Safeguarding Partnership Board: Annual Report 2013.

STATES OF JERSEY

SAFEGUARDING PARTNERSHIP BOARD: ANNUAL REPORT 2013

Presented to the States on 8th August 2014 by the Chief Minister

STATES GREFFE

2014   Price code: D  R.117

SPB Annual Report 2013  July 2014

Annual Report 2013

Priorities and Business Plan 2014–2015

Glenys Johnston, O.B.E. Independent Safeguarding Chair

July 2014

Contents

1  Independent Chair's Introduction ............................................................................................... 3 2  The role and purpose of the Safeguarding Partnership Boards ............................................ 6 3  Organisation of the Safeguarding Partnership Boards ......................................................... 11 4  Local background and context.................................................................................................. 15 5  Priorities for 2012–2013, progress and outcomes ................................................................. 32 6  Monitoring the work of the Safeguarding Boards to safeguard and promote the welfare

of the residents of Jersey .......................................................................................................... 34

7  Concluding statement on the effectiveness of our safeguarding arrangements .............. 41 8  Safeguarding Partnership Board Business Plan 2014 -2016 .............................................. 43

1 Independent Chair's Introduction

Welcome to the Annual Report and Business Plan of the Jersey Safeguarding Children and Adults Partnership Boards (SPB) which covers our work from 1st January 2013 – 31st December 2013.

I was appointed as the Independent Chair of Safeguarding in February 2013 and would like to begin by commending the work of my predecessor Mike Taylor , who chaired the Jersey Child Protection Committee (JCPC) from May 2009 – January 2013. During his time as the chair he progressed the work of the Committee, securing the engagement of partners and the improvement of inter-agency working.

I would also like to thank all front-line staff, managers, politicians and the SPB's business team for their work in safeguarding children and adults in Jersey and for the immeasurable support they have given me, as I develop my understanding of local culture and practice. We recognise that the effectiveness of safeguarding is dependent on the quality and co-ordination of those people who are in direct contact with children, young people, adults, families and carers. Safeguarding is "Everybody's Business" and I have been most impressed by the shared commitment of everyone with whom I work.

Safeguarding is clearly a very high priority for Jersey. In October 2012 the Council of Ministers decided that the accountability of the then JCPC should lie with the Chief Minister, under the responsibility of the Assistant Chief Minister, Senator Paul Routier. They also decided that an Independent Chair should be appointed to chair the JCPC and develop and chair an equivalent committee' for safeguarding adults. With the support of the Chief Minister Senator Ian Gorst , the Assistant Chief Minister Senator Paul Routier, the Minister for Health and Social Services Deputy Anne Pryke, the members of the Children's Policy Group, the Adults Policy Group and all partner agencies, we have established the JCPC as a Safeguarding Children Partnership Board and established an equivalent Board for the Safeguarding of Adults. These arrangements are working well and continue to improve.

This has been a challenging year, financial constraints and, as our understanding develops, the growing demands of safeguarding have had an impact, but I have been impressed by the determination to overcome these. The SPBs have undertaken an enormous amount of work in establishing appropriate membership, governance and performance. There have been notable successes in improving safeguarding arrangements; the agreement of the States of Jersey to a Memorandum of Understanding (MOU) which commits signatories to supporting the work of the Boards and maintaining, improving and embedding good safeguarding practice in all aspects of their work is beginning to have an impact. Some work is in progress and will be shortly completed; this includes the development of our strategies, some of which include working jointly with other States of Jersey policy development in relation to children at risk of sexual exploitation (CSE), domestic abuse, suicide and self-harm; the development of multi-agency adult safeguarding procedures.

Safeguarding is complex, challenging work and never more so than when a child, a young person or an adult dies or is seriously harmed though abuse or neglect. The impact on families, carers and the professionals involved cannot be over-estimated; they are never taken lightly by any organisation or professional. We are committed to honestly and robustly reviewing what has worked well and what, if anything, went wrong through our Serious Case Review (SCR) process. These are demanding pieces of work; however, the subjects of these reviews deserve our best efforts and the staff involved deserve our support if they are to continue to contribute reflectively, openly and honestly. We are absolutely determined to disseminate and implement the learning from these reviews whether they involve an individual case or review that considers several through a thematic review.

The following recent quote from Professor Eileen Munro, which is equally applicable to adult and children's safeguarding, is timely.

Managing uncertainty and risk

While it is understandable that we all want children to be safe and to flourish, it is also important to acknowledge that we cannot guarantee this. We have limited knowledge about what is going on in other people's lives and limited ability to predict the future. In child protection work, decisions on actions are usually in circumstances where all available options carry some strengths and some dangers. The decision to remove or leave a child or young person in their birth family is based on a calculation

of which option is likely to have the best benefits for the child. However, likely it is

that the outcome will be good, the unlikely can occur. Therefore a bad outcome does

not imply bad professional practice. Conversely, a good outcome does not imply good practice.

The public and the media have been counter-productive by setting unachievable standards of knowledge and prediction. This has contributed to a defensive, blaming culture where people have been reluctant to own up to mistakes or weaknesses for fear of punishment. This inhibits learning and skews priorities away from a focus on the safety and welfare of children and young people. Defensive practice, in this context, usually means choosing the option that best protects the worker or agency, not the child.

Despite the considerable successes of the SPB, many challenges lie ahead. This report  includes  our  agreed  priorities  for  the  coming  2 years.  Our  progress  in delivering these will be reported in 2015.

Jersey is a fine place to live, raise families and support people, its residents are justifiably proud of their Island and the many opportunities it presents. However, abuse and neglect are found in all countries and cultures and are committed by people from every walk of life, we remain constantly vigilant to that fact and I am optimistic that with the continued support of highly skilled and committed partners, we can continue to prevent and improve the safeguarding and protection of the residents of Jersey. I hope that the contents of this report will help you to share that optimism.

Glenys Johnston, O.B.E.

Independent Joint Safeguarding Chair July 2014

2 The role and purpose of the Safeguarding Partnership Boards

This section summarises the work of the Safeguarding Adults and Safeguarding Children Partnership Boards. For those unfamiliar with these boards and the terms safeguarding and protection, the following is intended to be helpful.

1. What is safeguarding?

"Safeguarding", both for adults and children, means delivering services that look after their welfare, including protecting them from harm and thereby enabling them to live and develop safely. In relation to children, this may include preventing impairment of children's health or development; ensuring that children grow up in circumstances consistent with the provision of safe and effective care; and taking action to enable all children to have the best life chances. In relation to adults, their circumstances may be such that they may be deemed to be at risk' of abuse or neglect and to require safeguarding from that risk. For example, adults requiring extra support, because of frailty, a learning disability, physical disability, sensory impairment or mental health problem which makes them unable to protect themselves against harm and abuse, may need to be safeguarded.

2. What do Safeguarding Partnership Boards do?

1. Children and adults are best safeguarded when professionals are clear about what is individually required of them and how they need to work together. This means that organisations and those who work or volunteer for them must take a co-ordinated approach to their safeguarding roles. The SPB will provide co-ordinated work in Jersey to safeguard children and adults, and to monitor and challenge the effectiveness of Jersey's arrangements.
2. The SPB have a number of specific roles to play in safeguarding and protecting children and adults. In overview, the safeguarding role of the SPB is to:

1. co-ordinate what is doneby each organisation participating in the Boards for the purposes of safeguarding and promoting the welfare of children and adults in Jersey;

2. promote understanding of the need and means to protect children and adults from harm; and
3. monitor and ensure the effectiveness of the safeguarding systems that are in place both within and between organisations in Jersey.

3. As part of its co-ordinating role, the SPB develop policies and procedures to promote the welfare of children and adults and safeguard them from any form of harm. These policies and procedures may, among other things, relate to the:

1. training of persons who work with children or vulnerable adults in services affecting their safety and welfare;
2. safe recruitment and supervision of persons who work with children or adults;
3. action to be taken where there are concerns about a child's or adult's safety or welfare, including thresholds for intervention;
4. investigation of allegations concerning persons who work with children or adults;
5. inter-agency arrangements for child and adult protection enquiries, and associated police investigations, and setting out the circumstances in which joint enquiries are necessary and/or appropriate;
6. safety and welfare of children who are privately fostered.

4. The SPB may also publish guidance on best practice to protect children and adults from abuse and harm; raise public and professional awareness of how this can best be done and encourage change where that is necessary. They may also promote and explain the policies and procedures to those who may be affected bythem.
5. As part of its role in monitoring the effectiveness of what is done collectively and individually by organisations to protect children and adults, the SPB will:

1. ensure that allegations concerning persons who work with children are carried out effectively;
2. periodically audit inter-agency practice, focusing on compliance with the multi-agency procedures, the quality of service and the views of service users;

3. monitor the arrangements (including recruitment and training policies) made by the States of Jersey and voluntary and private agencies to ensure that the children and adults to whom they provide services, are protected and safeguarded;
4. operate a multi-agency complaints procedure so that persons who have been subject of, or affected by, a protection or abuse enquiry can make a formal complaint, or express dissatisfaction where they have concerns about how agencies have been working together to safeguard a child or adult;
5. actively seek feedback from adults and children who are in receipt of child or adult protection services or have experience of how the procedures and guidelines work in practice, so that their opinions can be taken into account when evaluating and further developing guidelines and procedures;
6. participate in the planning of services for children and adults in Jersey; and
7. undertake SCRs, advise the individuals and organisations involved on lessons to be learned and monitor the implementation of recommendations.

Membership for both the Adult and Children's Boards has been agreed. The existing sub-group membership has also been reviewed and new adult-focussed groups established. A new Members' Handbook that sets out the expectations of all Board members has been agreed. A multi-agency launch of the Boards, introduced by the Chief Minister, took place in September 2013; this was attended by a wide cross- section of partners, both statutory and voluntary.

The MOU, the purpose of which is to set out safeguarding expectations on all signatories organisations, includes a set of organisational safeguarding standards which will be regularly audited and the results will be included in future Annual Reports.

Serious Case Reviews

SCRs are undertaken by the Safeguarding Boards in the following circumstances:

• In relation to children: Where abuse or neglect of a child is known or suspected; and either: (i) the child has died; or (ii) the child has been seriously harmed and there is cause for concern as to the way in which the organisation or other relevant persons have worked together to safeguard the child.
• In relation to adults: Where there is reasonable cause for concern about how the SAPB, members or other person involved, worked together to safeguard the adult; and either: (i) the adult has died; or (ii) an adult with needs for care and support was, or the SAPB suspects that the adult was, experiencing abuse or neglect.

The purpose of SCRs is to identify learning; they are not investigations. They should include both good and weak practice and seek to explain why things happened or did not happen. They are challenging, reflective pieces of complex work. They include independent elements, and their focus is the child or the adult who is the subject of the review. They include comments from the child (when appropriate), the adult and their families. They may be brought together into a thematic review if there is more than one case of a similar nature. They can be published with the agreement of the family and will not contain identifiable information about the family or professionals.

It is essential that SCRs are read with a mature and open mind that appreciates that the reports include practice that may have taken place several years ago, and that practitioners are committed professionals whose practice may be affected by organisational systems, procedures, supervision and training. A failure to do so may have a detrimental effect on practioners' willingness to be open, honest and self- critical.

The decision to carry out a SCR is the Independent Chair's, as is the decision about publication.

The Children's SCR sub-group has overseen one Serious Case Review during the year; the Independent Chair, with the support of the SCR sub-group also agreed that the criteria for SCR were met for a further 2 cases and these are being undertaken.

The Independent Chair, with the support of the Adult SCR sub-group also agreed

that the criteria for review were met for one adult case, and that SCR is being undertaken.

The introduction of a Multi-Agency Safeguarding Hub (MASH) during the course of the year has had a significant impact for all agencies working to safeguard children. This has also highlighted resource issues across all departments, but significantly in Children's Services; it has also focussed on the need for effective early help initiatives for those not reaching the threshold for referral into Children's Services; this early help work has been identified as an initiative for the Chief Minister's policy department to take forward. Adult safeguarding will move to a single point of referral; it is envisaged that an equivalent MASH for adults will be developed during 2014/15.

A Task & Finish Group has addressed the issue of Child Sexual Exploitation (CSE) and missing children in response to local concerns. The group is developing a multi- agency CSE strategy, policy and procedures to assist professionals in recognising and interpreting abusive activity and supporting the young people involved.

The Safeguarding Board's training programme has been progressed during the year, with the extension of the training pool membership and standardisation of the foundation course for children; pool trainers deliver foundation i.e. basic safeguarding training for children in single agencies. New multi-agency courses have been delivered, including Designated Leads' training, to equip individuals identified as safeguarding leads within their own organisations. Work has also progressed on developing consistent, core training for adult safeguarding, with a new pool of trainers to take this initiative forward. This will ensure that all professionals develop a clear and consistent understanding of adult safeguarding and what steps to take when concerns arise.

Work has begun to review and improve Child and Adult Multi-Agency procedures. These web-enabled procedures will ensure that all agencies are clear about what action to take in the event of concerns. They will be available on the forthcoming new Safeguarding Board website.

3 Organisation of the Safeguarding Partnership Boards

The first meeting of the Safeguarding Partnership Boards under the newly appointed

Independent Chair took place in April 2013.

1. Governance arrangements of the Safeguarding Partnership Boards

The membership of the SPB is made up of senior representatives of key agencies with the responsibility for safeguarding children and adults in Jersey. The Board is divided into the Children's Safeguarding Partnership Board and the Adults' Safeguarding Partnership Board, founded in 2013.

A new Independent Chair of the SPB, with extensive experience in safeguarding, was appointed in February 2013 to oversee both Boards.

Safeguarding Children's Board Members (from January 2014)

Independent Chair States of Jersey Police

Health – delegated leads (including MOH)

Primary Care Body representative FNHC & PPA Chair

Glenys Johnston

D.S. Stewart Gull Head of Crime Services SoJP

Elaine Torrance Deputy Director of Operations Maternity Dr. Mark Jones Consultant – Paediatrics (advisory role) Rose Naylor Chief Nurse

Dr. Zoe Cameron

Barbara Bell FNHC Clinical Governance & Performance

Children's Services (Social Services)  Richard Jouault Managing Director C&SS

Phil Dennett Director, Children's Services

CAMHS

Education, Sport, and Culture

Housing Department

Probation

Prison service Honorary Police Ambulance Service NSPCC

Voluntary sector Lay members

Carolyn Coverley Lead Clinician/Consultant Child & Adolescent Psychiatrist

Sean O'Regan Head of School Development and Evaluation

Shirley Dimaro Senior EWO

Mark Capern Head of Youth Service

Dominique Caunce Head of Business Engagement, Policy and Ministerial Support

Mike Cutland Assistant Chief

Nick Watkins Head of Custodial Care Karen Gough Centenier

Peter Gavey Chief Ambulance Officer Karen Hughes Manager

tbc

to be advertised and appointed

Safeguarding Adults – Board Members (from January 2014)

Independent Chair  Glenys Johnston

States of Jersey Police  D.S. Stewart Gull Head of Crime Services SoJP

Health – delegated leads (including MOH)  Gary Kynman Deputy Director of Operations/Head of

Nursing, In-Patients

Christine Blackwood Registration and Inspection Manager – Public Health

Rose Naylor Chief Nurse

Primary Care Body representative Family Nursing and Home Care

Adults Services (Social Services) Housing Department

Social Security Department

Probation

Prison service

Honorary Police

Ambulance Service

Policy and Procedure Sub-Group Chair Voluntary sector

Lay members

Dr. Zoe Cameron

Barbara Bell FNHC Clinical Governance & Performance

Richard Jouault Managing Director C&SS Ian Dyer Service Director Older People Chris Dunne Service Director Adults

Dominique Caunce Head of Business Engagement, Policy and Ministerial Support

David Rose

Mike Cutland Assistant Chief Probation Officer Charlie Bertram Deputy Governor HMP Karen Gough Centenier

Peter Gavey Chief Ambulance Officer

Claire White Patient/Client Safety Officer HSS to be confirmed

to be advertised and appointed

2. Agency attendance at the Children's Board is highlighted in the graph below:

Children's Safeguarding Partnership Board

attendance

4 3 2

1

0 Apologies

Representation

Agencies

3. Agency attendance at the Adult's Board is highlighted in the graph below:

Adults' Safeguarding Partnership Board attendance

4

3

2

1

0 Apologies

Representation

Agencies

4. Board structure

The SCPB and SAPB have separate meetings but combine as a joint Board to consider  common  issues;  they  meet  5 times  a  year,  4  of  which  are  business meetings and one (in December) which is a development session. The meetings are chaired by the Independent Joint Safeguarding Chair and, in the event of her non- availability, by one of the Vice-Chairs.

The Core Business Group, which meets bi-monthly, and the Training Sub-Group (quarterly)  are  joint  groups  for  Adult  and  Children's  issues.  The  Serious  Case Review  Sub-Groups  meet  jointly  where  appropriate;  other  sub-groups  focus specifically on Adults or Children's issues respectively. Sub-groups meet once within each Board cycle. New working, or task and finish groups, e.g. CSE, are periodically established to take forward particular areas of work for a time-limited period.

4  Local background and context

1. Background

The island of Jersey is a Crown Dependency, which means that it has distinct government and laws from the UK; however, it tends to follow UK legislative practice and in the context of Safeguarding, this relates to Working Together to Safeguard Children, 2013 and No Secrets', 2000.

2. Demographic information

In the 2011 census, the population in Jersey was reported to be 97,857. There was found to have been net inward migration of 6,800 people since the census in 2001. In  2014,  relative  to  2001,  the  Island  has  a  more  ethnically  diverse  population; however, it is still predominantly of white ethnicity.

There have been substantial increases in the Polish and Portuguese populations since 2001. Anecdotally, these populations are also the most likely to experience poor housing and low-paid employment. There is also a small, but significant, Asian community.

According to the 2011 census, there are 20,664 children and young people aged 0 to 19 in Jersey; this equates to 21.1% of the total resident population. Of this

number,  the  proportion  of  0–4 year-olds  is  5.1%,  5 – 14 year-olds  is  10.4%  and

15–19 year-olds is 5.6%. There is a "bulge" in the Jersey population between the ages of 40–49 (see graph).

Males Females

0 5-9

a 15-19 g

25-29 e

35-39 g 45-49 r 55-59

o 65-69 u

p 75-79 85-89 95+

0 1000 2000 3000 4000 5000

number

It is estimated, based on an annual immigration of 350 people, that by 2040 there will be an 11% increase in the 65+ population and a 9% drop in the 16–64 working-age population. This has implications for demands for care services.

The response to the ageing and increasing population is articulated in the 2012 White Paper 'Caring for each other, caring for ourselves'[1], which outlines a complex, 10 year  programme  of  change  to  services  to  make  best  use  of  resources  and address increasing demands.

Employment

The internationally comparable unemployment rate, as defined by the International Labour Organisation (ILO), is measured on an annual basis by the Jersey Annual Social Survey and also by the Jersey census. The ILO unemployment rate in June 2013  was  estimated  to  be  5.7%.  This  rate  corresponds  to  3,200 people  being unemployed  and  looking  for  work.  In  December  2013,  280  teenagers  aged 16–19 years were registered as actively seeking work (ASW), 10 more than in the previous month; 150 teenagers were on the Advance to Work' scheme.

Analysis by the Jersey Statistics Unit of the 2011 census suggests that a high proportion of mothers work; 72% of women and 94% of men aged 25–64 living in a household with at least one dependent child (aged under 16) work at least part-time hours. Although not directly comparable, the proportion of women is similar to the last UK 2010 figure of 66.5%. This suggests that many children in Jersey are cared for by nursery staff, child-minders, au pairs, nannies and grandparents.

Inequality and deprivation

Jersey is a small community, and individuals with different economic circumstances live all over the Island; the wealthy northern rural parishes can house pockets of relative deprivation, for example farm-workers.

The latest available statistical indicator of inequality (the Gini co-efficient 2009/10) was 0.35 before housing costs and 0.39 after, and is not significantly different to UK data for 2008/09. However, the Gini co-efficient measure of overall income inequality in the United Kingdom is now higher than at any previous time in the last 30 years.

Housing qualifications

The Control of Housing and Work (Jersey) Law 2012 came into force on 1st January 2014. Prior to this, the ability to buy and rent accommodation was determined by categories  of  residential  qualification.  Non-residentially  qualified  immigrants (registered' under the new legislation) are not able to buy or rent on the open market and tend to be in lower-paid employment. This is reflected in the income after housing costs, detailed in the 2009/10 Jersey Income distribution survey produced by the Statistics Unit.

Mean household income, before (BHC) and after housing costs (AHC) by residential qualifications

Household income

A significant and growing number of older people have the lowest level of income. One in ten (11%) Jersey households are made up of retired people and pensioners living alone; however, nearly a third (31%) of households in relative low income before housing costs, are pensioners living alone. Single parents with dependent children are also over-represented in the relative low income group, after housing costs have been removed.

Traditional Family Structure

In 2011 almost half (48%) of adults in Jersey were either married or re-married. A further one in ten (10%) were divorced, whilst around a third (34%) had never married. The proportion of adults who are married has been declining over the last several decades, whilst the number divorced (and not re-married) has increased from 21 per 1,000 in 1971 to 101 per 1,000 population in 2011.[2]

3. Performance information

The Safeguarding Boards are working with partner agencies to develop a robust and regularly reported set of agreed safeguarding performance information. This will be used to inform the Independent Chair's future Annual Reports and will include additional analysis and interpretation. The data given in this report has been helpfully provided by agencies from existing reporting or derived from Statistics Unit publications and is a starting point for understanding demand, risk and effectiveness.

4. Information on Children in Jersey

The number of children receiving full-time education Jersey (as at January 2013)

Jersey has a French-style system of provision with the States of Jersey, subsidising the colleges and Catholic schools that provide a private education. There are also non-subsidised private schools, with UK comparable fees, in the primary sector, but not in the secondary sector, so a proportion of children board, usually in the UK.

A cohort of 60 NEET' (Not in Education Employment or Training) young people has also been identified in the Island. Targeted work to assess and support this group is ongoing and will be developed and progressed throughout 2014.

Youth crime

There has been a substantial decline in Jersey youth crime between 2008 and 2013. The general picture across all agencies is that of fewer and fewer young people are coming into contact with the criminal justice system. The reasons for this are diverse, and include more effective partnership working and more engagement with young people. However, there are also gaps in our understanding of recent factors like New Psychoactive Substances (legal highs) and Internet crimes.

700

Cases presented to the Youth 600 Court

500 New probation orders

400 imposed by the Youth Court 300 New Community Service

200 Orders imposed by the Youth

Court

100 Offences committed by

0 children and young people

2008 2009 2010 2011 2012 detected

Child Safeguarding

States of Jersey Police

Figures for child protection notifications and safeguarding concerns:

Column 1:  the  number  per  month  of  safeguarding  concerns  raised  by  frontline officers and referred to the MASH where appropriate.

Column 2: the number of those concerns which were criminal offences and were investigated by the Public Protection Unit.

Offences against Young People

Figures for 2011 to 2013 are shown below:

Sexual offences is the only category to have increased each year. Cruelty/Neglect

Based on the data for 2011 to 2013, these offences appear to be relatively stable – the red line on the chart below shows an extremely slight downward trend.

Cruelty/Neglect 2011 - 2013

16 14 12 10 8 6 4 2 0

Jan Mar May Jul Sep Nov Jan Apr Jun Aug Oct Dec Feb Apr Jun Aug Oct Dec 2011 2012 2013

The next chart shows that there is a slight seasonal trend. It looks at the number of incidents reported (regardless of the number of IPs), and shows higher levels of reporting in January, and across the summer.

Assaults

The chart below reveals great variation from month to month, and there does not appear to be any seasonality with this type of offending.

Assaults Jan 2011 - Jan 2013

16 14 12 10 8 6 4 2 0

Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov

2011 2012 2013

Monthly averages (shown below) suggest that Grave and Criminal assaults are fairly stable,  and  the  increase  in all  reported  assaults  is  caused  by  the  less  serious offences.

Sexual Offences

The chart below shows a trend line indicating that sexual offences against youths are on the increase.

Sexual Offences 2011 - 2013

7 6 5 4 3 2 1 0

Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov

2011 2012 2013

There does not appear to be any seasonality in this type of offending.

A longer-term look shows that there are specific increases in the following offence types:

In 2013 there were 11 reported rapes on 10 separate individuals.

Summary

The level of reporting for cruelty/neglect during this period has remained relatively static. There has, however, been an increase in reported sexual offences against young people.

In  the  past  year  there  have  been  3 operations  focusing  on  vulnerable  youths (Operations Vessel, Hope and Pegasus). The increased engagement with vulnerable youths (and a knock-on awareness throughout the Force) will also have had an effect on young people's views of the Police, and this may also have encouraged reporting.

Mental health: children

The Health-Related Behaviour questionnaire (now the Health and Lifestyle Survey) is periodically given to Year 6 (10–11), 8 (12–13) and 10 (14–15) school-children in Jersey. The last report in 2010 found that the majority (80%) of school-children reported medium to high self-esteem. Females had the lowest self-esteem across all groups; with more than a quarter of 12–13 year-old females reporting medium to low self-esteem.

Children in the care of the States of Jersey (Children Looked After (CLA))

Children Looked After – school attendance and suspensions

*One student can be suspended several times

Child Protection

In 2010 there was an average of 63 children on the Child Protection Register (CPR) each month. Children are placed on the register when there are concerns for their care and it is decided that they are suffering serious harm or at risk of suffering serious harm. This equates to a rate of 34 children per 10,000 population of the under-18 population.

This is available in figures broken down by abuse type:

In 2012, the average was 64 children, from 31–39 families on the CPR each month, a rate of 33 per 10,000 population; in England this figure is 38 per 10,000. The number of disabled children and young people registered with the Complex Needs Team and on the CPR was less than five throughout the year but always above zero. The 2013 quarterly average shows that 17 children (26%) were on the register for less than one year. During 2013, the names of 65 children were removed from the register.

The age-groups of children on the register in 2013 were:

5. Information on Adults in Jersey Mental Health

The Jersey Annual Social Survey (JASS) 2012 and JASS 2013 used the Short Warwick Mental Well-being Scale to assess mental health, scored on a scale of 7 to 35 (35 being the most mentally healthy a person can be). The average (mean) score of adults in Jersey was 26. There was no significant difference between men and women. The unemployed scored 24.

JASS has also been used to ask questions about respondents' experience of anxiety or  depression  (this  is  a  self-reported  measure,  not  a  clinical  diagnosis).  The proportions have remained similar over time.

Dementia drug prescribing has grown significantly; however, data is not available on the number of people living with dementia. Anti-depressant prescribing has also grown significantly, but is in part due to changes in prescribing practice.

The suicide rate in Jersey (ASDR 2010–2012) was 9 per 100,000 annually; this was not significantly different to England and Wales. However, Jersey has experienced extreme peaks in suicide; for example in 2009 there were 25 deaths. A child dying by suicide is a rare event; however, there were 2 in 2013. The majority of deaths are male;  however,  there  is  an  increasing  (but  smaller  in  number)  trend  of  deaths amongst older women. Recent exploration of the issues has identified that an over- consumption of alcohol is amongst other causal factors. Jersey has a relatively high per capita consumption of alcohol.

Social work services:

C&SS Adult & Older Adult Service redesign – Following a period of consultation and engagement across the Adult and Older Adult Services, C&SS Adult Service is embarking on a transformational programme to develop as a single Adult Service' to better meet the needs of people who access either health or social care services in the community; either for a short period of support or for long-term needs.

The service is organised based on the principles of:

• A single point of entry in to services
• The person in need of a service being at the centre of all that happens
• A single assessment process
• A named care co-ordinator to ensure information and contact is clear and concise
• The right service being provided, at the right time, in the right place.

C&SS Adult Service will be organised based on:

1. A single Front Door' – Single Point of Referral (SPOR).
2. Access to services to encourage recovery' and re-ablement' to ensure that each person reaches and maintains their maximum independence, whilst needing support from services.
3. Access to a range of specialist Integrated Multi-disciplinary Assessment and Care Co-ordination Services'.
4. Provision of Residential and Nursing Care, Supported Living and Group Homes, Day Services and Short Break Services.

The intention is that all referrals for a service will be processed through the SPOR', which provides immediate access to a range of specialist services, including the:

• Referral Co-ordination Service
• Adult Safeguarding Service
• Discharge Service for the General Hospital
• Community Intermediate Care Service (CICS).

The SPOR' will then process referrals to the appropriate specialist Integrated Multidisciplinary Assessment and Care Co-ordination Service.

Progress on the implementation of the above will be reported in the Annual Report 2014.

Number of Adult Safeguarding referrals received by Adult and Older Adult Services:

Source of referrals:

For people aged over 65 years, this can be further reported as – Type of abuse:

Location:

The outcome of Safeguarding referrals:

States of Jersey Police

Data for adult safeguarding referrals by the SoJ Police in 2013 (not all of these referrals raised by frontline officers may have been accepted as an Adult Protection referral).

Regulation and Inspection

The Regulation and Inspection unit was involved in 13 safeguarding referrals/ strategy meetings or investigations in 2013.

Jersey Multi-Agency Public Protection Arrangements (JMAPPA)

The JMAPPA SMB Chair, along with other key partners, are also members of both Safeguarding Boards, thereby ensuring effective joined-up partnership work across the broader Public Protection arena.

Housing

Housing were involved in 9 safeguarding meetings in 2013, and 133 JMAPPA meetings, demonstrating the important role that housing professionals play in safeguarding.

5  Priorities for 2012–2013, progress and outcomes

6  Monitoring the work of the Safeguarding Boards to safeguard and

promote the welfare of the residents of Jersey

Priorities for 2014–2015

7 Concluding statement on the effectiveness of our safeguarding

arrangements

It is my considered view that people in Jersey are better safeguarded than they were and, through the work of the Safeguarding Partnership Boards and the support of the Chief Minister, politicians and all organisations, this improvement continues.

The establishment of a Multi-agency Safeguarding Hub (MASH) in which staff come together to consider safeguarding and protection cases in relation to children; the establishment of the Multi-agency Risk Assessment Conference (MARAC) that considers the risks to victims of domestic abuse and the arrangements for receiving and addressing safeguarding risks to adults, all confirm the commitment of the Island to ensure that residents can have increasing confidence in their safeguarding and protection.

No Safeguarding Partnership Board Chair can ever state with complete confidence that safeguarding is completely sound; there are always new challenges to be faced. Amongst the challenges, the following issues are of concern; these involve very small numbers of people, are well recognised and are being actively addressed:

• The lack of performance information that enables the safeguarding of people to be monitored and evaluated.
• The lack of co-ordinated early help services to support children and families at an early stage in order to avoid later significant harm and intervention.
• The lack of knowledge and expertise in the identification and diagnosis of child sexual abuse and the processes for managing concerns, including forensic examinations.
• Insufficient capacity in the roles of Designated Doctor and Designated Nurse to oversee, support and advise medical practitioners within the States of Jersey.
• The level of domestic abuse that detrimentally affects the lives of too many children and adults and the lack of a current Domestic Violence strategy.
• The number of children and young people who go missing and are vulnerable to abuse and sexual exploitation.

• The rise in self-harm and suicide in young people and the pressure this places on all services, especially Child and Adolescent Mental Health services and the lack of a current Suicide Reduction strategy that includes children and young people.
• The resources to support young people with complex emotional, behavioural and psychological needs as they become young adults.
• The alcohol consumption rates of adults, some of which features in domestic abuse and other safeguarding situations and the lack of an Alcohol Reduction strategy.
• The placing of young people in La Moye Prison, though this is not to suggest any lack of care and support by Prison officers and staff.
• The lack of approved premises that can act as a place of safety' for vulnerable people.

The lack of external, independent inspection of multi-agency safeguarding arrangements and comprehensive performance information makes an accurate assessment of safeguarding in Jersey difficult, and is the reason for developing a set of data for the Safeguarding Boards that will assist with this. Nevertheless, I have confidence in the commitment of colleagues and an optimism that the safeguarding and protection of all individuals will continue. I look forward to reporting the evidence for this view in my Annual Report of 2015.

Please remember that safeguarding is Everybody's Business', whether you are a professional or a member of the public, you are the Island's eyes and ears', and professionals rely on you to raise your concerns, whether they are in relation to adults or to children.

Glenys Johnston OBE Independent Safeguarding Chair