Redesigning our safeguarding system February 2019 Redesigning our safeguarding system Jane Held Independent Chair – Milton Keynes Jill Wilkinson Director of Health and Social Care Integration – Milton Keynes Council/MKCCG

Context Growing Diverse As a place… Safe Successful Positive Ambitious As a partnership… Positive Ambitious Integrated Stretched

What's the problem is trying to solve? More pressure than ever on our limited resources Partnerships that are not themselves joined up Multiple strategies and plans A single support team able to work across partnerships and multiple issues Streamlined and better co-ordinated planning and action Facilitate cross partnership working, for example though bringing the chairs together

MK Together Safeguarding Board Health and Wellbeing Board Task and Finish Groups Mental Capacity Act/Deprivation of Liberty (DOLS) Group MK Together Adult Programme Board Strategy Board Learning and Workforce Partners and Public Forums Safeguarding Board Health and Wellbeing Board Performance and Quality Assurance Child Death Overview Panel Serious Case Review Children’s Programme Board Integration Board Task and Finish Groups Strategic Child Sexual Exploitation (CSE) Group Permanent Sub Group Sub group subject to national review

MKSB - What’s different A small very senior Board (MKC,TVP,NHS) – ROBUST challenge and big decisions 1 Three groups working on MKSB Projects 2 New support team (also supporting the MK Together arrangements and the Health and Wellbeing Board) 3

And the next step……. Increasing understanding of overlap between partnership bodies Opportunity provided by the need to establish MASA arrangements Growing confidence and trust in senior relationships Continued pressure on capacity

Debate; discussion; mapping Recognition of increasing understanding of common ground between health and well being, community safety and safeguarding Significant number of people sitting on far too many groups talking about the same things Insufficient capacity for focussing on delivery as well as strategy and performance Need to make the very best use of the MK £ The nature of MK as a place The benefits already realised from MK Together

New Framework Developed and agreed in principle Function Place People (children, young people and adults) Coherence and continuity Simplicity Delivery Effectiveness Balance – strategic priorities and front line performance Integration and transparency

Two Partnership Boards: Health and Wellbeing Board Formal committee – Health and Social Care Act 2012 Set membership (14) Independent safeguarding scrutineer 4 meetings annually Encourages system wide co-operation Assesses local needs, identifies priorities and strategy Agrees new joint working arrangements or changes them Community Safety Partnership Formal partnership and MKC Committee – Crime and Disorder Act 1998 Set membership (14) Independent safeguarding scrutineer 4 meetings annually Encourages system wide co-operation Assesses local needs, identifies priorities and strategy Agrees new joint working arrangements or changes them

Executive Board Core Membership (16) –Executive/Chief Officer – annual rotation of chair MKC/MKCCG/TVP - 12 meetings annually Independent safeguarding scrutineer Responsible for addressing the identified priorities of the HWB and CSP and for oversight of MASA by: Fostering the right kind of relationships Developing integrated services and best use of resources Effective use of joint working arrangements S75 of NHS Act 2006/BCF and part of BLMK ICS Coordinating the work of 8 affiliated boards – delegating and sponsoring Agreeing strategic priorities for safeguarding/annual report Commissioning any reviews (SPR/SAR/DHR)

Eight Affiliated Boards – each chaired by member of Executive Board PLANNING WORKFORCE VOICE RISK TASKING ASSURANCE REVIEW CHILD DEATH

MK Together Team Multi-agency funded Support to whole system/framework Coordination Administration Communication System maintenance Advice Liaison Troubleshooting

Timeline Agreed in principle by partners and HWB/CSP Detailed consultation launch in March MOU and publication of arrangements April Transition April/May

Redesigning our safeguarding system Any questions?