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NSPCC Neglect Graded Care Profile 2

North Lincolnshire’s LSCB has commissioned and approved the use of the Graded Care Profile 2 (GCP2) tool to assess children and their families experiences and situations where there is known or suspected neglect.

There are 20 local multi-agency trainers in the GCP2 who have been trained by the NSPCC. Trainers are from across:

  • North Lincolnshire Council including:
    • Social Work Services
    • Families are Safe Supported Transformed (FaSST) family support services
    • Adoption
    • Fostering
    • Youth Offending Service (YOS)
    • Independent Review
    • Disabled children services
    • Education services
  • Rotherham Doncaster and South Humber NHS Trust
  • 0-19 services including Health Visitors and School Nursing
  • Northern Lincolnshire and Goole NHS Trust
  • Safeguarding Nurses
  • North Lincolnshire’s Clinical Commissioning Group
  • Humberside Police

The GPC2 measures the quality of care delivered to an individual child over a short window of time (representative of the current level of care) and scales it between 1 (best) and 5 (worst).

It can be used right across the continuum of need and should be used by trained, accredited professionals across the safeguarding pathway from early help to child protection. Other practitioners who are involved in a child’s multi-agency plan who are not trained in the GCP2 can contribute to the assessment and work with the family with the agreement of the lead practitioner.

It should be used as part of an assessment whether this be an early help or statutory children’s services assessment or beyond during the intervention period. It should be incorporated/referred to within the wider plan for the child and reviewed as part of the review of the plan (early help, child in need, child protection or child in care). See also the LSCB Policies and Procedures Assessing Need and Providing Help and the LSCB Helping Children and Families (Threshold Document 2016/20).

It should not be used outside of the early help or statutory planning and reviewing processes.

The GCP2 does not explore reasons for a particular level of care, but does encourage further interpretation of the reasons at the analysis stage, which can be captured in the report or accompanying recording sheets. It should be referred to within an early help or statutory assessment/plan/review which will indicate wider actions and outcomes to be achieved.

Frequently Asked Questions

This list of Frequently Asked Questions may address the queries individual practitioners have about using the GCP2.

What is the Graded Care Profile 2?

The Graded Care Profile 2 is a tool designed to provide an objective measure of the care of children. It is primarily based on the qualitative measure of the commitment shown by parents or carers in meeting their children’s developmental needs.

The Graded Care Profile has been designed and developed by Dr O Prakash Srivastava, Community Paediatrician, arising from his work first in Barnsley and then in Luton. The GCP is based on a children’s developmental needs perspective and seeks to measure compliance and commitment to meeting those needs.

The original GCP tool was first trialled in 1995 and showed itself to be a user-friendly tool which was reliable and could replicate scores when re-tested by practitioners. The tool was published in 1997.

The NSPCC undertook a national evaluation of the tool and found that it was a useful tool and suggested some modifications to enhance the tool. These modifications have resulted in the Graded Care Profile 2 (GCP2).

What does the GCP2 measure?

The GPC2 measures the quality of care given to an individual child over a short window of time (i.e. it represents the current level of care). The care given is graded between 1 (most positive) and 5 (most negative) in all areas of a child’s needs. The grades are based on the extent to which the needs of the child are currently being met and the commitment of the parent/carer to the child in relation to particular areas of care.

The areas of care are based on Maslow’s Hierarchy of Needs (physical care, safety, emotional care and developmental care) which are then further divided into sub-areas.

The GCP2 does not explore reasons for why a particular level of care is given to a child. However it encourages further exploration of the reasons at the analysis stage and this is supported by the practitioners report and records.

I have not received training in the new GCP2 but wish to do a GCP assessment with a family. What should I do?

The LSCB are holding more GCP2 training sessions so book onto one. The training is aimed at practitioners who work with children and families within their own homes as it takes a number of home visits to complete the GCP2 assessment tool which should then be reviewed. It should be completed with the family including the child dependent upon their age and understanding.

I have done the GCP2 training in another local authority area. So can I use the GCP2 here in North Lincolnshire?

You will need to provide evidence (e.g. your certificate of attendance which shows you were assessed satisfactorily) to your manager before you can use the GCP2 here in North Lincolnshire.

I have done the GCP2 training and I am now accredited to use the GCP2. How do I now get access to copies of the GCP2 tool and the accompanying materials?

Trained practitioners will be provided with access to all of the relevant documents following the training session.

Can I use one GCP2 for more than one child?

It is intended that each child in the family has their own GCP2 assessment undertaken. This recognises that different children in the same family are at different ages and stages of development and therefore the care that parents/carers need to provide to them will need to be different. Even where children are at very similar ages and stages, parents/carers may provide differing types of care to each child.

It is possible for assessments for more than one child in a family to be undertaken at the same time, e.g. when an observation of the parent offering care to all their children is being undertaken, yet a GCP2 assessment may be different for different children in the same family. Their lived experience may well be different.

Can I undertake some parts of the GCP2 and not others?

The GCP2 measures care given to a child across the whole continuum of a child’s needs. It is this that supports planning and interventions so practitioners are clear where the strengths and concerns are in the care given. Therefore the whole of the GCP2 needs to be undertaken to ensure there is a clear and balanced view about how children’s needs are being met.

Naturally if there are aspects which are not relevant for a particular parent or child, then that area should be left out.

Sometimes a practitioner will only be able to contribute to one or a few parts of the tool (for example a midwife) and it is important that they can contribute their knowledge to the completion of the tool when working together with the lead professional.

What are the timescales for using the GCP2 tool?

Because care of children can fluctuate over time and to avoid results being distorted the GCP2 should be undertaken over several sessions and through announced and unannounced visits.

It is difficult to pinpoint the exact number of sessions because each family situation will be very different. As an example and guide, where there is a parent/carer who is fully engaged with the GCP2 assessment and is able to explore matters in a relatively straightforward way (e.g. without any additional requirements for translation) and there is one child in the family who does not have additional or complex needs, a GCP2 could take about 4 sessions, lasting about 1 – 1½ hours each. Naturally additional time may be needed if a situation is more complex.

Where can I go to for any additional questions about using the GCP2?

Many of the agencies in North Lincolnshire has accredited GCP2 staff and some agencies also have accredited GCP2 trainers who are champions of the GCP2 tool and so collectively there is a sound knowledge base within many agencies across our local area.

There is a GCP2 Practitioners Group which those trained in the use of the GCP2 can attend. Practitioners who have been trained will receive details of the group’s meetings.

Further to this supervisors and line managers can offer support and advice. The documents that were given to delegates undertaking GCP2 training offer a considerable amount of information and background about the GCP2 and how to use it also.

If you want to understand more about GCP2 and how it is used in practice please watch this film produced by another local area.

 

Principles

  • Where neglect is known/suspected, the GCP2 should be used across the safeguarding pathway from early help to a child who is a child in need, subject of a child protection plan or a child in care where returning home is planned. The GCP2 can be used across the multi-agency partnership, i.e. led by a trained and accredited professional with contributions from those involved in the child’s plan.
  • The Graded Care Profile 2 is not a referral tool. Where contact is made to the Single Access Point or a referral about known/suspected neglect is being made to the Integrated Multi-Agency Partnership via the SAP then it is expected that if the child’s case has been open through early help due to neglect that a completed GCP2 should accompany the contact or referral.
  • Where immediate referral or immediate action is required, practitioners may not have had the opportunity to undertake the GCP2 and not having a GCP2 should not preclude a referral being made or accepted.
  • Where an urgent referral is made without a GCP2 in a child’s case which is predominantly about neglect, the referrer will undertake or contribute to the GCP2 following referral. Where parents/carers do not consent to the GCP2 being done, the referrer will support the completion of the GCP2 using their knowledge of the family as long as this is made clear in the records.
  • The GCP2 is effective when used in partnership with families, and practitioners should use it openly and honestly to assess and make change. When there is no consent, the referrer’s knowledge of the family should be used alongside the GCP2 tool to continue to assess and offer the most effective response to safeguard children/young people and support families.
  • The GCP2 supports assessment, planning, intervention and reviewing in known or suspected neglect based children’s cases/family situations. Ongoing sound professional judgement and multi-agency collaboration are central to children and families receiving the right help, at the right level at the right time.
  • The GCP2 and its contents should be used in supervision to ensure sound professional judgements are supported in cases of known/suspected neglect.
  • The GCP2 should be repeated regularly (e.g. 3 to 6 monthly/as agreed in supervision) to monitor change in parental care given and to their children or those living with them and to support ongoing interventions.
  • The GCP2 can be undertaken by one professional or more (e.g. this can be agreed in an Early Help Review, Child In Need Meeting, Child Protection Conference, Core Group meeting or Child In Care Review)

Circumstances when the GCP2 is to be used in North Lincolnshire

  • By a trained accredited professional in any agency and as part of an assessment whether this be an early help or statutory children’s services assessment or beyond during the intervention period where neglect is suspected/known. This includes in any part of the North Lincolnshire safeguarding pathway e.g. early help, child in need, child protection also child in care, including in FaSST, and the YOS. It can be used by Health Visitors, School Nurses, Community Paediatric services and the Police Early Intervention team.
  • It should be incorporated/referred to within the wider plan for the child and reviewed as part of the review of the plan (early help, child in need, child protection or child in care).
  • Child Protection Conferences may recommend that the GCP2 be undertaken when a child:
    • is placed on a Child Protection Plan under the category of neglect
    • is placed on a Child Protection Plan under a different category but where neglect is known/suspected
    • has not had a completed GCP2 review for known/suspected neglect in the previous 3 – 6 months

Accident Prevention

Child Accident Prevention Trust (CAPT) is the UK’s leading charity working to reduce the number of children and young people killed, disabled or seriously injured in accidents. They have collected together information and links to reliable online sources of data and statistics for childhood accidents. This will help practitioners and policymakers make the case for child accident prevention and provide evidenced arguments for accident programmes in their local area.

Adolescent to parent violence

The Home Office has produced the Information Guide – Adolescent to Parent Violence and Abuse. Adolescent to Parent Violence and Abuse (APVA) is a hidden form of domestic violence and abuse that still has no legal definition.

Read the policy briefing [PDF 76Kb]

Citizen Advice Report and Posters re Domestic Abuse

The following report explores the role of civil society in minimising domestic abuse:

CSE in Gangs and Groups

The Office of the Children’s Commissioner’s report “I thought I was the only one, the only one in the world” [PDF 2Mb] was published in November 2012. It looks at child sexual exploitation in gangs and groups.

Appendix A – Warning signs and vulnerabilities checklist [PDF 45Kb]

Commissioning Services to Support Women and Girls with FGM

Information for professionals on multi agency response to FGM

Domestic Abuse

The SafeLives report “Getting it Right First Time” looks at creating a system of change to end domestic abuse.

Emotional Health and Wellbeing

Following a recommendation from the serious case review (published in 2015) the LSCB, Suicide Prevention Group & Child Death Overview Panel have contributed towards creating a pocket sized ‘tool’ for professionals.

The guidance and tool can be downloaded here or you can request copies from LSCB@northlincs.gov.uk

Let’s Talk About It Tool for Professionals

Lets Talk About Guidance 

Female Genital Mutilation (FGM)

The Multi agency statutory guidance on FGM sets out the responsibilities of chief executives, directors, senior managers and front-line professionals within agencies involved in safeguarding and supporting women and girls affected by FGM.

The Department of Health has produced a range of resources for healthcare staff. These include a quick guide, flowchart, poster and training slides to ensure they are confident in responding to cases of female genital mutilation (FGM).

Source: Department of Health

Human Trafficking

Section 59A of the Sexual Offences Act 2003 creates offences designed to prevent the human trafficking of individuals for sexual exploitation. This includes trafficking within the UK, not just across national borders.  The UK Human Trafficking Centre has more information.

Information for Agencies working with Runaways and Parents

The following information is for agencies working with runaways and parents:

Leaflet – a guide to understanding why young people run away [PDF 2Mb] Leaflet – a parents guide – what to do if your child goes missing [PDF 2 Mb]

Keeping Children Safe in Education : Key Changes

The NSPCC has published a briefing on Keeping children safe in education (2016), which will come into force for schools in England on 5 September 2016. Key changes from the 2015 guidance include: reporting female genital mutilation (FGM) is now a mandatory requirement for teachers; the importance of online safety is highlighted; sexting is specifically mentioned as a form of peer on peer abuse which schools should have procedures in place to deal with. More detail on sexting will be added to the guidance before September 2016.

Source: Summary of key changes to Keeping children safe in education Date: 17 June 2016

 

 NSPCC Thriving Communities

NSPCC Thriving Communities is a framework for preventing and intervening early in child neglect. This report is for national and local decision-makers and commissioners. It sets out a range of concrete actions across five different levels of society – children, parents, communities, universal services and local government – that will help prevent child neglect and tackle it at the earliest opportunity.

NSPCC Realising the Potential

NSPCC Realising the Potential – tackling child neglect in universal services. This report proposes a model for the way in which those working in universal services can provide early help for child neglect.

Prevent Duty

The Prevent Duty is the duty in the Counter-Terrorism and Security Act 2015 on specified authorities, in the exercise of their functions, to have due regard to the need to prevent people from being drawn into terrorism.

The Government has a new website called Educate against Hate. This website gives parents, teachers and school leaders practical advice on protecting children from extremism and radicalisation.

Child Social Work Matters, Yorkshire and Humber

Under Child Social Work Matters all of the 15 Local Authorities in Yorkshire and Humber are working together as one big Children’s Social Work Team.

By sharing knowledge and experience in this collaborative way we can drive our standards of care higher and ensure children in Yorkshire and Humber feel safe.

The website contains information and resources on themes prevalent in Children’s Social Work. It also contains training, webinars, CPD log, Local Authority hubs and chat rooms to connect to other social workers within the region.

For more information visit the Children’s Social Work Matters website

Stop it Now!

Stop it Now! –  is a child sexual abuse prevention campaign. It is run by the Lucy Faithfull Foundation, the only UK-wide child protection charity dedicated solely to reducing the risk of children being sexually abused.

As part of a campaign to deter people from viewing and sharing indecent images of children online, Stop it Now! has launched an interactive film called “Choose another path” to show the consequences of viewing sexual images of under-18s (Feb 2016)

View the film here: Choose another path

Support for families where parents misuse alcohol

Alcohol Concern’s alcohol and families website is dedicated to supporting professionals working with children and their parents in understanding and working with the issues involved in parental alcohol misuse.

Teenage abusive relationships

The Can You See Me website has been developed by the Mid-counties cooperative including Mercia Women’s Aid. It is a film raising the issue of teenage abusive relationships. There is an area for teachers with resources and lesson plans to support the teaching of this subject aimed at 15 – 16 year olds. The Young People’s area has a survey, healthy relationships checklist and myth buster.

Trafficking, Exploitation & Modern Slavery

An estimated 36 million people are being used, bought, sold or transported for exploitation worldwide, yet awareness of the issue remains low. Human Trafficking is modern day slavery and it is happening in the UK right now.

See the video

resource pack contains:

  • A poster for your staff
  • A flowchart of actions to take should you suspect trafficking
  • Modern Slavery Act 2015 legislation