importance of physical activity

Funding 2.1.1. Noting the higher levels of inactivity and obesity at a secondary school level, lobby National Government to allocate some of the funding from the Sugar Tax to fund Public Heath teams and/or secondary schools to provide activities or special interventions aimed specifically at engaging inactive young people between 11-18 years.

LBH- Cabinet

Ofsted 2.1.2. Lobby National Government to raise the importance and profile of physical activity as part of the education system and include health and physical activity monitoring and inspection in Ofsted reporting at a secondary school level.

LBH- Cabinet

Local campaigns

2.1.3. Allocated resources to leverage national campaigns such as the ‘Change for Life’ or ‘This Girl Can’ to encourage activity and build local momentum for behaviour change. This should be linked to information about the local opportunities for physical activity

LBH- Cabinet, Public Heath

2.2. LBH should place greater importance on its ability to effectively link provision signpost people into existing activity. This includes streamlining and better coordinating our online.

Review Website 2.2.1. Note the findings of the brief assessment of the LBH websites; the information made available on these websites and the resources dedicated to maintaining this offer, and look at opportunities to combine or streamline this information, particularly in light of the website redesign.

Communications

Coordinate and streamline response

2.2.2. Decide and communicate the main signposting site for physical activity information and develop a communication and marketing strategy that might be tied to broader national campaigns.

Public Heath, Communications, FIS

Open access tools

2.2.3. Acknowledge the principle of ‘many front doors’1 but consider alterative ‘plugins’ or open access tools such as Openactive that make it easier to collect updated information so lack of information is not a barrier to physical activity. This work may include training staff to use the tools and working with commissioned organisations (e.g Fusion or Carillion) to present and open data on the available activities.

2.2.4. State in grant conditions that VCSE organisations who provide physical activities and receive grants from the Council update information on our websites and use an portals like Openactive;

2.2.5. Communicate to schools, VCSE and other service providers the value and need to use open access tools and encourage their adoption.

Public Heath, Leisure, Communications, FIS

Community links and networks

2.2.6. Continue to pursue links with clubs and organisations who provide sports development and activities for young people outside of the school environment and promote satellite clubs with a key focus on working with inactive children.

Primary and secondary

1 The Content Strategy (2016) states ‘it is more efficient and safer to direct customers straight to it via a link to

the relevant content. This ensures that customers are reading the most up-to-date information and we're not replicating the information on our website’

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https://www.openactive.io/

4

2.2.7. Ward councillors might work to assist schools to create linkages with community clubs and organisations in the area to facilitate coordination, satellite clubs in schools and opportunities for inactive young people, this might take the form of the Osterley Sports Network or other such interventions.

2.2.8. Work with community organisations and clubs through CSPAN to create a facilitatory environment for inactive young girls and those wanting to participate in organised sport

schools, Ward Councillors

2.3. LBH should actively influence schools to adopt a whole school approach to physical activity

Share good practice

2.3.1. Share the experience, innovation and good practice of local schools to facilitate learning and enable adaption for the context and needs of pupils and parents. At a primary and secondary level, utilise the Head Forums to share good practice. At a secondary level, the Subject Networks might also showcase examples of active learning in the subject areas.

Primary and secondary schools, LBH- School effectiveness team

Resources 2.3.2. Commit resources such as leadership, time, budget and energy and adjust policy or school rules to promote physical activity, develop PE, facilitate active learning and extracurricular activity particularly for the most inactive children. It may be as small as notice boards and assemblies or as large as budget, facilities, clubs, reward programmes or the Super Active School Programme.

Primary and secondary schools

Participation, consultation and children’s voice

2.3.3. Continue to work with young people to identify opportunities and timing of physical activities so that there are a choice of activities that meet the various needs to have fun, provide social opportunities, be competitive, discover new things, manage stress and anxiety and develop resilience. Consider the activity provision by non-PE teachers, volunteers or sport leaders.


Timing 2.3.4. Provide opportunities for children to be active at alternative times such as before school and during breaks (this is the ‘Hidden Curriculum’) as this might assist children who have cultural, family commitments or live far away.


Monitoring and Reporting

2.3.5. Monitor and identify participation rates and potentially inactive children and provide targeted support to these young people. This information may be used to provide feedback to parents on extra curriculum activity and their child’s participation to raise the profile and importance of physical activity for mental and physical health, stress management and academic performance. It may also be used to access funding.


Active Travel 2.3.6. Encourage and incentivising active travel where possible, consider ‘car free days’ and encourage behaviour change in parents in terms of allowing and promoting active travel. LBH might consider extending Beat the Streets to secondary schools.

Primary and secondary schools, LBH-Transport, Public Health

Coordination and strategic support In school

2.3.7. Consider the funding/commissioning of a school coordinator to work with secondary schools to provide practical assistance to schools to increase availability of clubs, PE support, fundraising support, awareness-raising and parent contact and links to schools. The coordinator might also act as a strategic resource to share good practice and reinstate the Heathy Schools Programme and support coordination between Public Health and CAS.

LBH- Public Heath

Sports Premium & School policies

2.3.8. Consider the development of plans and strategies to respond to the increased Sport Premium at a primary school level and how this may be used by schools holistically to address inactivity levels through physical activity, active learning and sport especially for identified children with low activity levels

Pre-primary, Primary and secondary schools

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5

2.3.9. Reconsider school policies that may hinder physical activity and play during break time for example school lunch queues, PE uniforms and ball/ play policies and implement policies to encourage movement.

LBH Commissioning

2.3.10. Ensure that the commissioned programmes are responsive to local school needs, are sustainable and are delivered in a way that ensures the outcomes meet the needs of schools and the pupils. This may involve negotiation with schools and allow for adapting programme to meet specific needs. It may also involve ensuring ‘exit routes’ for programmes.

2.3.11. Scale-up the Super Active Schools to help support a whole school approach and extend this to secondary schools.

2.3.12. Investigate the feasibility of providing subsidised or free leisure membership options to targeted groups of children and provide a report to the Lead Member.

LHB- Public Heath, Leisure services

Targeted programmes

2.3.13. Note that we have seen greater levels of drop-off of physical activity levels of girls at Year 6 and focus on promoting their physical activity through targeted programmes such as ‘girls only PE’, ‘This Girl Can Clubs, ‘ Aspire Clubs’. LBH should consider funding initiatives during the summer holidays between Year 6 and Year 7 and at secondary school.

2.3.14. Allocate funding and initiate programmes to engage the faith sector, GPs, Children’s centres in delivering and facilitating programme specifically aimed at increasing girls and hard to reach groups physical activity levels.

Pre-primary, Primary and secondary schools, Public Heath

Teachers and Staff

2.3.15. Work to train and develop teachers through mentorship and training so that they feel confident to provide high quality PE and active learning within a context where teachers face multiple pressures and burdens. Some promotion of the benefits of physical activity is also necessary. Primary schools might consider using the Sports Premium to fund a coordinator to help mentor teachers and coaches to provide appropriate PE and clubs that might develop a physical activity habit for life.

Pre-primary, primary and secondary

Parental involvement and behaviour change

2.3.16. Continue to work with parents on the importance of play and/or physical activity through the use of newsletters, social media etc. Programme and physical activities targeting parents might go a way to creating role-models for children. Activities for the whole family should also be promoted. Parents can also play a role as volunteers.

Pre-primary, primary and secondary, children’s centres

Transition focus 2.3.17. Consider implementing events or activities that might introduce Year 6 pupils to the school through physical activity initiatives especially for the inactive, non-sporty child or those at risk of non-engagement (e.g pre-Year 7 camp, and Year 6 open day)

2.3.18. Consider the good practice such as the ‘Social Profile’ (Hounslow Heath Infant and Nursey) to transfer information to secondary schools on the physical activity levels, health and well-being of young people moving into the school, what has worked or not worked and how they might be assisted;

Pre-primary, Primary and secondary schools, School effectiveness Team

Link Primary and Secondary schools

2.3.19. Continue the Sports Leaders programmes or primary school coaching that help create links with primary schools and look at how this may be done without a focus on formal sport.

Secondary schools

2.4. LBH should consider how to better coordinate effectors internally in order to ensure a whole-organisation approach to supporting young people to become more active and creating a conducive environment for physical activity.

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6

Playground design guidelines

2.4.1. LBH should consider the development of guidelines to inform play/ recreation areas in new housing developments, parks or school playground redevelopments. These guidelines should leverage national guidelines and good practice; promote designs to encourage creativity, challenge and sustain physical activity for different ages; consider the surrounding environment and allow cost effective maintenance while also eliciting the views of children and their guardians.

2.4.2. New school facilities should also be designed to allow for use by the local community where possible.

LBH Planners, Hounslow Housing, Public Heath, Pre-primary and , Primary schools

Promoting outdoor active play

2.4.3. Building off the planned work to review Park signage LBH should consider, where appropriate, to remove ‘no ball game signs’ and replace with more messaging encouraging active outdoor play. This should be done as part of a broader campaign to raise awareness on the importance of outdoor play, physical activity and promoting behaviour change

Hounslow Housing, Public Heath

Coordination 2.4.4. The Scrutiny Panel welcomes the creation of the Obesity Task

Force and recommends that it is more fully represented in order to improve coordination and facilitate a whole government approach to increasing children’s physical activity

2.4.5. The group should be tasked with the development of a whole-of-government plan/strategy

Public Heath, CAS Planning, Transport, Communication, Policy & Scrutiny, Intelligence Hub, Leisure, Libraries,

Research & feedback

2.4.6. The Obesity Task Force might consider the findings from the Task and Finish Group and take forward this work by leading on strategic prioritisation and developing the research on potential population level approaches to increasing physical activity and providing feedback on what might be implemented within 6 months or as part of a Physical Activity Strategy.

Obesity Task Force

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0

Appendix B

Task and Finish Group: Children & Young People Scrutiny Panel, London Borough of Hounslow

DESKTOP REVIEW REPORT

Physical activity among young people in Hounslow

Policy and Scrutiny August 2016- February 2017

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Agenda Item 7b

Desktop review 2016 of physical activity and obesity in Hounslow for the Task & Finish Group, CYP Scrutiny Panel

1

CONTENTS

1. BACKGROUND ......................................................................................................................... 1

1.1. Purpose of this paper .......................................................................................................... 1

1.2. National Guidelines ............................................................................................................. 1

1.3. Legislation .......................................................................................................................... 1

1.4. Definitions ........................................................................................................................... 2

2. EXTENT OF OBESITY AND PHYSICAL ACTIVITY IN LBH ...................................................... 3

2.1. Rates of childhood obesity .................................................................................................. 3

2.2. Rates of physical activity..................................................................................................... 4

3. ROLE OF FAMILY AND FRIENDS THE IMPACT ON THE UPTAKE OF PHYSICAL ACTIVITY 8

3.1. Family ................................................................................................................................. 8

3.2. Friends, peer support or influence ...................................................................................... 8

3.3. Environmental factors ......................................................................................................... 9

4. CHALLENGES AND BARRIERS PREVENTING UPTAKE OF PHYSICAL ACTIVITY ............... 9

4.1. Barriers and motivators for children under 5 ..................................................................... 10

4.2. Barriers and motivators for school children and youth ....................................................... 10

4.3. Barriers relevant to young females ................................................................................... 11

4.4. Barriers relevant to young disabled people ....................................................................... 11

4.5. Barriers relevant to young people from different ethnic minority and faith groups ............. 11

5. LBH Strategy and Activity ........................................................................................................ 13

5.1. Strategy and Policy ........................................................................................................... 13

5.2. Programmes/Facilities of Hounslow Borough Council ....................................................... 16

5.2.1 Facilities ........................................................................................................................... 16

5.2.2 Public Health and Leisure, RedE ...................................................................................... 17

5.2.1 Children and Adult Services .............................................................................................. 19

5.2.2 Transport .......................................................................................................................... 19

5.2.3 Events and Communications ............................................................................................ 20

5.2.4 Planning ........................................................................................................................... 20

5.2.5 Community Partnerships Unit (CPU) and Grants .............................................................. 20

5.2.6 Collaborative Forums ........................................................................................................ 20

5.3. Local Partners .................................................................................................................. 21

6 WAYS FORWARD ................................................................................................................... 24

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Draft -Desktop review 2016 of physical activity and obesity in Hounslow for the Task & Finish Group, Children and Young People’s Scrutiny Panel

1

1. BACKGROUND

1.1. Purpose of this paper

The Task and Finish Group was created to consider what is being done in schools, families and communities in Hounslow to provide opportunities for physical activity and improve uptake of these activities by children and families.

This report provides an overview of the desktop research used to develop key lines of inquiry for discussion on 13 September 2015.

In preparation for this report, data was collected from multiple sources including national databases, academic publication, policy papers and discussions with over 16 Officers, 1 organisation and young people representing the Youth Council.

1.2. National Guidelines

Increasing physical activity helps maintain a healthy body weight and weight loss, combined with a reduction in calorie intake. Obese children are more likely to be ill, absent from school, and suffer psychological problems such as low self-esteem and depression than normal weight children.1

The current Chief Medical Office guidelines for children under 5 states that physical activity should be encouraged from birth. The Guidelines further state:

Pre-school children who can walk unaided should be physically active daily for at least 180 minutes (three hours), spread throughout the day.

All children and young people 5-18 years old should engage in moderate to vigorous intensity physical activity for at least 60 minutes and up to several hours every day.

This Guidelines have been reemphasised in the 2016 National Obesity Plan which states: Every primary school child should get at least 60 minutes of moderate to vigorous physical activity a day. At least 30 minutes should be delivered in school every day through active break times, PE, extra-curricular clubs, active lessons, or other sport and physical activity events, with the remaining 30 minutes supported by parents and carers outside of school time.

1.3. Legislation

The Health and Social Care Act 2012 conferred duties on local authorities to improve public health, transferring the responsibility of primary care trusts to local authorities. Whilst it is not a statutory function of local authorities, physical activity features within the Public Health Outcomes Framework as a key indicator that the Department of Health expects local authorities to work towards.

The Care Act 2014 places a duty on local authorities to promote well-being and preventing the development of ill health.

Generally speaking, the majority of leisure and cultural services are discretionary and therefore councils have a choice over the level and type of service provided.

Councils have a statutory duty to ‘secure, so far is reasonably practicable, equality of access for all young people to the positive, preventative and early help they need to improve their well-being’ (E&I Act 2007) set out in its statutory guidance that the help should ‘improve young people’s physical and mental health and emotional well-being’.

The Children Act 2004 places a duty on local authorities to co-operate to improve children’s well-being.

1 Connelly R. and Chatzitheochari S. 2014. Physical development. In Plat L. (ed) Millennium Cohort Study Age 11 Survey Initial Findings. London: Centre for Longitudinal Studies. And Wijga A, Scholtens S, Bemelmans W, de Jongste J, Kerkhof M, Schipper M, et al. Comorbidities of obesity in school children: a cross-sectional study in the PIAMA birth cohort. BMC Public Health 2010;10(1):184. 283

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf


2

A further policy developments is the creation of the Soft Drinks Industry Levy as set out in the 2016 Budget and the Obesity Plan. This ‘sugar tax’ will come into force in April 2018 and the funds will be used to increase Primary PE and Sport Premium.

1.4. Definitions

Physical activity Body movement that expends energy and raises the heart rate includes all forms of activity, such as walking or cycling for everyday journeys, active play, work-related activity, active recreation (such as working out in a gym), dancing, swimming, gardening or playing games as well as competitive and non-competitive sport2

Inactivity Less than 30 minutes of physical activity per week

Sedentary Time spent in low energy postures, e.g. sitting or lying down

Everyday activity Activities such as walking, cycling, housework, and active or manual work

Active recreation Activities such as dance, yoga, active play, recreational walking or cycling

Sport Activities such as swimming, rowing, fitness training, climbing, parkour, tennis, athletics, organised team activities

2 Public Health England http://www.noo.org.uk/ 284

http://www.noo.org.uk/


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2. EXTENT OF OBESITY AND PHYSICAL ACTIVITY IN LBH

2.1. Rates of childhood obesity

The National Child Measurement Programme (NCMP)3 annually weighs and measures children in reception year and year six. The results show that in Hounslow, 20.4% of children aged 4-5 are overweight or obese (2015/16). This is slightly above the average for England. However, excess weight of 10-11 year olds is at 39.1% which is significantly above average.4

The table below indicates the estimated number of children obese or overweight in Hounslow:

Age (years) No. of Children in Hounslow Obese & Overweight %

2-4 12,718 4,250 33.42%

5-16 38,233 18,489 48.36%

Source: Public Health Hounslow

The excess weight (obese and overweight) in LBH compared to the national averages over the last 9 years is illustrated below:

As indicated, the prevalence of children in year 6 with excess weight is significantly above the national averages. However there is downward trend for rates of excess weight in reception aged children.

3 The National Child Measurement Programme annually weighs and measures children in reception year and year six in maintained schools in England. The programme began in 2005. It was formerly known as the National Childhood Obesity Dataset and now provides the most robust source of childhood obesity data in England 4 In 2014/15 the difference for reception year was 5.5 percentage points compared to 4.6 percentage points in 2007/08. The equivalent figures for year 6 were 12.0 and 8.9 percentage points. See Public Health Outcomes report May 2016

-

5.0

10.0

15.0

20.0

25.0

30.0

RECEPTION- OBESE & OVERWEIGHT

Hounslow London England

-

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

YEAR 6 - OBESE & OVERWEIGHT

Hounslow London England

285

http://www.noo.org.uk/data_sources/child/national_child_measurement_programme


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National level data indicates significant differences of rates of obesity by ethnicity, age, gender and disability. It has been found that:

Girls are more likely to be overweight or obese and this is significantly higher in year 6 compared to reception year;

Obesity prevalence among children in both Reception and Year 6 increases with increased socioeconomic deprivation. Obesity prevalence of the most deprived 10% of the population as measured by the Index of Multiple Deprivation (IMD) score is approximately twice that of the least deprived 10%.5

The difference in obesity prevalence between children attending schools in the most and least deprived areas has increased over time.4

Obesity is significantly higher than the national average in both years measured by the NCMP in the following ethnic groups: Black/ Black British, Asian/ Asian British, ‘Mixed Ethnic Group

Although, there is limited data on disability and obesity, it is known that children who have a limiting illness are more likely to be obese or overweight, particularly if they also have a learning disability however, this relationship varies with age and gender6

For Hounslow, the following maps indicate the area of high rates of obesity, as shown below this tends to be concentrated in the west and central areas.

Map: Obesity in 4-5 year olds (2011-2014 data) Map: Obesity in 10-11 year olds in Hounslow

2.2. Rates of physical activity

The Health Survey for England 2012 shows that only 9% boys and 10% girls aged 2-4 were classified as meeting the guidelines for children under 5 of at least three hours of physical activity per day. 84% of children of this age were classified in the ‘low activity’ group, meaning that they did less than an hour of activity a day, or did not do sufficient activity each day. On weekdays, 10% of boys and 9% of girls aged 2-4 were sedentary for an average of six or more hours daily

Nationally, British Health Foundation Survey (2013) found that for children 2-15 only 32% of boys and 14% of girls met the daily physical activity recommendations.7 This has decrease since 2008.

The Women’s Sport and Fitness Foundation (WSFF) report, which looked at the views girls and boys hold about physical activity, sport and PE lessons, found that only 12% of girls aged 14 get enough physical activity each week – roughly half the number of boys at the same age. The report found that girls do want to be active, take part in physical activity and remain healthy, but the researchers attribute the lack of participation to girls feeling they don’t have a suitable outlet.

5 Public Health England http://www.noo.org.uk/NOO_about_obesity/inequalities 6 Public Health England http://www.noo.org.uk/NOO_about_obesity/inequalities 7 BHF, 2015 Physical Activity Statistics, 2015 286

http://digital.nhs.uk/catalogue/PUB13218

https://www.bhf.org.uk/-/.../bhf_physical-activity-statistics-2015feb.pdf

https://www.womeninsport.org/

http://www.noo.org.uk/NOO_about_obesity/inequalities

http://www.noo.org.uk/NOO_about_obesity/inequalities

https://www.bhf.org.uk/research/heart-statistics/heart-statistics-publications/physical-activity-statistics-2015


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According to the 2013 National Travel Survey, 42% of children reported walking to school and 2% reported cycling to school in 2013.8 This has fallen since 1994. A higher proportion of children aged 5-10 walk to school (46%); compared with children aged 11-16 where only 37% walk to school. These differences were attributed to the finding that older children travel further to school than younger children - 3.7 miles compared to 1.6 miles.

2.2.1. Physical activity in LBH

In 2014, the What about YOUth? Survey provides data at a local authority level and finds that, in Hounslow, only 11.1% of 15 year olds are active for the recommended 60 minutes per day, seven days a week.9 This is lower than the average for England and places Hounslow as the 11th most inactive borough on this measure. Furthermore, the survey found that 70% of these 15 year olds were sedentary for a mean time of 7 hours per day.

The UK Active Turning the tide on inactivity ranks the borough 86th most inactive local authority in the UK out of 150. It found that, in general, Hounslow is the 12th most inactive London borough out of 32 meaning that there are only 12 London Boroughs that have higher inactivity levels. Other London Boroughs with a similar ranking are Lewisham (84th ) and Camden (87th ). The overall cost of inactivity per 100,000 people for Hounslow according to the report is £19,208,292.

The Physical Activity and Sports Needs Assessment10 (2014) identified

Overall 12% of Hounslow primary school pupils and 3.5% of Hounslow secondary school pupils meet CMO recommendations for physical activity (60 minutes 7 days a week)

79.3% of Hounslow primary school pupils and 85.4% of Hounslow secondary school pupils have ‘low’ levels of physical activity, reporting less than 30 minutes per day or less than 7 days per week

Participation in physical activity by young people in Hounslow decreases with age. (This is similar to findings made by the HSE 2012).

Hounslow primary school respondents were significantly more likely to have done seven days of over 60 minutes of activity during the previous week than Hounslow secondary school respondents.

The research found the groups of young people had with lower levels of activity include girls particularly Asian girls; children and young people with a disability; children in priority areas (South Isleworth; Hanworth Park; Cranford; Heston West; Bedfont)

In summary, the data indicates that levels of physical activity in Hounslow are low and warrants further action.

2.2.2. Sex, deprivation, disability and ethnicity

Nationally, it has been found that levels of activity are related ethnicity, age, sex and ability.

It was found that physical activity differs by sex and both sexes become less positive about sport and physical activity as they get older, although the decline is greater among girls

The Hounslow survey 2014, found that significant numbers of young people in Hounslow reported that they had not done 60 minutes of exercise on any day in the past 7 days (41.9% primary; 33.6% secondary).

Rates of girls’ physical activity drops off mores significantly around the time of entry into secondary school, which is not the case compared to boys as indicated below:

8 Public Health England, 2014 Child physical activity data factsheet 9 Department of Health, 2014, What about YOUth? 2014 (WAY 2014) is a newly-established survey involving over 300 000 young people 10 A children and young people physical activity survey was undertaken during September 2014. It was completed by 467 children and young people attending Hounslow schools 287

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/342160/nts2013-01.pdf

http://fingertips.phe.org.uk/profile/what-about-youth/data#page/0/gid/1938132846/pat/6/par/E12000007/ati/102/are/E09000002

http://ukactive.com/downloads/managed/Turning_the_tide_of_inactivity.pdf

http://www.noo.org.uk/securefiles/160824_1255/PA_Factsheet_Child_Aug2014_v2.pdf


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% Boys % Girls % All

Primary School 16.20 8.10 12.15

Secondary School 5.90 1.60 3.75

As shown above, 16.2% of Hounslow boys, compared to only 8.1% of Hounslow girls at primary school age met the CMO recommendations. 5.9% of Hounslow boys compared to 1.6% of Hounslow girls at secondary school age meet the recommendations. The following graph depicts this visually:

Source: Hounslow CYP survey 2014

BHF found that people living in the least prosperous areas are more likely to be physically inactive as those living in more prosperous areas.7 Similarly the Public Health England found that low levels of physical activity in children are related to household income, with those in the lowest income bracket more likely to report low levels of activity. 48% in the lowest income group compared to 30% in the highest reported low levels of activity. 11 It should be noted that in the lowest performing schools on PE and sport participation, there were a higher proportion of pupils with SEN than in higher performing schools.12

Similarly, the 2014 Hounslow Needs Assessment showed that that people from the least prosperous areas are twice as likely to be inactive as those from the most prosperous areas. People with a disability are twice as likely to be inactive as those who have no disability.

It also showed that that young people from a white background reported higher levels of physical activity than those from non-white backgrounds. 45% of Hounslow secondary school pupils from an Asian/Asian British background (including Indian, Pakistani, Bangladeshi and Other) did not achieve 60 minutes or more of physical activity on any day during the previous week.

The sample size of the Needs Assessment was not large enough to indicate gender differences within ethnicities. However the focus group with 12-14 year Asian girls revealed that only 1 of the 8 girls did 7 hours of physical activity per week. Only 4 girls did 4 or 5 hours per week and 3 girls said 3 hours or less of physical activity. They felt many of their friends did less activity than they did. This supports research from Sport England showed that ethnicity plays a greater role in participation by young women than men. In addition, there is some indication that participation in sport by young people varies by a person religion, overall young people of the Muslim faith have the lowest rates of participation in sport.

2.2.3. Active travel

A significant component of physical activity might be included in the travel of children and young people to and from school. The following table illustrates the levels of active travel at a primary and secondary school level against the targets set out in the LBH Local Implementation Plan.

Modal Shift

Journey to school

Base year 2009/10 %

Latest Data 2015/16 %

Target Year 2030/31 %

children walking 63.5 45.34 66

11 Public Health England, 2014 Child physical activity data factsheet also see Children’s body mass index, overweight and obesity Gary Boodhna Health Survey for England - 2013 12 Nealth Survey England 2012 288

http://www.noo.org.uk/securefiles/160905_1142/PA_Factsheet_Child_Aug2014_v2.pdf


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Primary school

children cycling 1.6 6.76 4

children driven 26.4 20.14 19.5

Secondary school

children walking 32.6 21.15 34

children cycling 2.3 2.58 5

children driven 12.2 13.47 7 Source: Transport Section Meeting 2016

As indicated above, trends around walking to school are decreasing. There is a small increase in cycling to school.

289


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3. ROLE OF FAMILY AND FRIENDS THE IMPACT ON THE UPTAKE OF PHYSICAL ACTIVITY

There is extensive research on the factors influencing physical activity, however these are mitigated by social, economic, cultural, physiology and physiological factors. The following section provides a snapshot of some of the research on the role of family, friends and the environment on influencing physical activity.

3.1. Family

Families influence activity levels of children, although this influence appears to decline as children grow older. Younger children tend to be more heavily influenced in all aspects of well-being by family factors13 Mothers are identified as particularly powerful source of encouragement for participation in sport and physical activity.

Although much physical activity promotion is conducted in schools, recent publications state that without the involvement of family members, it is unlikely that long-term change in children's physical activity levels is possible. Parental support, such as provision of transport, co-participation or encouragement, has been consistently and positively associated with children’s physical activity and the addition of a family component (e.g. parent education) to school-based interventions has shown to be efficacious14. Research on the modelling behaviour of parents is also important. There are associations in the sedentary time of parents their children particularly amongst and daughters.15

Family norms are also important. Some parents can be complicit in allowing disengagement from activity. A Women in Sport Study showed that s third of girls and boys agree that “families are less supportive of girls’ involvement in sport and physical activity”. Girls also said they are constrained by stricter rules as to where they can play.16 Socio-cultural norms, beliefs and attitudes may affect family norms and influence parent’s own modelling behaviour.

There is mixed research on the effect of role-models on promoting physical activity17. As mentioned above, parents own behaviour may model behaviour for children. Famous sportspeople have also been asked to promote physical activity and sport participation. However the research is inconclusive on the effectiveness of these interventions. Some studies have shown that there are significant gender differences in the way athletes are viewed as role models. Young boys are likely to identify with successful athletes while females tend to identify with parents18

3.2. Friends, peer support or influence

The effect of friendship, peer support and influence has been studied extensively. Studies show that adolescents who engage in high levels of physical activity are more likely to encourage others to be physically active.19 Studies have shown how male friends engaged in similar amounts of organised physical activity, whereas female friends engaged in similar levels of screen viewing behaviours.20 There seems to be positive association between physical activity and indicators of influences from friends: positive communication about physical activity from friends, friends’ own physical activity levels, and the presence of friends during physical activity21

It is important to question whether this influence of friendship applies to groups that are not active. Some studies haves found that the relationship between friends’ support for physical activity or

13 Maturo,C.C and Cunningham , S. A, 2013 Influence of Friends on Children’s Physical Activity: A Review Am J Public Health.103(7): e23–e38. 14 Brown, H. E., Atkin, A. J., Panter, J., Wong, G., Chinapaw, M. J. M., and van Sluijs, E. M. F. (2016) Family-based interventions to increase physical activity in children: a systematic review, meta-analysis and realist synthesis. Obesity Reviews, 17: 345–360. 15 Jago R., Fox K.R., Page A.S., Brockman R., Thompson J.L. Parent and child physical activity and sedentary time: do active parents foster active children? BMC Public Health. 2010;10:194. 16 Women in Sport, Changing the Game, 2015, 17 See Sports Scotland, 2009 Sporting Success, Role Models and Participation: A Policy Related Review Research Report no. 101 18 . Payne et al, 2002) 19 Gentle P., Caves R., Armstrong N., Balding J., Kirby B. High and low Exercisers among 14-Year-Old and 15-Year-Old children. Journal of Public Health Medicine. 1994;16(2):186–194 20 de la Haye K., Robins G., Mohr P., Wilson C. Obesity-related behaviors in adolescent friendship networks. Social Networks. 2009 21 Claire C. Maturo, and Solveig A. Cunningham, PhD Influence of Friends on Children’s Physical Activity: A Review Am J Public Health. 2013 July; 103(7): e23–e38. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682627/ 290

https://www.womeninsport.org/wp-content/uploads/2015/04/Changing-the-Game-for-Girls-Policy-Report.pdf

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682627/

http://onlinelibrary.wiley.com/doi/10.1111/obr.12362/full.

http://onlinelibrary.wiley.com/doi/10.1111/obr.12362/full.

https://www.womeninsport.org/wp-content/uploads/2015/04/Changing-the-Game-for-Girls-Policy-Report.pdf

https://www.sportscotland.org.uk/Documents/Resources/SportingSuccessRoleModelsandParticipation.pdf

http://chatt.hdsb.ca/~campanarom/FOV1-000EE03C/FOV1-000EE045/sportrolemodel2002.pdf




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presence during physical activity and respondents’ physical activity was stronger in children at high risk for physical inactivity, such as overweight children who thought they were not good at sports, and girls. Thus, the children in most need of physical activity may benefit the most from the involvement of friends.22

3.3. Environmental factors

The availability and presence of indoor and outdoor facilities for active play, recreation and sport is associated with physical activity. Good practice guidelines also suggest engaging children and young people in identifying the demand for and the types of facilities and activities provided. A range of activities should be provided to target different groups. Participation for young children was found to be more enjoyable when children were not being forced to compete and win, but encouraged to experiment with different activities.23

However, one of the barriers to outdoor play and active recreation is the lack of supervision of parks, open spaces and streets. When these spaces are not well maintained, parents are fearful of letting their children use public spaces.24

Cost was also found to be a significant factor in influencing decisions to participate in physical activities particularly in low income groups.25

Just providing opportunities and facilities for physical activity is not enough to sustain activity and create a habit. A review of physical activity interventions showed that these interventions have had only a small effect (approximately 4 minutes more walking or running per day) on children’s overall activity levels.26

Active travel has been shown to be a key intervention to improve level of physical activity27. Interventions that improve actual and perceived safety and the walkability of the environment have been shown to improve physical activity through active travel.28 The improvement of the structural environments, such as the availability of sidewalks, bike lanes, trails, and parks goes some way to improving physical activity.

4. CHALLENGES AND BARRIERS PREVENTING UPTAKE OF PHYSICAL ACTIVITY

In summary studies indicate that factors affecting participation include:

Internal factors (the perceptions young people hold about themselves, for example, confidence

Parental attitudes and behaviours ( including modelling)

Influence of friends and peers

Sociocultural influence such as culture, tradition, religion, social norms etc.

Practical factors such as time, transport, supervision and cost and access to information about what is available and how to access it;

The external environment including available facilities and opportunities for active travel29

These factors are mediated by age, gender, religion, ethnicity, household income amongst others.

The 2014 Hounslow Physical Activity and Sports Needs Assessment conducted research into specific barriers for the different age cohorts in Hounslow. This data is summarised below.

22 ibid 23 Steven Allender, Gill Cowburn and Charlie Foster Understanding participation in sport and physical activity among children and adults: a review of qualitative studies http://her.oxfordjournals.org/content/21/6/826.full 24 Gwenno Edwards, Ben Grubb, Anne Power and Nicola Serle, 2016, Moving the Goal Posts: Poverty and access to sport for young people, LSE 25 Ibid 26 http://www.bmj.com/content/345/bmj.e5888 27 See NICE 2007 Guidelines 28 A.E. Bauman and F.C. Bull, 2007 Environmental Correlates of Physical Activity And Walking in Adults and Children: A Review of Reviews, Review undertaken for National Institute of Health and Clinical Excellence 29 http://archive.c4eo.org.uk/themes/youth/positiveactivities/files/research_review_increasing_engagement.pdf 291

http://her.oxfordjournals.org/content/21/6/826.full

http://sticerd.lse.ac.uk/dps/case/cr/casereport95_Executive_Summary.pdf

http://www.bmj.com/content/345/bmj.e5888

https://hounslow.app.box.com/s/gq2zz69q1zxw26dsh4pg190ic4x1fk15

https://hounslow.app.box.com/s/gq2zz69q1zxw26dsh4pg190ic4x1fk15

http://archive.c4eo.org.uk/themes/youth/positiveactivities/files/research_review_increasing_engagement.pdf


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4.1. Barriers and motivators for children under 5

The barriers identified as preventing young children being more physically active included: young children not walking enough; parents time constraints; cost of trying new activities; making better use of their local spaces including parks and exploring their local environment for places to be active with their children. Young disabled children are not given the same opportunities to try a range of activities.

The motivations identified included young children interacting and playing with others their age; parents valued physical activity opportunities to support the development of their children and understand it is part of the healthy development of their child. Incentives encourage people to start new physical activity behaviours.

These findings are in line with analysis by National Institute for Health and Care Excellence (NICE) which also found that key barriers were limited opportunities for extra-curricular activity; gender; financial cost of some activities for some parents; personal safety; time issues and some culturally specific barriers. Key facilitators were enjoyment; the positive attitude of parents; and the child’s age.30

4.2. Barriers and motivators for school children and youth

Young people who participated in the Hounslow survey in 2014 indicated that two main barriers hinder their participation in physical activity. The first barrier identified was ‘time and priority given to physical activity’. However, the survey found that young people perceive they have a lack of time when, in fact, they prioritise other activities over physical activity. Sport England’s youth insight pack (2014) also highlights this point. They state that young people’s behaviour does not always reflect their attitude to sport – there is a need to focus on changing behaviour not attitudes.

The sport and physical activities I would like to do are not available near enough to where I live’ was a reason for not doing more exercise by12.3% of primary school respondents and 11% of secondary school respondents in the 2014 survey.

There are motivators that encourage and positively influence young people’s participation. The key motivators were ‘knowing the health benefits’ and ‘proficiency – knowing I’m good at sport. Although the latter tended to be supported by other research the former is supposing and may indicate some internal bias in the survey.

The top three activities most in demand from young people that responded to the Hounslow CYP survey 2014 are (in rank order) football, tennis and horse riding. There was however differences between activities most in demand from boys compared to girls.

This survey should be considered in the context of broader work considering the facilitators and barriers to physical activity. There is numerous studies in this regard but one is of particular interest is the work of LSE which considered the specifically at the barriers for young people in disadvantaged backgrounds. This is illustrated in the table below which shows the personal social and community factors that influence young people’s decisions to participate in sport and physical activity.

30 NICE Public Health Collaborating Centre – Physical Activity September 2007 292

https://www.nice.org.uk/guidance/ph17/evidence/review-3-qualitative-correlates-371245645


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4.3. Barriers relevant to young females

The focus group conducted with 12-14 year old girls in Hounslow revealed the following reasons impacting upon levels of participation were:

Self-consciousness when taking part in activity

Lack of role models

Other priorities (in particular homework).

Availability of suitable activities (lack of awareness of after school activities)

This is in line with the NICE analysis of several UK based studies indicating the barriers for adolescent girls (15 studies) were related to social pressure to conform, negative experiences of the school environment, having to perform (display competence) in public and in front of peers and being forced to compete with others. Key facilitators were social and family influences, enjoyment and socialisation, intrinsic and extrinsic rewards and demonstrating competence. 31

The Women in Sport Survey designed to unlock new insight into why girls start to drop out of sport and physical activity from age 7 at a faster rate than boys. For 7-8 year olds, family plays a key role, but social groups are starting to emerge as key influencers.32 The study notes that gender stereotypes around sport and activity start to influence girls ‘perceptions. For instance ‘being sporty’ is less associated with popularity for girls than boys. Girls are more likely to report lacking confidence engage in physical activity than boys and report a lack of role models.33 The transition from primary to secondary school disrupts friendship groups and may also affect participation for girls.

Additional national research by Street Games also highlights the following barriers faced by girls:

If teenage girls are not in the habit of taking part in physical activity, it is difficult to reintroduce;

A significant number of teenage girls, lack confidence in their ability to do physical activity.34

4.4. Barriers relevant to young disabled people

For disabled young people the parents/carers focus group found the significant barriers effecting their participation were:

Reluctance to travel, yet an acceptance that if parents wanted their children to try new activities, travel was the only option;

Lack of confidence to try new activities in unfamiliar settings;

Parental affordability;

Availability of suitable activities

A 2016 study noted that the factors affecting participation in physical activity by children with disability

are complex and multifactorial. Their study emphasised children with disability face additional barriers to participation which may include lack of instructor skills and an inability or unwillingness to be inclusive and negative societal attitudes towards disability. It also reaffirmed a lack of local opportunities as a barrier.35

4.5. Barriers relevant to young people from different ethnic minority and faith groups

Evidence obtained from Sporting Equals 2013 revealed barriers and challenges faced by young people from different ethnic and faith communities when taking part in physical activity and sport. Religious and faith commitments can influence the everyday lives of many pupils and their families. It is therefore important for physical activity and sport providers, including education, to understand and

31 NICE Public Health Collaborating Centre – Physical Activity September 2007 32 Women in Sport Survey The Tipping Point: confidence and attitudes in 7 and 8 Year olds girls Provisional findings, 2015 33 The Tipping Point: confidence and attitudes in seven and eight year old girls – Women in Sport & Youth Sport Trust – March 2015 found that girls are highly motivated by social aspects of participation and very influenced by the behaviour of their friends – particularly as they get older. This is significantly more true of the least active. 57% of girls agree that “girls drop out of sport and other physical activity because their friends do”. The least active girls are twice as likely to agree with this statement as the most active. Being popular is not defined by being ‘sporty’ for girls – but is for boys. Boys receive more encouragement to be sporty from their friends. 34 Street Games (2013). Scoping Exercise Into Young People’s (14-16) Attitudes & Engagement In Sport. Street Games. 35 Nora Shields and Anneliese Synnot, 2016 Perceived barriers and facilitators to participation in physical activity for children with disability: a qualitative study BMC Pediatr. 2016; 16: 9. 293


https://www.womeninsport.org/resources/understanding-womens-lives/

http://www.streetgames.org/sites/default/files/Scoping%20Exercise%20Into%20Young%20People%E2%80%99s%20(14-16)%20attitudes%20%26%20engagement%20in%20sport_0_0.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717582/


https://www.womeninsport.org/resources/understanding-womens-lives/

http://www.streetgames.org/sites/default/files/Scoping%20Exercise%20Into%20Young%20People%E2%80%99s%20(14-16)%20attitudes%20%26%20engagement%20in%20sport_0_0.pdf




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respond positively to the needs of children and young people from different faith communities. Barriers include:

Religious commitments such as religious days and festivals;

The cultural attitude to sport may affect young people’s participation or the type of physical activity with which young people engage

Within some faith communities women and girls are not traditionally expected to participate in sport;

Education taking priority over physical activity, with participation in extracurricular activities considered not an important use of a child’s time

Sporting Equals has also looked specifically at the barriers faced by Muslim women and note the following factors

Dress code: Sports facilities/ teams/ clubs do not always appreciate the need for modest dress.

Facilities: Facilities that are clean and available to thoroughly wash and the provision of a prayer room

Lack of Role Models : There is a lack of visibility of British BME women in sport

Parental Approval: Parents need to understand the benefits of physical activity and encourage out of school activities

Transport: It is often more appropriate for women to access services locally in order to avoid travelling alone especially at night

Social Side: The traditional social side of sport is often incompatible with religious requirements of Muslim women who do not drink alcohol and will not partake in activity which may be consider in appropriate and incompatible with their beliefs.

Communication: Language is often a barrier as being unable to communicate causes anxiety and uncertainty

Lack of women only sessions: Most Muslim women will only play sport in a female only environment. 36

Socio-economic differences: Statistically BME people earn less than their white counterparts which limits access

36 Sport Equals 2010 Muslim Women in Sport 294

http://www.sportscoachuk.org/sites/default/files/Muslim%20women%20in%20sport%20-%20WSFF%20&%20sporting%20equals.pdf


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5. STRATEGY AND ACTIVITY MAPPING

The following section outlines relevant national and local policy and strategy as well as outlines the current offer of physical activity programmes and opportunities by LBH and partners.

5.1. National and Local Strategy

The following table sets out the national level policy and strategy.

HM Treasury and Cabinet Office, Childhood Obesity: A Plan for Action (2016)37

The core areas of focus of the plan also include:

Helping all children to enjoy an hour of physical activity every day;

Improving the co-ordination of sport and physical activity programmes for schools

Department for Culture, Media & Sport, (2015) Sporting Future - A New Strategy for an Active Nation38

This cross-government strategy aims to increase sport participation and tackle high levels of inactivity in this country. There is a focus on five key outcomes: physical wellbeing, mental wellbeing, individual development, social and community development and economic development.

For the first time, national strategy sets out an aim to invest in children and young people from the age of five to build positive attitudes to sport and physical activity as the foundations of life.

It also acknowledges that local authorities are the biggest public sector investor in sport and physical activity and have an important leadership role to play, bringing partners together to unblock barriers to participation and improve the local delivery.

Public Health England (2014) Everybody active, every day: a framework to embed physical activity into daily life39

This framework calls for support all sectors to embed physical activity into daily life and make it an easy, cost-effective and ‘normal’ choice in every community in England. To make active lifestyles a reality for all, the 4 areas for action are:

Active Society: change the social norms around physical activity

Moving Professionals: develop expertise and leadership within professionals;

Active Environments: create environments to support active lives;

Moving at scale: identify and scale up successful programmes

Public Health England (2014) From evidence into action: opportunities to protect and improve the nation’s health40

This sets out Public Health England's seven priorities for the next 5 years which includes tackling obesity and ensuring each child has the best start in life.

Public Services (Social value) Act 2012

This act requires public bodies to consider how the commissioned services might improve the economic, social and environmental well-being of the area.

Fair Society, Healthy Lives – The Marmot Review (2010)41

This provides evidence that ‘the broader determinants of health’ including the local environment, housing, transport, employment, and their social interaction, need to be addressed for behaviour change.

The National Institute for Health and Care Excellence, 2009 Physical activity for children and young people PH 1742

The NICE Guidelines includes recommendations on:

delivering a national campaign and raising awareness about physical activity

developing physical activity plans

planning the provision of spaces and facilities

responding to what children and young people want

multi-component school and community programmes

active and sustainable school travel plans

helping children and families to be active

The key recommendations are illustrated below:

37 https://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action 38 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/486622/Sporting_Future_ACCESSIBLE.pdf 39 https://www.gov.uk/government/publications/everybody-active-every-day-a-framework-to-embed-physical-activity-into-daily-life 40 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/366852/PHE_Priorities.pdf 41 http://www.instituteofhealthequity.org/Content/FileManager/pdf/fairsocietyhealthylives.pdf 42 Physical activity for children and young people (2009) NICE guideline PH17 295

https://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/486622/Sporting_Future_ACCESSIBLE.pdf

https://www.gov.uk/government/publications/everybody-active-every-day-a-framework-to-embed-physical-activity-into-daily-life

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/366852/PHE_Priorities.pdf

http://www.instituteofhealthequity.org/Content/FileManager/pdf/fairsocietyhealthylives.pdf

http://www.nice.org.uk/guidance/PH17


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The following actors are identified in implementing the recommendations: • Government departments: 1 • Local authorities (leisure & related services): 2 to 4, 6 to 15 • Local authorities (transport, planning, regeneration): 2 to 5, 12 • Early years providers: 4, 10, 12, 13, 15 • Schools and colleges: 4 to 7, 9 to 15. • Local strategic partnerships: 2, 3 • Children's trusts and services: 2, 4, 6, 7, 10, 13 • Primary care trusts: 2 to 4, 6, 9, 15 • Community and voluntary groups: 3, 6 to 11, 13 to 15 • Organisations for practitioners education & training: 7, 8 • Private sector providers: 4, 6 to 11, 13 to 15 • Police: 4, 5 • Parents, families and carers: 13, 15

The following table sets out the local level policy and strategy.

Hounslow Community ‘Future Borough’ strategy – A vision for Hounslow 2030

This sets out a long term vision and strategy for the economic, social and environmental wellbeing of the Borough through to 2030.

Physical activity is identified within the strategy as supporting the outcome that seeks to enable residents to ‘live healthier, more independent lives’. This will be undertaken through action to promote healthy choices and healthy lifestyles.

296


15

Although not specifically referenced as a contributor, physical activity will also make an important contribution towards a number of the other long term desired outcomes and actions identified to improve the borough as a place to live.

London Borough of Hounslow Leisure and Culture Strategy 2016-2020

The strategy sets high-level thinking on how best to re-shape leisure and culture services, taking into account the future needs of local residents and the need to deliver services with reducing budgets It pledges to support residents to be more active by

Creating a movement- engage all sectors to make every contact count and make physical activity popular through campaigns, education and events which support behaviour change.

Think strategically and prioritise – provide strategic leadership facilitating partnerships with public, private and voluntary sectors to maximise the sport and physical activity offer. We will also target resources and funding for sport and physical activity more strategically.

Create active environments and provide the right facilities in the right locations - guide future programmes of work, capital investment for new sports facilities and improve accessibility of others. Shape spaces to support physical activity making use of our parks and open spaces and provide targeted services and events for the least active people.

The Joint Strategic Health & Wellbeing Strategy (2014)

The JSNA identifies physical activity as key to addressing childhood obesity and enabling people to make healthier lifestyle choices.

Hounslow CCG Joint commissioning intentions 2014/1543

The CCG has developed joint public health intentions with the London Borough of Hounslow. It promotes increased investment in physical activity infrastructure (parks and schools) in the more deprived parts of the borough; a new weight management programme for children and families and working with Children’s services and the CCG to strengthen the Early Years settings and Healthy Schools offer.

Corporate Plan 2014 – 2019

The corporate plan sets out the direction for the Council over the next 4 years, and guiding annual service delivery plans. It includes a priority to create ‘Active Healthy Communities’. Physical activity and sport is identified as a means of contributing to this priority in a number of ways.

Thriving Communities & VCSE Sector strategy 2015-201944

The strategy outlines how the local authority will work in partnership to support active resident and VCSE involvement in meeting local needs. It advocates working with communities and VCSE sector to better utilise libraries, community open spaces, play areas, riverfronts and community allotments and support the Council’s health promoting activities

It also states we will continue to promote access to good quality information, support safer neighbourhoods and projects that help, promote healthy and active lifestyles (e.g. physical activity, health walks), encourage lifestyle changes (e.g. stop smoking, healthy weight, improve mental wellbeing. In addition we shall engage with the VCSE sector in programmes including ‘Health Walks’ to increase residents’ use of outdoor space for exercise/ health reasons.

Hounslow Physical Activity and Sport Strategy 2012 – 2022

This sets out a vision and outcomes for physical activity and sport through to 2022.It focusses on

Increasing the regular and sustained participation in physical activity;

Enhancing school sports and providing high quality opportunities for young people to participate and compete;

Taking a co-ordinated approach to local events and programmes;

Improving facilities and targeting project delivery;

43 http://www.hounslowccg.nhs.uk/media/65175/09-Commissioning-Intentions.pdf 44 http://www.hounslow.gov.uk/vcse_sector_strategy_2015_19.pdf 297

http://www.hounslowccg.nhs.uk/media/65175/09-Commissioning-Intentions.pdf

http://www.hounslow.gov.uk/vcse_sector_strategy_2015_19.pdf


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Increasing the number of people who volunteer in roles that promote participation in physical activity and sport.

Improving sporting competition and performance through identification of priority sports and improved support structures.

Hounslow Sport and Physical Activity Facilities Strategy and Playing Pitch Strategy

The priority investments and projects will contribute directly to the strategic priorities of both the Council itself and a number of key partners, as well as contributing to the identified sport and physical activity needs identified in this review. It will help to ensure that the Borough’s facilities provide residents with as wide a range of opportunities to participate as possible.

Public Health Commissioning Strategy2014-201945

This sets out our agenda to reshape our public health offer so that it is more aligned with corporate priorities, the needs of local residents and the need to offer better value for money It includes a focus on ensuring that Council influence on the wider determinants of health is brought to bear to improve health and wellbeing for our residents. Its focus on children emphasises health promoting behaviours and Healthy lifestyles.

Director of Public Health’s Annual Report for 2015/16

This report focusses on Active Living and the role leisure services play in contributing to this. It sets targets to reduce physical inactivity.

Sports and Physical Activity Needs Assessment (2015)

This report provides an analysis of the physical activity and sport needs of residents in the Borough. It provide a base of evidence for identifying priorities within Hounslow that will help:

Increase participation in physical activity and sport by borough residents.

Reduce health inequalities by encouraging physical activity where participation in such activity is low.

Focus investment to ensure the biggest impact

5.2. LBH Interventions

The following sections set out a summary of the activities of the various departments of LBH and constitutes a mapping exercise of the services provided at the date of writing:

5.2.1 Facilities

5.2.1.1. Leisure centres

There are six local leisure and sports centres in Hounslow managed by Fusion. Hence, all residents in Hounslow lives within 4 kilometres of a LBH leisure centre. Two centres are located within the most deprived communities/ wards. The number of usable leisure facilities per 100,000 population is 69, which ranks Hounslow 10th among the 20 outer London boroughs46

The following table indicates the activities provided to children through the Centres:

45 http://www.hounslow.gov.uk/public_health_strategy_2014.pdf 46 UK Active, Turning the tide of inactivity, 2014).

Name Activities for children/youth Usage

stats

Children

stats

Brentford Fountain

Leisure Centre

Swim lessons, junior gym, trampolining, football, basketball,

badminton, futsal, soft play, swimming, badminton, schools

swimming, crèche

454,713 88,741

Hanworth Air Park

Leisure Centre and

Library

Daily during the school holidays there are 2 hour youth

sessions which include squash, tennis or football. During

school time, there are Ollie’s kids camp for 5-12 year olds,

crèche from 3 months-5 years, swim school from 4 months,

school swimming, junior gym and junior karate, weekend

tennis, squash and football coaching

417,444 78,940

298

http://www.fusion-lifestyle.com/contracts/London_Borough_of_Hounslow

http://www.hounslow.gov.uk/public_health_strategy_2014.pdf

http://www.hounslow-leisure.com/leisure-facilities-brentford.html

http://www.hounslow-leisure.com/leisure-facilities-brentford.html

http://www.fusion-lifestyle.com/centres/Hanworth_Air_Park_Leisure_Centre_Library/




17

5.2.1.2. Halls.

Five halls are run by Fusion. In 2014-2015 there were 261,000 visits to these sites. Of the listed activities on the website, 30 out of the 118 (25%) were aimed at children. These are provided by external organisations or clubs.47

Many of the libraries also have halls that can be hired for clubs and organised activities. Data is not available on the use of these for physical activity.

5.2.1.3. Open spaces

There are 208 parks and open spaces, 34 allotment sites, 95 play areas and 137 outdoor sports facilities and pitches, covering 7.2 million metres2 of land in Hounslow. Although these parks and open spaces take up a high proportion of the borough (approximately 40%), only 23.7% of Hounslow residents report using outdoor space to exercise or health reasons.

The opportunities for active play, sport and physical recreation in these spaces may include everything from informal walking and play through to structured sporting activities where clubs hire facilities or manage the land through formal leases. Outdoor gyms and play equipment have been installed in many of these parks. 26 play areas refurbished or built since 2010, at a cost of £3.7 million.

5.2.2 Public Health and Leisure, RedE

This team is responsible for managing the commissioning relationship with Fusion which are responsible for the 6 facilities and associated and services for all ages. There are specific programmes, activities and events for juniors such as swimming lessons, the Youth Games and mini marathon (see above).

As part of the JSNA development process the Public Health team shall be leading the development of a new Physical Activity Strategy.

Coordinating physical activity projects has been initiated through the Community Sports and Physical Activity Network and the Sport Impact Board. However the former has not met recently. The Obesity Task Force has also been created (see section below) as has the Hounslow Obesity Prevention Network.

The Physical Activity Team is also responsible for implementing projects or activities targeted at identified groups and activities in priority areas including

The innovative Beat the Streets programme which encourages active travel by children and families. Over the last two years it has reached 15000 children with the hope to reach 25000 this year. As part of this programme, Public Health have worked with the Transport Department to ensure that 50% of school complete an annual travel plan in order to receive TfL STARS accreditation.

Mobile Swimming Pool based at Southville Primary School, Feltham aims to improve swimming (3 months);

47 Analysis of timetables conducted August 2016

Heston Pool (not

open for full year)

Junior gym for 11-15 year olds, swim school 6 months+, soft

play area, general swim, family swim sessions 65,360 16,088

Isleworth

Recreation Centre

Swim lessons, junior gym, general swimming 341,107 56,125

New Chiswick Pool

Swim lessons, junior gym, swimming, schools swimming,

swim school, crèche, children’s parties 244,688 40,216

Osterley Sports

and Athletics

Centre

Team hounslow athletics club - run and delivered by fusion

leisure as part of the fusion contract 94,929 1,354

299

http://www.hounslow-leisure.com/leisure-facilities-heston.html

http://www.hounslow-leisure.com/leisure-facilities-isleworth.html

http://www.hounslow-leisure.com/leisure-facilities-isleworth.html

http://www.hounslow-leisure.com/leisure-facilities-chiswick.html

http://www.fusion-lifestyle.com/centres/Osterley_Sports_and_Athletics_Centre/home




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Super Active schools Programme (with Sport Impact) shall be rolled out in 2016/2017 and aims to develop 10 active schools that might model good practice and inspire a culture of physical activity in primary schools;

Play Streets is a new programme which aims to allow for residential street closures to allow children to play on street for short period of time, on a regular basis. It has yet to be implemented;

Women and Girls sport grants (see below in Grants section);

Park redevelopment has been funded as a means to create spaces condusive to physical activity;

Outdoor Gyms were installed in parks and training sessions were provided

Our Parks Fitness sessions are conducted in several parks across the borough will now include 2 new junior pilot sessions;

Junior Park Run is a weekly 2km run for children and young people in Hanworth Park;

Free Running is a new programme which shall provide 6 month delivery of free running for 14-16 years olds, including those in SEN Schools;

Practitioner training programme aimed at training for GPs on the benefits of physical activity and teacher training through Sport Impact

Other partnership activities include facilitating the community rowing programme; Tennis coaching and festival for pre-primary;

It is also responsible for initiating studies and reviews including the Sports & Physical Needs assessment and more recently the Swimming Review- Key stage 2

The team also acts as experts on physical activity and behaviour change and works with other teams in Transport, Planning and CAS. For instance it has worked with School Effectiveness team on new school builds to improve playgrounds and layout to promote physical activity.

Indirectly, this department encourages physical activity through its health promoting programmes. The Public Health team is responsible for commissioning the following through Central London Community Healthcare NHS Trust CLCH:

School nursing which includes the measurement of children under the NCMP at reception and Year 7. School Nursing service provides tier 1 healthy weight support to children and young people who are overweight or obese

Home visitors which are qualified and registered nurse or midwife who works primarily with pre-school children and families;

Family nurse partnerships which aims to reduce social exclusion for first time mothers who are aged nineteen years old or under.

Physical development and activity assessments and advice may form part of these services based on one-to one assessments.

The Hounslow and Richmond Community Care Trust provides a Healthy Weight Management Service for children through OneYou Hounslow, and often under the branding of Change4Life. Better referrals are being implemented between school nursing and the Weight Management Programme. The 10 minute shake-up shall also be implemented.

A new programme children HENRY is a 0-5 childhood Obesity Prevention Programme is a CCG funded pilot, led by Public Health in partnership with Children’s Services, delivered in Children’s Centres it involves promoting physical activity as part of the health development of children.

Through the new OneYou service, workshops with parents to promote healthy weight shall be delivered in schools, with priority given to those in areas of high levels of child overweight and obesity. Weight management programme for children and young people identified as overweight or obese will also be facilitated.

300

http://www.clch.nhs.uk/news-events/2015-news/clch-to-deliver-school-nursing-services-in-hounslow.aspx

http://www.clch.nhs.uk/news-events/2015-news/clch-to-deliver-school-nursing-services-in-hounslow.aspx

http://www.hrch.nhs.uk/our-services/


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5.2.1 Children and Adult Services

The LBH provides 18 Children Centres across the borough which provide a variety of activities including Stay and Play and Active Tots which encourage physical activity as part of the physical development of children

The early years advisers support all early years settings to provide high quality provision within the London Borough of Hounslow. 48 Physical literacy training for practitioners49- 2016 Modules: ‘Being Active Matters - A Physical Literacy/Physical Development Programme for Early Years’ and ‘Early Years Healthy Eating and Healthy Weight Training’

Forest schools are funded and provide hands-on learning experiences in a woodland or natural environment with trees.

The Primary School Effectiveness Team provides advice and support services to primary schools across the borough more specifically those maintained schools and those focus schools.

The Secondary School Effectiveness Team provides assistance to the Educational Improvement Partnership and provides general support and coordination of the termly head of department meetings Subject Networks (including PE).

Currently, the Youth Service as part of the Early Intervention Service provides:

5 Youth Centres- all have physical activity type of activities and holiday programmes

2 two diversionary estate youth centres;

Additional programmes and services include:

Alluminae Dance Project – offers young people of both genders the opportunity to participate in dance classes and performances across the borough and beyond

Duke of Edinburgh Service Accreditation is also offered through some youth centres

PHAB provides services for young people with disabilities and this includes extra curriculum physical activities.

The Young Hounslow Directory linked to the family service directory provides some information on available activities in Hounslow for young people

5.2.2 Transport

The Transport Planning & Policy Unit conceives and develops sustainable transport schemes including bus priority, cycling and station-access improvements, and promotes public transport, cycling and walking. The Local Implementation Plan and the three year delivery plan set out capital investments in improving walking and cycling- ways and monitors active travel.

The Traffic Management and Traffic Development Unit investigates, designs and implements traffic management, traffic calming, pedestrian, safer routes to school, bus priority and cycle schemes. The borough has a programme of safe and healthy routes to school that are aimed at discouraging children and their parents and carers from driving to and from school and to consider walking or cycling as an alternative.

The team works with schools to provide:

Child Cycle Training;

Sustainable Travel to Schools (School Travel Planning): which covers staff support and resources for ongoing campaigns including: Theatre in Education; Upgrade 7; WOW & Walk to School Week; Pedestrian Skills Training and Cycle Clubs and 'small grant‘ funding onsite improvements;

STARS – Sustainable Travel: Active, Responsible, Safe an accreditation scheme for schools, nurseries and colleges to inspire young Londoners to travel sustainably, actively, responsibly and safely.

48 http://www.hounslow.gov.uk/early_years_advisory 49 http://www.hounslow.gov.uk/earlyyears_training_brochure_spring16.pdf 301

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/youth.page

http://www.hounslow.gov.uk/early_years_advisory

http://www.hounslow.gov.uk/earlyyears_training_brochure_spring16.pdf


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5.2.3 Events and Communications

The events team are currently coordinating an event with NFL to involve young people in American Football50, they also play a role in coordinating and joining up events with Council priorities. The events team also manages an online calendar of local events including physical activities.

5.2.4 Planning

The Planning team is indirectly involved in providing a facilitatory environment for physical activity through input into policies and plans that reduce barriers to physical activity and policies to increase space for recreational activity. By helping to “design out” crime and promoting development which enhances the street scene, Planning contributes to the creation of an environment that promotes active living and physical activity.

5.2.1 Housing

Housing developments and new play areas

5.2.2 Community Partnerships Unit (CPU) and Grants

CPU works with the VCSE sector and coordinates grants to the sector. A rapid analysis of the grants allocated from February 2014 to August 2016 show that of the 176 small, community or Youth Trust grants allocated over this period, 24 for were used to directly fund physical activity activities for young people or children. 51 As indicated in the table below this amounts to 19% of the total amount allocated under these grants. A large proportion of the Youth Fund grants was used to fund these types of activities.

2014 2015 2016 2014-16

Value All Grants % of total

No. Value No. Value No. Value

Community Grant

4 £58,070 0 3 £50,500 £108,570 £570,260 19.0%

Youth Fund Grant

4 £10,230 0 3 £5,775 £16,005 £40,463 39.6%

Area Forum/ Small grants

1 £500 6 3,459 1 £500 £4,459 £52,965 8.4%

£129,034 £663,688 19.4%

As mentioned above, the LBH Public Health and Leisure Team has made available funding for Health & Wellbeing Grants for women and girls projects. Grants between £500 and £2000 are available for traditional and non-traditional physical activities which are appealing to women and girls. The grants may be used to support longstanding projects; meet new, emerging community needs or respond to innovative new proposals. Initial discussions indicate that the entirety of this grant will not be allocated under this latest call.

5.2.3 Collaborative Forums

Several spaces are used to coordinate action with the VCSE sector and other partners.

The Hounslow Health and Wellbeing Board, and will drive much of the integration between council and partner services. Obesity Task Force shall be established by the Public Health

50More than 1,000 children between the ages of 8 and 11 attended and participated in a ‘flag’ football tournament to learn abou50t the sport as well as take part in a in a series of other activities. A total of 47 schools were represented at the event, with 32 taking part in the tournament http://www.nfluk.com/news/internationalseries/article-1/Summer-Bowl-school-day-returns-in-2016/a6c5da0f-1c6d-4c9e-ad98-3ae4c1d9b265 51 Available data share Hounslow of the Grants to Community and Social Enterprises (Information about grants provided to voluntary, community and social enterprises, including amount and purpose of the grant.) Available at: http://data.hounslow.gov.uk/View/local-community/grants-to-voluntary-community-and-social-enterprise-organisations# 302

http://www.hounslow.info/news-events/events-calendar/

http://www.nfluk.com/news/internationalseries/article-1/Summer-Bowl-school-day-returns-in-2016/a6c5da0f-1c6d-4c9e-ad98-3ae4c1d9b265

http://www.nfluk.com/news/internationalseries/article-1/Summer-Bowl-school-day-returns-in-2016/a6c5da0f-1c6d-4c9e-ad98-3ae4c1d9b265

http://data.hounslow.gov.uk/View/local-community/grants-to-voluntary-community-and-social-enterprise-organisations

http://data.hounslow.gov.uk/View/local-community/grants-to-voluntary-community-and-social-enterprise-organisations


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team. It came out of the Obesity Event in March 2016. It has yet to meet but shall report to the Health and Wellbeing Board52

The Community Sports and Physical Activity Network (CSPAN), which is co-ordinated and managed by the council, brings together local partners such as Brentford Football Club, Indian Gymkhana, Grasshoppers, St Mary’s University, Sport Impact and Fusion. In the past three years, this network has secured in excess of £1 million in revenue funding to deliver sport and physical activity programmes across the borough, targeting various priority groups and areas.

The Sport Impact Board is also used as a space to engage strategically on physical activity in schools.

The newly created Osterley Sports Network is also worth a mention. Created by ward councillors to coordinate activities of sports partners within an area it has the potential to facilitate better access to physical activities.

5.3. Local Partners

5.3.1. Nurseries schools and pre-primary

The Hounslow Family Information Service lists the following which provide a physical activities53 as part of the physical development of children:

38 day nurseries

19 child-minders

28 pre-school playgroups

35 breakfast clubs & After school clubs

8 holiday schemes / clubs

5.3.2. Primary schools

There are 54 primary schools in the LBH. 45 of these are part of the Hounslow Learning Partnership. These are shown in the map below:

The PE and Sport Premium is the primary funding instrument for physical activities in primary schools. Following the Obesity Plan, this funding will be increased from the sugar tax levy, hence it is important to understand how it works. It is designed to help primary schools improve the quality of the PE and sport activities they offer their pupils. Schools receive PE and sport premium funding based

52 Proposal to establish a new Hounslow Childhood Obesity Task Force, March 2016 53 Family Service Directory 303

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/results.page?familychannel=2412


22

on the number of pupils in years 1 to 6. Schools must use the funding to make additional and sustainable improvements to the quality of PE and sport they offer. The funding can be used to:

hire qualified sports coaches to work with teachers;

provide existing staff with training or resources to help them teach PE and sport more effectively;

introduce new sports or activities and encourage more pupils to take up sport

support and involve the least active children by running or extending school sports clubs, holiday clubs and Change4Life clubs;

run sport competitions;

increase pupils’ participation in the School Games;

run sports activities with other schools.

OFSTED are monitoring and reporting on how effective schools have used this grant and staff and Governors are expected to be able to demonstrate this during an inspection.

There are some very good examples of active learning, PE and sports activities across the borough. The use of the Sports Premium is made publically available by the schools often on their website. Sport Impact works with most schools in the Borough on their use of this premium.

5.3.3. Secondary schools

There are 15 secondary schools in LBH. They all provide PE as part of the timetables. Extra curriculum activities, clubs and sport are listed on their websites. Numerous conversations with the School Effectiveness Team, Sport Impact and the Youth Council has emphasised the difficulties on delivering physical activity and PE during the school day due to the pressures of the academic timetable

The following map indicates the secondary schools in LBH:

5.3.4. Community organisations

226 community organisations were identified as providing activities in the borough. Of these 55% provide some activities for children. The types of activities are indicated below:

Activity Number of organisations providing activities for:

Children 0-5 Children 6-11 Children 12-18

Badminton 1

Basketball 5 5

Bowling 1 2

Cricket 2 5 5

Cycling 1 1 2

Dance 14 17 16

304


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Drama activities 1

Exercise 7 7 7

Football 6 11 12

Golf 1

Gymnastics 1 1

Martial Arts/Boxing 12 14

Multisport 10 17 16

Play 6 1

Rugby 1 1 1

Ski 1 1

Swimming 2 2 2

Table Tennis 1

Tennis 2 6 6

Walking/Running 2 1 2

Water sport 1 4 8

Yoga 1 1 1

Grand Total 55 96 103

The geographical spread of these organisation is illustrated below:

Locality Number of organisations servicing children % total organisations

Brentford & Isleworth 34 15.0%

Central Hounslow 14 6.2%

Chiswick Area 35 15.5%

Heston and Cranford 6 2.7%

West Area 35 15.5%

This information should be treated with care as it indicates the number of community organisations who report providing this activities and this information changes regularly, projects from outside the borough are not include nor are those delivered by the LBH through Leisure Centers, Youth Centers or other projects .

5.3.5. Sport Impact

Sport Impact deserves a special mention as a local partner. The organisation works extensively with schools across the LBH to provide services and activities.

It receives 75% of its budget from around 80% of the borough’s primary schools through the Sports Premium and develops a school specific plan to increase physical activity and promote sports and healthy living. Interventions are site specific but working with teachers to increase their confidence and abilities to facilitate PE, implementing clubs, facilitating extra curriculum activities and managing intra-school and inter-school competition. Some activities are also targeted at families and involves parents. It is responsible for implementing the LBH Super Active Schools programme

5.3.6. Brentford Football Community Sports Trust (BFCST)

BFCST is another organisation that delivers sports and leisure-based youth inclusion projects across Hounslow. It uses sport and leisure activities to engage with marginalised young people aged 8-18 years of age living on key housing estates across the borough. The Trust provides a variety of projects such as sports sessions and youth clubs, opportunities to volunteer and gain accredited qualifications and educational workshops for young people to make informed lifestyle decisions. BFCST is currently commissioned to provide MOTIVATE under the OneYou Banner. Motivate aims to get more young people, specifically 14-25 year olds active

305

http://www.sportimpact.co.uk/

http://www.sportimpact.co.uk/pages/motivate-hounslow-project


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6 WAYS FORWARD

Following the consideration of local and national data, research and academic papers as well as various conversations with officers, organisations and young people, the following lines of inquiry have been proposed:

Line of Inquiry Motivation

Considering what support could be provided at a secondary school level in order to promote physical activity

Data shows that levels of participation in physical activity decreases at a secondary school level.

Investigate ways to improve the “physical activity pathway” from primary to secondary school ages for girls

There is a significant drop off of physical activity in girls after 8 years of age. Research shows that if teenage girls are not in the habit of participating in physical activity, it can be hard to reintroduce them to it.

Examine ways to improve access to information for children and parents on available opportunities for physical activity

There are multiple sources of information that might be difficult to navigate though and does not provide an easy reference point for parents or children

Investigate opportunities to increase physical activity through population level approaches such as Beat the Streets

Research seems to indicate that there is lots of good practice at a small scale but considering the level of inactivity in LBH, interventions at scale are needed

The Task and Finish Group will engage in further research and conduct several school visits with primary and secondary schools across the borough in order to investigate these lines of inquiry.

.

306

Appendix C

TASK AND FINISH GROUP

CHILDREN AND YOUNG PEOPLE SCRUTINY PANEL

BRIEFING NOTE: RESEARCH INTO INTERVENTIONS

1. The extent of problem and interventions required

Based on the premise that the biggest gains for public health and the best value for public investment is found

in addressing the people who are least active’,1 it might be a useful exercise to quantify the number of children

who are not meeting the Chief Medical Officers daily recommended levels of physical activity (PA).

Source: Sporting Future: A New Strategy for an Active Nation

However, it is useful to keep in mind that most children aged 5-16 will participate in approximately 2 hours of

PE during school term time (National Guidance)

The ONS mid-year population estimates that there are 68, 541 children aged 0-18. For the purpose of this

thumbnail analysis we will focus on children in Primary and Secondary School which is estimated at 46,995.

Using national level and local level surveys we can estimate the number of children who might be considered

inactive or of low activity levels:

Age Population

(ONS 2015)

Estimate %

inactive

Total

inactive Source

0-4 21,546 no data

5-11 24,226 88.0% 21,319 Local Survey: LBH Needs Assessment 20142

12-16 13,849 88.9% 12,312 National Survey: What about YOUth? Survey34

16-18 8,920 96.5% 8,608 Local Survey: LBH Needs Assessment 2014

68,541 42,238

If we estimate that approximately 12 % of primary and 11% of secondary school children up to the age of 16

and 3, 5% over 16 meet the CMO requirements based on the surveys available, intervention is required for 42,

238 children. Hence there is a need for a universal/population type approach which reaches high numbers of

children, is cost effective, evidence-based and sustainable. This may be independent of obesity and weight

management strategies and targeted towards all children.5

When investigating cost-effective population-level interventions for health-related behaviour change, it is useful to keep in mind the Rose principle6 that is to focus on activities that reduce the risk levels in the population as a whole, shifting the whole health gradient in the direction of health improvement while being mindful of the impact on the overall inequalities slope of the gradient.

1 Sporting Future: A New Strategy for an Active Nation page 19 2 A children and young people physical activity survey was undertaken during September 2014. It was completed by 467 children and young people attending Hounslow schools. The Physical Activity and Sports Needs Assessment (2014) identified that 12% of Hounslow primary school pupils and 3.5% of Hounslow secondary school pupils meet CMO recommendations for physical activity (60 minutes 7 days a week) 3 Department of Health, 2014, What about YOUth? 2014 (WAY 2014) is a newly-established survey involving over 300 000 young people . It provides data at a local authority level and finds that, in Hounslow, only 11.1% of 15 year olds are active for the recommended 60 minutes per day, seven days a week. 4 I chose to use What about YOUth? 2014 for this cohort as it has a bigger sample size and is more robust. 5 http://ukactive.com/downloads/managed/Turning_the_tide_of_inactivity.pdf 6 Rose, G. (2008) Rose’s Strategy of Preventive Medicine, The Complete Original Text, commentary by Khaw, K-T. & Marmot, M. Oxford: Oxford University Press. Cited By NICE PH6 Behaviour change review decision paper 2014

307

Agenda Item 7c

http://fingertips.phe.org.uk/profile/what-about-youth/data#page/0/gid/1938132846/pat/6/par/E12000007/ati/102/are/E09000002

http://ukactive.com/downloads/managed/Turning_the_tide_of_inactivity.pdf

https://www.nice.org.uk/guidance/ph6/evidence/review-decision-2014-545971069

2. Considering Interventions

Lack of evidence

There is little robust evidence on the effectiveness of various interventions to increase PA. In fact some reviews emphasise the relative ineffectiveness of some interventions. 7 The UK Parliament All Party Commission on Physical Activity Report found that “it is currently almost impossible to tell which physical activity interventions have been successful and which have failed.”8 This reinforced the findings of PHEs national review of PA interventions which out of 952 submitted applications found ‘no proven practice’ no ‘proven’ practice’ two programmes of ‘promising’ practice and 28 programmes of ‘emerging’ practice. Similarly the NICE 17 guidelines note: ‘Despite extensive searches, it was difficult to find many high quality controlled studies demonstrating the effectiveness of interventions’ and ‘There is virtually no evidence on the cost-effectiveness of interventions to increase children and young people's physical activity levels’.9 Complex issue

Improving levels of PA is a complex issue and it appears that there is no ‘quick fix’ but rather a combination of

interventions aimed at creating opportunities for PA within schools and outside school time as well as

promoting PA and behaviour change in schools, communities and homes.

The Foresight Tackling Obesities: Future Choices report provides an example of the complexity of promoting

PA and behaviour change through the use of systems maps. It also suggests that actions promote physical

activity are successful when PA are built into people’s lives so that moving is a normal part of a person’s day

Focus on behaviour change

It is important to note that increasing physical activity, like many other health-promoting behaviour demands a

change in behaviour for this to be successful and sustainable. Behavioural change strategies are generally

based on behavioral theories and make the assumption that all behaviour patterns are conditioned. It may be

useful to consider the NICE 6 Guidelines Behaviour change: general approaches

Behaviour change may not be a priority for the children being targeted as they do not see their own long-term

health a priority and may want to focus on other, more immediate needs and goals (for example, complying

with peer pressure). Furthermore, methods applied to influence all behaviour and all children may not have

universal effects and may be more effective among some groups, or in some settings. It also important to

remember that PA will only deliver gains for the individual and the population if they are maintained and

become a habit.

Below is a high level summary of some of the interventions and comments on effectiveness and scale as well

as examples of good practice or innovation. This is not a thorough nor a systematic review of the evidence but

aims to provide key areas for discussion and some good practice. More robust reviews are available through

these resources:

NICE Guidelines 17: Physical activity for children and young people (PH17)

PHE, 2014 Identifying what works for local physical inactivity interventions

UK Parliament All Party Commission 2015 Tackling Physical Inactivity—A Coordinated Approach

HMG 2015 What Works in Schools and Colleges to Increase Physical Activity?

Center for Reviews and Dissemination

Youth Sport Trust10

7 Corder K, Schiff A, Kesten JM, et al. Development of a universal approach to increase physical activity among adolescents: the GoActive intervention. BMJ Open 2015 8 The UK Parliament All Party Commission 2015 Tackling Physical Inactivity—A Coordinated Approach 9 NICE Guidelines 17: Physical activity for children and young people (PH17) 10 Youth Sport Trust supports a network of school sports partnerships. It also works with under-represented groups through programmes such as Girls in Sport, Living for Sport, YoUR Activity, TOP Activity and the Playground to Podium framework for disabled people.

308

https://www.gov.uk/government/collections/tackling-obesities-future-choices

https://www.nice.org.uk/guidance/PH6/chapter/2-Considerations

https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjD_Jnhz7nRAhULvhQKHfAYAB0QFggaMAA&url=https%3A%2F%2Fwww.nice.org.uk%2Fguidance%2Fph17&usg=AFQjCNFFchwV-vdVckhReirLkHDw1qAyGw&bvm=bv.143423383,d.d24

https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwi_nMjQz7nRAhUGuRQKHc4FDxQQFggcMAA&url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fuploads%2Fsystem%2Fuploads%2Fattachment_data%2Ffile%2F374560%2FWhatworksv1_2.pdf&usg=AFQjCNHzWCTgyjC9NRF1UQe1WIIOozjRAQ

https://parliamentarycommissiononphysicalactivity.files.wordpress.com/2014/04/apcopa-final.pdf

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/469703/What_works_in_schools_and_colleges_to_increas_physical_activity.pdf

https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwio-qvzz7nRAhUEWBQKHRQ4BxUQFggaMAA&url=http%3A%2F%2Fwww.york.ac.uk%2Fcrd%2F&usg=AFQjCNH-hyw0YhHN62IWM69uB9Bxxov48A&bvm=bv.143423383,d.d24

https://www.youthsporttrust.org/

https://parliamentarycommissiononphysicalactivity.files.wordpress.com/2014/04/apcopa-final.pdf

11 NICE 17 12 Br J Sports Med. 2011 Sep; 45(11): 10.1136/bjsports-2011-090186.doi: 10.1136/bjsports-2011-090186 13 H L Brooke, et al, 2013 More of the same or a change of scenery: an observational study of variety and frequency of physical activity in British children BMC Public Health 14 LGIU 2016 Working Together To Get The Nation Moving Briefing 15 Social media may provide certain advantages for public health interventions; however, studies of social media interventions to date relating to healthy lifestyles tend to show low levels of participation and do not show significant differences between groups in key outcomes. See G Williams et al 2014 ‘Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials’ BMJ Open 2014 16 There is some preliminary support for interventions using mobile technology to increase physical activity behavior. Although the use of mobile technology in physical activity research is still in its infancy, Fanning J, Mullen SP, McAuley E 2012 Increasing Physical Activity With Mobile Devices: A Meta-Analysis J Med Internet Res 2012;14(6):e161 17 Each year 9 class (tutor group/) choose 2 activities each week using little/no equipment, and appealing to a variety of students (incl Ultimate Frisbee, Zumba etc). Its implemented using a tiered-leadership system where mentors (older students’) and peer-leaders (within each class) encourage students to try these activities each week. Teachers use one tutor time (registration/roll call) weekly to do one chosen activities as a class. Students gain points for trying new activities in or out of school. Points are gained every time they try an activity; there is no expectation of time spent in the activity. Individual students track of their points privately on the website and points are entered into the intra-class competition. Class rankings are circulated each week to encourage teacher support and students receive rewards for reaching points thresholds (20/50/100). 18 PHE, 2014 Identifying what works for local physical inactivity interventions

Description/Types Evidence, impact, scale & sustainability, Areas for discussion, interesting research

Promising Examples or Good Practice S

ch

ool B

ase

d in

terv

ention

s

National curriculum change

Increase time for PE, Increase quality, choice or variety of PE

Changing School Environment (play areas, playground markings

Extracurricular clubs or enrichment activities: Before/after school

Extra breaks or activity during breaks e.g. ‘hidden curriculum’

School leaders and peer support

School policy promoting PA

Breakfast fitness clubs

In-class activity and active lessons

Teacher training and mentorship

Communications: Heath weeks, heath promotion

Targeted programme for specific groups, girls, inactive students etc.

Sharing school facilities with community organisations

Lessons on pedestrian/ cycling safety

Programmes to ease the transition between primary and secondary

Mixed evidence and impact but schools have relatively captive audience and scale can be large.

Different age, developmental stage, ability, gender, culture, fitness levels etc. may require different interventions. Children’s voice help to identify effective interventions

Reports a supportive environment for a curricula focused on participation rather than competition led to non-active student becoming more active

School-based interventions outside of PE lessons, targeting the single behaviour of PA, can lead to moderate-to-large increases in PA in adolescent girls for up to 6 months

Research on outdoor play for children in the foundation stage and should provide opportunities for movement and challenge

Time outside correlated with increased PA. There is reluctance by parents/ carers to supervise children playing outdoors in poor weather - practitioners are more put off by weather than children.11

Multicomponent interventions with family involvement most effective.12

Interventions targeting inactive children may focus on increasing the Variety and Frequency of PA, as both are significantly lower than in children meeting the guidelines.13

Potential for Online Interventions, Gaming14, social media15 and Cell phone technology16

Also see good practices from Hounslow Schools and initiates from Sport Impact: School Leaders, My PB, Aspire, Girls Active Clubs, Sports Games

MRC and CEDAR trial of Go Active aims to increase PA through peer support, self-

efficacy, group cohesion, self-esteem and friendship quality, and is implemented in tutor groups using a student-led tiered-leadership system and points and reward.17

Girls active, YouthSport Trust provides support to schools to help review their PA culture and practices to attract 11-14 year old girls and empowers girls to influence PA at schools and increase participation

Camden Get active: funding for school playgrounds and use by communities

St Ninian’s school, Stirling’s Daily Mile where children run or walk a mile every day

during school hours.

Start to Move (Youth Sport Trust and Bupa) develops primary teachers confidence

and competence in teaching 4 -10-year olds the movement foundations required to participate in life, activity and sport.18

The Class Moves!® Scotland is a relaxation exercise programme for primary school

children. This classroom based resource acts to increase activity, help with concentration, stress, physical awareness and promoting self-care. Also TeenYoga

Sports Games & Youth Games uses sports, competition and festivals to increase PA

TeamUp aimed at girls in primary and secondary schools with a goal to ensure 150,000 7-13-y.o girls have more access to team sport. The campaign targets 5,000 participating schools to increase their offer of team sports for girls.

Satellite Clubs (Sport England) support so by 2017, every secondary school in England will have a satellite community sports club on its site.

Dutch Obesity Intervention in Teenagers DOiT is a school-based curriculum of

obesity prevention program for 12- 14-year olds

Others: Seinäjoen Yhteiskoulu school (Finland), 4 breaks a day, at least 2 outside and has seen increases in PA. Sorrento Elementary, Canada has free, unstructured play to ease anxiety and make classes more focussed. Summit School, USA before-

309

https://dx.doi.org/10.1136%2Fbjsports-2011-090186

http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-761

http://www.lgiu.org.uk/briefing/physical-activity-and-health-working-together-to-get-the-nation-moving/

http://bmjopen.bmj.com/content/4/2/e003926.short

http://www.jmir.org/2012/6/e161/?utm_source=TrendMD&utm_medium=cpc&utm_campaign=JMIR_TrendMD_1

https://www.yourschoolgames.com/

http://www.mrc-epid.cam.ac.uk/research/studies/goactive/

https://www.youthsporttrust.org/sites/yst/files/Girls%20Active%20Programme%20Guidance%20Template%202016-17%20v4.pdf

http://www.camden.gov.uk/ccm/content/leisure/sports-and-activities/sports-for-young-people/active-spaces/active-spaces.en;jsessionid=0C6AA708BC54B90092FC73BA5B084D52

http://thedailymile.co.uk/

https://www.youthsporttrust.org/start-move

https://eric.ed.gov/?id=ED450114

http://www.teenyoga.co.uk/

http://londonyouthgames.org/page.asp?section=531&sectionTitle=About+the+Games

http://londonyouthgames.org/page.asp?section=531&sectionTitle=About+the+Games

https://www.teamupengland.com/

https://www.sportengland.org/our-work/children-and-young-people/satellite-clubs/

http://doitopschool.nl/

19 Guardian 19 January 2016, 'Inside the schools fighting childhood obesity with fitness' 20 LGIU briefing 21 All Party Parliamentary Group on a fit and Heathy childhood, 2016 National Obesity Framework 22 See Young Foundation, 2012 Community Sports Hubs: 23 An Sluijis et al, 2007 Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials ritish Medical Journal, 6.10.07, 2007, 24The ICAPS programme is not strictly school-based but requires partnerships. It is implemented over 4 academic years to promote PA inside and outside school, including during everyday life, with 3 principal targets (1) knowledge, attitudes, beliefs and motivation towards PA by means of information and debates but also with the PA sessions; (2) social support by parents, peers, teachers and PA instructors; and (3) environmental—physical, structural and institutional—conditions for PA that encourage the students to use the knowledge and skills they have learned. Simon C, et al. Successful overweight prevention in adolescents by increasing physical activity: a 4-year randomized controlled intervention. International Journal of Obesity 2008;32(10):1489-98. 25 NICE 17 26 NICE 17 Evidence Update 28 BMC, 2012 New ways to promote physical activity and reduce sedentary behaviour: Sharing practice booklet

School nursing team conduct brief interventions and ‘make every contact count’

school running clubs and “Workout Wednesday” where parents are invited and 100 of 330 students participate every time. Scoil Rois, Galway children organise break time

games and are active in academic lessons, e.g. participating in skipping to count to the answer in maths.19 School Hubs, Edinburgh where schools are opened to the

public with discounted rates for youth. Sports participation has risen by 50%20.

Physical development testing (Netherlands, Wales) and fitness testing (Singapore)21

Also: HMG 2015 What Works in Schools and Colleges to Increase Physical Activity?

Com

mun

ity B

ase

d in

terv

en

tions

Sports clubs

Outreach to new members

Free introductory sessions

Support to meet needs of inactive

Marketing and Communication

Community engagement

Collaboration and coordination

Community Sports Hubs22

Youth clubs

Targeted activities for inactive groups such as young girls

Regular events/activities- Parkrun

Encouraging volunteer/placements to expand the workforce

Mixed evidence and less robust than school interventions. Provision of non-competitive recreational PA has rarely been compared with more traditional sport nor with recreational PA organised with friends.

There is a lack of evidence on the effectiveness of private or community-based PA activity provision.

Need to ensure that programme are appropriate, culturally sensitive and accessible

Free leisure centres sessions have emerged as a key intervention in this area

Multicomponent interventions and those that include school, family and community have potential to increase PA23

St Helens Sports Development Youth Sports Programme: sports sessions targeted at hard-to-reach young people not engaged in PA and demonstrated a positive impact on social and health outcomes.

Playing Out, Bristol: funded by public health, Local Sustainable Transport Fund and Play England, provides children the opportunity to be active on their street by limiting traffic during the after school period for 2 hours each week.

North Lanarkshire’s Community Sports Hub has seen significant increases in the number of sports clubs engaged (from 42 in 2011 to 82 in 2015, a 95% increase) with club membership showing a 279% increase from 1,571 in 2011 to 5,956 in 2015 due to increased investment in community sport; increased staff with a responsibility for club development; stronger links between clubs and schools; and increased awareness of participation opportunities.

ICAPS Bas-Rhin of Eastern France: multilevel programme directed at affecting the intrapersonal, social and certain environmental determinants of PA 11/12 in four school catchment24

EPOD: Together we’ll beat childhood obesity, France is a community initiative with schools, doctors, dietitians and other health professionals in 10 towns in France for children aged 5-12 who are overweight or at risk of weight gain.

Fa

mily

in

terv

ention

s

Family-based physical activity interventions targeting overweight/obese children and/or those at risk for overweight/obesity

Effective family-based goal-setting interventions involve changes to the family psycho-social environment

A large association between parent and social support and PA in young people25 26 conversely, a lack of family support may restrict healthy behaviour change. Interventions may be strengthened by engaging both parents and incorporating siblings.

Gender and cultural stereotyping by parents about appropriateness of sports e.g, parent viewing boys

GPS Orienteering – Put Yourself in the Computer Game to increase PA in

inactive families and encourage families to exercise in a fun, non-invasive way through exercgaming Computers, Google Earth, GPS units and radios were used to direct family members around a pre-determined orienteering course. In order to move to the next virtual waypoint a multiple choice question had to be answered.28

USA study shows characteristics of successful interventions included being located in the home, not involving attendance at external sites and focused on small, specific

310

http://lgiu.us3.list-manage.com/track/click?u=00e86e4f795b3722410373cd1&id=de5c6008d9&e=65ece6555a

https://gallery.mailchimp.com/b6ac32ebdf72e70921b025526/files/NOFreportdraft6.pdf

http://youngfoundation.org/wp-content/uploads/2012/10/Keeping-Up-and-Running.compressed.pdf

http://www.scie-socialcareonline.org.uk/effectiveness-of-interventions-to-promote-physical-activity-in-children-and-adolescents-systematic-review-of-controlled-trials/r/a1CG0000000GgIlMAK

https://www.ncbi.nlm.nih.gov/pubmed/18626482

https://www.nice.org.uk/guidance/ph17/evidence/ph17-promoting-physical-activity-for-children-and-young-people-evidence-update2

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/469703/What_works_in_schools_and_colleges_to_increas_physical_activity.pdf

http://www.sthelens.gov.uk/what-we-do/culture,-sport-leisure/sports-development/projects/youth-sport/

http://playingout.net/

http://www.nlleisure.co.uk/development-programmes/community-sport-hubs

http://www.nature.com/ijo/journal/v28/n3s/full/0802812a.html#fig1

http://www.epode.fr/

27 Brown, H. E., Atkin, A. J., Panter, J., Wong, G., Chinapaw, M. J. M., and van Sluijs, E. M. F. (2016) Family-based interventions to increase physical activity in children: a systematic review, meta-analysis and realist synthesis. Obesity Reviews, 17: 345–360. doi: 10.1111/obr.12362 29 Sports England, Tackling inactivity, what we know https://www.sportengland.org/media/11252/tackling-inactivity-what-we-know-full-report.pdf 30 NICE17 31 NICE17 32 http://www.lgiu.org.uk/briefing/council-approaches-to-reducing-obesity-in-scotland-and-england/ 33 BMC, 2012 New ways to promote physical activity and reduce sedentary behaviour: Sharing practice booklet 34 NHS North Central London, Give it a go in https://www.sportengland.org/media/3059/full-report-inactivity-sport.pdf 36 BMC, 2012 New ways to promote physical activity and reduce sedentary behaviour: Sharing practice booklet

Advice or education to parents on age appropriate techniques for increasing PA, such as encouragement and parental modelling

more active than girls; sports more 'appropriate' for boys; not allowing girls to play 'boys games'

Study shows education is an effective intervention for changing PA knowledge, but confirmed that education alone is unlikely to change behaviour.27

Ingredients of successful family programmes include facilitating social support for PA, education a supportive home environment, homework activities involving parents, and community sport information

Focusing an intervention on something other than the health benefits of PA appeared to be an effective mechanism for changes in PA

lifestyle changes Unsuccessful interventions required regular attendance at external sites and involved information packs. 2 successful interventions involved either mothers and daughters or grandmothers/mothers, and daughters exercising together.

Healthy Dads Healthy Kids (USA) uses PA as a medium to engage fathers in play with their children, rather than as an explicit strategy for weight loss.

Aventuras Para Ninos Latino promotoras (health advisors) attended family homes to

offer educational material and assistance with goal-setting

[Weight Management Programmes: One Body, One Life, Coventry a free 8-10 week, community based weight management programme for families who want to lead a healthier lifestyle. (meets NICE recommendations)]

Cou

ncil

an

d le

isu

re s

erv

ice

s

Activities provided in leisure centres, halls, parks etc.

Free leisure services during certain times or days

Discounted leisure services

Upgrade areas or invest in equipment or facilities ( may include training and promotion activities)

Improving access to facilities (reduce costs, specific groups- women or girls)

Potential to affect large proportion of population but cost effectiveness is questioned

Low-cost ‘pay and play’ opportunities are wanted by communities.29

Activities need to be ‘on the doorstep’ and reflect perceived community borders

Volunteering and the creation of role models

small-to-moderate positive association between access to facilities and participation in physical activity in young people30

Moderate-to-strong positive association between time spent outside and PA ty in young people31

Leeds’ Let’s Get Active: a programme of free gym and swim sessions, running, and family sports activities and health walks. Family focussed

Birmingham’s Be Active scheme provides free leisure services to residents who register for a card which allows use of facilities (pools, gyms, courts) for free during certain times. Over 400,000 people joined since 2008. 74% were not previously members of sports facilities and half were overweight or obese. For every £1 spent on the scheme £21.30 is estimated to have been recouped in health benefits. The latest results have shown an increase in participation rates from 29.9% to 34.9%.32

ACTIVE - Active Children Through Incentive Vouchers, Swansea provides

vouchers to deprived children to access leisure facilities33

Blackburn and Darwen offers people the opportunity to access a range of free or

subsidised community leisure, health and wellbeing activities, and dietary advice. 96% of clients report a positive change in health and more are using paid activities.

Give it a go, Camden34 a 3-phase programme based at multiple local leisure

facilities is designed to engage and increase the PA levels of residents in receipt of benefits. Phase 1 provides 4 weeks unlimited access to leisure facilities; phase 2 provides a 6 month membership to a facility and phase 3 provides exit routes options including self-funded membership.

He

alth

pro

fessio

na

ls

&

se

rvic

es Brief interventions by GPs, health

visitors and others

Social prescribing and Referrals

Vary, depends on number of referrals. Sustainability

Most research seems to deal with adults

NHS Wiltshire Online referral tool so GP are able to make an instant referral, to

Active Health Hub Co-ordinator who contacts the patient and books them in for a PA appointment. 36

311

https://www.sportengland.org/media/11252/tackling-inactivity-what-we-know-full-report.pdf

http://www.lgiu.org.uk/briefing/council-approaches-to-reducing-obesity-in-scotland-and-england/

https://www.sportengland.org/media/3059/full-report-inactivity-sport.pdf

http://www.healthydadsandkids.com/

http://www.coventry.gov.uk/info/168/physical_activity/470/one_body_one_life

http://www.leedsletsgetactive.co.uk/Register.aspx

http://beactivebirmingham.co.uk/about-us

35 Gladwell et al. Extreme Physiology & Medicine 2013, 2:3 37 Large, community-wide campaigns have been effective in increasing physical activity, but only when supported by local level community activities. Environment shapes behaviour and this has been a major factor in discouraging people from activity. Our homes, workplaces and local environments have been shaped to make it difficult to be physically active. For most people, the easiest and most acceptable forms of physical activity are those that can be incorporated into everyday life, such as walking or cycling. But our neighbourhoods and towns and studies have largely been designed around the car. 38 NICE 17 39 NICE 17 40 Koorts, H., Mattocks, C., Ness, A. R., Deere, K., Blair, S. N., Pate, R. R., & Riddoch, C. (2011). The association between the type,context, and levels of physical activity amongst adolescents. Journal of Physical Activity and Health, 8(8), 1057-1066. 41 Mackett R L and Paskins J (2008) Children’s physical activity: the contribution of playing and walking, Children and Society, volume 22, pages 345-357 42 NICE17 43 NICE17

Systems to support interventions/ referrals

Health Professionals training

Educational materials at clinics

Interesting work on encouraging physical activity and green exercise35

See NICE Guidelines: Exercise referral schemes to promote physical activity

See Nesta, More than Medicine A

ware

ne

ss r

ais

ing

& C

am

pa

ign

s

Large-scale, multicomponent campaigns37 deliver messages by using mainstream and social media often characterized by a “brand” or promoting the benefits of PA and encouraging participation;

Link to local groups, activities, messaging

Develop resources for regional and local dissemination of the campaign

Only sustained with high visibility and linkages to action

Evidence that walking campaign packs alone, including promotion materials for children and parents, did not lead to increases in walking38.

Needs local level support and information on local opportunities for PA

Campaign messages can be directed to large and relatively undifferentiated audiences/specific groups

This Girl Can is a national campaign developed by Sport England and a wide range of partnership organisations.

Change4Life with 10 minute shakeups

Fidget Project, London Arts in Health Forum used a an interactive exhibition awareness-raising campaign, printed and radio press campaign and Youth Council, Youthnet and YMCA Focus groups.

One trial in the USA shows that social marketing interventions increase levels of free-time PA in 9–15 year olds. The campaign used engaging messages (primarily TV) and promoted opportunities to incorporate PA into daily lives. The sustained nature of the campaign (2 years) was considered important to its success.39

Active

tra

nspo

rt to

sch

oo

l an

d

Active travel has also been previously suggested as an important way to increase physical activity levels in children.40

Local transport plans

\facilities and environment

Children in Year 8 use more calories walking to and from school for a week than in two hours of PE and games.41

3 UK studies suggest that walking buses (volunteer-led walking groups ) increase self-reported walking by 5–11 year olds, and reduced car use for children's' journeys. These interventions tend to be the most cost effective.42

Barriers include children and parents' fear of traffic, parental restrictions on independent movement, school influence over cycling policy and storage facilities, limited play destinations and adult disapproval of children playing outside43

Beat the Streets, Hounslow is a walking, cycling and running game for a whole community

Walking School Bus, St Albans chaperoned by two adults (a "Driver" leads and a

"conductor" follows), walk to school along a set route

STARS TfL’s accreditation scheme for schools, nurseries and colleges. It’s designed to inspire young Londoners to travel to school sustainably, actively, responsibly and safely.

SUstrans provides information to encourage active travel for children & families

Neighborhood Bike Works offers classes on bicycle repair and bicycle safety after

school, on weekends, and during the summer.

En

vir

on

m

en

t, u

rba

n

de

sig

n,

pla

nnin

g

& la

nd

use Provision and maintenance of public

open space and facilities. Playgrounds designed for active play

Population level approaches that do not directly target children but may benefit all people exposed to the environment

See Sport England. 2007Active design: promoting opportunities for sport and

physical activity through good design

312

http://www.extremephysiolmed.com/content/2/1/3

https://www.nice.org.uk/Guidance/PH54/Evidence

http://www.thisgirlcan.co.uk/

http://www.nhs.uk/change4life/Pages/change-for-life.aspx

http://www.lahf.org.uk/fidget

https://hounslow.beatthestreet.me/hounslow

https://stars.tfl.gov.uk/

http://www.sustrans.org.uk/

http://www.sportengland.org/facilities-planning/planning-for-sport/planning-tools-and-guidance/active-design/

http://www.sportengland.org/facilities-planning/planning-for-sport/planning-tools-and-guidance/active-design/

Some initial thoughts

There does not seem to be a silver bullet.

There are a plethora of initiatives and interventions however it is difficult to assess their impact. We may need a multifaceted strategy that is aimed at various parts of a

child’s life in order to engage them in PA.

The easiest site of intervention is the school and travel to school.

There also needs to be a focus on changing attitudes and behaviours of caregivers, teachers, GPs, nurses and those working with children and young people.

There is even less evidence on initiatives for secondary school student and on the transition to secondary school.

We might think critically about expanding the Beat the Streets Programme to year 7 and 8 especially in their initial engagement with secondary school.

There is very little work on active learning environments i.e. movement in the classroom and this might also be a site for intervention.

From a community perspective, making leisure centres free or discounted has been a response from several Council however discussions indicate the uptake is not good.

We run a large amount of free activities but uptake is poor.

44 Jones, A., Bentham, G., Foster, C. et al. 2007. Obesogenic Environments.Evidence Review. Foresight Tackling Obesities: Future Choices 45 Ibid

Local street scale improvements for walkability: street lighting, increase street crossings, traffic calming, aesthetics and sidewalk continuity

Infrastructure projects to ‘Tackle the Obesogenic Environment’ improve

continuity and connectivity of streets, sidewalks, bicycle lanes, destination walking and co-location of residential, commercial, and school properties

Use of zoning, planning and land use that to facilitate PA

Commissioning or construction of new developments that encourages PA, e.g. housing development

It is difficult to interpret PA outcomes and to ascribe causality

The factors considered by studies on the environment are grouped into 7 areas– safety, availability and access, convenience, local knowledge and satisfaction, urban form, aesthetics, and supportiveness of neighbourhoods. However, there is no consistent pattern of associations between these and overall activity has been found.44

Those already engaging in higher levels of PA perceive their environment differently to people who are more sedentary.45

Issue with a lack of guidelines on playgrounds in new housing development.

NICE 2008: Promoting and creating built or natural environments that encourage and support physical activity

Active by Design

World Health Organization 2008, A healthy city is an active city: a physical activity planning guide,

313

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/295681/07-735-obesogenic-environments-review.pdf

https://www.nice.org.uk/Guidance/PH8

https://www.nice.org.uk/Guidance/PH8

http://www.designcouncil.org.uk/what-we-do/active-design

http://www.euro.who.int/__data/assets/pdf_file/0012/99975/E91883.pdf

http://www.euro.who.int/__data/assets/pdf_file/0012/99975/E91883.pdf

1

APPENDIX

PRELIMINARY ASSESSMENT: ONLINE INFORMATION AND WEBSITES ON PHYSICAL ACTIVITY OPPORTUNITIES FOR CHILDREN IN HOUNSLOW

Task and Finish Group: Children’s physical activity

October 2016

Question: “Is lack of information a challenge for young people wanting to become physically active?” Answer: “No. We have the internet, everyone should know everything” (20 October 2016, Young Boy aged 17)

PROBLEM STATEMENT

The 2014 Sports and Physical Activity Needs Assessment identified that ‘perceiving that activities are not available locally’’ is a barrier to physical activity. Hence, the needs assessment includes Key Recommendation 6: Improve the promotion of all physical activity provision across the borough and raise awareness of the need for, and benefits of being, physically active.1

In addition, one of the outcomes of the Hounslow Child Obesity Prevention Stakeholder Event (March 2016) was the need to better map and communicate interventions and activities. It also emphasised a focus on ‘Sharing what we do’ and ‘Experimenting with new media - stretching ourselves.’

Furthermore, the desktop review of the Task and Finish Group of the Children and Young Peoples Scrutiny Panel found the following:

a) Information about physical activity in the brought is available on many sites but it is often confusing and it is unclear what is up-to-date;

b) There is a lack of clear guidance on where stakeholders and the Council might signpost children and young people;

c) The LBH appears to replicate efforts to collect information through various channels within the organisation Hounslow.info; Hounslow.gov.uk; hounslowtravelactive.co.uk Community information ,Family Information Service; OneYou Hounslow.

d) Furthermore LBH does not leverage the work done by external websites including Getactivelondon.com, netmums.com; NHS choices; Hounslowhub.org.uk/health, Individual Schools websites and individual club or organisations websites

e) Organisations commissioned by LBH do not always provide information in a clear and easily accessible manner and it is difficult to find this information; (e.g. Fusion-lifestyle- Hounslow )

f) The majority of people are likely to start their search for information through Google and there is a need to think about how this might affect the presentation of the physical activity offer;

g) In general, the information offers appears to be targeted at adults and one might questioned as to how we might target information and messages to children or young people directly.

OPPORTUNITIES

The following circumstances and changes in the environment provide opportunities to reconsider how we might improve access to information on physical activity:

1 It made the following recommendations for certain groups:For Under 5s :To help parents/ carers to understand how to make best use of their local spaces

including parks to be physically active with their children at no cost.For School aged Children: To make children and young people more aware of the physical activity and sport opportunities on offer by making them more visible in their day-to-day lives.Specific needs for young people aged 14+: Use

different types of messaging aligned to young people’s goals. This requires providers to take time to understand what matters to different groups of young people who are not participating

314

Agenda Item 7d

http://www.hounslow.info/

http://www.hounslow.gov.uk/

http://www.hounslowtravelactive.co.uk/

http://www.hounslow.gov.uk/index/community_and_living/voluntary_sector/community_information_newsletters.htm

http://www.hounslow.gov.uk/index/community_and_living/voluntary_sector/community_information_newsletters.htm

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/home.page

https://oneyouhounslow.org.uk/how-to/move-more/


https://beta.getactivelondon.com/

http://www.netmums.com/hounslow/local/index/after-school-activities/other

http://www.nhs.uk/service-search/Sports-and-Fitness/Hounslow/results/555/-0.362/51.466/1795/11053?distance=25

http://www.hounslowhub.org.uk/health/



2

LBH Website refresh: LBH will be reformulating the website in the near future as the Council relocated to the new building;

Openactive – a partnership which has been set up to enable the sharing of open data on sport and physical activity opportunities. LBH are working with lead partners Imin and London Sport to explore how we could use this to provide better quality information on local activities to residents;

OneYou and Hounslow Wellbeing Consortium Lead are working with voluntary and community groups to support them to set up and promote new activity sessions (including online promotion);

CPU is conducting a survey of VCSE organisations ;

Resources dedicated to updating information namely the Family Information Service might be engaged;

Ongoing negotiations with commissioned organisations might be used to encourage the use of open data platforms;

The conditions around local grants may include a request for information to be provided in a certain way;

ONLINE INFORMATION ASSESSMENT

Site/ Page Purpose Information Available Relevant links Rapid Assessment

Hounslo

w.c

o.u

k

Children and Families

Information on services, some activities or events

Services for children Summer 2016 activities brochure

Children's centres (FIS) Local Offer (FIS) Healthy family programmes (OneYou) Hounslow Family Services Directory Young Hounslow

Not up to date

Too much information

Not very accessible,

Unclear why people would come to site

PDFs not searchable

Leisure and Culture

Information about local arts, sports, libraries and leisure opportunities

Subcategories: What's on in Hounslow? Visit a leisure center ;NFL Match Parks and open spaces Make a point of walking Mainly links to other sites and Better Points. A downloadable walking guide

Visit a leisure centre (Fusion-Hounslow website) – links to activities Join a library (Hounslow Info) – links Explore a park (Hounslow Info) – links to activities in parks Free local suport to be more active - a healthier you (OneYou)

Replication of other information

Search function not useful

Typos

Target group?

PDF downloads but no online versions

Voluntary Organisations in Hounslow

Directory of VCSE sector organisations

Provides contact details and description of organisations ( But NO websites!)

No links to website- very frustrating

Hidden within our website

No search by activity

Not clear if updated

No links to websites or FIS

315

https://www.openactive.io/

http://www.hounslow.gov.uk/index/health_and_social_care/childrenandfamilies.htm

http://www.hounslow.gov.uk/index/health_and_social_care/childrenandfamilies.htm

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/family.page?familychannel=2476

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/localoffer.page?localofferchannel=0

https://oneyouhounslow.org.uk/family-programmes-change-for-life/

https://oneyouhounslow.org.uk/family-programmes-change-for-life/



http://www.younghounslow.info/

http://www.hounslow.gov.uk/index/leisure_and_culture.htm

http://www.hounslow.gov.uk/index/leisure_and_culture.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/whatson_hounslow.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/whatson_hounslow.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/leisure_centre.htm


http://www.hounslow.gov.uk/index/leisure_and_culture/nfl_match.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/nfl_match.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/parks_and_open_spaces.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/parks_and_open_spaces.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/walking.htm

http://www.hounslow.gov.uk/index/leisure_and_culture/walking.htm


http://www.hounslow.info/libraries/

http://www.hounslow.info/parks-open-spaces/

https://oneyouhounslow.org.uk/



https://eforms.hounslow.gov.uk/ufs/ufsmain;jsessionid=52DB85DF09C321E63B93570BE4AE33B5?ebz=1_1477558047729&ebd=0



3


Fam

ily Info

rma

tion S

erv

ice

Hounslow Family Services Directory

Offers an information and signposting service on aspects of family life for parents of young people aged 0-19.

Information on childcare, children’s centres, schools, activities and family support services for pregnancy, baby, toddler, child or teen Can create login (Why?) Site updated by LBH or service provider- not clear how dated it is

Links in each activity to website if there is one or provides contact details DisabledGo.com - accessible places Get Active London Change4life

Unclear why we need a log in

Should be dated to ensure relevance

Could have a more easily updated interface

Perhaps keep brand/ name consistent

Could provide information on taster sessions for the inactive and information on how to try something for the first time

Children's centres (part of FIS )

Information about children centre

Contact details and downloadable pdf timetables

Internal: More information on Baby Massage; Stay and Play Sessions; Disabledgo.com

Children centres schedules are not online and not searchable

Not clear if updated

Local Offer (part of FIS )

Services available for children and young people with SEN and disabilities aged 0-25

Link to page: Leisure services of FIS which teaches the person about pathways of need which helps them navigate normal FIS site and search for activities

Links to ‘Disabled Go’ but called ‘Accessible places to go;

This site allows you to interpret FIS through the lens of disability rather than being a standalone offer

Young Hounslow (FIS branded differently)

It’s FIS with a different branding

Link to page: Activities for Young People which lets you search for activities

As above for FIS

Not clear how this is targeted at young people as it’s the same site as FIS

Hounslo

w.info

Page: Parks and Open Spaces

Find out about parks and open spaces and the activities

Links to park activities in PDF Newsletter function for adults and another for young people

Some parks have links to groups, parks and activities

Search function provides information however outdated information should be archived or disabled

Page: Leisure and Halls

Information on 6 leisure centers 7 community venues

Links to leisure centres and Halls- not really searchable

Links to Fusion website

Unclear why there is the webiste Hounslow.info AND Hounslow.gov.uk

Page: News and Events

News and events in libraries and parks

News and events- not much

Download the October-December 2016 What's On Guide here.

Another news page but not linking to FIS or Website events page

One Y

ou

OneYou

One You is a campaign from Public Health England to help adults avoid future lifestyle diseases

Information on eating well and getting active Targeted mostly at adults but nice interface. Information on weight management services for children and services to get healthier.

Links within pages but could do more links to FIS

Accessible and informative in places

Some links broken

Replicating information on other sites?

316





http://www.disabledgo.com/search-places-to-go



https://registration.change4life.co.uk/



http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/advice.page?id=KUwlIyEBmEM

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/advice.page?id=KUwlIyEBmEM

http://search3.openobjects.com/kb5/hounslow/fsd/advice.page?id=VHH2pJ0r6UM

http://search3.openobjects.com/kb5/hounslow/fsd/advice.page?id=VHH2pJ0r6UM

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/localoffer.page?localofferchannel=0

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/localoffer.page?localofferchannel=2341_9

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/localoffer.page?localofferchannel=2341_9



http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/youth.page?youthchannel=10

http://fsd.hounslow.gov.uk/kb5/hounslow/fsd/youth.page?youthchannel=10




http://www.hounslow.info/leisure-halls/

http://www.hounslow.info/leisure-halls/

http://www.hounslow.info/images/uploads/Hounslow_Oct-Dec16_v4_WEB.pdf






4


Healthy Family Programme (different name)

Information about services for families, young children and teens needing to lose weight

Nutrition workshops Change4Life weight management workshops for families and kids 5-13 Teen weight management programme: Confident you’ aged 14-19

Links to other internal pages and registration for service

OneYou Page where there is specific link- unclear why branding is different

Move more page on OneYou

Lists activities around the borough to get people moving more, including many free ones.

Provides tools and tips Success stories

Park Run, Outdoor Gyms (Hounslow Info);Health Walks;Green Gym; GoodGym;Tennis; Leisure Centres; Local sports events, Super Saturday events; Junior Park Run; Rowing, Beat The Street

Sports activity map and PDFS have to be downloaded and are not searchable

How are these activities selected over others?

HA

T

Hounslow Active Travel

Help you get walking and cycling more, offers of free services and information

List active events of activities in Hounslow Information on cycling and walking Newsletter function

Events do not always have links to websites

Air quality widget does not work

Cycle route planner does not work

Fusio

n Hounslow

Leisure and Halls Fusion Hounslow)

‘Discover what great value, excellent service and first choice facilities are on offer in your local centres.’

Information about centres, timetables, facilities and activities No specific way to look at children’s activities Phone App

Links to other centres

Not user friendly Frustrating to click on each centre to see timetables

Would be nice if you could see where/when all activities offered

Not all activities online

EXTERNAL WEBSITES

Get active London

One stop shop for sports and physical activities in London

Allows you to search by area, and time, gender, age and disability Provides contact information and price Indicates if its verified or unverified Links to websites

Disabled Go

Access information to thousands of venues across the UK and maximise independence and choice for disabled people in accessing their local area and the places we all want to visit.

List of venues with URL and contact details Detailed information on access

NHS Choices

Comprehensive health information service and helping you to make the best choices about your health and lifestyle, but also about making the most of NHS and social care services in England.

Searchable for services/ activities near you

Netmums An online community for parents providing information and support to make family life easier and happier for all. Netmums is one of the UK's largest websites for parents

Information supplied by service provider with websites, contact information etc Very ‘google-able’

317

https://oneyouhounslow.org.uk/family-programmes-change-for-life/healthy-teens/




http://www.parkrun.org.uk/osterley/

http://www.hounslow.info/parks-open-spaces/outdoor-gyms/

http://www.hounslow.info/parks-open-spaces/outdoor-gyms/

http://www.walkingforhealth.org.uk/walkfinder/hounslow-health-walks

http://www.walkingforhealth.org.uk/walkfinder/hounslow-health-walks

https://oneyouhounslow.org.uk/EasySiteWeb/GatewayLink.aspx?alId=8297

https://www.goodgym.org/areas/hounslow

http://www.whittontennis.co.uk/


http://www.fusion-lifestyle.com/contracts/London_Borough_of_Hounslow/Community

http://www.supersaturdayofsport.co.uk/index.php

http://www.supersaturdayofsport.co.uk/index.php

http://www.parkrun.org.uk/hanworth-juniors/

http://www.parkrun.org.uk/hanworth-juniors/

https://londonyouthrowing.com/



http://www.hounslowtravelactive.co.uk/active-events/

http://www.fusion-lifestyle.com/contracts/London_Borough_of_Hounslow/Centres







http://www.nhs.uk/livewell/fitness/pages/physical-activity-guidelines-for-children.aspx

http://www.nhs.uk/livewell/fitness/pages/physical-activity-guidelines-for-children.aspx

http://www.netmums.com/

5

They key issues identified are

Replication of sites and resources allocated to maintaining sites o External organisations have to update events and activities on many websites o Use of internal resources with so many different sites that requiring updating and

management by different people o Possibly use open data tools to automatically share information between internal websites

to prevent multiple uploading

Nature of Websites o Overuse of static PDFs and inadequate search functions o Some poorly designed sites o Not searchable

Poor targeting o Lack of targeted website for children/ young people o Possibly investigate the information needed by young people and how this should be

provided and ensure its use on mobile phones o Need to think about how we use google search words

Communication, marketing and branding o No central/agreed point to signpost children/adults o Naming of sites not consistent o Not building off external sites like Get Active London

318

School Visit Appendix Page 1

AppendixE:

School Visits by the Task and Finish Group

Contents

1. CRANFORD COMMUNITY COLLEGE ...................................................................................... 1

2. CHISWICK SCHOOL ................................................................................................................. 6

3. BRENTFORD SCHOOL FOR GIRLS ...................................................................................... 10

4. HOUNSLOW HEATH INFANT AND NURSERY SCHOOL ...................................................... 13

5. WELLINGTON PRIMARY SCHOOL ........................................................................................ 17

6. THE HEATHLAND SCHOOL ................................................................................................... 20

7. ISLEWORTH AND SYON SCHOOL FOR BOYS ..................................................................... 24

8. ST MARY'S CATHOLIC PRIMARY SCHOOL .......................................................................... 28

9. ORIEL ACADEMY, WEST LONDON. ...................................................................................... 31

1. CRANFORD COMMUNITY COLLEGE

Date of visit 2 November 2016

Time 9:00 -11.30

Meetings/ observations

Alan Fraser (Assistant Headteacher);

Kevin Biggs (Senior Teacher)

Girls Rugby-Period 0

Parkour panel

W Factor panel

Sports Leaders Panel

Discussion Head PE and Deputy Head

ASD center

Delegation Cllr Samia Chaudhary

Cllr Linda Green

T Jaroszynski

Summary

Cranford Community College is a secondary school with academy status in the London Borough of Hounslow. This independent school serves 1428 girls and boys and has been rated as ‘Outstanding by Ofsted’.

The Task and Finish Group were interested in visiting this school due to its innovative practice around Period 0, school leaders and W factor as well as the school’s commitment to promote physical activity.

On 16 November 2016, Councillor Samia Chaudhary and Cllr Linda Green conducted a school visit on behalf of the Task and Finish Group. The engaged with three groups of young people from across the school and observed some activities.

On behalf of the Task and Finish group, the Councillors lauded the commitment of Cranford Community College leadership, staff and sports leaders to promoting sport and physical activity. The group was excited by the innovation of Period 0 And W factor and the vast array of extra curriculum physical activities, clubs and events as well as the commitment to listening to the voices of young people in selecting activities. They also commended the staff and leadership in working hard to develop and maintain partnerships to facilitate activities

319

Agenda Item 7e


and look forward to hearing how the Period 0 will be developed and extra curricula activities monitored to further improve physical activity uptake by students.

The Task and Finish Group would like to thank Alan Fraser, Kevin Biggs and the young men and women that met with us and articulated the school’s activities as well as the barriers young people face in becoming more active.

Feedback from visit

Alan Fraser the Deputy Head Teacher at Cranford Community College organised an exciting programme for the T&F Group.

The T&F Group were invited to the Airdome1 and full size 3G pitch at Cranford Community College to observe the Girl’s Wellbeing and Rugby Session. This forms an activity of Period 0 session which is an innovation started in September 2016. From 8:00-9:20 each day young people can participate in extra curriculum activities such as basketball or art, music and drama. Some activities are facilitated by Sports Leaders.

The Girl’s Wellbeing and Rugby Session run by London Welsh is a 4 week course which consists of a 30 minutes session looking at the core values of rugby followed by a practical coaching session. In the observed session, the girl had learnt about team work and communication. We met two of the Year 11 girls who wanted to develop girls’ rugby in the school and had initiated the programme.

The T&F Group observed the rugby and noted the various ages of the 12 participants. We were able to chat to Alan about some of the issues that young Muslim girls face in engaging in extra curriculum activity. He noted that the girls struggle to join clubs as many parents worry about them staying after dark. Having sessions in the morning has enabled these girls to participate. Alan indicated that they had worked with the local Muslim leaders to identify how they might promote physical activity for children and now there is a Sunday morning football session hosted by the Mosque.

Following the session, we asked the girls who ranged from Year 8 to Year 11 about the Rugby. They said they really enjoyed it because it was “fun”, “we work as a team” and “social”. They also noted that rugby is considered a “boy’s sport” and this group shows that “We can play too”. The girls told us about the other activities that they’re involved in. When questioned about the barriers to physical activity, one girl mentioned that her parents are worried that her shoulders get too broad with rugby, this seemed to reflect culturally appropriate gender roles and physical appearances.

We were also able to meet nine students Parkour which a 6 week programme run on equipment in Avenue Park. Parkour developed from military obstacle course training. They participants spoke about how the sessions helped them to “get the worries off” and focus on their body. They said that they become resilient as they tried out different challenges. They had to be “brave”, resilient” and “awake”. After the session the teachers commented on how they had identified inactive children, those form the ASD centre and those lacking in confidence or language skills. They noted that the Parkour sessions helped build confidence and resilience and they had seen real change in some of the children. When question on what local government might do, the student mentioned providing opportunities for more try-outs and events.

The next group of nine students told us about the activities they engaged in during W Factor. W Factor is a period on Wednesday afternoon where students choose from a range of innovative and non-traditional activities including rowing, mindfulness, sport, street dancing, golf and many others. This is only available up until Year 9. It indicates a commitment to providing a variety of choice for those that are not necessarily ‘sporty’. It also notes the connection between mind and body and its connection to well-being and life-long learning and physical activity.

This group all indicated that they all do more than 1 hour of physical activity a day and when asked why their friends might not participate in physical activity they said “laziness”. The Year 10 boys also told us about how the prioritise the schedules and time in order to make time for sport and physical activities. One boy mentioned that he works during breaks so that he has time for his sports.

We were very excited to meet with the very articulate and inspiring Sports Leaders. Four of the Sports Leaders had sports leadership coaching programme delivered by Sports Impact and Motivate Hounslow/ Brentford Community Trust. Another two were apart to start their coaching training. These sports leaders volunteer to lead, coach and referee sports activities on the school site and in other boroughs. Two of the leaders had even submitted an application for funding and will be running walking football with funds they received form Big Local.

1 Read more at here

320

http://www.qpr.co.uk/news/article/qpr-launch-academy-dome-cranford-2715846.aspx#GZFyeO2BsSXQJDjo.99


The sports leaders noted that there are differences between the boroughs to which they have been exposed. They noted that in Twickenham and Richmond parents are more involved and supportive in the coaching in comparison to Ealing and Hounslow. They tend to stay to encourage their children.

When asked what the ingredients of success are they said that it was supportive and inspiring mentors such as Alan Fraser and Martin Bradshaw and the fact that they are developing qualifications and gaining experiences.

Two of the boys noted that sport and physical activity is good for health and stress relief. A sedentary lifestyle is dangerous and young people need extracurricular activities “benefit socially, physically and mentally”. The group also noted that many children drop out of sport after primary school due to the transition and change of moving into secondary but emphasised that this group should be more active as they have more time and less academic pressures.

The group also noted that girls rates of participation tend to be lower as they are more ‘shy’, ‘intimidated’ and their parents as are not as encouraging as they would be with boys. When girls get older and have ‘more independence’ they tend to prioritise activity less. They also noted that girls get teased about being ‘sporty’.

On questioning the group about what LBH might do with secondary schools they suggested more programmes and developing sports leaders. They also suggested working with Year 7 and 8 to build passion for sport. They suggested that LBH help clubs at schools to develop sustainable models. They noted the importance of community partnerships and suggested this may be a way that LBH might help schools.

Our final discussion was with Kevin and Alan. They noted the key ingredients for a school wanting to promote physical activity are:

Creating a structure to enable activity ( e.g. through timetables);

Providing leadership and drive;

Working with partners and ‘saying yes’;

Resources

Feedback report

About School

Publicly funded Independent School and Academy. It’s not ‘maintained

1423 Girls and boys; 11-19 year olds

OFSTED rated as ‘Outstanding’

87% pupils first language not English (12% is the national average)

13% of pupils registered for free school meals

Schedule for the visit

Girl’s wellbeing and rugby Period 0 session: This project is run by London Welsh and consists of a 30 minute classroom session looking at the core values of rugby followed by a practical coaching session. Topics investigated to date include enjoyment and teamwork. The session runs every Wednesday for 8 till 9.20 but will end in four weeks’ time. The session is organised and supported by two Year 11 girls who wanted to develop girl’s rugby in the school. The school is investigating how to continue this work including training up older girls to deliver the programme. The TFG has the opportunity to observe and also talk to participants and coach.

Period 0 runs from 8 till 9.20 and covers a wide range of sports including a basketball and wallball session led by Sports Leaders. In addition to sports there are also creative opportunities in art, music, drama and creative writing (also led by a 6thForm student).

Parkour panel: Eight students who took part in a joint initiative with LBH shall engage with the TFG. Three cohorts (approximately 130 students) followed a 6 week programme of Parkour in Avenue Park and the school. 10 students also participated in a Leadership course. Three of the students were in a group from the ASD centre. The parkour sessions addressed many of the development needs of these boys including confidence and resilience in a non-threatening way. The outcome from this programme was impressive and again the school would like to continue this programme if suitable funding can be found.

W Factor panel: Ten students will attend who have taken part in one of the following W Factor activities: rowing, mindfulness, walking, street dance, boxing and 6th form multi-sport. W Factor happens on a Wednesday afternoon with students choosing their options from a range of over 30 different innovative and non-traditional activities.

Sports Leaders Panel: Five Sports Leaders who followed a sports leadership programme delivered by Sports Impact and then further developed by Motivate Hounslow/ Brentford Community Trust. This came about because Cranford School wanted to create a sustainable model where young people had the skills and

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confidence to run activities both within and outside school. These students have completed coaching qualification and are working alongside Brentford delivering sporting activity. They volunteer at sporting events and coach younger children in this and other boroughs

Discussion with head of PE and Deputy Head

Facilities

Outdoor facilities: 30 acres of playing fields which has 5 football pitches and one rugby pitch; Four 3G six/seven aside football pitches; Full size 3G Astro Pitch covered with a Cranford Super Dome

Indoor facilities: A large sports hall marked out for basketball;5 badminton courts; Netball; Indoor football; Dance studio; Sports hall; Upper gym

Good practice

Leadership: The pupils mentioned the role that the Deputy Head and Head of PE played in introducing activities, inspiring people and challenging the norms

Culture and ethos: The school promotes physical activities as a means to manage stress, behaviour and increase performance. The pupils also understand the importance of balance

Structure for physical activity: Period 0 provide an opportunity for pupils to be active before school, this especially good for Muslim girls who face barriers in staying later. The structure, space and time to engage in physical activity provides a means to enable physical activity

W Factor: These activities on a Wednesday afternoon provide an opportunity for pupils to experiment and try new things, it provides options for different activities and enrichment as well as focussing on mind-body connection activities such as mindfulness

Sports leaders: This engage young people in leading activities and connect with primary schools, there is a cohort of inspiring, proactive young people promoting activity in the school

Parkour activities engaged young, unengaged people with behaviour and other issues in a activity

Involving students: the students are involved in the choice of programmes. The Girls rugby was championed by 2 year 10 girls

Community partnerships: the school has a ‘Yes’ attitude and looks at opportunities for community partnerships and is happy to negotiate them. They did some interesting work with the local mosque and the Somali community so there is now football matches on Saturday mornings

Challenges

The school identified monitoring physical activities would help identify students that are not participating

There are difficulties with accessing facilities

There is a need to focus on involving faith based communities

LOI 1 What support is required at a secondary school level to encourage physical activity?

a) How active are young people in your school?

b) Who do you encourage physically inactive children to be more active

c) What support has been provided by Council/Partners?

d) What has been useful? Or what support would you like/need?

a) Very

b) Introduce activities and PE

c) Parkour was a great a success

d) More Parkour, work with partners, help clubs schools to develop sustainable models, work with year 7 and 8s

LOI 2 How can we improve the “physical activity pathway” from primary to secondary especially for girls

a) Do you notice a drop in physical activity levels and participation as people get older? What are the causes of this?

b) Do you have any special interventions targeted at girls or targeted less active/inactive individuals?

a) Drop off in Y6 and 7 as pupils transition into secondary school

b) Clubs and activities for girls

c) Sports leaders work with schools across the borough

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c) Do you engage with secondary feeder schools on how we might improve the drop-off between primary and secondary school?

d) What could be done? New ideas or innovations?

d) work with year 7s and 8s to build passion for activity


a) What do you like about this activity/intervention that encourages you to be physically active?

b) How physically active were you before this intervention/activity?

c) How should we encourage other girls or boys to be physically active?

d) What stops you from being physically active?

a) Fun, social, makes me less anxious, balance

b) Mixed responses

c) Provide lots of alternative activities, develop sports leaders

d) Laziness, academics

LIO 2 How can we improve the “physical activity pathway” from primary to secondary especially for girls

a) Where you more physically active in primary school? Why did you stop or start doing less?

b) Are there ways that we might encourage people to continue to be active?

c) Are there specific activities in PE that you like or dislike?

d) Are there specific extra curriculum activities you like, dislike or what to do more of

e) For girls: Are there specific issues, challenges that girls face in being physically active/ Why

a) Yes, dropped off when started secondary school and then started again

b) Make it fun and offer differ activities

c) None noted

d) Variety of answers

e) Lack of encouragement from parents, girls attitudes, shy intimidated, fear of being seen to be ‘sporty’, pressures about physical appearance, difficulties for Muslim girls in getting to after school activities

General:

WHOLE SCHOOL APPROACH

Does the school have a whole school approach to increasing levels of physical activity

Yes

COMMUNITY LINKS

Do they engage with other organisations/ volunteers? Are there structured volunteering opportunities

Yes

STAFF Do the staff have the capacity and capability of staff to lead and promote play /physical activity? Including knowledge of appropriate for age and stage of physical development

Yes

PHYSICAL SPACE What is the suitability of outdoor and indoor space for physical activity and play

Very good

FINANCES Have resources been committed to ensuring PA, extra curriculum activities etc.?

Yes

TIME/ACCESS How many hours of PE? Does the timetable provides for time for play and physical activities in school time? Are there extra curriculum activities?

Dedicated timetable and structure

TYPE/ VARIETY OF ACTIVITIES

Are there a variety of activities that serve young people’s needs and desires? Are their sports and non-competitive activities? Are their mind-body activities such as yoga?

Yes

IN CLASSROOM Are there ways to reduce sedentary behaviour within the classroom? Is movement used in learning?

Not discussed

ACTIVE TRAVEL Does the school promote active travel, how? Yes, bicycle racks

PARTICIPATION CHILDREN

Do children/ young people participate in identifying the differing needs/ preferences?

Yes

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COMMUNICATE How does the school communicate messages around physical activity, progress, achievement and the evidence of learning or health?

Yes

2. CHISWICK SCHOOL


Time 14.10 - 16.00

Meeting/ Observation

Girls Year 8 PE

Boys Year 8 PE

Tour of facilities

Discussion Paula Middleton (Head PE)


Cllr Linda Green

Cllr Alan Mitchell

Cllr Mel Collins

Taru Jaroszynski

Summary

Chiswick School is a secondary school with academy status in Chiswick the London Borough of Hounslow. This independent school serves 1195 girls and boys. Due to the number of all-girls schools in the local area, Chiswick School's intake is roughly 60% male. It has been rated as ‘’Requiring Improvement’ by Ofsted.

The Task and Finish Group were interested in visiting this school due to its extensive extra curriculum offer as well as the school’s commitment to promote physical activity.

On 3 November 2016, Cllr Chaudhary, Cllr Green, Cllr Mitchell and Cllr Collins conducted a school visit on behalf of the Task and Finish Group. They observed the two girls PE lessons, fitness and boot camp and boys’ football. The group toured the school and had a fruitful discussion with the head of PE on the PE lessons and extra curriculum activity.

On behalf of the Task and Finish Group (TFG) group, the Councillors lauded the commitment of Chiswick school leadership, staff and sports leaders to promoting sport and physical activity and the extensive resources they allocate to providing opportunities for physical activity through extra curriculum activities such as tennis, golf, rowing, dance and other activities over and above traditional sport.

The TFG noted the ethos promoting physical health and well-being, which appears to be well communicated through health weeks, newsletters, twitter feeds and assemblies and well understood by students. The 3-week rotating PE curriculum and the commitment to developing students understanding of aspects of physical health and the associated language and concepts was also noted

The TFG would like to thank Paula Middleton and the young men and women that met with us and articulated their thoughts on the school’s activities.

Feedback from visit

Paula Middleton the Head Teacher of PE at Chiswick school organised an informative session for the T&F Group.

On arrival at the school, we observed and even participated in some PE lessons. We observed the Year 8 PE lessons. Girls and boys are separated in PE. The boys were outside playing football. There were two groups separated by ability. The school has a 100% participation policy so that everyone has to participate in PE. Those that are ill must still umpire, coach, lead or participate in some way.

We observed two groups of girls PE. The first in the sports hall was a boot camp. The girls appeared engaged and quite competitive. Paula indicated that they have very good participation from the girls. We also observed the girls in the fitness suite who were engaged in cardio and weight lifting exercises based on a personal improvement plan. Unfortunately, the fitness suite will be closed soon due to lack of funds.

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The PE timetable and curriculum appears to be well thought out and aims to expose children to competitive and non-competitive sport, builds skills, body awareness and knowledge. Activities rotated over 3 week periods to keep pupils engaged. The school engages with students through their Student Voice to find out what activities they would like within or outside the curriculum. Even at year 10 and 11, students are required to participate in two hours of core P.E. lessons.

In discussion with Paula, we learnt about the sports captain - sports leaders - sports ambassador programme. At Key stage 3, some students become sports captains and work with primary schools coaching teams. At Key stage 4, or Year 11 some students will have the opportunity to complete the Level 1 Sports Leaders Award within their core P.E. lesson and at Key stage 5, some students become Sports Ambassadors. This builds an ethos of volunteering as students run, coach and lead extra curriculum activities. It might in some way also help ease the transition from primary to secondary as students in primary feeder schools are coached by the sports leaders and captains. We met some of the Year 13 students who are also volunteering time to run extra curriculum activities.

The school has a relatively high number of students on the School Premium and has a philosophy of offering all students the opportunity to try new activities outside the school day. Significant resources are allocated to enabling this. Participation in extra curriculum activities are monitored through the use of registers at clubs.

The TFG were also impressed by the broader school promotion for activity. The school encourages and teaches students about the value of physical activity through a health week where clubs and activities are promoted. The school uses their newsletter, twitter feeds and a report from the Head student to support physical activity and sport promotion. Their website provides links to Get Active London. There is a monthly sporting event such as the recent visit to Chelsea Ladies Football Club. The school also uses REAL Projects2 to look at questions around physical activity.

We did learn about some of the challenges in helping ‘non-sporty’ students to become more active, the scheduling of detention at a time that prevents pupils from participating in some of the extra curriculum activities, parents support for physical activity and the issues with promoting active travel.

Feedback report

About School

Chiswick School is a secondary school with academy status located in Chiswick

In March 2012, Chiswick School changed from a local authority school to an Academy

There are 1195 pupils aged 11-18 and 235 on study programmes

The academy runs its own offsite provision, the Chiswick Centre. This caters for vulnerable pupils at risk of permanent exclusion from the main academy, and currently supports 13 pupils.

Because of the prevalence of prominent all-girls schools in the local area, Chiswick School's intake is roughly 60% male

In 2015, Ofsted downgraded the school to 'Requiring Improvement' at management level and SEND Provision

Chiswick School prides itself on being a very multicultural school; its students have ethnic backgrounds ranging from Asian to African. Due to this diversity, it has double the national average of students for whom English is a second language.

The proportion of pupils who are disadvantaged and receive support from the pupil premium, which is additional funding for pupils known to be eligible for free school meals and those in local authority care, is above the national average.


Observe PE lessons

Girls fitness class in the gym and the fitness suite

Boys playing football on the field(separated by ability)

Discussion with Head of PE

Activities

PE

2 REAL Projects allow teachers to formulate lessons and activities around a single complex enquiry, and require students to produce high

quality outputs with real-world application.

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Key stage 3: aim is for students to develop and refine roles in a variety of team and individual games, gymnastics, dance, OAA and athletics, as well as improving their understanding of rules and regulation in sports.

Key stage 4: Two hours of core P.E. lessons in year 10 and 11.In Year 11 some students will have the opportunity to complete the Level 1 Sports Leaders Award within their core P.E. lessons.

PE achieved 75% A-C in 2013. PE continues to develop links with external clubs

Extra curriculum

An impressive range of extra-curricular activities support the academic curriculum and provide a wide array of opportunities for pupils to develop their confidence, learn new skills and engage with sport and the arts.

Facilities

New Fitness Suite/Gym (Membership scheme only)- it shall be sold off and removed

11 a-side Outdoor grass pitch; Floodlit 5 a-side 3G Astroturf Pitch; Side Hall/Studio; Main Indoor Sports Hall; Badminton Courts; Cricket Nets Indoor & Outdoor ; Netball Courts (Hard Court, 3G and Indoor)

Good practice

Extensive commitment and support for extra curriculum activities: the extracurricular activities receive £28000 per year which funds clubs and activities including tennis and golf

Girls are engaged and competitive: Paula let us know that the girls are very engaged and seem to enjoy competitive sports and activities

Student voice activities are used to engage students to find out what they want

Student coaches and leaders: the identification of sports leaders to be involved in coaching younger years and primary school builds an activity community and allows for links with the primary feeder schools and in that way might help address the transition from primary to secondary

Ethos of opportunity and continuing physical, healthy well-being. This is well communicated and understood by students. team leaders scheme is evidence of this

Ethos of volunteering: The schools ethos on giving back and volunteering means that several of the Year 13 help coach teams and increase the offer of clubs and extra curriculum activities

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Broader school promotion for activity: the school encourages and teaches students about the value of physical activity through a health week where clubs and activities are promoted

Monitoring extra curriculum activities: The school keeps registers of participation in clubs

The school has a 100% participation policy where those who are sick still have to participate in PE but do not have to participate fully. i.e. they may umpire

The PE timetable and curriculum is well-thought out and builds skills and body awareness and knowledge while introducing a range of activities rotated over 3 week periods to keep pupils engaged. Girls and boys are separated for PE

Community links plus enrichment option in Year 9 encourages a continuing healthy emphasis outside the school gates. Health week in turn addresses physical, mental & social aspects of fitness.

Challenges

Not all children participate in physical activity and it is sometimes difficult to involve the non-sporty

Muslim girls struggle to participate as they cannot stay after school

Some pupils continue to find excuses not to participate

Detention is sometimes held during club time and these are often the children that might benefit from physical activity

Request for support

Local authority could provide more activities

The local authority could engage and help establish community linkages






a) Differs between student, +-30% participate in extra curriculum activity

b) Encouraging girls to participate on a one to one basis

c) Partnership with the local primary schools, work with the rowing centre and other organisations

d) Linkages with community partners

LOI 2 How can we improve the “physical activity pathway” from primary to secondary school especially for girls





a) Yes, there are academic pressures

b) No

c) Yes, work with 6 feeders schools through the school leaders

d) -

General:



Yes

COMMUNITY LINKS


Yes

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Yes


Very good

FINANCES Have resources been committed to ensuring PA, extra curriculum activities etc.?

Yes


Dedicated timetable and structure



Yes


Not discussed

ACTIVE TRAVEL Does the school promote active travel, how? Yes



Yes


Yes

3. BRENTFORD SCHOOL FOR GIRLS


Time 12:00 – 13.30

Contacts Jess Ashworth ( PE Teacher);

Brief meeting Aaron McInnes (Community Lead)

Observation of Gymnastics PE

Observation of Dance PE

Observation of Lunchtime Club Trampolining

Observation of Netball Club


Cllr Linda Green

Taru Jaroszynski

Summary of Visit

Brentford School for Girls is a secondary school with academy status in Brentford, London Borough of Hounslow. This independent school serves 905 girls and has been rated as ‘Good’ by Ofsted.

The Task and Finish Group (TFG) were interested in visiting this school due to the focus of the group on the specific challenges girls face in being physically active.

On 9 November 2016, Councillor Samia Chaudhary and Cllr Linda Green conducted a school visit on behalf of the TFG. They observed PE lessons, lunchtime clubs and the afterschool clubs. The councillors were also briefed by the Head of PE

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On behalf of the TFG, the Councillors commented on the commitment of the small PE Department. They noted the hard work to provide lunchtime and afterschool activities in addition to the core 2 hours of PE until Year 11. There appears to be good participation in clubs and enthusiasm from the children.

The group also noted the use of yoga including movement and mindfulness as a way to assist Year 11 students with stress reduction and managing anxiety.

The group was also made aware of the various academic and resource pressures that affect the provision of physical activity opportunities and welcomed some suggestions around a coordinator to assist several schools in the area.

The TFG would like to thank Jess Ashworth and the young men and women that met with us and articulated the school’s activities as well as Headteacher for allowing the Task and Finish Group to visit.

Feedback form

About School

Publicly funded Independent School and Academy. It’s not ‘maintained ‘

905 girls, 43.5% have English as first language

Year groups 7-11 are singularly for girls, but sixth form is mixed

OFSTED rated as ‘Good’

In 2016, the DfES placed school in national ‘Top 100 non selective state schools’


Observe Year 7 PE: Dance and meet some of the girls

Observe Year 8 gymnastics and meet some of the girls

Observe PE lunchtime clubs (trampoline and netball both at Pankhurst Gym)

Activities

PE

The children participate in 2 PE lessons of 50 minutes each. One of these is competitive and the other is non-competitive sport or PA .

There are 2.5 PE teachers.

They have a 100% participation policy.

Extra curriculum

Clubs and extra curriculum activities are available after school following this timetable (Advertised in Brentford Bulletin)

Other

Engagement with local businesses and the Sky sports outreach- June 2016

Primary school outreach projects - Year 8 GCSE PE students coach primary school children tennis at Duke’s Meadows June 2016

Staff versus Students Sports days

Duke of Edinburgh Award

Monday Tuesday Wednesday Thursday Friday

Lunch Time 1.00- 1.30

Duke of Edinburgh YOGA & Fitness Football

Y 7 & 8 Netball Trampoline Badminton

Y 9, 10 & 11 netball Trampoline Basketball Coach

Dodgeball Ultimate Frisbee BTEC Revision

Wall Ball -Coach Table Tennis

After School 3.20- 4.20

BTEC Catch up Duke of Edinburgh

Netball (Teams only)

Handball

Facilities

Sports hall, multi-use space and hall for various sports and activities including dance classes.

Good practice

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Commitment to PE in the curriculum: There are 2 x 50 minutes of PE until Year 11 and there is a 100% participation policy

Participation: There is relatively good participation in clubs and enthusiasm from the children and children are encouraged to participate no matter their ability or level of fitness. If the teachers notice a physically inactive child they encourage them to come to lunchtime clubs

Support: The head teacher is supportive of the PE department

Raising awareness: There have been some school assemblies focussing on physical activities and heath

Physical activity and stress reduction: Compulsory yoga has been introduced for Year 11 assistance for stress reduction recognising the multi-purpose role of physical activity

Community outreach They have worked with Brentford FC and other community organisations

There appears to be some level of active learning although this was not observed

Issues of challenges

Personnel: It’s a very small team so it’s very hard for the PE teachers to manage fixtures, clubs and activities

Funding: They have a small amount of funding for external coaches or lessons

Time: the team is stretched in terms of creating and maintaining partnerships with the community

Specific group challenges: Some Muslim girls face more barriers in being active due to reluctance of parents to allow the children to stay late, travel or walk home in the dark

Request for support

The PE teachers spoke of the need for a coordinator to work with 2-3 schools in the area and offer time to run cubs



b) How do you encourage physically inactive children to be more active



a) Relatively active

b) Chat to the girls and encourage them to come to clubs

c) None she knows of some support from Motivate Hounslow

d) Coordinator to help with clubs and extra curriculum activities



b) Do you have any special interventions targeted at girls or targeted less active individuals?



a) Yes, academics, increased responsibilities

b) Not specifically at the moment

c) Not currently

d) Coordinator for several schools; community linkages; before school clubs

General:



In Part

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COMMUNITY LINKS


Yes


Yes


Good

FINANCES Have resources been committed to ensuring PA, extra curriculum activities etc?

Yes


2 lessons, yes



Yes


Not discussed

ACTIVE TRAVEL Does the school promote active travel, how? Not discussed



Yes


Yes

4. HOUNSLOW HEATH INFANT AND NURSERY SCHOOL


Time 9:15 meet at reception; 9:30-10:45 Visit

Contacts Ms Kathryn Harper-Quinn (Head Teacher);

Miss Jo Sweeney (Reception Teacher);

Miss Georgina Chamberlain ( Year 2 Teacher and Head Earth Curriculum)


Cllr Linda Green

Cllr Alan Mitchell

Cllr Mel Collins

Suzi Wall

Taru Jaroszynski

Summary

Hounslow Heath Infant and Nursery school serves 723 pupils aged 3 to 7 years old in the London Borough of Hounslow. This community school has been rated as ‘Outstanding by Ofsted’. It was the 2013 National Winner of the Youth Sports Trust Award for “harnessing PE and sport as a catalyst for learning and has been featured in several newspapers, and television shows including the BBC and Huffington Post.

The Task and Finish Group (TFG) were interested in visiting this school due to its innovative EARTH Curriculum, the use of Adobe buildings and the school’s commitment to incorporating physical activity into all aspect of learning and play.

On 10 November 2016, four councillors and two officers conducted a school visit on behalf of the TFG. They were shown around the school and briefed by the Head Teacher, Head of PE and Head of the Earth Curriculum.

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The Group was truly excited about the wonderful practice they saw at the school and the whole-school approach to physical activity. They noted the staff and head teachers passion and commitment for incorporating movement into all aspects of learning. This permeates through the entire school and is supported by really valuing of staff and their interactions and contributions.

The playgrounds and adobe buildings were celebrated by the group and confirmed the head teacher’s commitment to ‘investing in the environment as it has profound effect on how we feel, how we learn and perform and how well we relate to others’. The playgrounds’ curvy structure, purposeful nature, varied heights and zoned nature appears as an example of good practice.

The group was also excited by the Earth Curriculum and its innovative and creative methods to stimulate first hand experiences in the open air.

The ‘Social Profile’ was lauded by several of the Councillors as a means to share information on a child’s health and wellbeing between different schools. They believe this has the potential to enable better transition of pupils and help maintain physical activity levels.

The TFG would like to thank Ms Harper-Quinn, Ms Chamberlain and Ms Sweeny for the amazing visit and commend them and the whole school on their passion and commitment to promoting physical activity in play and learning

Feedback form

About School

Mixed sex, Community School

723 pupils aged 3 to 7 years old

623 primary aged pupils between the ages of 5-11 (April 2016)- qualify for Sports Premium funding ( see attached outline on premium)

Pupils registered for free school meals

2013 National Winner of the Youth Sports Trust Award for “harnessing PE and sport as a catalyst for learning.”


Tour and visit to adobe building

Observation of PE for Key Stage 1

Observation of Earth Curriculum© activities

Observe playtime

Discussions with Head teacher, Head of PE and head of Earth Curriculum ©

Interesting innovation/activity

PE provided by class teachers

Extra curriculum:

DiscoverMe Clubs are delivered weekly for 12 weeks by DiscoverME mentors, who work with pupils the school identifies. Parents will be invited to attend on at least 4 weeks of the programme. Support the development of young people, specifically in the areas of:

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Physical literacy; Attainment; Attendance; Overall engagement; Parental/carer engagement’ Levels of physical activity3

Facilities

Adobe buildings designed by Julian Faulkner, Small Earth

Newly developed playgrounds

Indoor and outdoor equipment and facilities to stimulate play

Innovative lunch system due to lack of space and a desire to stimulate movement during lunch

Good practice/learnings

Investing in the Environment which has a “profound effect on how we feel, how we learn/perform and how well we relate to others. Whether educating children inside or outside, the environments we create need careful consideration to ensure quality, effective, learning experiences”. The school has found that the improved environment has enhanced learning, physical fitness, behaviour and academic

o ‘Adobe’ buildings which are innovative learning areas which can be used for outdoor active learning. These have been installed in another 7 schools4

o Playground design based on: 1. Curvy; 2. Purposeful/Journey; 3. Varied heights; 4. Class sized 5. Places to move and places to “be”! 6. Zoned/Timetable and the use of the outdoor environments for a multi layered approach to outdoor play, extended learning opportunities

Earth Curriculum© which stands for Environment, Air Real, Technology and Health is considered ‘Outstanding’ by Ofsted. It builds off a belief that schools need to create the environment for quality, effective, learning experiences. It incorporates activity in the open air as well as uses technology to enhance this first hand learning.

Valuing staff and their interactions and contributions: the passion, energy and commitment of staff is obvious and the school attracts high quality teachers and supportive parents

Leadership: Ms Harper Quinn’s passion combined with the work of the head of PE and head of Earth Curriculum appears to drive a culture of activity and learning

Monitoring children’s progress and ‘My PB’ initiative: the school develops a social profile for each child and hand this over to the primary school as a means to transition the child, Each child also develops their own Personal Best through committing to progress and development through a My PB scorecard

Community involvement: Ms Harper-Quinn sits on the Heathrow Community board and helps stimulate interest and investment in the school. The school has been featured in Huffington Post:5 BBC radio 4 6 and New York Times7

School policies promote movement: the playground has one rule ‘never, ever push’ but otherwise the school promotes movement in all ways possible. The buffet lunch prevents long queues and standing instead of playing

Social profile is a profile of a child’s health, activity and sociality and is handed over to the primary school

Challenges

Planning and a whole-of-government approach to school development: Hounslow Heath Junior has been extended and the school argues that the building does not promote the best use of the environment. This raises questions about our planning policy regime and has made us think about how we plan and promote for active environments

The school wishes to evaluate the Impact of P.E. Lessons and active learning on pupils. They suspect it has had an impact on performance and behaviour

LOI 1 What support is required at a secondary school level to encourage physical activity? LOI 2 How can we improve the “physical activity pathway” from primary to secondary school especially for girls

a) How active are children in your school? a) Very

3 http://www.sportimpact.co.uk/discoverme-club 4 Alexandra Primary , Hounslow; Bedfont Primary; Grove Road Primary, Hounslow; Pippins Primary, Slough; The Smallberry Green Primary, Isleworth; Hounslow Heath Infant and Nursery; and Cranford Primary 5 http://www.huffingtonpost.co.uk/entry/heathrow-airport-third-runway-schools_uk_58107f82e4b0c6d521b53071 6 http://www.small-earth.com/images/small-earth-radio4.mp3 7 http://www.nytimes.com/2013/12/02/world/europe/expansion-plans-for-heathrow-airport-are-grounded-for-now.html

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http://www.huffingtonpost.co.uk/entry/heathrow-airport-third-runway-schools_uk_58107f82e4b0c6d521b53071

http://www.small-earth.com/images/small-earth-radio4.mp3

http://www.nytimes.com/2013/12/02/world/europe/expansion-plans-for-heathrow-airport-are-grounded-for-now.html


b) Who do you encourage physically inactive children to be more active?

c) What works? What does not work?

d) What support has been provided by Council/Partners?

e) What has been useful? Or what support would you like/need?

f) Do you notice a drop in physical activity levels and participation as people get older? What are the causes of this?

g) Do you have any special interventions targeted at girls? If so what? What have you learnt?

h) Do you have any special interventions targeted less active/inactive individuals? If so what? What have you learnt?

i) We know that children at a secondary school level are less active. Do you have any suggestions about how we can keep children active or improve levels of physical activity at a secondary school level? What else could be done to get children active? New ideas or innovations?

b) Create an environment where movement is an integral part of learning and play

c) The restriction on PE at primary and secondary is problematic as it is a key part of health and development

d) Some issues with the planning process for Hounslow Heath Junior that has involved little consultation

e) Collaboration with LBH and the use of a whole government approach

f) Children in the school leave more active than when they arrived but it may be more difficult to sustain once they leave the school

g) Not discussed h) DiscoverME i) Improve the environment and allow time for PE

and movement

General:



Yes

COMMUNITY LINKS


Yes


Yes


Very good


Yes


Yes



Yes


Yes




Yes


Yes

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5. WELLINGTON PRIMARY SCHOOL


Time 12:15-13:45

Discussions Greeting Ms Norton

Meeting Ryan Roberts (Head PE)

Meeting Claire King (Sport Impact Coordinator)

Short Tour

Delegation Taru Jaroszynski

Summary

Taru Jaroszynski on behalf of the Task and Finish Group of the Children and Young People Scrutiny Panel visited Wellington Primary School on 11 November 2011 to learn about some of the achievements and challenges in promoting physical activity.

It was a wonderful opportunity to engage, in depth, with two very experienced teachers. Ryan Roberts Head of PE at Wellington Primary and Claire King, a coordinator from Sport Impact works with several primary schools to try and assist in improving physical activity levels. The discussion was frank and very useful and helped the Task and Finish Group to better frame the challenges for Primary schools, parents, children and teachers.

The Task and Finish Group was impressed by the prominence of physical activity promotion from the reception where there was a poster, to the wonderful notice boards on PE and the ‘This Girl Can’ workshops as well as several boards promoting heathy eating.

The school has committed to using some of the Sports Premium funding to fund a Sport Coordinator (Claire King) who dedicates her time to mentoring teachers and coaches to assist with PE planning, provision and catering for both inactive and active children. This appears to be in line with good practice identified by Ofsted.8 The Head has requested a special focus on girls and Claire has delivered a ‘This Girl Can’ club working with inactive Year 5 Pupils. The feedback has been positive. A Change4Life club was also delivered in previous years to support inactive young children and families

Mr Roberts and Ms King noted the difficulties that parents face in providing and stimulating opportunities for play especially in large families or houses of multiple occupation. Girls are often encouraged to the same extent as boys to participate in clubs, sports or after school activities, and are rather encourage to return home to help at the house or care for siblings.

Lack of female role models and high levels of sedentary behaviour were also identified as issues. The pressures facing teachers in meeting the curriculum goals also means that teachers struggle to be active and set good examples for their students.

The Task and Finish Group would like to thank Ma King and Mr Roberts as well as Ms Norton in allowing us to visit the school and sharing the challenges facing primary schools in promoting physical activity.

Feedback form

About School

Local Authority Maintained, special school, community school

523 children aged 3-11 52% are girls

The school has two classes in each year, apart from in Year 1 and Year 2, where there are three classes

23% of pupils are eligible for free school meals at any time during the past 6 years, this is is below that found nationally

The proportion of pupils from minority ethnic groups is above that found nationally. 87.1% do not speak English as a first language

Ofsted reports school as “Good”

Bronze School Games Kite mark for commitment, engagement and delivery of competitive school sport

Majority of students live within 1 mile of the school. There is a STAR Active Travel plan

8 Ofsted’s 2012 Report on PE noted that a major weakness in primary schools was the lack of specialist subject knowledge among

teachers. Ofsted identified in its 2014 Report of good practice that in schools known to have strong practice in PE, a significant part of the

Sport Premium funding is being used to improve the quality of teaching in the subject.

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Discussion only. Short tour.


PE

2 hours of activity run by teachers

Ms King provides functional mentorship and support to teachers to improve confidence in delivering PE

Extra-Curricular

Netball, multi-skills, football, gymnastics and judo clubs

Tennis coaching for Year 2 with fully qualified LTA coaches from Dukes Meadow

Rugby coaching from the Harlequins Staff for Year 4 and basketball coaching for Year 5

Use external coaches to provide the activities but these have now been mentored by Clare King

This Girl Can/ Girls Active club for 24 students in year 5

Sports Notice Board- a section of the noticeboard dedicated to sports competitions with pupil match reports and photos.

Change4 life clubs : 20 targeted children to improve dietary habits, confidence & self-esteem issues

Active travel

Participated in Beat the Streets- some issues with where the boxes were placed

Have a ‘bikers breakfast’ initiative where those who bike to school get a breakfast

Active Travel Plan

Facilities

There are two playgrounds, one for Infants & Reception and one for juniors and a separate area for the Nursery. The play equipment has been updated recently.

The school is undergoing renovations so part of the car park has been used for play

Good Practice

‘This Girl Can’ club for 24 year 6 pupils that focussed on introducing physical activity and provided a safe space to try out new activities. The girls expressed that they had got more confident and are willing to try new things. The teacher noted that the girls enjoyed the opportunity to try cricket and other sports considered “boys’ sports” without feeling embarrassed or ashamed.

Year 4 Girls club was also run at lunch time and the girls were taken to Lampton Park. A few of the children had not been to the park to play. They valued the time and space to play and be active as many thought physical activity was just running and sports was just for boys, the teacher reports.

The girls healthy lifestyle goals included:

o “I want to play more basketball because it make some feel less stressed”

o “I want to play volleyball to make new friends”

The girls described the impact

o “I started to play cricket with my sister”

o “I worry less about what people think of me”

o “I tried sports I don’t like”

o “I started playing football with my friends downstairs”

A noticeboard in the corridor shared the girls learnings

A ‘Change 4 Life’ club has been started to target children in the school: to change behaviours around key health areas (including healthy eating, physical activity & social/emotional development), attract & engage less active children in moderate to vigorous activity on a regular basis through ‘multi-sport’ activities, establish a culture of regular attendance and participation, develop confidence & competence in these young children and develop a real sense of belonging to the club.

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Teaching and Learning Curriculum support and mentorship: Clare works with the teachers to help them plan and run PE activities and improve PE provision so that the sessions develop personal, social, cognitive, physical skills in pupils that can have impact in all lessons

Biking club: bikers breakfast initiative where those who bike to school get a breakfast

Challenges

Parents: Families in the area often have many children and often do not have the time or abilities to play with children to encourage active play and movement, some of the children enter school with poor motor skills, children are often pushed around in buggies rather than being encouraged to walk as this is often easier and quicker

Girls: Teachers report watching the girls get less active by year 3 and 4 even before the transition into secondary school, girls are also reporting high levels of stress and anxiety

Muslim girls: There are some reports that many of these girls are expected to go home to look after siblings, they are not encouraged to do sport and hence are behind their male peers

Lack of female role models: Girls lack role models and teacher soften forget that many of the time they are the role model and need to promote their own physical activity (e.g. show how to be active)

Teachers are stressed and overworked and do not have time for their own physical activity

Emphasis on academic performance: due to the pressures on teachers for academic performance PE is often sacrificed as a “nice to have”

School policies may work against physical activity: e.g. lunch policy may mean a child stands in a queue rather than being active during lunch time. E.g., ball policy allowed only lightweight balls which are difficult to kick

Sport Premium: Risk that the increase in the increase funding goes straight to coaches and not the school development






a) Not very active, may children from big families and many are pushed to school, children struggle to dress themselves for PE, girls are particularly inactive

b) Change4 Life club (see above)

c) Sport Impact is a major partner

d) Mentorship for teachers and coaches

LOI 2 How can we improve the “physical activity pathway” from primary to secondary especially for girls





a) Yes, even earlier from Y4, culture and messages around physical activity for girls

b) Yes, This Girl Can workshops

c) Part of the Mini Hub- 7 schools working together

d) Work primarily with teachers to improve skills and confidence

General:



Yes

COMMUNITY LINKS


Yes

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Yes


Very good


Yes


2 lessons, yes



Yes


Not discussed




Yes


Yes

6. THE HEATHLAND SCHOOL


Time 9.15 am to 10.40am

Contacts H.S. Pattar (Head teacher)

Alex Dixon (PE Head)

Jen Dark (Head of Girls’ PE)

Mr Gili (Deputy Head)


Cllr Linda Green

Cllr Mel Collins

Cllr Alan Mitchell

Taru Jaroszynski

Summary

The Heathland School is a co-educational ‘maintained’ Community Comprehensive Secondary school in the London Borough of Hounslow. This school serves 1829 girls and boys aged 11-18 girls and boys. It has been rated as ‘Outstanding’ by Ofsted.

The Task and Finish Group were interested in visiting this school due to its extensive extra curriculum offer, its focus on promoting the activities of girls and its sporting results.

After meeting the Head Teacher, Mr Pattar the Task and Finish Group was able to observe dance, basketball and gymnastics PE lessons. A tour of the school facilities was followed by a meeting with 16 young children of various ages representing sports groups and the general school population.

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The TFG was impressed by the prominence of physical activity promotion in the school. There were several notice boards and information on local clubs and associations. Discussions with the pupils indicated that teachers work hard to connect students to clubs in the area to expand their choices and options.

The ‘This Girl Can’ notice board was also very prominent using messages from the national campaign. The Head of Girls PE also noted the work they are doing to promote girls activity levels through specific targeted clubs for young women. Various options are provided to the non-sport Girls. Two young girls spoke about the fitness classes made available in the afternoon. The school has reconsidered their sports dress policy to enable girls to wear clothes they are comfortable in and allow for alternative clothes for Muslim Girls.

The TFG learnt from the students about the passion and commitment of the PE department. It is made up of 10 staff who give of their time extensively, providing sessions before school, during lunch, after school and on Saturday. In addition other, teachers commit their weekends for Duke of Edinburgh activities. The PE department and school been active in fundraising and sought external funding for improving their facilities but indicated a need for improved equipment in their gym. The engagement with external partners was commended.

There are various innovative initiatives that impressed the TFG. A raffle for an ipod was used to improve extra curriculum club attendance and there is a points and reward system for healthy eating and activity.

The TFG would like to thank Mr Pattar Mr Gili and Mr Dixon for organising the visit and commend the school on their innovation, commitment and passion in promoting sport and physical activities.

Feedback form

About School

Co-educational Community Comprehensive School

1829 pupils (mixed gender) aged 11-18

The 2013 inspection report by Ofsted graded the school "outstanding" in all criteria.

There are a range of extra-curricular activities,

18% of pupils registered for free school meals

69% of pupils first language not English


9.15 Meeting with Head teacher Mr Puttar

9.20 Observe PE Lesson- dancing, basketball, gymnastics

9.55 Discussion with 10 children from year 10,11 and

10.25 Discussion with Head of PE (Alex Nixon), Deputy Head (Mr Gili) and Head of Girls PE (Jen Dark)

10.30 Close and thanks


PE

KS3 pupils are taught a range of activities that help them to outwit an opponent, explore and communicate ideas, accurately replicate movements and to perform at maximal levels.

KS4 pupils are given the option to decide which sports that they learn. This has helped to personalise learning and increase enthusiasm and achievement. There is also an opportunity to study sport through GCSE and A Level Physical Education

E Successes 2015-16

Year 7 Football - Hounslow Borough Finalists

Year 8 Football - Hounslow Borough Finalists

Year 10 Football - Hounslow Borough Champions and Middlesex Cup Finalists

Senior Girls Football - Hounslow Borough League Runners Up

Year 8 Netball - Hounslow Borough League Runners Up



Senior Girls Netball - Hounslow Borough Champions

Extra-Curricular

Clubs are before school (8-8.30am) during lunch (12.50-1.30pm) and after school (3.20-4.30pm). The department encourage all students to attend clubs regardless of their ability.

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“Extra-curricular clubs are an opportunity for students to enhance their skills in sport in a fun and enjoyable way. It is also a fantastic way for pupils to develop their health and fitness.”

Facilities

Large sport hall which also has an indoor climbing wall.

Well-equipped fitness suite, dance studio and gymnastics side hall.

An extensive backfield used for a variety of sports including Football, Athletics etc.

Other outdoor facilities include a Full Size Astro Turf Football pitch, a new Hard-court area for Tennis/Netball and outdoor Cricket nets.

Good practice/ learnings

• PE department: There is a large PE department made up of 10 staff. They are committed, passionate and give of their time extensively, providing sessions before school, during lunch, after school and on Saturday. In addition other, teachers commit their weekends for Duke of Edinburgh activities. There is also a commitment to professional development of PE teachers ensuring their ability to provide quality PE.

• PE times: In year 7 there are 1h40 x 2 at year 7. In year 8 abilities are separated. In year 9 genders are separated. There appears to be an extensive PE 6th form recreation.

• Linkages: There are incredible links with clubs and PE teachers provide individual support and links to clubs. There is a notice board with more information.

• This Girl Can: the school was selected as a hub for Girls Active.9 Girls are very active in clubs with over 100 girls participating in netball club. The school embraces flexible dress arrangements.

• Activity promotion: There are many notice boards on clubs, extra curriculum activities and the benefits of heathy eating and physical activities, this is combined with promotion and communication at assemblies.

• Sport results: the school has exception sports results and achievements.

• Options: the school has fitness activities after school for the non-sporty.

• Innovative activity promotion: Last year, children received raffle tickets for participating in clubs for an iPod, they also have an award and monitor participation through activity books.

• Engage primary: Several primary schools use the schools facilities and sports leaders coach some of the younger classes.

• Facilities: There are a range of indoor and outdoor facilities including a climbing wall, trampolines, fitness suite. The school is maintained and is requesting support for additional equipment. There are also basketball hoops and fields used at lunch and the children looked very active.

• Dedication to fundraising and grants: The head of PE has submitted applications for grants and recieved assistance from BP and the National Lottery.

• Other: They have a biometric based cashless system which allows for children to pay for school lunches and they receive points for heathy items. The child with the most points is rewarded at the end of year.


e) How active are young people in your school?

f) How do you encourage physically inactive children to be more active

g) What support has been provided by Council/Partners?

h) What has been useful? Or what support would you like/need?

e) Very active

f) ‘This Girl Can’ club and identifying inactive or struggling girls through cross country competitions and providing one on one support

g) Sports Impact provides support

h) Assistance with buying and replacing equipment

9 The Girls Active initiative aims to get more female students across the region involved in PE and sport, tackling issues of low participation, poor body image and lack of understanding of the benefits of physical activity, with the help of specially-trained teachers. http://www.getwestlondon.co.uk/news/west-london-news/west-london-schools-behind-initiative-10258375

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e) Do you notice a drop in physical activity levels and participation as people get older? What are the causes of this?

f) Do you have any special interventions targeted at girls or targeted less active individuals?

g) Do you engage with secondary feeder schools on how we might improve the drop-off between primary and secondary school?

h) What could be done? New ideas or innovations?

e) No, children report being more active

f) This Girl Can

g) Sports leaders connect with primary and primary schools use facilities

h) Gamification through raffles and point systems

General:



Yes

COMMUNITY LINKS


Yes


Yes

PHYSICAL SPACE

What is the suitability of outdoor and indoor space for physical activity and play

Very good


Yes


2 x 100min lessons, yes



Yes


Not discussed




Yes


Yes

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7. ISLEWORTH AND SYON SCHOOL FOR BOYS

Date of visit 8 December 2016

Time 11.15-13.00

Contacts Euan Ferguson (Headteacher)

Simon Fisher (Deputy Headteacher);

Alan Watkinson (Sport Impact)

Michael Adams ( Head PE)

Delegation Cllr Linda Green

Taru Jaroszynski

Summary of the Visit

Isleworth and Syon School for Boys is a secondary school with academy status in the London Borough of Hounslow. This independent school serves over a 1000 pupils including 170 in 6th form. It has been rated as ‘Good’ by Ofsted.

The Task and Finish Group were interested in visiting this school due to the leadership this school shows in the field of sport and physical activity and the creation of Sport Impact, a School Sports Partnership.

On 8 December 2016, Councillor Linda Green and Taru Jaroszynski conducted a school visit on behalf of the TFG. They observed PE lessons, toured the school and had a very fruitful discussion with Simon Fisher (Deputy Headteacher); Alan Watkinson (Sport Impact) and Michael Adams (Head PE)

On behalf of the TFG, the Councillors commented on extensive commitment to physical activity, physical enrichment activities, sport participation and elite sport. They noted the hard work to provide Saturday fixtures and pre and post school clubs and activities in addition to the core 2 hours of PE. They noted the holistic approach to activity and the commitment to the ‘hidden curriculum’ of informal physical activity that happens during lunch and breaks.

The group was also made aware of the various academic, space and resource pressures that affect the provision of physical activity opportunities as well as the contradictory policy environment. The group welcomed some suggestions around how the LBH and partners might strengthen community partnerships, support competition, facilitate better transition and facilitate informal activities during the school day.

The TFG would like to thank Simon Fisher (Deputy Headteacher); Alan Watkinson (Sport Impact) and Mark Adams (Head PE) for their tour, the extensive report and their willingness to share their learnings. Thanks are also due to Mr Ferguson for allowing the Task and Finish group to visit.

Feedback form

About School

The origins of the school can be dated back to 1630.

Non-denomination secondary school and 6th form for +- 1000 boys aged 11 to 18 years (girls may join in 6th form)

Academy - Converter Mainstream and Specialist Sports College

Rated “Good” overall by Ofsted in May 2013. Behaviour & Safety was judged to be outstanding.

Designated as a national Leadership Academy.

Lead school for PE, Sport and Health in the LBH and continue to run the ‘Sport Impact’

Work in a variety of partnerships including: Education Improvement Partnership; founding member of Challenge Partners; PiXL in 2012; Brunel University London; London West Alliance, St. Mary’s University & Roehampton (teacher training); partner school for Teach First; and working with local schools to provide increased opportunities for 6th Form students as part of a consortium.

Students enter from 36 primaries in Hounslow, Twickenham, Ealing, Hampton and Southall.

Majority of students are from a wide range of minority ethnic groups and those from White British backgrounds remain the largest group at approximately 36%.

64.2% have a home language other than English (above average).81 different home languages are spoken. Urdu (9.6%); Panjabi (7.0%); Arabic (7.8%) and Somali (4.6%) are the most common apart from English.

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13% students are on the SEN Register: 10 have a Statement or Education & Health Care Plan. 6 students are currently Looked After (in public care - 2 x Hounslow,

20% of students are eligible for free school meals and around 32.5% have been eligible at any time within the past six years (Ever6).

36% qualify for the Pupil Premium funding. This is well above average.


Meet Head Teacher, Deputy Head Teacher and Mr Watkinson (Sport Impact) Tour of School Observation of PE Discussion Simon Fisher, Alan Watkinson and Mark Adams


Only local school licensed to deliver the Duke of Edinburgh’s Award programme at all levels (bronze, silver and gold)

Extensive and regular sports clubs, pre and post-school (cricket and basketball; fitness training is taught as a discrete unit but also, importantly, as an after-school club)

The headteacher is a member of a pan-London group of headteachers – the London Headteachers Alliance for PE and Sport - which promotes the physical, social, mental and academic benefits of opportunities within Physical Education, Sport and Health.

The deputy headteacher chairs and leads the steering group for Sport Impact. (see below)

Year 9 wider learning week (WLW). This programme sees 70% of learners receive a physical education off-site including camping, fishing, climbing, kayaking, cycling, swimming and survival skills

Sport Impact

The school has a legacy of having specialist status for sport and which led to the development of the local School Sports Partnership (Sport Impact – SI) which make a significant contribution to overall provision across the LBH.

SI and the School provide outreach work for the Youth Sport Trust (YST), leading on regional and national support networks for school and the SSP which is regarded as a beacon. The Partnership Development Manager (PDM) is a national trainer and mentor for the YST.

The decision to retain the partnership and 'keep up the good work' appears a good decision as all bar one primary school and one secondary school also work with SI

SI has significantly influenced local primary school headteachers so that they use a high proportion of their funding to train existing teachers in the delivery of high quality KS1-2 Physical Education. Competitions and leaderships are also part of the "offer" as well as healthy active lifestyles. As a result, primary school competitions have increase by 16%; worryingly, secondary competitions have declined by 12%.

As a result of this excellent overall work the SI team of PE specialists are in high demand; they are currently advising, amongst others, Richmond Local Authority, Hammersmith / Fulham and Buckinghamshire.

The biggest national Sports Leadership conference is organised by the SI team. This targets our community and business partners at Twickenham stadium.

Facilities

Playing fields and exclusive use of Busch Corner.

Third-generation astro-pitch as well as a grassed area.

Playground areas, with basketball hoops and cricket nets.

Two caged hard-court areas for basketball and five-a-side football, as well as five table-tennis tables designated to each year group.

The school’s gymnasium is equipped with various gymnastic apparatus, while the sports hall has basketball hoops, football goals and badminton nets.

Inside the Sports Hall is a gym for senior students with weightlifting and rowing machines.

The School recently completed the fencing and floodlighting of the 3G astro-turf – although installed in 2012 the 3G astro-turf has been without a fence and floodlight for three years. Timings for school use have now increased as have external community lettings.

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Good practice

Ethos: Belief that high quality PE, health and sport with a strong focus of high activity levels has a huge positive impact on wider school improvement including the academic achievements of students (GCSE Progress compared to boys nationally +0.18 against -0.17). Hence the school maintains 2 hours of PE of every age group and additional enrichment opportunities for students despite the diminishing resources and staff time.

Role models: The leader for PE is an expert and relentlessly drive improvement; all PE teachers are role-models for young men within the school.

Communication: Both physical and mental health issues are targeted. Personal, social, health and economic education (PSHEe) is strong and the new school canteen CucinA where students make healthy choices in relation to their daily diet and, in particular, their consumption of fruit and vegetables.

Student Voice: Student voice is strong. Regular meetings with a senior teacher allows young leaders to offer suggestions so as to adapt the curricular and extra-curricular programmes. Onsite and offsite option choices in KS4 are a strength.

‘Hidden Curriculum’: the school describes the activity levels at lunch and at break times as the hidden curriculum as students play informal football, basketball and outdoor table tennis which further increase daily levels of physical activity. While supervised, most of these are unstructured but strongly support the healthy lifestyles (physical, mental, social).

Balance Participation and Elite Sport: There is a healthy balance between maximising participation and promoting elite sporting performance (through personalised programmes).

PE Curriculum includes minority, sustainable physical activities which have clear performance pathways

Leadership programmes and personal development are at all levels; this includes officiating and refereeing / umpiring awards. Students regularly achieve coaching awards and then go on to support school team or community scheme (play groups; youth clubs). There is a culture of participation and positive language is used across the school. All pupils are expected to be community leaders and take personal responsibility for their personal organisation and health; this includes joining local sports clubs in order to improve their skills. There is also a commitment to broadening and transforming horizons through sport with activities such as bi-annual ski trips and invitational visits to play at Lords amongst others.

Outward looking and partnership building: The local partnerships with Indian Gymkhana, Thistleworth Tennis Club, Osterley Athletics (Fusion) and the Isleworthians allow young people to use higher quality facilities and bridges the gap between school and community sports clubs. There are also partnerships with external MCC (cricket),London Youth Rowing

Working with primary schools: The school is committed to improving the quality of PE in early years as well as KS1-2 by continuing leadership of Sport Impact.

Competition: The school is fully committed to competitions in sport. Every student participates in level 1 competition, intra-school competition. There is an immensely strong culture of inter-form and inter-house competition in all sports; This transfers into inter-school sport; it is not unusual to find A, B and C team fixtures in the KS3 age groups playing against a range of independent schools; this allows for 30+% of students to experience real level 2 competition

Challenges

On-site facilities onsite space remains very tight. SLT strives to be creative about where to develop facilities which promote physical activity in outdoor spaces within our formal and hidden curriculums. Thee school shall expand from 6 to 8 forms of entry which shall place more pressure on space

Budget & Staffing –the staffing budget for 2016-17 has been reduced and this has had an impact on class sizes and teacher-student ratios as well as daily management. Teacher workload will affect the breadth of the enrichment offer.

Contradictions in Government policy – the drive to improve the health of students is contradicted by policies which:

(a) are pressuring SLT to reduce the scheduling of PE and, instead, focus more EBacc subjects;

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(b) prevent more pupils joining local clubs / sports centres due to financial barriers;

(c) allow learners to catch the bus to school (rather than walk or cycle) and;

(d) promote swimming as a life skill in KS1-2 but fail to monitor completion rates of whether learners can swim 25m unaided;

(e) reduce funding for summer schools / programmes targeting the most disadvantaged / at risk / physically obese before they join Year 7 and;

(f) allow students to consume an array of unhealthy food and drink options at local shops to and from school (a watered down national policy targeting only sugary drinks instead of food and drinks).

Transition: Having students join the school from so many different primary schools does require significant investment in ensuring that transition to school is well planned and comprehensive to ensure that students understand our expectations and ethos.

Support required

Review pricing policies to improve secondary school access to leisure facilities within the curriculum (eg. Fusion outdoor gym); andoutside of the curriculum eg. Goals in Osterley offer their facility free of charge; Fusion usually charge.

Strengthen pathways from schools into sports clubs. Such pathways are not always obvious to young people and schools. We are exploring the notion of “clubs within schools” for cricket and rugby; in addition, based on similar aims Councillor Tony Louki is developing a sports stakeholder network in Isleworth and Osterley. A key target group are sixth former; there is a lack of physical activity in the sixth form – there could be a cross-borough offer.

Extend Beat the Streets into all secondary school.

Fund inter-school competitions for primary and secondary. Create peer role models in every school. Currently, many PE departments in individual secondary schools have to pay to access competitions from their departmental budgets. Some have considered withdrawing from the system. This inconsistency is at odds with the LBH drive to increase levels of activity.

Primary school transition and engagement: Review the provision of summer schools for (a) disadvantaged, (b) hard to reach and (c) physically obese children to enable an effective primary to secondary transition. Isleworth and Syon used to run a two week programme which was cut as central Government funding was withdrawn.

Hidden curriculum; Support the immense but informal and unstructured physical activity within schools by funding onsite school facilities: Table tennis, Outdoor weights gyms, fitness trails, MUGA, Basketball areas



b) How do you encourage physically inactive children to be more active



a) Very active

b) 100% participation, competition, choice of activities, various options and engagement

c) Sport Impact is the main partner and see others above

d) Assistance with accessing facilities, strengthened pathways to sports clubs, Beat the Streets extended, funding completion, support transition interventions and the hidden curriculum (see above)



b) Do you have any special interventions targeted at girls or targeted less active individuals?

a) Yes, academics, poor transitions, conflicting government policy

b) 100% participation, student voice, leadership, role models, competition

c) Yes, extensively through SI

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d) See above- summer schools, facilities, support hidden curriculum

General:



Yes

COMMUNITY LINKS


Yes


Yes


Good


Yes


2 lessons, yes



Yes


Not discussed




Yes

COMMUNICATE Does the school communicate messages around physical activity, progress, achievement and the evidence of learning or health?

Yes

8. ST MARY'S CATHOLIC PRIMARY SCHOOL


Time 9.15 to 10.30

Contacts Samuel Lawlor (SK1 and PE coordinator)

Farley Marsh (head teacher)


Cllr Linda Green

Summary of Visit

St Mary’s Primary School is a voluntary aided Catholic school in Isleworth in the London Borough of Hounslow. It serves 329 girls and boys aged 3-10 years and has been rated as ‘Good’ by Ofsted.

On 25 November 2016, Councillor Samia Chaudhary and Cllr Linda Green conducted a school visit on behalf of the Task and Finish Group. They observed PE lessons and were briefed by the PE coordinator.

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On behalf of the Task and Finish group, the Councillors commented on the commitment and enthusiasm of the sports coordinator. They were excited about the partnership with Gumley House which creates a link between the primary and secondary schools. The existence and work of parent volunteers was also noted as a means to support physical activity and sport.

The Group also enjoyed visiting the kitchen and learning more about the heathy eating programmes.

The Task and Finish Group would like to thank Sam Lawlor that met with us and articulated the school’s activities as well as Headteacher Mr Marsh for allowing the Task and Finish group to visit.

Feedback form

About School

St Mary’s is a voluntary aided Catholic school

388 pupils aged 3- 10 year olds (197 boys and 191 girls)

Ofsted rated as ‘Good’

38% Pupils first language not English

The proportion of pupils supported by school action plus or with a statement of special educational needs is much lower than average.

The proportion of pupils known to be eligible for free school meals is below average

The proportion of pupils from minority ethnic groups is above average

Through PE and Sport children “learn to develop the important qualities of discipline, resilience, communication, team work and ambition, leading to improved concentration, attitude, and academic achievement”


School Tour

Discussion with Sam Lawson and Head teacher


Use Sport Premium to fund a school coordinator who acts to support primary teachers, prove specialist support and mentorship

Provides inclusive competition opportunities for children with SEN and disabilities through intra and interschool competition

Promotes healthy lifestyles through school based heath intervention programmes and training sports leaders to assist in providing opportunities

Member of Better Points so people can donate to the school (potential to get families active to support school)

Half a term of tennis coaching provided by Dukes Meadow Tennis Centre.

Won Beat the Streets May 2016 and walked 15,605 miles

Facilities

Hall

Playground (under development)

Good practice

Sports Coordinator aims to provide high quality Physical Education through specialist support to teachers and release teachers for professional development in PE.

Partnership with Gumley House enables older girls to coach the primary school and creates links between the schools.

Competitive School Sport: Sport Impact provides an intra-school, interschool and regional competition e.g. London Youth Games, Community Games, Hounslow Sports days, Tennis festival,

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https://www.betterpoints.uk/partners/18350


Preliminary and Borough Competitions in cross-country, sportshall athletics, rugby, football, hockey, netball, quadkids athletics and cricket.

Volunteers: There is an active group of parents who volunteer to coach activities and sport

Using outdoor space: the school uses Redlees Park and the local leisure center for PE and sports competitions

Healthy food and catering: the school has a commitment to healthy food and parents are invited to sample the menu, fruit is available in each classroom.

Challenges

Access to funding for festivals and markets at the school


e) How active are young people in your school?

f) How do you encourage physically inactive children to be more active

g) What support has been provided by Council/Partners?

h) What has been useful? Or what support would you like/need?

e) Active

f) Clubs

g) Sport Impact provides support

h) Support for festivals and competitions

LOI 2 How can we improve the “physical activity pathway” from primary to secondary school especially for

girls

e) Do you notice a drop in physical activity levels and participation as people get older? What are the causes of this?

f) Do you have any special interventions targeted at girls or targeted less active individuals?

g) Do you engage with secondary feeder schools on how we might improve the drop-off between primary and secondary school?

h) What could be done? New ideas or innovations?

e) -

f) -

g) Yes- Gumley House

h) -

General:

WHOLE SCHOOL

APPROACH

Does the school have a whole school approach to increasing

levels of physical activity In Part

COMMUNITY LINKS Do they engage with other organisations/ volunteers? Are there

structured volunteering opportunities Yes

STAFF

Do the staff have the capacity and capability of staff to lead and

promote play /physical activity? Including knowledge of

appropriate for age and stage of physical development

Yes

PHYSICAL SPACE Is the outdoor and indoor space suitable for physical activity

and play Yes

FINANCES Have resources been committed to ensuring PA, extra

curriculum activities etc? Yes

TIME/ACCESS

How many hours of PE? Does the timetable provides for time for

play and physical activities in school time? Are there extra

curriculum activities?

2 Hours

TYPE/ VARIETY OF

ACTIVITIES

Are there a variety of activities that serve young people’s needs

and desires? Are their sports and non-competitive activities? Are

their mind-body activities such as yoga?

Yes-Clubs

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IN CLASSROOM Are there ways to reduce sedentary behaviour within the

classroom? Is movement used in learning? Yes


PARTICIPATION

CHILDREN

Do children/ young people participate in identifying the differing

needs/ preferences? NA

COMMUNICATE

Does the school communicate messages around physical

activity, progress, achievement and the evidence of learning or

health?

Yes

9. ORIEL ACADEMY, WEST LONDON.

School Oriel Academy, West London.

Date of visit 9 February

Contacts Ms Anna Birch (vice Principle)

Ms Linney (Headteacher)


Cllr Linda Green

About School

Oriel Academy is a two-form entry primary school with a Nursery, it is situated in Hanworth West London.

There are 457 children from 3.5 to 11 years of age.

October 2016 Oriel was inspected by OFSTED and judged to be a ‘Good’ school with a number of features assessed as outstanding.

54% of pupils first language is not English (above national average)

22 % Pupils registered for free school meals (above national average)


9:30 Meet reception,Tour, Observe playtime, Observe PE,Discussion

10:45/11.00 end


PE

Ofsted notes (2016) ‘The primary school physical education and sport funding is spent well. Pupils can take part in and enjoy numerous physical activities

Website notes ‘Sport and PE is an important part of life at Oriel Academy, it forms a central part of our curriculum’

Links with Harlequins and London Irish Rugby Clubs, Brentford Football Club, Feltham Airparcs Swimming Baths and part of the Feltham Partnership Schools Sports Association (FPSSA).

Number of very active sports teams including football teams, a netball team, athletics squad and a cricket team who take part in borough and FPSSA events.

Premium funding 2015/6 used for the following:

CPD: Improve the quality of teaching & transform PE into a cross curricular subject with a focus on fundamental skills, rather than subject specific skills

CPD: All teachers have a detailed subject knowledge of the PE relevant to their year group and can deliver Good+ lessons

Buy into Local Partnership events which allowed competition with other schools ( incl running, football, tennis and rugby)

Improve school’s participation in inter-academy competitions and improve the collaboration between Oriel and other academies in the Aspirations Academies Trust.

Use of PE self-assessment audit to identify strengths and areas for improvement

Employ a PE specialist teacher one day a week to work with pupils, run clubs and train teachers

Continue to develop our Sports Week and Sports Day events.

Ensure physical fitness is promoted across the curriculum and by all staff

Provide transport in order to support our increased participation.

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Improve strategy to improve the health and well-being of all pupils School clubs

Breakfast Club & After School Club & holiday club

Facilities

2 Halls


LOI 2 How can we improve the “physical activity pathway” from primary to secondary school

especially for girls

1. How active are children in your school? 2. Who do you encourage physically inactive children to be more active? 3. What works? What does not work? 4. What support has been provided by Council/Partners? 5. What has been useful? Or what support would you like/need? 6. Do you notice a drop in physical activity levels and participation as people get older? What are the

causes of this? 7. Do you have any special interventions targeted at girls? If so what? What have you learnt? 8. Do you have any special interventions targeted less active/inactive individuals? If so what? What have

you learnt? 9. We know that children at a secondary school level are less active. Do you have any suggestions about

how we can keep children active or improve levels of physical activity at a secondary school level? 10. What else could be done to get children active? New ideas or innovations?

1. Very active 2. Yes, starting a Change4life programme 3. Afterschool activities and PE, partnerships with BTCST 4. Local community partners 5. More information on community grants 6. No 7. No 8. Starting Change4life 9. NA 10. School nurse education

General questions

WHOLE SCHOOL

APPROACH

Does the school have a whole school approach to

increasing levels of physical activity Yes

COMMUNITY

LINKS

Do they engage with other organisations/ volunteers?

Are there structured volunteering opportunities Yes

STAFF

Do the staff have the capacity and capability of staff to lead

and promote Play /physical activity?

Including knowledge of appropriate for age and stage of

physical development

Yes

PHYSICAL SPACE What is the suitability of outdoor and indoor space for

physical activity and play Good

350


FINANCES Have resources been committed to ensuring PA, extra

curriculum activities etc? Yes

TIME/ACCESS

How many hours of PE?

Does the timetable provides for time for play and physical

activities in school time?

Are there extra curriculum activities?

2 hours, yes,

TYPE/ VARIETY OF

ACTIVITIES

Are there a variety of activities that serve young people’s

needs and desires/

Are their sports and non-competitive activities?

Are their mind-body activities such as yoga?

Yes

IN CLASSROOM Are there ways to reduce sedentary behaviour within the

classroom? Is movement used in learning? Yes


PARTICIPATION

CHILDREN

Do children/ young people participate in identifying the

differing needs/ preferences? NA

COMMUNICATE

How does the school communicate messages around

physical activity, progress, achievement and the evidence

of learning or health?

Yes

351

Appendix F

Task and Finish Group

Children and Young People Scrutiny

Log of Discussions and Engagements

Date- Group/Person Type Engagement Stakeholders

1. 18 August Task & Finish Group Meeting Set out ToR Internal

2. 25 August Laura Maclehose Meeting Discussion Public Health

3. 30 August David Brockie Meeting Discussion Children & Adult

4. 31 August Imran Choudhury Meeting Discussion Public Health

5. 01 September Marianne Boyle Meeting Discussion Public Health

6. 02 September Michael Marks Meeting Discussion Children & Adult

7. 05 September Akwal Gill Meeting Discussion Children & Adult

8. 05 September Nina Johal Meeting Discussion Children & Adult

9. 05 September Youth Council Meeting Discussion External with

Councillors

10. 07 September Clare McKenzie Meeting Discussion Public Health

11. 07 September Roger Shortt Meeting Discussion EIP

12. 07 September Chrissie Elam Meeting Discussion Children & Adult

13. 12 September Ibrahim Khan Meeting Discussion Public Health

14. 13 September Task & Finish Group Meeting Present findings Councillors

15. 21 September Feedback Public Health Meeting Present findings Public Health

16. 26 September Sports Impact Sports

Impact Discussion VCSE

17. 06 October Conference call Open

sessions Meeting Way forward External

18. 13 October Wendy - Girls Active Meeting Discussion External

19. 18 October Obesity Task Force Meeting Presentation and

discussion Internal & External

20. 18 October PE Network Meeting Presentation and

discussion Internal & External

21. 20 October Youth Council Meeting Discussion External

22. 27 October Teen Yoga Meeting Discussion External

352

Agenda Item 7f

Date- Group/Person Type Engagement Stakeholders

23. 02 November Cranford Community

College

School

Visit

Discussion &

Observation School

24. 03 November Chiswick School School

Visit

Discussion &

Observation School

25. 09 November Brentford Girls School

Visit

Discussion &

Observation School

26. 10 November Hounslow Heath Infant

and Nursery School

School

Visit

Discussion &

Observation School

27. 11 November Wellington Primary &

Nursery School

School

Visit

Discussion &

Observation School

28. 14 November Suzi Wall Meeting Discussion Public Health

29. 15 November Task and Finish Group

Meeting Meeting Discussion Internal

30. 15 November Children and Young

People Scrutiny Meeting Discussion Internal & External

31. 17 November Task and Finish Group

Meeting Meeting Discussion Internal

32. 17 November The Heathland School School

Visit

Discussion &

Observation School

33. 21 November Feedback Public Health Meeting Present

recommendations Public Health

34. 21 November Imran Choudhury Meeting Present

recommendations Public Health

35. 22 November School Effectiveness

team Meeting

Present

recommendations Internal

36. 25 November St Mary's RC School School

Visit

Discussion &

Observation School

37. 28 November Brentford Football

Community Trust Meeting Discussion External

38. 29 November Sports Impact Meeting Discussion External

39. 8 December Isleworth and Syon School

Visit

Discussion &

Observation School

40. 7 December Children and Young

People Scrutiny Meeting Discussion Internal & External

41. 13 January Neil Young Meeting Motivate Hounslow External

42. 16 January Super Active Schools Meeting Conference Primary

school heads External

43. 6 February Physical Activity

Steering group Meeting Discussion Internal

44. 10 February Oriel School Visit School

Visit

Discussion &

Observation School

45. 10 February Task and Finish Group Meeting Discussion Internal

46. 11 February Peter Large Meeting Discussion Internal

47. 15 February Louise Prew Meeting Discussion Internal

353

Item 8



No

Title Work Programme 2016-17

Member Reporting Councillor Samia Chaudhary Chair of Children & Young People Scrutiny Panel

Contact Details Taru Jaroszynski, Policy and Scrutiny Officer, Office: 020 8583 2540, [email protected]




N/A

Affected Wards All

Keywords/Index Work Programme

1. DETAILS OF RECOMMENDATIONS

Children & Young People Scrutiny Panel is asked to consider and discuss the indicative work programme as set out within the report summary.




The Children & Young People Scrutiny Panel through the effective scrutiny and monitoring of decisions, plans and services provided for children and young people, will support the delivery of bright futures for the borough’s children and young people

On-going

2. REPORT SUMMARY

The Children & Young People Scrutiny Panel members are invited to consider the 2016-17 indicative work programme. The work programme is intended to be iterative and can be amended to reflect emerging issues. Depending on the subject matter and context some issues may require further in-depth analysis outside panel meetings. In this instance the findings of these reviews would be reported back to the panel.

Meeting 1: 20 July 2016

2016/17 Priorities of the Cabinet Member for Education and Children’s Services

Work programme planning

Meeting 2: 10 October 2016 ( postponed to 15 November 2016)

Improving uptake of physical activity among young people in Hounslow – Task & Finish Group Initial Report

Review of Youth Services – to consider consultation and input ahead of November Cabinet

Welfare Reform: Consequences for Families, Children and Young People in

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Agenda Item 8


Hounslow

Meeting 3: 7 December 2016

Educational standards in Hounslow

Secondary school place planning

Meeting 4: 23 February 2017

Local Safeguarding Children Board Annual Report

Outcomes for Looked After Children and Care Leavers

Meeting 5: 19 April 2017

Outcomes of the Anna Freud review of CAMHS Transformation

Review of 2016/17 Work Programme


3.1. The above draft work programme was approved at the meeting of the panel on 20 July 2016, although there was a recognition that Members may well wish to make alterations at a later date.

4. Key Implications

4.1. Not applicable


Not applicable.


None






6.1. As Scrutiny has no decision-making powers, any recommendations that may emerge from a review undertaken would need to be referred to Cabinet for a decision.

7. Value for Money




355

9. Risk Management



10.1. Through its role acting as a critical friend and in the review and development of policy, the Children & Young People Scrutiny Panel aims to support the Corporate Plan 2014-19 thematic priority: Brighter futures for our children - Providing the best start in life for our children and young people with improvements in health and education. Keeping them safe from harm to help inspire more fulfilling lives.


11.1. There are no direct implications arising from this report. However, equality and diversity issues are a mandatory consideration in decision making in the council pursuant to the Equality Act 2010. This means the council and all other organisations acting on its behalf must have due regard to the equality duties when exercising a public function. The broad purpose of this duty is to integrate considerations of equality and good relations into daily business requiring equality considerations to be reflected into the design of policies and the delivery of services and for these to be kept under review.






14.1. None.

15. Consultation



16.1. Not applicable

17. Appendices

17.1. None


18.1. None

REPORT ENDS

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Meetings, agendas, and minutes - London Borough of Hounslow

Documents

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