Safeguarding Practice Update Assessment in Safeguarding Children.
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Safeguarding Children Supervision Policy
V4.0
November 2016
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Policy and Procedure Template
Summary –
Part 1 – Safeguarding supervision for Nursing and Midwifery
staff, Paediatricians, Medical Staff and other Allied Health Professionals
Part 2 – Safeguarding Supervision for Named and Designated
Professionals
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Policy and Procedure Template
Contents Summary –...................................................................................................................................................... 2
1. Introduction .............................................................................................................................................. 4
2. Purpose of this Policy/Procedure ......................................................................................................... 4
3 Scope ........................................................................................................................................................ 4
4 Definitions / Glossary ............................................................................................................................. 5
5 Ownership and Responsibilities ........................................................................................................... 5
6 Standards and Practice .......................................................................................................................... 7
6.1 Part 1. Process for staff who deliver patient/client care (eg. paediatric unit staff, ED staff
and hospital based Midwifery staff).......................................................................................................... 7
6.2 Part 2. Safeguarding Supervision for Named and Designated Professionals..................... 9
7 Dissemination and Implementation .................................................................................................... 10
8 Monitoring compliance and effectiveness ......................................................................................... 10
9 Updating and Review ........................................................................................................................... 11
10 Equality and Diversity ....................................................................................................................... 11
Appendix 1. Governance Information ........................................................................................................ 13
Appendix 2. Initial Equality Impact Assessment Form ............................................................................ 15
APPENDIX 3 – Safeguarding Supervision Contact Report.................................................................... 17
APPENDIX 4 – Safeguarding Supervision Adhoc Contact Report ....................................................... 19
APPENDIX 5 - Evaluation feedback .......................................................................................................... 20
APPENDIX 6 – List of Safeguarding Supervisors ................................................................................... 21
APPENDIX 7- Attendance sheet at Safeguarding Supervision Sessions ............................................ 22
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Policy and Procedure Template
1. Introduction
1.1 This version supersedes any previous versions of this document.
1.2 The Trust recognises that Safeguarding Children supervision is integral to
providing an effective child centred service.
1.3 The Trust has a responsibility to provide clinical supervision for staff.
1.4 Safeguarding children supervision is provided in addition to clinical
supervision which it complements but does not replace.
1.5 The involvement of key health professionals with children, in particular where
there may be unresolved safeguarding issues, means that they have a major
role in the identification of abuse and neglect. Many of the inquiries into child
deaths and serious incidents involving children have demonstrated serious
failings in professional practice which have been attributed to lack of effective
supervision and support for professionals involved in the care of vulnerable
children, including those children in care.
2. Purpose of this Policy/Procedure
2.1 The requirement for Trust employees to have access to safeguarding
children supervision is laid down in Working Together to Safeguard Children,
(HM Government, 2015) and Safeguarding Children and Young people;
Roles and Competences for Healthcare staff (March 2014). Working
Together states that:
“Working to ensure children are protected from harm requires sound professional
judgements to be made. It is demanding work that can be distressing and stressful.
All of those involved should have access to advice and support from, for example,
peers, managers, or named and designated professionals. Those providing
supervision should be trained in supervision skills and have an up to date
knowledge of the legislation, policy and research relevant to safeguarding and
promoting the welfare of children”.
The safeguarding team have developed various methods of safeguarding
supervision to support acute sector staff to have access to supervision.
3 Scope
3.1 The content of this document applies to all staff groups working for RCHT.
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Policy and Procedure Template
4 Definitions / Glossary
4.1 “Supervision is a process of professional support, peer support, peer review
and learning, enabling staff to develop competences, and to assume
responsibility for their own practice. The purpose of clinical governance and
supervision within safeguarding practice is to strengthen the protection of
children and young people by actively promoting a safe standard and
excellence of practice and preventing further poor practice” Safeguarding
Children and Young People; Roles and Competences for Healthcare
professionals March 2014).
4.2 Safeguarding supervision has three primary functions:
1. The management (or normative) function is primarily to provide
accountability to and involvement with the organisation. This involves
overseeing the quality of practice through the monitoring of
professional and organisational standards, for example, by ensuring
that policies and procedures are adhered to.
2. The educational (or formative) function is primarily to address the
professional development needs of the supervisee. In this aspect of
supervision practitioners are assisted to reflect on their work, deepen
their understanding and encouraged to develop new skills.
3. The supportive (or restorative) function recognises the emotional
impact of safeguarding work. This provides support for practitioners
and explores strategies for coping and self-care.
5 Ownership and Responsibilities
5.1 Role of the Managers
Line managers are responsible to:
Ensure staff have the time to participate in the safeguarding supervision
process
Ensue that staff are supported and have access to appropriate support.
Challenge staff when they are not accessing supervision in line with this
policy considering the Trusts disciplinary process when there is evidence
of consistent non-compliance.
5.2 Role of the Safeguarding Children Operational Group (SCOG)
The SCOG is responsible for:
Reviewing the provision and process for safeguarding supervision across
RCHT
Monitor audits of compliance with the supervision process and policy.
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Policy and Procedure Template
5.3 Role of Safeguarding Supervisors.
Any registered and experienced member of staff is eligible to apply be a
safeguarding supervisor.
All Safeguarding Children Supervisors must attend and maintain
Safeguarding Children training at Level 3.
Supervisors will receive training by attending an approved safeguarding
supervision course. e.g In Trac
They will maintain competence through their Level 3 safeguarding
children’s training and by regular attendance at the Safeguarding
Children Supervisors meetings run by the named nurse (minimum of 2
meetings in one year). Attendance at these meetings will count as a
supervision session for the supervisors.
Annual, formal individual supervision by the named professionals will be
available as required and recorded by the Named Professional for audit
purposes. There should also be regular ad hoc sessions (regular means
the supervisor must access supervision at least every 3 months).
The supervisors must manage the security and confidentiality of the
record keeping, ensuring that the staff having the supervision receive a
copy of their session.
If the supervisors do not meet the above standards their name will be
removed from the approved name of safeguarding supervisors.
5.4 Role of Named Nurse for Child Protection
To support safeguarding supervisors with their own safeguarding
supervision.
Organise and facilitate the safeguarding supervisors 3 monthly meetings.
Escalate any issues to the safeguarding children’s operational group
(SCOG).
Escalate professional practice concerns through the appropriate
safeguarding route.
To record/collate and monitor number of supervision sessions and report
to SCOG.
Report any staff to their line manager if they are not following the
expected level of supervision as cited in this policy.
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Policy and Procedure Template
5.5 Role of Individual Staff
All staff members are responsible:
To take part in safeguarding supervision as stipulated in this policy for
their role.
To provide feedback and participate in the evaluation of the safeguarding
supervision process.
To manage the security of their copy of the supervision session. When
using the session for revalidation ensuring the patient details are non-
identifiable.
6 Standards and Practice
6.1 Part 1. Process for staff who deliver patient/client care (eg. paediatric
unit staff, ED staff and hospital based Midwifery staff).
6.1.1 When a safeguarding children’s referral has been made to the Multi-Agency
Referral Unit (MARU);
Staff group Type of supervision tool and process Frequency
Staff caring for adult patients
On receipt of a MARU referral the Named Nurse for Children will email the staff the name of the supervisor and the safeguarding supervision process, copying in supervisor. The Named Nurse for children will monitor and escalate to staff manager if supervision is not accessed.
Mandatory each time a MARU referral is made. Named Nurse for Children to record numbers of supervisions and report to SCOG - bimonthly.
Emergency Department (ED) paediatric nurses
Named Nurse for Children will book individual supervision sessions with all paediatric ED staff.
Staff must attend 2 sessions a year. Staff must access at least 2 ad hoc sessions in between supervision sessions. Named Nurse for Children to record numbers of supervisions and report to SCOG - bimonthly.
Midwives
On receipt of a MARU referral the Named Nurse for Midwifery safeguarding will contact staff and an appropriate supervision tool will be accessed. Midwifery Community Team Leaders conduct supervision within a team meeting setting where individual safeguarding cases are discussed
Mandatory each time a MARU referral is made. Named Nurse for Midwifery to record number of supervisions and report to SCOG bimonthly Staff attend these team meetings every 6 weeks and information is collected and maintained by Midwifery Community Team Leaders. Named Nurse for Midwifery to record these sessions and report to SCOG bi monthly
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Policy and Procedure Template
Children in Care team
The Designated Nurse for CIC holds regular (6 weekly) one to one supervision sessions for all Specialist CIC Nurses. Every 6 months the Designated Nurse for Safeguarding facilitates an action learning set for all CIC Health Specialist staff to attend.
Staff must attend 5 sessions a year. Staff to access ad hoc sessions if they require supervision between routine supervision sessions. Designated Nurse for CIC to record number of supervisions and report to SCOG bi monthly.
RCHT paediatric staff to include nursing, medical staff and community paediatric staff (As required to include all support staff) Sessions can be used for nursing revalidation
Named Nurse for Children to book a rolling programme of supervision/learning from practice open sessions for paediatric nursing and medical staff to attend. Named Doctor and a pool of Consultant paediatricians to deliver the Paediatric trainees’ mandatory annual safeguarding case based discussion, and include this as a supervision session All staff to be supported to attend relevant journal clubs where the case discussions address safeguarding issues. Attendees will be required to complete reflection via supervision template and evaluation feedback. Community Paediatric consultants – attend monthly RCPCH guidance Child Protection Peer Reviews
Staff must attend 2 sessions a year. Staff can access ad hoc sessions if required in between supervision sessions. Named Nurse for Children to review with paediatric clinical matron the numbers of attendances at supervision and report to SCOG bimonthly. Named Nurse to record numbers of Peer Reviews and report to SCOG bi monthly
Debrief sessions- specific to incidents this will be available to clinical and non-clinical staff
In exceptional circumstances, as in a death of a child. The Named Nurse for children will hold a debrief session for staff to attend.
When required. Named Nurse for Children to record numbers of de-brief sessions and report to SCOG - bimonthly.
Ad Hoc supervision for day to day practice
These sessions are for staff to attend outside their formal supervision process. These sessions will be timely to meet the needs of staff as safeguarding issues arise and can be delivered by safeguarding supervisors or the Named Nurse and Named Doctor.
When required. Named Nurse for Children to record numbers of ad-hoc supervisions and report to SCOG -bimonthly.
Sexual Health Safeguarding supervisors will provide group supervision open to all staff on a quarterly basis. All qualified nursing staff must attend 1 group supervision per year. Monthly safeguarding meeting open to all staff.
When required. Nurse specialist from sexual health to record attendances and copy to Named Nurse.
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Policy and Procedure Template
6.1.2 Record Keeping
Please see in Appendix 2 the templates for each type of safeguarding
supervision tools.
• The Named Nurse and safeguarding supervisors will ensure that the
recording of the supervision sessions are stored in a confidential
shared file only accessed by the named nurse and the safeguarding
supervisors.
• Supervisors and those that are receiving supervision will have written
copies of the supervision sessions.
6.1.3 Confidentiality
It is essential that those who receive supervision understand that while the
sessions primarily are confidential, they must also be aware that; if any
concerns arise during the sessions that may put a child, adult or staff
member at risk these concerns will be escalated through the appropriate
safeguarding process.
Professional practice concerns highlighted during supervision will also be
escalated to the staff member’s manager.
6.2 Part 2. Safeguarding Supervision for Named and Designated
Professionals
6.2.1 The Designated Nurse for safeguarding undertakes to provide supervision to
the Named Nurse and Named Midwife on at least a 2 monthly basis.
6.2.2 The Designated Doctor for safeguarding undertakes to provide supervision
sessions on a three monthly basis for the Named Doctor.
6.2.3 Copy of the notes from these supervision sessions will be shared with the
Named Nurse and Named Doctor.
6.2.4 Designated Doctor (along with Designated Nurse) obtain peer supervision
within the South West Peninsula Designated Professionals group on a 3
monthly basis.
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Policy and Procedure Template
6.2.5 These supervision sessions can be captured on the templates accessed in
Appendix 3 and stored by the Designated Doctor and Nurse.
6.2.6 Designated professionals can access supervision from alternate
safeguarding supervision sources who are trained as safeguarding
supervisors and this is in agreement with their line manager.
7 Dissemination and Implementation
7.1 This Policy is to be implemented and disseminated through the organisation
immediately following ratification and will be published on the organisations
intranet site document library. Access to this document is open to all.
7.2 The Policy will be launched via the RCHT daily communication network.
7.3 The Policy will be available to all external stakeholders via the Documents
Library on the Intranet.
7.4 The Safeguarding Children’s Named Nurse and safeguarding team will bring
the reviewed Policy to the attention of any staff attending any safeguarding
training.
7.5 This policy document will be held in the public section of the Documents
Library with unrestricted access, replacing the previous version which will be
archived in accordance with the Trust Information Lifecycle and Corporate
Records Management Policy.
7.6 Provision of mandatory safeguarding training will be delivered by the
Learning and Development Department as outlined in the RCHT Core
Training Policy. Reference to relevant sections from this Policy will be utilised
at all RCHT Level 1, 2 and 3 Safeguarding mandatory training.
8 Monitoring compliance and effectiveness
8.1 A clear audit trail will be implemented and the monitoring of compliance with
this policy will be overseen by the RCHT Safeguarding Children’s
Operational Group.
Element to be monitored
The quality and quantity of safeguarding supervision
Lead Safeguarding Children’s Operational Group
Tool The audit components will be undertaken by identified members of the RCHT Safeguarding Children’s Operational Group.
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Policy and Procedure Template
Frequency
Annually.
Reporting arrangements
The completed audit report will be presented and reported on in the minutes of the Safeguarding Children’s Operational Group (SCOG) by the Safeguarding Children’s Named Nurse as per the SCOG Terms of Reference
Acting on recommendations and Lead(s)
Where the report indicates sub optimal performance the Chair of SCOG will nominate a group member to produce an action plan. The SCOG will be responsible for monitoring progress and will undertake subsequent recommendations and further action planning for all deficiencies identified within agreed timeframes
Change in practice and lessons to be shared
Required changes to practice identified will be documented in the action plan outcomes. The membership of the SCOG will identify a lead to take each change forward across divisions as appropriate. Lessons will be shared with all relevant parties.
9 Updating and Review
9.1 This process is managed via the document library; review will be undertaken
in October 2019 unless best practice dictates otherwise.
10 Equality and Diversity
10.1 This document complies with the Royal Cornwall Hospitals NHS Trust
service Equality and Diversity statement which can be found in the 'Equality,
Diversity & Human Rights Policy' or the Equality and Diversity website.
10.2 Royal Cornwall Hospitals NHS Trust is committed to a Policy of Equal
Opportunities in employment. The aim of this policy is to ensure that no job
applicant or employee receives less favourable treatment because of their
race, colour, nationality, ethnic or national origin, or on the grounds of their
age, gender, gender reassignment, marital status, domestic circumstances,
disability, HIV status, sexual orientation, religion, belief, political affiliation or
trade union membership, social or employment status or is disadvantaged by
conditions or requirements which are not justified by the job to be done. This
policy concerns all aspects of employment for existing staff and potential
employees.
10.3 Equality Impact Assessment
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Policy and Procedure Template
All public bodies have a statutory obligation to undertake Equality Impact
Assessments on all policy documents. This must be undertaken by the
author using the agreed Equality Impact Assessment Template. The
completed assessment is to be added to the end of the policy document as
an appendix prior to it being ratified.
10.4 The Initial Equality Impact Assessment Screening Form is at Appendix 2.
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Policy and Procedure Template
Appendix 1. Governance Information
Document Title Safeguarding Children Supervision Policy
Date Issued/Approved: October 2016
Date Valid From: 30th of October 2016
Date Valid To: 30th of October 2019
Directorate / Department responsible (author/owner):
Wendy Perkin Named Nurse for Child Protection and Zoe Cooper Safeguarding Lead Nurse.
Contact details: 01872 254551
Brief summary of contents Supervision policy to support practitioners involved in Child Protection.
Suggested Keywords: Safeguarding, children, child protection, supervision, neglect, abuse.
Target Audience RCHT PCH CFT KCCG
Executive Director responsible for Policy:
Kim O’Keeffe
Date revised: 30th of October 2016
This document replaces (exact title of previous version):
Safeguarding Children Supervision Guidance
Approval route (names of committees)/consultation:
Safeguarding Children’s Operational Group.
Divisional Manager confirming approval processes
Kim O’Keeffe
Name and Post Title of additional signatories
None
Name and Signature of Divisional/Directorate Governance Lead confirming approval by specialty and divisional management meetings
{Original Copy Signed}
Name: Kim O’Keeffe
Signature of Executive Director giving approval
{Original Copy Signed}
Publication Location (refer to Policy on Policies – Approvals and Ratification):
Internet & Intranet Intranet Only
Document Library Folder/Sub Safeguarding
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Policy and Procedure Template
Folder
Links to key external standards CQC Regulation 13.
Related Documents: Working Together 2015
Training Need Identified? Yes. For staff acting in the supervisor role.
Version Control Table
Date Version
No Summary of Changes
Changes Made by (Name and Job Title)
2012
V1 Original guidance
Alison O’Neil. Named Nurse for safeguarding
10/2016 V4.0 Policy template and new process for supervision
Wendy Perkin and Zoe Cooper - Safeguarding Children
All or part of this document can be released under the Freedom of Information
Act 2000
This document is to be retained for 10 years from the date of expiry.
This document is only valid on the day of printing
Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust
Policy on Document Production. It should not be altered in any way without the express permission of the author or their Line Manager.
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Policy and Procedure Template
Appendix 2. Initial Equality Impact Assessment Form
Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Rationale for Assessment / Existing Evidence
Age X
Sex (male, female, trans-
gender / gender reassignment)
X
Name of Name of the strategy / policy /proposal / service function to be assessed (hereafter referred to as policy) (Provide brief description):
Directorate and service area: Corporate Division
Is this a new or existing Policy? Existing
Name of individual completing assessment: Zoe Cooper
Telephone: 01872 254550
1. Policy Aim* Who is the strategy / policy / proposal / service function aimed at?
A Policy for staff who are involved in Child Protection about Safeguarding Supervision
2. Policy Objectives* That all professionals understand are aware of how and when to seek Safeguarding Supervision
3. Policy – intended Outcomes*
Pathway to identify ways of delivering and receiving supervision of Safeguarding Children related activity
4. *How will you measure the outcome?
Monitoring statistics of Safeguarding Supervision offered/accepted Peer review attendance
5. Who is intended to benefit from the policy?
Children and their families RCHT staff RCHT compliance with standards and governance
6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy? b) If yes, have these *groups been consulted? C). Please list any groups who have been consulted about this procedure.
No Safeguarding Children’s Operational Group
7. The Impact Please complete the following table.
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Policy and Procedure Template
Race / Ethnic communities /groups
X
Disability - Learning disability, physical disability, sensory impairment and mental health problems
X
Religion / other beliefs
X
Marriage and civil partnership
X
Pregnancy and maternity X
Sexual Orientation, Bisexual, Gay, heterosexual, Lesbian
X
You will need to continue to a full Equality Impact Assessment if the following have been highlighted:
You have ticked “Yes” in any column above and
No consultation or evidence of there being consultation- this excludes any policies which have been identified as not requiring consultation. or
Major service redesign or development
8. Please indicate if a full equality analysis is recommended. Yes No X
9. If you are not recommending a Full Impact assessment please explain why.
This policy relates to all staff
Signature of policy developer / lead manager / director Date of completion and submission 20/9/2016
Names and signatures of members carrying out the Screening Assessment
1. 2.
Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead, c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD A summary of the results will be published on the Trust’s web site. Signed _______________ Date ________________
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Policy and Procedure Template
APPENDIX 3 – Safeguarding Supervision Contact Report
SAFEGUARDING CHILDREN
1:1 SUPERVISION CONTACT REPORT
Case to be discussed:
Background:
Name of professional supervisee: Name of professional supervisor:
Date
Time
The professional experience. What was the reason for MARU referral/discussion of case? What specific aspects are to be discussed? Are there any concerns surrounding the referral?
Reflection: What thoughts and feelings did you have:
Whilst caring for the child and family?
In retrospect? (What I feel about what happened- present, previous experience or simultaneous).
The child and family What is working well? What are you worried about? Are there Parents/Carers issues impacting on the child?
Analysis: What impact has this had?
On the child
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Policy and Procedure Template
On the professional What Have I learned? How will the experience change my future practice?
Actions: What next? Do I need to do anything differently? Are there any service Responsibilities?
On- going Plan:
For Professional
For child and family
Name and signature of supervisee:
Name and signature of supervisor:
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Policy and Procedure Template
APPENDIX 4 – Safeguarding Supervision Adhoc Contact Report
SAFEGUARDING CHILDREN
SUPERVISION CONTACT REPORT - Adhoc
Case to be discussed:
Background:
Name of professional supervisee: Name of professional supervisor:
Date
Time
Incident that initiated supervision:
Plan from supervision
Actions from supervision
Need for further 1:1 supervision If Yes; date, time and name of designated supervisor arranged at adhoc session
Yes /No
Name and signature of supervisee:
Name and signature of supervisor:
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Policy and Procedure Template
APPENDIX 5 - Evaluation feedback
SAFEGUARDING SUPERVISION EVALUATION FORM
Reflection on your safeguarding supervision experience
What thoughts and feelings did you have?
What have I learned?
Will the experience change my future practice?
Further supervision support required?
How could we improve the safeguarding supervision sessions?
Name: (optional)
Date:
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Policy and Procedure Template
APPENDIX 6 – List of Safeguarding Supervisors
Name Ward/Dept Title
Kathryn Eccelston (May 16 On Mat leave)
Sexual Health Consultant
Gill Cousins Sexual Health Sister
Pam Gates
Sexual Health Sister
Kim Smith Neo-Natal Unit Midwife/Senior Staff nurse
Laura Stirling Paeds Polkerris Senior Staff Nurse
Jo Philp Polkerris Senior Staff Nurse
Mel Gilbert Fistral Matron
Liz Huthnance Fistral Senior Staff Nurse
Mel Griffiths Emergency Departments Sister
Lucy Hatfield Emergency Departments Staff Nurse
Janet Danks Emergency Departments Senior Staff Nurse
Clare Tyson Emergency Departments Sister
Emma Bailey Emergency Departments Senior Staff Nurse
Eleanor Stacey WCH ED Staff Nurse
Ann Abbotts Fracture Clinic Senior Staff Nurse
Hayley Barnes Paed/ICU Senior Staff Nurse
Ruth Cundyrowse Physio/Therapies Paediatric Physio
Natalie Maguire Fistral Staff Nurse
Teresa Phillips Maternity Named Midwife C P
Avril Archibald Maternity Midwife Team Lead EAST
Angela Whittaker Maternity Midwife Team Lead WEST
Helen Ettle Maternity Midwife Team Lead MID
Simon Bedwani Named Doctor Safeguarding
Wendy Perkin Named Nurse Safeguarding
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Policy and Procedure Template
APPENDIX 7- Attendance sheet at Safeguarding Supervision Sessions (Group supervision session, journal club, attendance at safeguarding meeting)
Supervision Session – Attendance Sign-In Sheet
Name Role Signature