Children Looked After and Care Leavers Strategy 2014-2017 This strategy provides the framework to ensure we fulfil our duties and responsibilities, as corporate parents of Children Looked After and Care Leavers in West Sussex. Date: 11 December 2013 Updated: 21 September 2015 Owners: Avril Wilson, Executive Director of Care, Wellbeing and Education Annie MacIver, Director of Family Operations Page 2 of 44 Page 3 of 44 Foreword As the Cabinet Member for Children – Start of Life, I would like to introduce you to the strategy which is central for improving services and outcomes for children looked after and care leavers in West Sussex over the next three years. We have a strong ambition in West Sussex for our children who are looked after and our care leavers to have everything that any good parent would want for their children. This means that as corporate parents we want our children to be happy, healthy and safe. We approach our role with the passion and commitment that any parent would so that each child can reach their full potential. Children and young people have made an important contribution to the development of the strategy - to ensure that it reflects what they believe makes a difference in their lives. The contribution of partner agencies, Corporate Parenting Panel, parents and families, foster carers and workers to the development of the strategy has meant that there is a real ownership of the strategy and associated improvement plans. There is a joined up approach to the delivery of this strategy and each agency has a clear understanding of their roles and responsibilities. We will ensure that we continue to work together to provide a high quality service. The strategy describes how we will develop our current arrangements for children looked after and care leavers at all stages of their care journey. Whenever safe and possible to achieve, we aim to keep families together and to minimise the number of children who need to be looked after. Essentially, for all children, we want to ensure that the right child, at the right time is in the right place. The creation of a strategy marks only the start of the journey. It will of course require coordinated and sustained effort across Children’s Services and its partners. A major strength of this strategy is that there will be on-going development through continuous review of the actions required. There will also be active engagement of children and young people and partner agencies to achieve this. I would like to thank all of those who have been involved in developing this strategy and who will continue to have an important role in taking this forward to help provide the best possible care and support for our children and young people. Peter Evans Cabinet Member Children – Start of Life Page 4 of 44 1. Introduction Corporate parents As corporate parents our aim for Children Looked After and Care Leavers in West Sussex is that they are happy, healthy and safe. We want to give them every opportunity to achieve their full potential and to have a successful transition into adulthood, with special attention to those judged to be the most vulnerable. We also need to give young people the necessary life-skills, experience and confidence for them to thrive when they leave care. We want our children and young people to have everything that any good parent would want for their children. The responsibility for meeting the needs of Children Looked After and Care Leavers or children at risk of coming into care rests across all areas of Children’s Services, and our partner agencies who are key stakeholders for Children Looked After and Care Leavers. It is important that the roles and responsibilities for meeting these needs are understood by all. Purpose In order to achieve this we have developed a strategy which reflects a ‘whole system’ integrated approach to supporting children and families. The intention is to bring together the range of activity across the council and children’s partnership arrangements at all stages of the care journey, including a clear focus on supporting families to stay together, wherever it is safe to do so, and minimising the need for children to become looked after. In short our service will ensure that the right child, at the right time is in the right place. This strategy provides the framework for the Council, elected members, officers and partners to fulfil our duties and responsibilities, as corporate parents of Children Looked After and Care Leavers in West Sussex. It identifies overarching principles, strategic aims and objectives, and describes what will change in relation to our work with children on the edge of care, with Children Looked After and with Care Leavers. Governance and Service improvement The Multi-Agency Children Looked After Improvement Group (MACLAIG) is responsible for the effective delivery of the strategy and will report to the Corporate Parenting Panel. The strategy is accompanied by a Quality Improvement Plan (QIP) which will be updated, monitored and evaluated quarterly through MACLAIG. Page 5 of 44 Development of the Strategy This strategy has been extensively consulted on and is informed by the following: Consultations with Children Looked After and Care Leavers, parents, key partners and stakeholders which took place within West Sussex between February 2013 and June 2013 and between August 2013 and October 2013. A survey of all Children Looked After and Care Leavers in West Sussex which was undertaken in March 2013. A comparative study undertaken to ascertain whether other local authorities had a proactive strategy to change the age profile for Children Looked After. Five separate reviews of services conducted in 2013 (Adoption and Fostering; Therapeutic Support for Children Looked After and Post Adoption Services; Overarching Review of the Adoption Panel and 2 Desktop Reviews of practice concerning Children Looked After the second conducted by INGSON consultancy). Information from OFSTED inspections: Adoption and Fostering inspections held in 2012; Services for the Protection of Children February 2013 and a thematic inspection on children placed out of area and more than 20 miles away from home, in August 2013. Improving Permanence for Looked After Children consultation document (DFES September 2013). Children’s Care Monitor 2011: Children [commenting] on the state of social care in England. Reported by the Children’s Rights Director for England (OFSTED) Statutory Guidance on Promoting the health and well-being of Looked After Children (DCSF, 2009) Looked after children and young people, NICE public health guidance. Issued: October 2010, last modified: April 2013 2015 Update of the Strategy The creation of a strategy marks only the start of the journey. A major strength of this strategy is that there will be on-going development through continuous review of the actions required. It has always been the intention of Peter Evans, the Cabinet member for Start of Life and the Service that the strategy be updated as and when required so that it continues to reflect the best interests of Children Looked After and Care Leavers. Page 6 of 44 In September 2015, the strategy was updated to reflect the need to fully address Child Sexual Exploitation (CSE) and Female Genital Mutilation (FGM). The additional chapter is informed by: CSE Safeguarding Children and Young People from Sexual Exploitation supplementary guidance to Working Together to Safeguard Children (DCSF, 2009) The APPG for Runaway and Missing Children and Adults and the APPG for Looked After Children and Care Leavers report from the joint inquiry into children who go missing from care (June 2012) Tackling child sexual exploitation: A resource pack for councils ( Local Government Association, 2014) Tackling Child Sexual Exploitation (HM Government 2015) Independent Inquiry into Child Sexual Exploitation in Rotherham ,1997 – 2013 (Alexis Jay, 2013) The sexual exploitation of children: it couldn’t happen here, could it? (OFSTED, 2014) Pan Sussex Child Sexual Exploitation Strategy (2014) FMG Tackling FGM in the UK: Intercollegiate Recommendations for identifying, recording, and reporting. London: Royal College of Midwives ( 2013) Multi-Agency Practice Guidelines: Female Genital Mutilation (HM Government, 2014) Page 7 of 44 2. Strategic framework WSCC Children’s Services and our agency partners have the responsibility for meeting the needs of Children Looked After and Care Leavers, and for children identified as at risk of coming into care. To deliver the best possible outcomes in West Sussex, we have developed the following strategic framework with overarching principles aligned to each strategic aim. Each aim is then further developed giving ‘principles of practice’ and more detailed objectives. The table below shows the overarching principles and strategic aims of the strategy. Achievement 1. The best outcomes 2. Real participation 3. Stability and permanency 4. Strong networks Overarching principles Strategic aims (Underpinned by further ‘principles of practice’) (Underpinned by key objectives and success criteria) The vast majority of children are 1. To provide early help and intervention to most likely to thrive and achieve help families stay together including good outcomes if they are cared engagement with the extended family, for within their own families. kinship networks and use of connected person care arrangements. 2. Children’s rights include the right 3. To enable Children Looked After and Care to participation in decisions made Leavers to participate fully in decision about them and their lives. making and service design. 4. Placements should provide 5. To ensure permanency is at the heart of all stability and permanency for care plans with a clearly planned journey children and young people at the through care. earliest opportunity. 6. To have a wide range of high quality placements available that are flexible and affordable. 7. Placements should enable 8. To improve the health and wellbeing of Children Looked After and Care Children Looked After and Care Leavers. Leavers to remain in their 9. To ensure all Children Looked After and communities, maintain their Care Leavers get a good education. networks, minimise disruption in 10. To improve access to cultural and leisure their lives and provide high quality opportunities for Children Looked After local services in health, education and Care Leavers. and leisure. 11. Page 8 of 44 3. Principles for practice To ensure that this strategy provides real outcomes for children and young people, the following principles for practice give more detail to each of the four overarching principles. 1. The best outcomes - The vast majority of children are most likely to thrive and achieve good outcomes if they are cared for within their own families. Principles of practice: a. Preventative services and early intervention to support children in need and their families should be aimed at giving them every chance to stay together. b. Risk will be managed confidently and families at the edge of care will receive timely and good quality support thereby ensuring that the right child is looked after for the right time in the right place. c. Where children cannot be supported within their immediate family, connected person care arrangements will be explored as the preferred alternative arrangement. 2. Real participation - Children’s rights include the right to participation in decisions made about them and their lives. Principles of practice: a. Children Looked After and Care Leavers should have the opportunity to make their views known at every stage, and to ensure that those views influence both their individual plans and also the shape and design of current and future services. b. Placement requests will be assessed and addressed in terms of the child’s needs. The placement is then designed to meet these needs within the available resources. c. Children Looked After and Care Leavers should not feel different to other children and young people, particularly in relation to their access to culture and leisure activities. d. Service provision will be sensitive and responsive to children and young people’s age, disability, ethnicity, faith or belief, gender, gender identity, language, race and sexual orientation and ensure that any associated needs are met. Page 9 of 44 3. Stability and permanency - Placements should provide stability and permanency for children and young people at the earliest opportunity. Principles of practice: a. If children do require alternative care provision outside their family or kinship network the majority will have their needs best met in a substitute family provided by in-house services wherever possible and if not, with Independent Foster Agency carers within West Sussex. b. Residential placements should only be made where the child’s needs mean that they cannot live in a family setting, or where a child expressly does not want an alternative family and it is considered in their best interests. The focus of the care plan should then be the successful return of the child to a family placement unless there is clear evidence to the contrary. c. Good physical and emotional health is a priority for our Children Looked After and Care Leavers. d. All Children Looked After of statutory school age should receive appropriate education provision regardless of their placement and ability to access school. Finding an appropriate education setting is just as important as finding suitable carers for Children Looked After. 4. Strong networks - Placements should enable Children Looked After and Care Leavers to remain in their communities, maintain their networks and minimise disruption in their lives. Principles of practice: a. Out of authority foster placements or residential homes will only be considered in exceptional circumstances when all options within the county have been explored. b. Placements should support positive transitions to adulthood, education, employment and training enabling Children Looked After and Care Leavers to positively contribute to their local community and wider economy and succeed in independence. Page 10 of 44 4. Strategic Aims The scope of this strategy covers seven strategic aims. Clear key objectives and success criteria accompany each aim. 1. To provide early help and intervention that help families stay together Key objectives a. Identify those children and young people who are suffering or likely to suffer harm from abuse or neglect and who need referral to children’s social care. b. Engage extended family and kinship networks Use of Family Group Conferences with specific reference to families where problems are emerging. Use of short breaks and shared care arrangements Development of kinship/family and friends placements, including Special Guardianship arrangements. Assessment and support as identified for informal Family Care arrangements such as Private Fostering and Step Parent Adoption. c. Provide good challenge and broader input at the gateway to care and reduce the number of placements made in an emergency or at very short notice Effective gatekeeping of entry into care through the Children Looked After monitoring process. Provision of robust ‘cusp of care’ services through: o Provision of a Family Resource Team for over 10’s (for young people aged 10 – 16). o Assessment and Support of Youth / Older Children Looked After (targeting 16 and 17 year olds on edge of care). o Linking Older Children Looked After with the Young People’s Homeless Project. d. Developing an integrated community model to support struggling families using existing approaches in the county A West Sussex Early Help and Intervention Strategy has been developed. Some examples of services and prevention activities linked to this strategy are as follows: Page 11 of 44 o The development of the Troubled Families agenda o The area based Local Children and Young Peoples Planning Forum (CYPPF) the Common Assessment Framework (CAF) and Team around the Child (TAC) o Family Resource Service under 10 s’ and Children Centres o Family Resource Service over 10’s preventative services such as the ‘Solutions’ service, Family Futures Parenting groups, Informal Family Care and Fostering Emergency Support Programme (FESP) o Support for Young Carers o Preventative services for Youth Offending o Learning and Schools services focusing on reducing exclusion and improving attendance o Short breaks for disabled children and their parents/carers o Multi-agency working to prevent young people becoming involved in criminal activity and reduce the numbers of CLA remanded to Youth Detention Accommodation and/or sentenced to custody e. Improve professional development to support confident risk management The development and implementation of specific evidence based tools and interventions which can produce a shared method for understanding of risk and protective factors. E.g. Signs of Safety and attachment and developmental trauma interventions. Success Criteria Reduce the number of children looked after in an unplanned way Increase the number and percentage of children who, having been assessed as at risk of coming into care, are provided with services that resolve that risk. Increase the percentage of children and young people at risk of coming into care who are supported by family and friends to remain at home or who become private foster carers or Special Guardians to the child if this is not possible. Page 12 of 44 2. To enable children and young people to participate fully in decision making and service design The United Nations Convention on the Rights of the Child 1989 Article 12 recognises that children and young people have the right that their views and opinions should be taken seriously in matters that affect them. The involvement of children and young people in service development will have benefits for young people. Participation will result in responsible citizenship which will promote resilience, and develop self-esteem so that they can enjoy and achieve. For participation to be effective young people need to be involved in planning and decision making in relation to plans that affect them and contribute towards overall service development. This can range from having a say over individual circumstances and being able to express one off views about quality of services, through to actively campaigning for changes in local authority policy. Existing provision There is currently an effective Children in Care Council (CICC) in West Sussex which have developed a corporate pledge for Children in Care and Care Leavers. This pledge outlines 11 promises that West Sussex as a corporate parent commits to fulfilling. These are listed in Appendix 1. Key objectives a. Raise awareness of the advocacy service to ensure that children have timely access to this service When a child or young person has difficulty in expressing their views about any decisions being made, they are offered an advocate to help them voice their views and be involved. To ensure Children Looked After and Care Leavers are routinely informed of their right to be supported by children’s rights services at any time they feel necessary whilst they are looked after by West Sussex. b. Children and young people are involved in and understand the decisions made about their lives. A report by the Children’s Rights Director in 2011 identifies that there are three decisions whereby children believe they should have more say than they do now. These are:- Page 13 of 44 o Care decisions about their future, o The people they will live with; and o Contact arrangements with family and friends. The views of children are important at every stage of their care planning and placement. We will ensure that children’s wishes and feelings are sufficiently heard and they are involved in a meaningful way in all their plans for help and protection through sufficient preparation. The views of children will therefore influence decisions such as where they live and who they may have contact with whilst in placement and for the future. c. They know how to get the information, advice and support they need, and how to complain. We will ensure that all young people are made aware of their rights, responsibilities, choices and the things they are entitled to, including their right to complain if they are unhappy. They will understand their right to confidentiality. d. Ensure that Children Looked After and Care Leavers influence service provision and future service design WSCC Children’s Service will deliver a strategic approach to ensure that the collective voice of children in West Sussex is sufficiently heard. This includes those who receive services from the Early Help offer, Children in Need and Children Looked After and Care Leavers. o Children and young people should be clear about what participation involves including the duties, roles and responsibilities. o Participation will involve all children and young people including those who are ‘hard to reach’ e.g. all ages, children out of county, asylum seekers, refugees, disabled children and young offenders, children from different ethnic and religious backgrounds and children on the edge of care. We will be flexible and creative in our approach to engaging with children and young people. Young people will make a positive contribution by their active involvement and responsibility for service delivery. Page 14 of 44 Success Criteria Participation Strategy in place by April 2014 and is underpinned by an action plan New arrangements in place for advocacy by April 2014 Complaints and compliments are actively used to improve the service Young people are provided with opportunities to influence service design and delivery and they receive feedback in relation to any improvements made e.g. outcomes from the Challenge Card for County Councillors Feedback from children and young people states that they contribute to their care plans and service development. Page 15 of 44 3. To ensure that permanency is at the heart of all care plans with a clearly planned journey through care We will ensure that permanence is at the heart of all care plans, and is the underpinning framework for all social work in West Sussex so that children and young people in our care have the best outcomes and potential for their future. Key objectives a. WSCC Children’s Service will provide a Permanency Policy and practice guidance. b. We will ensure that all Children Looked After and Care Leavers have a plan for permanency with a clear and planned journey through their care irrespective of their age All children will have a permanency plan with milestones and timelines by the child’s second statutory review. All placement decisions to be supported by integrated assessment and planning. All children will enter care in a planned way unless it is an emergency situation. c. Ensure we find the right placement, right from the start We will make sure that there is a wide range of high quality placements using independent providers to complement our in-house provision when the needs of the child require this. Complete information on a child to assist the matching process and placement planning. Timely sharing of information (e.g. health or education plans) and Improve resettlement planning for young people from secure accommodation. d. Ensure that as quickly as possible, children have stability and permanence We will make sure that a child has a sense of permanency including a sense of security, continuity, commitment and identity as foundations to their emotional development throughout childhood and beyond, i.e.: o emotional permanence (attachment) o physical permanence (stability) o legal permanence (the carer has parental responsibility for the child) Page 16 of 44 Whilst routes to permanence might vary, they should be underpinned by common principles and have equal value ensuring the best solution is provided for each child. Types of permanence that will be offered include: o o o o Reunification with family Living with family or friends (including a return to a home) Placement with a family for adoption Placement with a family for long term fostering e. Ensure that young people are prepared for adulthood and make incremental increases in their independence A vital part of our role as corporate parents is to prepare the children and young people we look after for their independent adult lives. West Sussex effectively uses the Pathway Plan to help Care Leavers to prepare for independence and experiment safely with their increasing freedom and develop responsibilities associated with adulthood, whilst still having the appropriate level of support from an appropriately experienced and qualified staff team. Young people are actively involved in deciding on the level of support needed. The service will enable young people, via the support delivered, to move on from a permanent, full time care setting and increase the likelihood of them maintaining future accommodation resources. To achieve this goal the following actions will be taken: We will provide a range of services to meet the needs of Older Children Looked After (OCLA) aged 16 to 25. o Services will deliver four categories of support and accommodation resulting in a complete pathway of support. Some young people may not need certain categories of support whilst others will progress through all four stages. The Service Provider(s) will support the young person with transition to independence in line with the Young Person’s Pathway Plan e.g. providing guidance and support to find permanent housing, accessing education employment and training, practical living skills such as financial management, budgeting and claiming benefits. We will provide a county-wide contract for Unaccompanied Asylum Seekers (UASC) as outlined in the UASC service specification. This service mirrors that provided to all older children looked after with the exception of pre-tenancy partnership work with foster carers. Page 17 of 44 There will be a review of the planning for placements and transitions for Disabled Children and those who have Special Educational Needs (SEN) within specialist residential provision. This review will be in collaboration with health and adult services. Success Criteria A Permanency Policy and practice guidance in place by April 2014 A permanence planning forum in place by April 2014 A Quality Assurance and Audit framework in place which addresses the timeliness and quality of care planning by April 2014 Page 18 of 44 4. To have a wide range of high quality placements available that are flexible and affordable We will have the right range of placements for Children Looked After to promote positive experiences and outcomes whatever their needs. Key objectives a. Increase the number and capacity of in-house fostering and adoptive placements We will ensure that there is sufficient accommodation for Children Looked After and Care Leavers within our local authority area. Particular attention will be given to the following: o Disabled children o Children with challenging behaviour o Children from sibling groups o Children and young people from different ethnic backgrounds especially from black and minorities groups New government initiatives such as ‘fostering to adopt’ will be implemented. This will provide older children with an opportunity to be considered where appropriate for legal permanency through adoption or Special Guardianship Orders (SGO’s). WSCC Children’s Services will further improve the quality of the adoption and fostering service, with the aim being to create a centre of excellence in relation to the recruitment, preparation, assessment, matching and support of foster carers and adopters with an emphasis on the therapeutic reparenting of children. We will increase the range and volume of adopters and foster carers to ensure that families are available to match with children as soon as a Placement Order is granted or permanency plan for long term fostering agreed. If the latter, matching will include discussion in relation to future potential for SGO application. b. Reduce dependence on Independent Fostering Agencies Implement a strategic approach to commissioning and deployment of fostering placements. Develop a long term, successful recruitment and retention strategy for the inhouse service with the goal of improving the range and quality of the carer resource. Page 19 of 44 Independent Fostering Agencies will continue to play an important role which complements our in-house provision, but in the future they will be commissioned to provide a specific type of placement for specific cohorts of children. c. Make fewer residential home placements for children and make them closer to home For some Children Looked After, a residential home will be the best environment to meet their needs. Where this is the case there should be a positive choice for this type of provision. Being with a larger staff group and alongside their peers in a residential placement offers children and young people a greater variety of relationships, and allows 24 hour support for the highest levels of need and most challenging types of behaviour. The permanency plan will be to return children to a family environment whenever possible and appropriate in meeting the needs of the child Where Children Looked After have a disability we will work with health services to ensure appropriate training and equipment is provided through therapy and nursing staff. A significant proportion of disabled Children Looked After are cared for in school-based settings which are out of county and have been identified to meet their holistic needs. We will continue to commission services that will enable them to live closer to their families and local communities. d. Commissioning of accommodation for children between the ages of 16 and 25 that provides a pathway between care and independence The West Sussex Pathway Plan for young people in care provides a flexible range of support and different types of semi-independent accommodation which supports different levels of independence and transitions to adulthood. A range of placements are commissioned to meet the needs of children who have come through the care system and are moving towards independence and also those children who come into care as 16 or 17 year olds as Unaccompanied Asylum Seekers. West Sussex will also increase and improve the capacity for Supported Lodgings for the 16 – 19 year group. This will provide accommodation and support to young people who cannot ‘stay put’ or who wish to move. This will include provision of placements for vulnerable children and those with complex needs such as disabled children and youth offenders. Page 20 of 44 Success Criteria Reduction in the number of Children Looked After and Care Leavers in IFAS and residential placements An increase in the capacity and numbers of in house foster carers and adopters An increase in the capacity for supported lodgings provision. Page 21 of 44 5. Improve the health and wellbeing of Children Looked After Many children who enter care, including those in youth custody, are likely to have experienced neglect, poor levels of routine care and missed out on preventative messages at school on issues such as healthy eating or alcohol and drug awareness. Furthermore, if a child experiences placement instability or disrupted education then there is a risk that they may also have poor access to routine health-care unless health services are wrapped around the child. In West Sussex we will work in partnership with children and young people and their carers to ensure that children have a healthy lifestyle and good access to health care. Key objectives a. Ensure that each Child Looked After and Care Leaver has an up to date statutory health assessment and a plan that outlines how their physical and emotional health needs are to be met. Health Assessments and Health Plans will be improved and will be timely and of high quality. Health Plans will include personal and family health histories in order to enhance the value of health plans and facilitate better awareness of health needs, including when children return home. b. Ensure that Care Leavers receive advice and support from health services to enable the transition into adulthood. The Designated Doctor and Designated Nurse will investigate how to develop a service for care leavers and liaise with commissioners to ensure this service is provided. WSCC and the CLA health team will ensure that Care Leavers have advice on health matters prior to moving on to independence or semi-independence and have on-going support. o This will include equipping them with knowledge of their health history so that they are empowered to manage their own health needs. o The last statutory health assessment before a child leaves care will include a discussion between the Designated Nurse and the young person about their overall health needs and future health prognosis, based on assessment of their health chronology and assessments that have been undertaken. Page 22 of 44 c. Raise awareness of good health and the importance of this for children and young people, their carer’s and professionals We will work with young people and their carers over physical and emotional health issues, and identify what is important to them about their health. We will ensure that the young person’s health plan and wider care plan or pathway plan enables Children Looked After and Care Leavers to understand how they can promote their own health in future years by healthy lifestyle choices. o Areas for advice include: diet, substance misuse, risk taking behaviours and emotional well-being, pregnancy, keeping safe, sexual health and the benefits of sports and exercise. o Young people who offend may require intensive support on areas such as risk taking and substance misuse. Additional support will be available to these children and young people through the Youth Offending Team and partners in health. Children Looked After Nurses will continue to provide a link to every West Sussex residential unit. d. Promoting positive emotional and mental health The recent reviews of therapeutic services for Children Looked After and Post Adoption Services have led to recommendations which will be addressed within this strategy. There will be a review of commissioning arrangements for emotional health and wellbeing services including services for Children Looked After: o To address any inequity in service provision which may exist and reduce waiting times for CAMHs services for Children Looked After and Care Leavers. o To explore potential options for extending referral criteria to include access for all Children Looked After and Care Leavers to emotional health and wellbeing services. In particular it will prioritise short term, new placements, placements which may be at risk of breakdown and care leavers. The difficulties faced by Care Leavers in receiving mental health services has been highlighted by young people in West Sussex and their need in this area will be addressed within the review. Policy and guidance will be developed so that all children and young people can have access to support and specialist services to help them understand their past and the reasons why they became looked after. For example through direct work, such as life story work, revisited at key stages as they grow up. Page 23 of 44 Work will be undertaken with the Child in Care Council to develop a website which will advise Children Looked After and Care Leavers on bullying. Young people in care have told us that bullying is an issue for them, although they felt that this was no different to what other children who were not in care were experiencing. Success Criteria To meet timescales for Health Assessments and to improve the quality of health assessments in line with statutory and NICE guidelines A commissioned service which ensures that all West Sussex Care Leavers receive advice and support from health services to enable their transition into adulthood by April 2014 An Emotional Health and Wellbeing Strategy in place which prioritises Children Looked after and Care Leavers and provides services to meet their needs Clear policy and protocols are in place in relation to life story work and life story activities Page 24 of 44 6. Ensure all Children Looked After and Care Leavers have a good education Research shows that Children who are Looked After tend to move schools more frequently than their peers, which has a strong negative effect on attainment. They are also more likely to have Special Educational Needs and Disabilities (SEND). In West Sussex 71% of CLA have SEND. Although some of these children do well, their average attainment is significantly lower than that of their peers. Young people are to be supported fully in their transition to higher education or further education, employment and training. The future life-chances of Care Leavers are dramatically improved if they can be supported to move into education, employment or training and we recognise that young people within the care system are often at the disadvantage of a poor start and require assistance to catch up and maintain progress. Virtual School West Sussex Learning Service has appointed a Head Teacher and Board of Governors for the Virtual School for Children Looked After. They champion the education of Children Looked After and Care Leavers, including those placed out of authority. This has led to an improvement in services for these children. All West Sussex Schools have a named Designated Teacher responsible for addressing the needs of all Children Looked After and Care Leavers regardless of which Local Authority is responsible for them. The Designated Teacher has a leadership role in promoting a culture of high expectations and aspirations for the learning of Children Looked After and Care Leavers. The need for stability in education is important for Children Looked After. Coming into care means a dramatic change for a young person. A change of school at the same time can mean a break from all previous routines, friendship groups and support networks simultaneously. Key objectives a. To improve educational attainment and close the attainment gap between Children Looked After and Care Leavers and other West Sussex learners. West Sussex will offer a range of support to meet the individual needs of the child. We will work with parents, carers and young people to ensure they have the right support to enable children to achieve their full potential, including provision of 1 to 1 tutoring. Page 25 of 44 Foster carers will play a key role in creating a suitable environment for study, providing space, privacy and encouragement, maintaining contact with the school Young people will play a role in offering advice and support in school through use of peer mentors, school council members or buddy groups. Children Looked After will receive a minimum of 25 hours education per week b. Find the right educational setting If a transfer is necessary a Child Looked After should only attend schools assessed by Ofsted to be good or better, depending on geography and sibling placement. The Virtual School will advise and lead on transfers to new schools. Children and young people will have a say on any changes of schools. Additional amenities and specialist services such as tutoring and counselling will be provided where a child requires additional support. c. Improve joint working between social care, health and education in mainstream education, academies and links colleges Ensure there is joint training and planned improvements to the Personal Education Plans (PEP). The Independent Reviewing Service and ‘Looked After’ Teams within the Children’s Service will work with the Virtual School to ensure this. Consistent behavioural management between schools and foster carers. Avoidance of unofficial exclusions for children and young people through provision of alternative day care support if a child is out of school by using the vulnerable and challenging pupil placement panels. A flexible and creative use of the Pupil Premium. This may include equipment, transport, tuition and out of school activities. The Virtual School will advise social workers, foster carers and schools on effective use of the Pupil Premium. There will be a consistent presence of CLA Nurses and a Social Worker at the Designated Teacher Forum each term. d. To ensure that Care Leavers have an equal footing with their peers when moving into education employment and training PEPs will be developed for young people 16 years old and over. The Virtual School will take on the responsibility of education for young people over 16 years old. Page 26 of 44 Foster carers, social workers and teachers will work in partnership to have an active role in supporting a transition into education, employment or training (EET). We will increase the proportion of those aged 16 who get qualifications equivalent to 5 GCSEs (A*-C). Care Leavers will be given specialist advice and support when applying for further or higher education and careers guidance. We will continue to deliver on the Care2Work work plan increasing internal and external career taster opportunities through apprenticeships, work placements, work experience and internships. This scheme has been highly successful and West Sussex was awarded the Care2Work quality mark in 2013. e. To improve the quality of Personal Education Plans The number of PEPs completed in a timely way is high within West Sussex (92.6% in September 2013). This must be maintained and the quality of PEPS improved with particular reference to participation and aspirations. Success Criteria The number of children looked after who receive less than 25 hours education is less than 3 % at any time The number of young people looked after achieving 5 A*- C at GCSE and Maths improves within the range of 3% to 5% each year The numbers of care leavers who are in employment education and training increases from 97 % in Y12 to 98% Increase the number of PEPS audited as good to a minimum standard of 80% and maintain targets in timeliness Page 27 of 44 7. Ensure all Children Looked After and Care Leavers have access to cultural and leisure opportunities Access to culture, leisure and sporting opportunities is important for all young people having many benefits for overall life chances and opportunities, and their preparation for independence and adulthood. These opportunities can enable Children Looked After and Care Leavers to express themselves, improving their social participation, improving their management of money, relationship with their peers, self-esteem and identity and their understanding of societal expectations and cultural values. Children Looked After and Care Leavers can be at a disadvantage in their access to cultural and leisure opportunities, owing to placement moves and unsettled life-styles. This therefore will impact on their health and economic well-being. Culture and Leisure Opportunities West Sussex provides and enables a wide range of facilities and services for children such as libraries, play schemes and play facilities, sport, parks and leisure centres, events and attractions, museums, theatre and arts centres. Consultation with our Children in Care Council has been positive about the range of activities provided whilst in care. There are also some existing specific initiatives for Children Looked After which are improving their opportunities such as provision of free music tuition, and free early years provision through the Early Childhood Service for Under 5s. Key objectives a. We will develop protocols between, the Youth Support Service, Family Centres and other agencies to promote the needs of Children Looked After and Care Leavers in Culture, Leisure and Sporting pursuits. b. Foster carers, social workers, teachers and partners in health and voluntary agencies will work together with young people to encourage and enable participation in community and school based activities and interests. c. We will ensure that service specifications with providers of supported accommodation for Care Leavers enable them to make appropriate use of local facilities and develop social links. d. The Independent Reviewing Service will monitor and evaluate the impact of extra-curricular creative and leisure activities for Children Looked After and Care Leavers Page 28 of 44 e. Raise awareness of the benefits of accessing Culture and Leisure including sports and ensure that all partners have knowledge of existing opportunities. f. Ensure that Children Looked After and Care Leavers, from black or minority ethnic backgrounds or different cultural backgrounds, can create links with community support groups to provide continuity of their cultural experience. g. Ensure that the needs of ‘hard to reach’ children for Culture and Leisure are met. Success Criteria Increased numbers of looked after children engage in leisure sport and cultural activities Improvement in the provision of information about the role and availability of creative and leisure activities for Children Looked After and Care Leavers Page 29 of 44 5. Strategic Updates Tackling Child Sexual Exploitation- Updated September 2015 A new challenge that has risen to the attention of local authorities in recent years is Child Sexual Exploitation (CSE).This has received a large amount of government and media interest, as well as the implementation of national guidance to support front line practitioners from both statutory and voluntary agencies to identify, address and disrupt CSE activity. The particular vulnerability of Children Looked After and Care Leavers with regards to CSE has been identified through national research and review. According to Barnardo’s, nearly one-third of children who are sexually exploited in England are Children Looked After. The West Sussex Safeguarding Children Board and the Multi Agency Children Looked After Improvement Group (MACLAIG - which is an officer group comprising lead officers from across the local authority and key partners) are two forums within West Sussex whereby the risks and needs of these young people have been examined .This work has ensured that there is a commitment by the council and by the Children’s Services partners in relation to CSE for these young people. This addition to the Strategy will provide a strategic overview of how West Sussex Children’s Services and its partners can: Do everything possible to prevent Child Sexual Exploitation (CSE) where Children are Looked After and Care Leavers ; and Protect and support victims who have been sexually exploited. Specific Principles for CSE The following principles are drawn from the supplementary guidance to Working Together (2009) and build upon the underlying Principles for practice (part 3) listed above: A child centred approach. Action should be focused on the child’s needs, including consideration of children with particular needs or sensitivities, and that children and young people do not always acknowledge what may be an exploitative and/or abusive situation. Taking a proactive approach focused on prevention, early identification and intervention as well as disrupting activity and prosecuting perpetrators. Parenting, family life and services. Taking account of family circumstances in deciding how best to safeguard and promote the welfare of children and young people. Page 30 of 44 The rights of children and young people. Children and young people are entitled to be safeguarded from sexual exploitation, just as agencies have duties in respect of safeguarding and promoting their welfare. Responsibility for criminal acts. Sexual exploitation of children and young people should not be regarded as criminal behaviour on the part of the child or young person, but as child sexual abuse. An integrated approach- Working Together sets out a tiered approach to safeguarding: universal, targeted and responsive. Within this, sexual exploitation requires a three-pronged approach tackling prevention, protection and prosecution. A shared responsibility. The need for effective joint working between different agencies and professionals underpinned by a strong commitment from managers, a shared understanding of the problem and effective co-ordination by the Local Safeguarding Children Board (LSCB). Scope This document will address the commitment for the following groups of young people: All Children Looked After and Care leavers for whom West Sussex has a corporate responsibility – within the county or placed outside the county. For the majority of these young people this will be until they are 21 years of age For young people who attend further education or training this support will extend until they are 25 years of age All Children Looked After who are placed by other local authorities within West Sussex County Who is at risk? There is evidence that there are certain categories of children who are more at risk than others of being sexually exploited or groomed. The All-Party Parliamentary Group (APPG) for Runaway and Missing Children and Adults and the APPG for Children Looked After and Care Leavers (2012) found strong evidence that there is a clear link between children in care who go missing and those being groomed or sexually exploited. The report found that some perpetrators target children who are looked after in residential homes because of their high vulnerability and because they can easily access these children. The inquiry reported that those children who live far away from home are more likely to go missing and therefore there is often an elevated risk in terms of CSE for children placed across local authority boundaries. Furthermore, the report indicates that trafficked children from abroad are particularly being let down and their needs ignored because the authorities view child trafficking as an immigration control issue. Hundreds of them disappear from care every year, many within 48 hours and often before being registered with children’s services. The majority of these children are never found again. (N.B Some trafficked children do not come from abroad and these may also be at risk).There is often an overlap with other areas of Page 31 of 44 need such as young people involved in offending behaviour. (For a fuller list of the overall risk factors, which have been identified by Child Exploitation and Online Protection Centre (CEOP), Barnardos and the NSPCC refer to Appendix 2). West Sussex Children’s Service and its partners have adopted a sexual exploitation risk assessment framework (SERAF) - which was developed by Barnardos. This evidence based tool supports the identification of risk factors and ensures that there are plans to intervene and safeguard children at risk or abused through CSE. Strategic Aims and objectives West Sussex Children’s Service is committed to the participation and involvement of young people in their futures. Therefore further work on all areas of CSE will include young people in service design and delivery. The following aims and objectives outline current strategic plans to safeguard Children Looked after and Care leavers from CSE. 1. Prevention and Disruption West Sussex Children’s Service and its partners will ensure that there is: A) Strong strategic leadership regarding arrangements for: - 1) Children Looked After and Care Leavers on a local basis; and 2) Children Looked After placed out of the area. This will be informed by national research, local issues and self-assessment. This will link up with other local strategic plans so that there is a coordinated and joined up response. There will be development of sound strategic agreements with other authorities. B) Strong scrutiny and challenge by elected members , the Local Safeguarding Children’s Board (LSCB) and MACLAIG. C) Collection and sharing of information which is needed with partners - in order to have an accurate picture of the full extent of child sexual exploitation in their area. D) Awareness raising and provision of information for young people, families, fostercarers, residential staff, personal advisors, elected members and other key professionals ( in social care, health, education ,youth services) and the wider community. E) Establishment and maintenance of a targeted preventative and self-protection programme on child sexual exploitation for Children Looked After and Care Leavers. Page 32 of 44 F) High quality, stable placements available in- house (the joint inquiry found that many older children with complex needs are placed in poor quality and unsuitable care placements, and often a long way from home, family and friends) .This includes ensuring that foster carers and residential staff are equipped to identify and respond to the vulnerabilities and risks associated with CSE. G) A focus on early identification and providing early help, especially for children on the edge of care. This will be aligned to the West Sussex Early Help Strategy which outlines a common approach across the partnership. H) Accessible services for young people, families, carers and professionals to modify sexual behaviours (which can cause harm for Children Looked After and Care Leavers. This will be age-sensitive and developmentally appropriate). I) Engagement and participation of young people so that there is an understanding of their views and wishes in all areas of their care plan. It must be ensured that they receive support to express their wishes if needed. J) Engagement with women and men from minority ethnic communities on the issue of CSE and other forms of abuse. K) Effective collaboration with police to challenge grooming and exploitation of Children Looked After and Care Leavers. (This includes peer exploitation). L) Collaboration with the Crown Prosecution Service to secure convictions. 2. Protection West Sussex Children’s’ Service and its partners will ensure that: A) There is an up to date multi-agency risk assessment and preventative plan in place for all children in care or Care Leavers within West Sussex who have been identified as being abused through, or at risk of CSE in keeping with the scope of this strategy. B) There are timely and effective interventions for children Looked After or Care Leavers to safeguard those vulnerable to sexual exploitation. C) Child protection procedures are always initiated. D) There is protection of other children in placement or in the community when a young person may be a perpetrator (as well as a victim). E) The risk of CSE is integrated into all current working practices .This includes Children Looked After reviews, pathway plans, Strengths and Difficulties Questionnaires ( Page 33 of 44 SDQs) , any assessments and plans of young people who are in care and Care Leavers. F) Management and supervisory practice safeguards young people in care and care leavers - through scrutiny and robust quality assurance. The Independent Reviewing Officers will play a critical role in the assessment of risk within Children Looked After Reviews. G) There is robust quality assurance of CSE for Children Looked After and Care Leavers through themed audit with a focus on risk assessments. H) Data is routinely collated and analysed. This will identify learning and continually inform the child sexual exploitation action plan and the Quality Improvement Plan. I) Robust commissioning arrangements are in place that safeguard children placed in Independent Fostering Agencies and residential care (including return interviews for all children who go missing) and that will quality assure the contracts for individual placements or services. J) Where a cross boundary placement is being considered the risks of such a placement are fully assessed. K) Information is maintained and shared effectively with partners and the host local authority on children placed from out county, ensuring their safety. L) Ensure that reporting of sexual exploitation and abuse in minority ethnic communities is tackled. M) Unaccompanied Asylum Seeking Children (UASC) will be accommodated (under Section 20 of the Children Act) and they will be subject to the reviewing processes and procedures in place for Children Looked After. N) A safety plan will be put in place for those for whom there are concerns that they have been trafficked. This is crucial in ensuring a speedy and effective response from relevant agencies, particularly the police. O) UASC who are in the care of the local authority and who go missing will continue to remain Children Looked After. P) There is a well understood local policy and protocol on children missing from care that sets the context for individual strategies to keep individual children safe. 3. Support West Sussex Children’s Service and its partners will: Page 34 of 44 A) Identify the range of services available for Children Looked After and Care Leavers who are exploited or at serious risk; and identify the contribution of foster-carers, substitute families, secure care and local residential units. This will include improved arrangements for supporting children in out-of-area placements so that they are not disadvantaged when moving across local authorities or health boundaries. B) Ensure there is effective transition to adult services for Care Leavers so that there is effective on-going care and support available. C) Deliver a sustained programme of single agency and multi- agency training to professionals and to others whose involvement impacts on the lives of young people. This will not only involve those providing front line services - it will also involve training of elected members and managers and those who may benefit from having a working understanding of CSE in the community. D) Develop tailored approaches to caring for and supporting children who have been sexually exploited (recognising the critical role that foster carers and residential workers play.) E) Provide effective support for witnesses during and after court proceedings. F) Ensure that young people who are victims of sexual exploitation receive a range of support - which is persistent in efforts to engage with young people and is tailored to their needs. These services may include: individual therapeutic work; group based therapeutic work; family counselling; youth work support; education, training and employment support; sexual health and relationship education; work with sexual behaviour which indicates or can cause harm; drug and alcohol support; and supported placements. This list is not exhaustive. Young people who are, or at risk of being sexually exploited will have varying levels of needs. They may have multiple vulnerabilities and therefore an appropriate multi-agency response and good coordination is essential. Female Genital Mutilation- Updated September 2015 Page 35 of 44 There is a growing consensus that more needs to be done to intervene early in a child’s life, and to safeguard those girls at risk of Female Genital Mutilation (FGM) as identified by the UK Intercollegiate recommendations for identifying, recording and reporting (The Royal College of Midwives, 2013). Furthermore there has been recent guidance issued within the Multi-Agency Practice Guidelines: Female Genital Mutilation (HM Government 2014) which sets out a multi-agency response and strategies to encourage agencies to cooperate and work together. The guidance available on FGM from the Royal College of Nursing (RCN) and from HM Government is educative and does not replace statutory guidance within Working Together to Safeguard Children (March 2013) in England. West Sussex and its partners will adhere to statutory guidance and local procedures in relation to Children who are Looked After and Care Leavers and will be informed by the principles and practice guidance supplied by the RCN and HM Government. This will ensure that that the interests of this vulnerable group are safeguarded. Strategic Aims and Objectives The following aims and objectives for tackling FGM in the UK have been adapted from the report from The Royal College of Midwives, (2013) to update this strategy. Coupled with practice guidance, these aims and objectives form the basis of the current approach to FGM within West Sussex. West Sussex Children’s Service and its partners will ensure that: 1. FGM is treated as child abuse: FMG is a severe form of violence against women and girls. It is child abuse and must be integrated into all child safeguarding procedures in a systematic way. 2. Information is documented and collected: Document and collect information on FGM and its associated complications in a consistent and rigorous way. 3. Information is shared systematically between health and social care agencies, the Department for Education and the police. 4. Frontline professionals are empowered: Develop the competence, knowledge and awareness of frontline professionals across all services for Children Looked After and Care Leavers. In particular - develop the skills of foster carers and residential staff - to ensure the prevention and protection of girls at risk of FGM for Children in care and develop the skills of personal advisors for Care Leavers. Also ensure that all professionals -including foster carers and residential staff - know how to provide quality care for girls and women who suffer complications of FGM. 5. Identify girls at risk and refer them as part of child safeguarding obligations. Identify girls at risk of FGM as early as possible. All suspected cases should be referred as part of existing Page 36 of 44 child safeguarding obligations. Sustained information and support should be given to families to protect girls at risk. 6. Report cases of FGM: All girls and women presenting with FGM must be considered as potential victims of crime, and should be referred to the police and support services. 7. Hold frontline professionals accountable: Strong scrutiny and challenge by elected members, the Local Safeguarding Children’s Board (LSCB) and MACLAIG 8. Empower, engage and support affected girls and young women (both those at risk and survivors). This should be a priority public health consideration; health, education and social care professionals should work together to integrate FGM into prevention messages (especially those focused on avoiding harm, e.g. NSPCC ‘Pants’ Campaign, Personal, Social and Health Education, extracurricular activities for young people). 9. Raise awareness of FGM that ensures that there is a shared understanding across the Children’s Service and key partners. This will include all front line staff ,young people, families, foster-carers, residential staff, personal advisors, elected members and other key professionals ( in social care, health, education ,youth services) and the wider community. Page 37 of 44 6. Conclusion This strategy sets out how we will deliver our commitment to Children Looked After and Care Leavers and their families over the next three years. However we recognise this is only the start of the journey. It will be the delivery of this strategy in real terms that will make the difference to the lives of children and young people in our care. It requires coordinated and sustained effort across Children’s Services and our partners to continue to improve service standards and everyday practice, as well as meet the challenges that the current economic climate brings. Quality Improvement Plan This strategy and the associated Quality Improvement Plan will continue to be live documents, regularly updated. As we move forward, our commitment to Children Looked After, to the principles in this strategy and to working together to provide the best possible services will remain constant. CSE and FMG An effective strategy is just the beginning of how West Sussex and its partners will tackle CSE and FMG for Children Looked After and Care Leavers. An action plan, new policies and procedures have been produced. There have been additional resources employed to ensure that progress and development is timely and effective. This will support professionals to work together and share information effectively. This activity, when combined with a whole system approach of awareness raising, early identification of both victims and perpetrators and disruption and prosecution, will ensure that Children Looked After and Care Leavers are protected and supported. Page 38 of 44 Appendix 1 The pledge The Children in Care Council (CICC) in West Sussex have developed the following corporate pledge for Children in Care and Care Leavers. This is referred to in Objective 1 of the strategy. This pledge outlines 11 promises that West Sussex as a corporate parent commits to fulfilling. The Pledge We promise that: All children will be returned to the care of their birth family when it is safe for them to do so and such will maximise their wellbeing. If it is not possible for a child to return to the care of a birth parent we will seek to place a child within the extended birth family or close family friend as long as this will be safe and maximise their wellbeing. If it is not possible to place a child within the family we will identify alternative adoptive or other permanent or long-term carers able to fully meet the care needs of the individual child. Relevant contact with birth family members will be maintained as long as this is what they want and it is in the best interests of the child to do so. All plans will be made taking into account the individual needs of the child and particularly any arising from any disability or their heritage and culture Children will be placed as close as possible to their family, local peers and school where this is safe. All looked after children will go on a holiday every year, have a passport and a savings account. Every Child Looked After will have a named social worker who will ensure that their wishes and feelings are known and considered in all aspects of their Care Plan. All Children Looked After will have a designated Independent Reviewing Officer who will discuss their Care Plan with them and make sure that their wishes and feelings are known and demonstrate how this is reflected in their Care Plan. Page 39 of 44 All Children Looked After will be helped to learn in an age appropriate way. All children will have a place in a school best able to meet their needs and have their own Personal Education Plan that details how this will be achieved. All Children Looked After will be registered with a Doctor and Dentist and helped to lead a healthy lifestyle. Each child will have an individual health plan and be provided with the services that maximise their physical and emotional wellbeing. Every child will have a Pathway Plan at the age of 16 to ensure that they are advised and supported towards successful independence. The Pledge is signed by the Director for Children Services, the Lead Member (as Lead Member and as the Chairman of the Children’s Trust), and the Chairman of the Corporate Parenting Panel. Page 40 of 44 Appendix 2 Definition of CSE The Management Instructions (38) in West Sussex has defined CSE as: “Sexual exploitation of children and young people under 18 involves exploitative situations, contexts and relationships where young people (or a third person or persons) receive ‘something’ (e.g. food, accommodation, drugs, alcohol, cigarettes, affection, gifts, money) as a result of them performing, and/or another or others performing on them, sexual activities. Child sexual exploitation can occur through the use of technology without the child’s immediate recognition; for example being persuaded to post sexual images on the Internet/mobile phones without immediate payment or gain. In all cases, those exploiting the child/young person have power over them by virtue of their age, gender, intellect, physical strength and/or economic or other resources. Violence, coercion and intimidation are common, involvement in exploitative relationships being characterised in the main by the child or young person’s limited availability of choice resulting from their social/economic and/or emotional vulnerability.” There is supplementary guidance to “Working Together to Safeguard Children” covering this area within “Safeguarding Children & Young People from Sexual Exploitation” which uses the above definition throughout. N.B. Sexually exploited children should be treated as victims of abuse, not as offenders. Local authorities have previously referred and responded to child victims as ‘promiscuous’ or ‘prostitutes’. This is not acceptable. Page 41 of 44 Appendix 3 Recognised Risk Factors of CSE Child Exploitation and Online Protection Centre ( CEOP), Barnardos and the national Society for Protection of Children ( NSPCC) acknowledge that certain groups of children and young people are at greater risk of being sexually exploited Children and young people particularly at risk of sexual exploitation include: Missing, runaway or homeless children Children looked After Children with prior experience of sexual abuse, physical abuse or emotional abuse or neglect Adolescents or pre-adolescents Girls (current research suggests most victims are girls but boys are also at risk: boys are considered less likely to disclose which may make boys more vulnerable and may explain the gender imbalance in known cases) Children not in education through exclusion or truancy or children regularly absent from school Children socially excluded from services such as health services Children from black and minority ethnic communities Children from migrant communities Refugee children and unaccompanied asylum seeking children Trafficked children Children with mental health conditions Children who use drugs and alcohol Children with learning difficulties and disabilities Children involved with gangs, with links to a gang through relatives or friends, or living in communities or neighbourhoods where there are gangs Children with a history of delinquent or criminal behaviour Children from families or communities with offending behaviours Children from families where there is substance misuse, domestic violence or parental mental health issues Young carers Children living in poverty or deprivation Children who associate with young people who are sexually exploited Page 42 of 44 Children lacking friends or lacking friends from the same age group Children with low self-esteem or low self-confidence Children who have experienced bereavement or loss Care leavers. Page 43 of 44 Right child Right time Right place A strategy for Children Looked After and Care Leavers in West Sussex 2014 to 2017 Contact: Annie MacIver, Head of Children’s Social Care (Tel: 01243 752036) Page 44 of 44
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