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Annual Report
2023-2024
‘…there continues to be many strengths to the safeguarding arrangements for both children and
adults across Hillingdon. I have found a strong partnership that is open to scrutiny and challenge and
one that strives to continually learn and improve practice… I have not come across any areas of poor
practice or weaknesses in service provision…
There is strong leadership from the ELG and a clear sense of joint and equal responsibility from the
three safeguarding partners. The partnership is one that is built on high support, high challenge and
where difficult conversations are encouraged.’
(Alan Caton, OBE, Independent Scrutineer December 2023)
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Table of Contents
1 Impact Statement 3
2 Hillingdon Safeguarding Partnership: Safeguarding Arrangements 5
3 The Voice of the Person 6
4 Safeguarding Priorities 10
4.1 Children’s Priorities 10
4.2 Shared Priorities 12
4.3 Adult Priorities 14
5 Learning from Practice 16
6 Quality Assurance 18
7 Multiagency Safeguarding Training 21
8 London Borough of Hillingdon Children and Young People Services 24
9 London Borough of Hillingdon Adult’s Services 31
10 NHS North West London Integrated Care Board 34
11 Metropolitan Police Service (MPS) 35
12 Agency Contributions 41
12.1 Central and North West London NHS Foundation Trust (CNWL) 41
12.2 Local Authority's Designated Officer (LADO) and Education Safeguarding 44
12.3 Children’s Rights and Participation Service 49
12.4 The Hillingdon Hospital 50
12.5 Domestic Abuse Steering Executive, Safer Hillingdon Partnership 51
12.6 London Fire Brigade 52
12.7 The Churchill Clementine Hospital 52
12.8 The Probation Service 52
13 Priorities for 2024-2025 55
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1 Impact Statement
2023-2024 marked another busy year for the Hillin gdon Safeguarding Partnership. The Partnership
has striven to meet an increase in complexity of need for those adult s and children requiring
safeguarding support and intervention. We have seen a particular rise in the emotional and
psychological needs of children, families , adults, and their carers . Many of our residents have
experienced significant financial hardship due to the cost-of-living crisis with the associated stresses
that this generates.
This increase in complexity of need occurs in a context of increased pressure on safeguarding agencies,
rising inflation, and the associated implications for public sector organisations providing services in a
challenging financial context. Each of the statutory partners has navigated areas of challenge in
respect of recruitment and retention, and restructure of services. This rise in need impacts across all
sectors, including universal services like our schools and primary care, to those services providing
targeted and specialist support and intervention.
In December 2023 the Department for Education published an update to ‘Working Together to
Safeguard Children’. This is the underpinning Guidance for the Safeguarding Children Arrangements,
with applicability to operational and strategic services, and to every agency working with children and
families. We are in the process of identifying the Lead and Delegated Safeguarding Partners ahead of
publishing an update to our 2019 Arrangements by the end of the calendar year.
We have implemented a business plan for the Safeguarding Children Partnership, and reviewed and
updated the existing plan for Safeguarding Adults Board. Th e Business Plans are complimentary and
ensure that the strategic focus of the Partnership is maintained, and we can effectively monitor our
progress against the agreed objectives. This necessitates close working arrangements with the other
related strategic boards, including our Community Safety Partnership, Youth Justice Board and Health
and Wellbeing Board. To this end, a Chair’s Network meeting has been implemented that enables the
Chairs of each to meet regularly and ensures th at we are coordinate approaches, principles and
priorities.
During the year there has been considerable scrutiny of local services. O ur local authority children’s
social care services were subject to Ofsted Inspection and graded as an Outstanding service , with
specific recognition of the strengths in partnership working. The process of CQC inspection of Adult
Social Care is underway and will conclude in the next financial year , with preparation also underway
for the Local Area Partnership Inspection for SEND and Alternative Provisions expected in 2024 -25.
The Metropolitan Police Service has res ponded to the findings of the Casey Review and HMICRFS
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Inspection of adolescent safeguarding services through the development of the New Met for London
initiative. The CQC has also undertaken inspection of Maternity Services at the Hillingdon Hospital .
These focussed inspections take place in a context of routine regulatory activity for our schools,
residential services, and care providers.
This year our Independent Scrutineer, Alan Caton OBE, was commissioned to review the effectiveness
of our senior strategic boards: the Safeguarding Children’s Partnership Board, the Safeguarding Adults
Board, and the Executive Leadership Group and to consider the functioning of our safeguarding
arrangements within statutory partners and relevant agencies. The scrutiny process is structured in
line with the ‘Six Steps for Independent Scrutiny’ developed by the University of Bedfordshire. Alan
was also able t o hear directly from children and adults with lived experience , highlighting that
‘engagement with children, young people and adults is a real strength in Hillingdon’. The full outcome
letter, with areas for further consideration, is published on the Partnership’s websites and has been
widely shared. The letter concludes that:
‘…there continues to be many strengths to the safeguarding arrangements for both
children and adults across Hillingdon. I have found a strong partnership that is open to
scrutiny and challenge and one that strives to continually learn and improve practice … I
have not come across any areas of poor practice or weaknesses in service provision…
There is strong leadership from the ELG and a clear sense of joint and equal responsibility
from the three safeguarding partners. The partnership is one that is built on high support,
high challenge and where difficult conversations are encouraged.’
(Alan Caton, OBE, December 2023)
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2 Hillingdon Safeguarding Partnership: Safeguarding Arrangements
This report provides an overview of the activity of Hillingdon’s Safeguarding Partnership. The report
seeks to provide assurance around the effectiveness of our local safeguarding arrangements , and to
evidence the impact of these arrangements in ensuring the safety of Hillingdon residents irrespective
of age.
The Safeguarding Partnership Implementation Unit provides support and drive to both the Adult’s and
Children’s Partnerships. A key focus of the team is to facilitate, develop and maintain links between
the Safeguarding Children Partnership and The Safeguarding Adults Board. The team also seeks to
develop links and coordinate delivery with the other relevant strategic boards across Hillingdon and
Pan-London.
The main engine of the safeguarding arrangements for children is the Safeguarding Children
Partnership Board and, for adults, the Safeguarding Adults Board. The Boards have oversight of
safeguarding practice and performance, resolving issues as they arise. Where this is not possible, the
issue will be escalated to the relevant organisation(s) via the Implementation Unit and if the individual
organisation(s) still cannot resolve the matter, it is escalated to the Executive Leadership Group.
To ensure the success, coordination, and impact of the shared arrangements we have a joint Executive
Leadership Group (ELG) that provides governance, leadership, oversight and challenge to both Boards.
The ELG consists of the Local Authority's Chief Executive, the Chief Nurse of Hillingdon NHS Integrated
Care Partnership, and the Metropolitan Police Service BCU Commander. This group has joint and equal
responsibility for safeguarding in Hillingdon. The statutory partners share responsibility for funding
the Safeguarding Arrangements, with a tripartite agreement in place in respect of statutory reviews.
We are working on meaningful inclusion of Education leads at a strategic level in line with the updates
to Working Together to Safeguard Children , with a focussed subgroup well embedded, and
representation at the Safeguarding Children Partnership. Due to the complexity of education as a
sector representation at the Executive Level requires careful consideration due to the need to reflect
the broad range of providers across the sector.
Each partner is subject to internal scrutiny in accordance with their internal governance structures. In
addition to this, the ELG has commissioned regular independent scrutiny of our s afeguarding
arrangements for both children and adults to provide reassurance of the effectiveness of the
arrangements and independent critical challenge and appraisal that supports learning and future
development.
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To reflect the vision of joint and equal responsibility the Boards are chaired by a representative of the
three statutory partners. From September 2022 responsibility for chairing the Executive Leadership
Group passed to the Integrated Care Partnership, for the Children’s Partnership Board to the
Metropolitan Police Service, and for the Safeguarding Adults Board to the Local Authority. The Boards
steer learning and development for the safeguarding environment across the London Borough of
Hillingdon, and are informed by independent scrutiny, quality assurance activities, and subgroups.
3 The Voice of the Person
In 2022 our Communication and Engagement Strategy was agreed . This document sets out how the
Safeguarding Partnership interacts with individuals in receipt of services, the wider community, and
professionals. One of the cornerstones of our local arrangements is an emphasis on understanding
the lived experience of children, adults, their families, and carers. This ensures that we understand
the impact of our work and provides a steer for future areas of priority and focus. The Strategy is
scheduled for update in the next financial year, this will solidify the central emphasis of coproduction
and consultation with adults, children and young people, and their parents and carers to inform
strategic work.
Over the last year all partners have worked to embed the findings of our coproduced review ‘Exploring
Practice: The Voice of the Person’. It is important to highlight that this is not an area of work that can
ever be completed, to facilitate meaningful engagement partners agencies all continuously strive to
ensure that services are informed by feedback from those who receive them. This includes respecting
the efforts of those children, young people and adults who generously shared their expertise and
experience to inform our strategic work , and communicating this respect through providing routine
updates about what has been achieved, and w here this has not been possible, why this is, and what
our next steps are.
One significant impact of this work was an approach from a care experienced young person, Max, who
wished to share her lived experience of mental health difficulties to raise awareness. We built on this
through also seeking input from adults and carers with shared wisdom and made learning from lived
experience the focus of World Mental Health Day 2023 . This resource was shared across the
Partnership and demonstrates the power of meaningful coproduction. The Partnership is unable to
do this without the generosity of those ch ildren and adults who agreed to contribute, our thanks go
to Angela, Ron, John and Max.
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In response to feedback from our children’s consultations
groups that they would like to know who strategic leads
‘actually are’ we held a ‘You Said: We Did’ event in October.
This was attended by our Independent Scrutineer, and senior
representatives of the local authority, police, Central and North West London NHS Foundation Trust
and Hillingdon Hospital. The aim of the event was to support children, young people and adults to
build relationships and links. Three young people presented their feedback directly, with updates
provided by the strategic leads around the actions their agencies had taken in response.
To further amplify the views of children and adults with lived experience we recorded videos of them
sharing the findings of the reflective review and delivering their feedback in their own words , using
their own voices. These were widely shared across the safeguarding networks and are available to any
practitioner working in the Borough. A member of the Safeguarding Partnership Team was invited to
deliver a session on co production, lived experience and Making Safeguarding Personal as part of the
Pan London Safeguarding Adults Week Conference.
Over the course of the year, we have
continued to engage with the various
consultation groups facilitated by the
council, with members of the team
supporting the activities of the Children’s
Participation Team and attending the
Learning Disability Partnership Board and Older People’s Forums. In March this culminated with
formal updates about the work that has been achieved across the partnership in response to the
reflective review. This was adapted according to the age and needs of children and young people, with
support from Children’s Residential Services to ensure that it was accessible to children with
disabilities. Children and adults have felt listened to and valued through this approach:
‘This is amazing I truly feel empowered as I read all of it and felt so heard and so much a part of it.
I’m so glad that this is going this way onwards and upwards’.
(Care Experienced Young Person)
“May I also say how much I value your person-centred approach to safeguarding. It is really
reassuring to know that lived experience is being given such prominence. As you know, this hasn’t
been my experience, but this seems a really positive step forward.”
(Adult with Lived Experience)
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4 Safeguarding Priorities
This section outlines the highlights of
multiagency working in the last year. To
reflect our ethos of shared and equal
responsibility for safeguarding we have
continued to encourage partner agencies
to chair subgroups. In the last year we have
secured improved multiagency
engagement, with subgroups chaired by
representatives of the statutory partners,
and relevant agencies including London Fire Brigade. Subgroups are generally well attended across all
aspects of partnership work, statutory partners are represented in all, with relevant agencies
attending according to the focus of the subgroup.
4.1 Children’s Priorities
The Strategic High -Risk Panel is co-chaired by the Metropolitan Police and Children and Young
People’s Services. There has been considerable flux in senior leadership within the police service, this
has resulted in changes in the responsible officer for the chairing role. In effect , during the year, the
group was largely chaired by the local authority. The focus of the subgroup remains developing a
collaborative strategic response to children at risk of extrafamilial harm. The overarching objective is
to prevent, intervene and disrupt child exploitation. The group collates and scrutinises information
from a variety of sources and partners to identify trends and themes. This facilitates multiagency
solution-focussed discussions to determine the best way to strategically address the identified needs
and priorities.
Highlights in the last year include the Contextual Safeguarding Strategy and achieving funding for a
pilot project to rollout the approach in Hayes. This project is being led by the Stronger Families Team
leader with the benefit of comprehensive local knowledge of the area, and pre-existing networks with
the local community. The project is reporting into both the Community Safety Partnership, and the
Panel with governance facilitated through the newly formed Community Safety’s “Serious Violence”
subgroup.
The Child Sexual Abuse Subgroup was established in December 2021. Its purpose is to raise awareness
of all forms of child sexual abuse within the community and across our partnership. The subgroup aims
Children's
Priorities
•Strategic High Risk Panel (Contextual
Safeguarding)
•Child Sexual Abuse
•Education Safeguarding (new)
•Stronger Families (concluded)
Shared
Priorities
•Joint Strategic Safeguarding and
Trafficking (concluded)
•Practice Development Forum
Adult
Priorities
•Neglect
•Preventing Fatal Fires (new)
•Self Neglect (concluded)
•Cuckooing and Adult Exploitation
(new)
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to enhance practitioner capacity to identify sexual abuse , increase knowledge and confidence , and
develop a coordinated response when a child sexual abuse concern arises. Additionally, the subgroup
addresses issues of equality and diversity, including the unique risks faced by children with disabilities.
While it had been anticipated the strategic work would conclude last year, after consultation with
partners, we recognised the need for ongoing efforts to ensure best practices in our multiagency
response to child sexual abuse.
In the last year there has been increased regional focus , with partners contributing to the ICB led
project to develop a North West London Child Sexual Abuse Hub. This is anticipated to be a
comprehensive service for those children impacted by sexual abuse. There are some challenges to the
approach, with the location of the Hub in Kensington and Chelsea. Representatives of the subgroup
continue to advocate for Hillingdon residents to have access to an accessible service and are mindful
of the potential increased barriers to support for children with disabilities.
The NSPCC PANTS Programme has now been launched in Hillingdon. This is a preventative approach
to child sexual abuse, educating children in an age-appropriate way, about their rights to safety and
support. There has been great enthusiasm across the partnership, with practitioners, schools, health,
and voluntary agencies encouraged to sign up to be trained as a ‘PANTS Champion’.
In August 2021 the Local Authority launched the Stronger Families approach to early help services in
Hillingdon. This is a locality -based approach with three hubs, each developing networks to support
children and families in the local community. In 2022-23 the subgroup continued to provide scrutiny
and strategic vision for the approach, enabling direct feedback from partners to identify and address
any implementation issues, and to share information and updates about the progression of services.
In the last reporting period, the subgroup concluded the strategic aspect of the rollout, progressing to
operational delivery and development at a locality level. This ensures that the work of each locality
team is informed by the needs of the local community they serve.
The Education Safeguarding subgroup is co-chaired by a senior manager within the local authority
education department, and the child protection lead for education. The subgroup has representatives
from early years, primary, secondary, special schools, and further education in addition to wider
multiagency partners from health and policing. The aim of the subgroup is to provide education
leaders with a formal conduit into the wider work of the partnership. Key areas of work have included
coproducing the audit tool for the s175/157 education safeguarding audit, this is underway and will
be concluded in the next financial year. The subgroup is also mapping the complex network of
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consultation and feedback groups within the sector, this will enable improved information sharing
across the education landscape.
4.2 Shared Priorities
The Joint Strategic Safeguarding and Trafficking Subgroup originally formed in 2015 to provide
scrutiny and oversight of the safeguarding arrangements for children and young people arriving at
Heathrow and was later expanded to include safeguarding vulnerable adults . In 2022 the terms of
reference were updated to reflect a focus on the prevention, identification and response to
safeguarding concerns arising within the airport. In the reporting period the subgroup developed,
finalised and agreed the Safeguarding Partnership Modern Slavery Practice Guidance. This provides
practitioners with clear guidance and pathways to safeguard adults and children who are believed to
be exploited.
During its tenure the subgroup facilitated the development of relationships between operational and
strategic leads across the partnership. These are now well embedded with good links, systems and
processes between those agencies based at the airport and local safeguarding services. The work of
the strategic subgroup was subject to reflective review this year, to establish progress made and
identify any areas of continued focus. This concluded that there was no requirement for strategic leads
to continue to meet, with the development of an operational networking group to ensure the
maintenance of achievements, with the c apacity to refer to the senior strategic boards should there
be any intractable issues.
The focus of the Practice Development Forum (PDF) is to ensure that learning from any statutory or
non-statutory review, local or national, is disseminated across the safeguarding partnership as
required. The Practice Development Forum also considers learning from audits and other statutory
reviews. The group has a core membership across both partnerships, in recognition that learning from
practice usually has applicability across both sectors. This year there ha s continued to be three
affiliated Task & Finish groups: Child Learning from Practice; Adult Learning from Practice; and Female
Genital Mutilation.
During the year, to help disseminate and share information in different ways, we published the
Safeguarding Partnership Newsletter which continues to provide professionals with an accessible
overview of key practice developments, resources and learning from practice.
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We believe that in addition to good information sharing, learning activities and good communication,
quality assurance plays an important role in assessing and evaluating the impact of various activities
and the effectiveness of the safeguarding arrangements. A coherent structure to the quality assurance
activities of the partnership and an analytical approach has continued through the annual multiagency
quality assurance schedule that is further explored later in this report.
The Safeguarding Partnership proactively raise s awareness of safeguarding themes and issues
throughout the year to continuously reinforce knowledge and increase awareness of issues of abuse
and neglect. Through doing so it contributes to a community of residents and professionals who are
well informed to prevent harm before it occurs and know how to seek help when needed. This year
the Partnership has promoted:
➢ Carers Week
➢ Show Racism the Red Card
➢ Safeguarding Adults Week
➢ Mental Health Awareness Week
➢ Child Exploitation Awareness Week
➢ World Suicide Prevention Day
Tools and resources are developed in advance and shared across the professional network, in addition
to being available on our websites. Input from expert leads across the partnership is sought where
required, both in the development of resources, and in ensuring that the target audience is reached.
There is evidence to support direct impact on safeguarding practice, and positive feedback from
safeguarding partners about the usefulness of the resources.
Our focus for Show Racism the
Red Card was to highlight the
impact of structural inequalities,
and the centrality of anti-
discrimination and cultural
literacy to safeguarding practice.
The Partnership embraced the
ethos of the campaign, reflecting on the increased diversity of the community we serve, and the value
of celebrating culture and history. In the coming year we will build on this through reviewing the
impact of the Safeguarding Partnership’s Equality, Diversity, and Inclusion Statement.
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The proactive acknowledgement of awareness days enables the
partnership to revisit previous areas of priority practice, ensuring
sustainability of strategic work and highlighting intersections between
the often-diverse nature of need that residents can experience. Our
World Suicide Prevention Day resource provided easily accessible
training videos for practitioners and highlighted the increased risk of
suicide for victims of domestic abuse. Each briefing highlights the nature of the campaign, the
intersection with safeguarding, local resources, and signposting to further support. They provide an
opportunity to highlight services and resources that are sometimes overlooked, for example the
specialist post suicide bereavement service delivered by Mind on behalf of North West London
Integrated Care Board.
For Child Exploitation Awareness Day, we
trialled the delivery of a ‘conference in a week’
through designing and implementing a series
of standalone webinars across a five-day
period. Each webinar focussed on an a rea of
practice, with attendance across all three
supporting practitioners to develop a foundational knowledge of exploitation, to understand our local
picture, and to increase awareness of the importance of disruptive activity and transitional
safeguarding. The approach was well received and will be repeated as appropriate.
4.3 Adult Priorities
The self-neglect subgroup was led by the Head of Service for Safeguarding in Adult Social Care. In the
last year the subgroup has progressed through the strategic objectives to raise awareness of self -
neglect, to improve practitioner knowledge, capacity and confidence and to develop the multiagency
safeguarding response. The 2022-2023 audit considered barriers to best practice, interagency working
and information sharing and identifying good practice. Actions taken in response to the audit have
included raising awareness of referral pathways, increasing practitioner knowledge of the Clutter
Image Rating Scale, and practice development around the implementation of the Mental Capacity
Act.
The subgroup concluded at the completion of the agreed multiagency action plan. In terms of further
developments, the specialist self -neglect training remains in place, with positive feedback from
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delegates around applicability to practice. The SAB has sought assurance from partners around the
sufficiency of training in respect of the Mental Capacity Act and has continued to promote widespread
use of the Clutter Image Rating Scale.
Our priority to address the impact of Neglect on adults has been the focus of a designated subgroup
for a year. The subgroup is attended by representatives of core agencies, with specialist input provided
by Care Providers, and the voluntary and community sector. There have been some challenges with
the capacity of adult social care to provide consistent representation due to staffing changes. Key
areas of output in the last year include the development of briefings to highlight key information for
frontline practitioners and operational managers, commissioning of neglect training, the development
of a neglect focussed section on the SAB website and seeking assurance around practice and
procedure in partner agencies. In the coming year the subgroup will develop a local multiagency
guidance/strategy to collate information about best practice into one strategic document.
During the year the Pan London SAB identified the need for regional development in response to
learning from fatal fires. Our local efforts have been co-ordinated within the Learning from Fatal Fires
Task & Finish Group. By design, this was a highly focussed group led by our Borough Commander for
London Fire Brigade with the support of the Safeguarding Partnership Team. Key areas of focus have
included awareness raising activity, incorporating fire risk into routine assessments, and reviewing
local mechanisms for response where a fire has been established. This work culminated in the design
of a multiagency training webinar that is scheduled for delivery in the new financial year. A follow up
meeting to review impact will take place six months after the conclusion of the group.
Our most recent area of focus is the multiagency response to exploitation and cuckooing. This work
is in its infancy and will continue into the coming financial year. Strategic work in this arena
necessitates close working with colleagues in Community Safety , to ensure that the imperative to
disrupt perpetrators as well as safeguard victims is achieved. The community safety leads are
developing a local exploitation and cuckooing protocol to inform multiagency practice. From the
perspective of the Safeguarding Partnership an assessment tool has been developed to assist in
identifying signs and indicators, inform risk assessment and shape safeguarding intervention for those
affected. This will be implemented within Adult Social Care in the first instance, with a rollout plan to
partner agencies and services in development.
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5 Learning from Practice
It is acknowledged that learning can be gained from recognising good practice but also from those
circumstances where we, as a partnership, could have responded differently to a child or adult’s
circumstances. Systemic learning and practice improvement is not only based on local experience but
includes that which stems from regional and national research, policy, and practice. This approach
seeks to ensure that safeguarding practice in Hillingdon is research informed and evidence based and
that our residents receive services that are of a high standard delivered by a partnership that strives
to continuously improve.
A fundamental duty of both the Safeguarding Children Partnership and Safeguarding Adults Board is
to review those cases that may meet the criteria for a statutory review of practice. This review process
is undertaken in line with the statutory guidance set out in Working Together to Safeguard Children
2018/2023 and the Care and Support Statutory Guidance 2014.
A notification to the Child Safeguarding Practice Review Panel (the National Panel) is made when a
child has suffered serious harm, and that abuse and/or neglect is known or suspected. For each serious
incident notification, a multiagency Rapid Review is convened to bring together and consider
information known about the child by all agencies involved and to identify any areas of learning. The
Rapid Review is held within 15 working days of the notification, with a report detailing the
circumstances of the child, the actions of involved agencies, any learning identified and a decision
around Local or National Child Safeguarding Practice Review. In the reporting period the Partnership
convened 2 Rapid Reviews. There are two ongoing Local Child Safeguarding Practice Reviews, one in
respect of safeguarding infants, and one in respect of child sexual abuse. Our child sexual abuse LCSPR
is delayed due to an accompanying police investigation.
The Hillingdon Safeguarding Adult Review Panel is chaired by a Metropolitan Police Detective
Superintendent with responsibility for safeguarding. It has a core membership of senior
representatives from key agencies, with others mandated to attend according to the specific
requirement of the case. The purpose of the Panel is to review circumstances that may meet the
criteria for a Safeguarding Adult Review (SAR) as specified in the Care Act 2014. In 2023-2024 the Panel
considered five referrals, of these three met the criteria for a statutory safeguarding adults review
(SAR). For each review there is consideration of the most appropriate methodology, options include
externally commissioning a review author, or co-ordinating within the SAB. All SARs are underway and
will be concluded in the next reporting period.
In January 2024 the Partnership published the ‘Carol’ SAR. This considered the circumstances of a 77-
year-old woman who suffered serious harm due to her care needs not being met . The SAR was
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coordinated by the Safeguarding Partnership Team and undertaken by a Panel made up of
representatives of the core agencies. The key lessons for local practice were summarised as follows:
• Practitioners should strive to understand the lived experience of adults.
• Working with carers is necessary to reduce the risk of abuse and neglect.
• Supervision and management oversight supports better safeguarding practice.
• Practitioners need to correctly apply the Mental Capacity Act.
• Effective partnership working is integral to the identification and management of risks.
A multiagency action plan is in progress to address the learning identified. To support agencies to
disseminate and address the areas of learning within their organisations a practice briefing was
written to expand upon each domain, highlighting useful sources of support, advice and information
to improve safeguarding practice. Addressing learning meaningfully necessitates that it is revisited on
an ongoing basis and incorporated into wider practice development. This is achieved through agencies
incorporating learning into their training for staff, and by the Partnership continuing to seek assurance
that it is being addressed.
Our Learning from Practice Frameworks promote the continuous improvement of safeguarding
practice in both adult and child services. The Task and Finish Groups have a broad remit that includes
undertaking non-statutory learning reviews, progressing actions, and identifying any thematic barriers
to good practice. In the last year the Frameworks have been updated to incorporate learning from
domestic abuse related reviews where appropriate. The aim is to support the development of a
learning culture across the partnership that:
Learning
from
Practice
High profile
cases
Local
Statutory
Reviews
Rapid
Reviews
National Child
Safeguarding
Practice
Review
Themes from
single agency
reviews Key Research
Seminal
SAR/CSPR
Domestic
Abuse
Related
Death Review
Regional
learning
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- is open and honest.
- is proportionate and avoids hindsight bias.
- identifies and addresses systemic practice issues.
- supports and challenges safeguarding partners to make continuous improvements to
practice.
In response to The National Review Safeguarding Children with Disabilities in Residential Settings the
partnership developed a n action plan , that facilitated application of the core findings to local
safeguarding practice. This informed the focus of multiagency quality assurance activity in 2023-2024,
including an audit of responses to allegations against staff and volunteers, and consideration of
multiagency safeguarding practice in relation to children with complex needs placed outside of their
community. These are explored in more detail in the next section.
6 Quality Assurance
One of the core functions of the Safeguarding Partnership is to seek assurance about practice in
Hillingdon. To this aim we have undertaken a wide range of auditing activity in the last year:
- Allegations against People in Positions of Trust
- Evaluating the Impact of Local Safeguarding Adults Reviews
- Safeguarding Children with Disabilities placed outside of the Local Community
- Adult MASH
- The Quality and Impact of Safeguarding Partnership Training
Each audit has been completed with the support and expertise of representatives across the
multiagency group, with methodology adjusted according to the nature and matter under review.
Methods used include self-assessment, file audits, roundtable discussions and the development of
bespoke review tools. Where reviews considered the quality of safeguarding practice the outcomes
were largely positive, providing assurance about the impact of multiagency safeguarding
arrangements on practice in Hillingdon. The findings, analysis and recommendations of each review
have been communicated to the relevant subgroup and Safeguarding Board, with a standalone report
produced for each area of focus.
In response to the findings of the National Child Safeguarding Practice Review the Partnership sought
assurance about local processes and practices in respect of the management of allegations against
professionals in a position of trust working with children. This includes both paid staff and volunteers.
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The Local Authority Designated Officer (LADO) function is a statutory requirement set out in Working
Together to Safeguard Children (2018, subsequently updated in December 2023). The task of the LADO
is to coordinate and respond to allegations against members of the children’s workforce. The audit
was designed using the draft Standards agreed by the London LADO network.
The review highlighted a need for continuous awareness raising activity of the role and function of
the LADO service. In response to the findings of the s11 Audit in 2022 -2023 the LADO provides
multiagency training four times per year, with a bespoke offer for foster carers and residential staff.
This is good practice and demonstrates a proactive safeguarding approach. It was highlighted that
there was a need to extend this to voluntary, community and faith-based organisations. The LADO has
seen increasing numbers of referrals, and an extension of the recording requirements to include low
level concerns. This raises a question about sufficiency within the service. At the time of the audit the
local authority was developing new recording systems to improve data collection and quality. The
need for this was confirmed within the audit and has subsequently been achieved. Following the audit
the local authority has established routine quality assurance processes for LADO, with monthly
qualitative auditing in place.
The referral pathway for allegations and concerns is clear, and well understood by those agencies
making referral s. Triage of allegations is timely, with formal management meetings and reviews
arranged as needed. Investigations were conducted thoroughly fairly and in a timely manner, with risk
identified, agreed actions proactively monitored and outcomes both appropriate and proportionate.
There are a small number of cases that have not progressed in a timely manner, this is due to ongoing
criminal investig ations. The LADO and senior officers within the Metropolitan Police Service have
developed an escalation pathway to address this.
In 2022 the Partnership published two Safeguarding Adults Reviews, E velyn and Angela and Chris: A
Thematic Review of Self-Neglect. As previously outlined to ensure that the Partnership has embedded
learning it is necessary to intermittently revisit the findings, this serves an additional purpose of
providing insight into methods for reaching frontline practitioners and operational managers. For this
purpose, focussed quality assurance activity was undertaken : Evaluating the Impact of Local
Safeguarding Adults Reviews. A multilevel questionnaire was developed to seek input from frontline
practitioners, operational managers and strategic leads.
The review found good evidence that both SARs have impacted Central and North West London NHS
Foundation Trust and the Hillingdon Hospitals NHS Foundation Trust at a strategic level, shaping
training delivery and policies and processes that embed many aspects of learning from the SARs into
practice. Unfortunately, there was no strategic level response from Adult Social Care, the ICB, the
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Police, London Ambulance Service, Circle Health Group, all of whom were involved in at least one of
the relevant SARs. In the absence of strategic level assurances or greater frontline and management
responses to this survey, there was little assurance provided by this survey that learning from SARs
has been embedded into policy, procedures, or training. Subsequently assurance has been sought by
the SAB around the actions taken to embed learning.
The National Child Safeguarding Practice Review ‘Safeguarding Children with Disabilities in
Residential Settings’ was published in 2022. The Review was undertaken in response to abuse and
neglect that occurred in a residential school setting, with multiple children and young adults suffering
harm, over a period of months and years. It was published in two phases, wit h phase 1 exploring the
specific circumstances of the children, and phase 2 the wider national implications. The purpose of
this reflective review was to consider the themes and recommendations of the National Review for
local safeguarding partners. The review sought to highlight specific areas of practice strength, and
opportunities for development in multiagency practice across Hillingdon through exploring how well
partners understood the children’s lived experiences and how effectively partners ensured that their
outcomes are met. The focus was on children placed outside of their local community in residential
homes and schools.
Overall, the review group found that children with complex health needs and disabilities that were
placed outside the borough were receiving good safeguarding responses and their needs were being
effectively met within residential settings. There were elem ents of good practice with partners
working together to safeguard children and families ensuring that specialist services were
implemented when required. The experiences of these children before they became looked after
demonstrated the need for professionals to be more child centred when assessing the risks and harms
that could be caused by their caregivers, rather than focussing on the needs of the parents. Hearing
and amplifying the child’s voice and understanding their lived experiences helps to improve
safeguarding practice whilst ensuring the family get the right holistic support at the earliest
opportunity.
In September 2020 the Adult Multi-Agency Safeguarding Hub was launched in Hillingdon, led by Adult
Social Care. The hub has responsibility for screening potential adult safeguarding concerns, triaging all
safeguarding concerns, undertaking initial safety p lanning, and determining whether the criteria for
section 42 are met.
Whilst the Adult Multi Agency Safeguarding Hub (MASH) was the focus of Independent Scrutiny in
2022-23, with positive feedback, our Thematic Self-Neglect SAR published in September 2022 found
learning in respect of the identification of safeguarding concerns and the sufficiency of interagency
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information sharing at the concern stage. Practice Development Forum agreed that the Adult MASH
would be the focus of a Quality Assurance audit in quarter three of 2023 -24. This was to seek
assurance about robustness of safeguarding practice at the concern stage. The period audited was
during a time of significant and rapid turnover in staffing and management of the MASH and this likely
had a detrimental impact on the ability of staff and managers to ensure consistency of practice.
There are opportunities to improve the quality of referrals, consideration of neglect as a potential
crime, and to better seek the views and wishes of adults at risk when raising a safeguarding
concern. Once safeguarding concerns reach Adult MASH there is evidence of some good practice in
triaging concerns, effective use of the daily high-risk meeting, good partnership working to assess and
manage risk, and efforts to seek the views and wishes of adults at risk. However, there was
considerable variation in the quality of practice across the sample. This included in the application of
Making Safeguarding Personal principles. In jus t under half the triages the person did not appear to
have received the right help and protection at the concern stage, and information had not been shared
effectively.
7 Multiagency Safeguarding Training
The purpose of the Safeguarding Partnership training programme is to ensure that practitioners have
the most relevant and up to date opportunities for ongoing professional development. To promote
accessibility training is delivered through a range of methods, including online, face to face and via
webinar. Training by our children and young people is delivered in person. In total, 1846 sessions of
professional development activity have been facilitated by the Safeguarding Partnership in 2023 -
2024. This includes commissioned training and that delivered via the webinar programme.
In April 2023, the Safeguarding Partnership Team was transferred responsibility, from the council’s
Learning and Development Team, for full administration of training, including the creation of new
Learning Zone account requests for any practitioner external to the council. In the last year over 350
new accounts have been created.
To ensure the continued relevance and accessibility of multiagency safeguarding training, and to
measure the effectiveness of the Late Cancellation Policy at reducing non-attendance, we undertook
a structured analysis of training in the reporting period. F indings have informed ongoing
commissioning arrangements, with the extension of the Late Cancellation Policy to include all training.
Where there are agency specific challenges with attendance at safeguarding training this is monitored
with feedback provided to the lead within the respective agency.
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In recognition of the time pressures faced by frontline practitioners we offer a programme of
webinars. These are sharply focussed, last around 90 minutes and address a specific topic or area of
practice. All webinars are available on the Safeguarding Partnership websites and can be accessed
using a password that is shared with Hillingdon practitioners.
Webinar Attendees
An Introduction to the Safeguarding Partnership 147
Child Exploitation Awareness Week
- Myth Buster & Back to Basics
- AXIS – Understanding Local Trends
- The Children’s Society – Disruption and Transitional Safeguarding
59
48
45
An Introduction to Contextual Safeguarding 73
Introduction to the Centre of Expertise on Child Sexual Abuse 49
Total: 421
Following attendance delegates are asked to complete a feedback form, this enables the Partnership
to monitor the effectiveness and impact of sessions and informs our needs analysis.
➢ 97% of delegates rated their understanding of the topic after training as very good to
excellent.
➢ 96% rated the quality of the training as very good to excellent.
➢ 98% of delegates agreed that they could apply learning from the training to their practice area.
A core aim of our training programme is accessibility and relevance across the diverse range of
professionals and volunteers working in the borough. In addition to monitoring training quantitively,
in terms of attendance and representation, we also seek qualitative feedback from delegates. A
selection of comments, from a range of different agencies across the scope of the training offer is
provided below. This highlights that the training programme is broadly accessed, and that delegates
find the content to be useful and applicable to their practice.
Nursery Worker: Children’s LADO ‘I have a better understanding of what needs to be reported to LADO
and how they can help’.
Early Years: Contextual Safeguarding ‘Although my work is mostly with children under 5, we work with
the whole family. Using the training to inform staff during staff meetings and their 1 -1s’.
Primary School: Working Together ‘I will use this training to help in following questioning techniques
and knowing who to contact’.
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Independent School: Contextual Safeguarding ‘I will cascade to my DSL team and then to wider staff’.
Special School: Working Together ‘'Seeing situations from a different perspective. Knowing how to deal
with situations calmly and being able to respond in an effective way’.
Adolescent Development Services: Child Neglect ‘ Being more confident in "reading" situations …more
able to respond’.
Child Development Centre: Working Together Refresher ‘I am a community Paediatric Consultant so
doing lots of safeguarding and child protection medicals. This refresher course is very useful.’
Children’s Social Care: Child Sexual Abuse ‘updated my knowledge to support my team’
CNWL Mental Health Services – Working Together ‘I have developed better awareness o f signs and
symptoms, some of which could/would have been overlooked in encounters with CYP …’
CNWL Health Visiting Modern Slavery ‘Be more aware of indicators of possible modern-day slavery’.
Hillingdon Hospital Safeguarding Disabled Children ‘Information to be included within internal training
on this subject’.
Maternity Services: Contributing Effectively to Child Protection Plans and Core Groups ‘I will use the
knowledge constantly (referrals, strategy meetings, professionals' meetings, core groups, CP
conferences)
Adult Social C are: Adult Safeguarding ‘It will help me to make sure that the person is always at the
centre of each decision, fully informed at the right level and pace and that information is only shared
with those who need to know’
LBH Housing Department: Modern Slavery ‘I will use this training when interacting and visiting Tenants
to identify and raise safeguarding concerns where modern slavery is suspected ’.
LBH Rent Team: Walking in our Shoes ‘I will make sure I go the extra mile’
Heathrow Airport Ltd: Modern Slavery ‘Share contacts & information with my team.’
H4All: Self Neglect & Hoarding ‘The training will help me to support my clients better as it’s given me a
deeper insight into this topic and resources available.’
Age UK: Adult Safeguarding ‘I have become SG nominated lead person for our Charity so this will enable
me to have a better understanding’
Areas of training need are identified in line with the priorities of the strategic boards, and in response
to learning from practice. In the coming year this will include the rollout of the NSPCC PANTS
programme, with a range of options for professionals and parents. The Partnership is also supporting
the ICB launch of ICON, this is a preventative programme to reduce the risk of abusive head trauma
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through supporting parents to better cope with crying infants . From an adult perspective, our focus
will be on raising awareness of the signs and indicators of cuckooing and adult exploitation and to
promote consistency across the partnership in adult safeguarding enquiries. In terms of generic
safeguarding training, we continue to promote a trauma informed approach to practice and will be
working around best practice in professional curiosity.
8 London Borough of Hillingdon Children and Young People Services
Children and Young People Services provides support to children, families, and carers where there are
welfare or safeguarding concerns. There is evidence to support the effectiveness of our Stronger
Families approach with the Hub responding to over 25,000 contacts. Out of these contacts over 11200
were received via the online portal which can be accessed and completed anywhere and at any time
by all professionals. Joint, locality work is at the centre of the way in which we work with the
partnership to identify needs early and to support our families to identify their support networks and
to build resilience without the need for statutory intervention. To make this aspiration a reality, our
three locality-based key working teams cover three defined areas and facilitate holistic partnership
working with statutory (health, education, police, children’s centres) and voluntary sector partners.
Over 1,600 children have been referred to our Stronger Families Localities Teams, ensuring that their
needs are assessed, and proportionate support is provided to all who need it at the earliest possible
stage. This empowers our families to address their n eeds and utilise the resources available to them
in their communities and extended networks and it also reduces the need for statutory social work
intervention in the life of the family.
At the end of the financial year, over 2,700 children were supported by social workers 11% of whom
have a disability. 254 children are at risk of significant harm and therefore supported via a Child
Protection (CP) Plan. It is a positive that this number remained cons istent over the year showing a
good management of demand and risk.
Hillingdon is corporate parent for the 329 children in our care (LAC). This is a reduction of the number
of children in our care from 364 the previous year. This is a strong indicator o f effective early
intervention and management of risk that focuses on partnership with the families and relationship-
based practice approach that supports young people to remain living with their families or move
towards successful independence.
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At the end of the financial year, we have 765 young people being supported into independence as
care leavers, 49% of these young people came into care due to their need as unaccompanied asylum-
seeking children. We have seen a significant increase in the number of young people eligible for some
form of ongoing support as care leavers, with an increase from 441 in the previous financial year. Our
population of asylum-seeking children is predominantly male, this is a consistent trend over the last
three years. Most of our children have travelled to the UK from Sudan, Afghanistan, Eritrea, Somalia,
Iran, Vietnam and Kuwait. The overall number of asylum-seeking children in our care is now reducing
due to the National Transfer Scheme. However, our context as a port authority of providing support
and care to those children presenting in the borough means that there will be an increase in the
proportion of care leavers who have an asylum-seeking background.
We continue to support our children in a difficult local and national context, and we have experienced
a continuing increase in the complexity of needs. The impact of the pandemic, the cost-of-living crisis,
and the wider economic climate has seen increases in the number of children and adults experiencing
poor mental and emotional health, an increase in persistent absence from education, and of families
experiencing increased pressure impacting on parental capacity. We continued to see the systemic
and compounded impact of the current pressures on all the providers of services including Courts,
Police, primary health and mental health provision. The impact of various national and international
factors combined with associated difficulties at the Home Office has resulted in a significant increase
in numbers of people seeking asylum accommodated in the borough.
The change in demand and additional pressures created by the current economic situation required
us to adapt and innovate quickly to ensure we can continue to achieve the best outcomes for children
and their families, whilst supporting our colleagues and workforce to continue to deliver high quality
support and intervention. These combined pressures re -emphasise the importance of co ordinated
and strong partnership working with other agencies and with our families and young people, to ensure
a proportionate and timely response in the difficult local and national context. Our focus remains on
cooperation and coproduction with our partners, schools, families and communities, aiming to foster
a culture of empowerment, independence, and early intervention for our families. Through our
relationship-based practice approach we continued to encourage children, families, adults and their
carers to recognise and address difficulties before they become entrenched, and to do so in a way that
promotes independence, resilience, choice and control that minimises dependency.
Over the last year, we have realigned our social care services and Education and SEND provisions by
joining them up under one service for the first time in over a decade. This provides a strong end -to-
end understanding of the children’s continuum of need and, in conjunction with the embedding of
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our innovative Stronger Families multi-agency locality-based practice, we have moved away from
‘early help’ to ‘help’ that is available when needed and delivered by the right person/service at the
right time.
We remain an active and committed safeguarding partner and we contribute to a variety of boards
and forums to ensure the voice of our children and the needs we are identifying in the cohorts we
work with are reflected in the strategic decision making and contributing to the strategic coordination
of services and priorities: Health and Wellbeing Board, the Domestic Abuse Steering Executive, the
Youth Justice Strategic Partnership Board, Safer Hillingdon Partnership, and the Hillingdon Health and
Care Partners CYP Transformation Board (HHCP).
We are proud that the high quality of work delivered in Hillingdon was acknowledged by the regulator
OFSTED during their inspection of local authority children services (ILACS)in October 2023 which said
that “Children in Hillingdon continue to receive highly effective services. Very strong political support
and diligent partnerships have enabled the senior leadership team to be an excellent champion for
children, families and young people.” the services were graded as Outstanding and the inspectors also
found that: “Partnership work is a strength within Hillingdon, with a relentless focus on cooperation
with partners, families and communities. Through relationship -based work and the creation of the
Stronger Fami lies Hub, families and communities are well supported to address issues before they
require more intense interventions”.
As a result of the inspection recommendations, we have focussed on the following areas:
• We have reviewed and relaunched the process and policy for providing consistent services for
16- and 17-year-olds who present as homeless.
• We are in the process of launching a new Local Offer for care leavers that will emphasise the
importance of keeping in touch and ensur e that their rights and entitlements are
communicated effectively.
We continue to work with our partners to meet the needs of the children who are at risk of harms
outside their home through adopting a contextual safeguarding
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