2. Structure of Safeguarding Team
Named Midwife for Safeguarding
•Reports to: Named Nurse & Inpatient Matron
Specialist Teams
•Kaleidoscope – Offer a Case loading service to women with
mental health diagnoses or complex social histories and young
people of 18 and under
•LANDS – Liaison Antenatal Drug Service. A joint clinic with CRI
to support women with drug and alcohol dependencies
3.
4. Maternity Safeguarding Trigger List
Currently/ Previously known to Social
Care
Substance or Alcohol misuse Mental Illness
Domestic abuse PND/Depression CONI (Care of next Infant)/Older child
with special needs
Other children not living with Mother Disability (Physical or Learning) FGM
Police involvement resulting in
custodial sentence
Recent Migrant No Recourse to Public Funds
Previous Concealed pregnancy Other – Any other event which YOU
think could put her or her unborn at
risk
5. Maternity Safeguarding Meeting
• Referral received and RAG rated by Named Midwife
• Allocated a date to be discussed depending on RAG rating
• Copy send to Safeguarding Advisor to filter to appropriate Health Visitor, copy sent
to GP
• Agenda sent to attendee’s of meeting
• Meeting held every Friday morning from 09.30 – 11.00
• Chaired by Named Midwife, attended by Safeguarding advisor, specialist teams,
IDVA, Neonatal Unit, Children's Social Care, Targeted Family Support, Children’s
Centres, Perinatal Mental Health Nurse, CASH Nurse, Housing Officer
• Cases reviewed and discussed, information shared and plans created
• Maternity Safeguarding Report written, copy in main file and copy sent to GP
6. Safeguarding
Supervision
The Department of Health: Working Together to Safeguard Children (2013)
defines supervision as:
An accountable process which supports assures and develops the knowledge, skills
and values of an individual, group or team. The purpose is to improve the quality
of their work to achieve agreed outcomes.
7. Strengthening Families Model
• This model is used in Social Work
across all out local Boroughs.
• Focuses on what is going well.
• Empowers people self identify
where they need help.
• People decide how best that
support can be delivered.
• Apply the same principles to
Supervision.
8. Maternity Safeguarding Action Cards
• Safeguarding Trigger List
• Domestic abuse
• Mental Illness
• Substance or Alcohol misuse
• Currently/ Previously known to Social Care
• Other children not living with Mother
• PND/Depression
• FGM
• Disability (Physical or Learning)
• CONI (Care of next Infant)/Older child with special
needs
• Recent Migrant
• None English language speaker
• No Recourse to Public Funds
• Late Booking (after 24 weeks)
• Previous Concealed pregnancy
• None engagement with antenatal care
• Repeat antenatal admissions without Obstetric reason
• Other – Any other event which YOU think could put her
or
• her unborn at risk
• If you IDENTIFY any of these risks, at Booking or during a
woman’s pregnancy then you must ACT.
• Be Curious – Get as much relevant information as
possible – what support does the woman want to help
her deal
• with the situation? What is life going to be like for the
newborn or other children?
• Educate – Give brief advice and signpost to services
available such as Children’s Centres. Ask for consent to
share the
• information within the multi-agency safeguarding team.
• Share – Share with the Safeguarding Team via Maternity
Safeguarding Notification. Consider whether a CAF or
• Interagency Referral to Children’s Social Care is
necessary.
• Document – Record in the hand held notes (if safe to do
so), or the main notes and the electronic system what
actions
• you have taken, and what follow up needs to happen..
• Review – Next time you see her, ask how things are.
Has the situation improved? Is there anyone else who
might
• be able to help?
9. Example Training Slide:
How to action your Safeguarding concerns
• Discuss your intentions and reasons for your concern with Mum. Highlight how
engagement with services can benefit her and her baby. Document if she is
reluctant .
• Fill out a Maternity Safeguarding Form – the case will be RAG rated according to
the level of risk, and discussed at the weekly safeguarding meeting within 8 weeks
of receipt.
• If you think the case meets the threshold for Social Services Intervention then
complete a referral (CAF in Lewisham, IAR in Greenwich, MARK in Bexley). If you
are not sure, please discuss the case with your Team Leader or the Named
Midwife for Safeguarding.
• Document all actions taken in the Main Notes.
10. Safeguarding Leads
Named Lead Safeguarding Children Lynn Torpey 0203 049 1205
Named Nurse Safeguarding Children Clare Hunter 0208 836 5370
Named Doctor Safeguarding Dr William Barry Via switchboard
Named Doctor Safeguarding Dr Sian Morgan 0208138 1588
Named Midwife Safeguarding Anne Farrell (QEH) 0208 836 5838
Tricia Lyall (QMS) 0208 308 3091
Aine Gallagher (UHL) 020 8333 3000 ext: 8818
Lydia Higham (UHL – Wednesdays only) 020 8333 3000 ext: 8818
Safeguarding Advisors: Consultation and Advice Line (CAL) 0786 784 3532 Mon-Fri 09.00-17.00
UHL Paediatric Registrar: On Call Bleep 4501
SLAM Trust Advice: Nicola Jenkin: 020 3049 1293 or Dr Wiseman: 020 7138 1591 (if neither available then Advice Pager on 0765
915 2233 during working hours Mon-Fri 9-5).
Lewisham Council - Out of hours Duty Desk: 0208 314 6000
