1. Sexual Assault Referral Centres Yorkshire and the Humber Emelia Spencer, Head of Healthcare Presentation by Mountain Healthcare

2. Sexual Assault Referral Centres Yorkshire and the Humber Our contract commenced on the 1 st April 2016

3. Background to Mountain Healthcare We are a Leading Specialist SARC provider  Four Directors – Vanessa, Jon, Gary and Sandra  We operate small company dynamics, availability, flexibility and ethos.  Our Medical Director Vanessa Webb, recently awarded a Professorship for dedication to SARC and Custodial Work. Well respected by Nurses and Doctors in this field, and a pioneer of new developments and the leader of our quality agenda. Specialist interests in paediatrics, CSE and FGM.  Headquarters in Finchingfield, Essex

4. Our Contracts – Adult Sexual Offence & Police Custody  Full SARC Management, Forensic Nurse Examiners and Crisis Workers  Sussex – Saturn Centre  Kent – Beech House  Bedford – The Emerald Centre  Cambridgeshire – The Oasis @ Rivergate  Hertfordshire – The Sunflower Centre  Essex – Oakwood Place  Forensic Nurse Examiners Services  Suffolk & Norfolk  Police Custody  Thames Valley Police, recently recruited 65 brand new staff  Kent Police Telephone Advice  We have recently been award Surrey Police Custody – 1/7/16

5. Our Contracts – Paediatric Sexual Offence Our model is a single examiner service – Paediatrically trained FME’s / Forensically trained Paediatricians  Jersey – Under 16’s  Midlands – Nuneaton, Telford & Bransford - Under 16’s  January 2016 this expands to a 7 day a week service  Bedfordshire and Cambridgeshire  We also support Kent and Suffolk  West Yorkshire – Under 16’s – commenced 1/4/16 – this service is delivered from the Hazelhurst Centre SARC, Dewsbury.

6. Dedicated local teams with integrated management Humberside SARC, Hull 1.SARC Manager and Administrator based Mon-Fri, 9-5 2.On-call out of hours dedicated FNE and Crisis Worker Team North Yorkshire SARC, York 1.Led by our Head of Healthcare 2.On call dedicated 24/7 FNE and Crisis Worker rota 3.Shared rota with Humberside Mon – Thurs night shift West Yorkshire SARC, Dewsbury 1.SARC Manager and Administrator based Mon-Fri, 9-5 2.On-call out of hours dedicated FNE and Crisis Worker Team South Yorkshire SARC 1.SARC Manager and Administrator based Mon-Fri, 9-5 2.On-call out of hours dedicated FNE and Crisis Worker Team Regional Integration Head of Healthcare North Yorkshire SARC Humberside SARC South Yorkshire SARC West Yorkshire SARC

7. SARC’s and Contact Details Service is for acute and non-acute Police and Self-Referrals South – Hackenthorpe Lodge, Hackenthorpe MHL dedicated number – 0330 223 3193 to the Call Centre / SARC telephone number – 0330 223 0938 North – Bridge House, Bishopthorpe, York MHL dedicated number – 0330 223 2642 to the Call Centre /SARC telephone number – 0330 223 3617 West – Hazelhurst Centre, Dewsbury MHL dedicated number – 0330 223 1041 to the Call Centre / SARC telephone number – 0330 223 3617 Humber – Casa Suite, Hull MHL dedicated number – 0330 223 1617 to the Call Centre / SARC telephone number – 0330 223 0181

8. Overview to meet 24/7 regional coverage 1.Consistent and standardised approach across all four Forces 2.Further regional support from a Clinical Director, Lead Doctor, dedicated to the contract to support complex cases and support all staff 3.Clinical Governance is led by our Medical Director, Dr Vanessa Webb. 4.24/7 Call Centre – co-ordinates service, 24/7 support and Telephone Advice 5.Dedicated back office functions including: Human Resources Information Technology Support Finance & Payroll Data Analytics Operational Support Clinical Governance Dedicated Safeguarding Lead Pharmaceutical Support Senior FME / Paediatricians Clinical Telephone Advice 24/7

9. Organisational Chart Medical Director FME’s Paediatricians Head of Healthcare West Yorkshire SARC Manager Forensic Nurse Examiners Administrators / Crisis Workers North Yorkshire SARC Manager (Head of Healthcare) Forensic Nurse Examiners Administrators / Crisis Workers South Yorkshire SARC Manager Forensic Nurse Examiners Administrator / Crisis Workers Humber SARC Manager Forensic Nurse Examiners Administrator / Crisis Workers Clinical Director

10. Robust Clinical Governance is Fully Embedded  Mountain Healthcare’s Integrated Governance model will ensure a quality driven, safe and clinically effective service for all victims.  For every SARC, we will develop and lead on a local multi-agency Quality Operational Group that will meet monthly.  Terms of Reference (ToR) will be agreed to cover the governance arrangements.  The monthly group will invite stakeholders and partners and be themed monthly around issues such as CSE, Mental Health, Sexual Health, Criminal Justice processes etc. with Safeguarding requirements embedded in everything we do.

11. Pathways -South Yorkshire After a victim has attend the SARC they are offered 4 onward referrals SAME DAY:  GP contact to explain what has happened so they are aware  GUM appointment in 10-14 days (IF PEP NOT GIVEN) Next day if PEP given  ISVA referral  If no police contact full advice given on how to report should they wish to at a later date Consent has to be signed for a referral to be sent by the FNE

12. ISVA & GP ISVA Crisis worker fills out the ISVA referral form with the victim If consent is gained by victim form is scanned and emailed by secure NHS email to the secure CJSM ISVA email straight after the examination. via the sy.sarc@nhs.net email address all sent to DRASACS who now hold the HUB for ISVA’ssy.sarc@nhs.net GP Consent is gained from the victim to inform GP about the incident A GP letter template is used to give the required information to GP The letter is then posted via Royal Mail.

13. GUM Consent is gained for GUM appointment either next day if given PEP or 10-14 days post examination GUM is contacted via telephone for appointment and communicated to victim if Urgent Ref The victim is also signposted to GUM if they want to attend before the appointment Each are of South Yorkshire has its own specific referral pathway

14. Thank you for listening! Hopefully this overview has been helpful but we are happy to take any questions at any time: Emelia Spencer – emelia.spencer@mountainhealthcare.co.uk – mobile 07887 838890 Keeley Roe – Acting Lead Nurse keeley.roe@mountainhealthcare.co.uk www.mountainhealthcare.co.ukwww.mountainhealthcare.co.uk - 0330 223 3193