Learning through Audit

Three Multi Agency Audits were undertaken during 2016/17. Each audit leads to the development of a detailed action plan to address issues raised, and the LSCP Audit sub group is responsible for monitoring the implementation of actions by partners.

Emotional Wellbeing April 2016

Liverpool LSCP identified Emotional Well Being (CAMHS provision Tier 2/3) as a business priority for 2014-15. The audit, Undertaken in February 2016, and the report was published April 2016, key findings included:

  • Communication of details of children subject to a child protection plan between CAMHS and Children’s Social Care needs to be reviewed to ensure that accurate details are in place for open cases to CAMHS.
  • Transition from child to adult services, and from Social Worker to Social Worker was hampering consistent service and quality of support to children and young people.
  • Some very good practice is evident, but there are still concerns about the regular and appropriate sharing of information between agencies

Application of LSCP Levels of Need at the Front Door October 2016

Undertaken in October 2016, the audit sought to review the quality, appropriateness and timeliness of referrals to Careline; to identify if the guidance as set out in LSCP document Responding to Need Guidance and Levels of Need Framework was being applied; and, review the appropriateness and timeliness of the response to these referrals/contacts. Key findings included:

  • A significant proportion of referrers were not using the Responding to Need Guidance and Levels of Need Framework.
  • Consent is being sought and obtained; however where consent was not obtained the referring agency was clear on why and the efforts taken.
  • Several referring agencies commented that no feedback was provided to them on the outcome of the referral.
  • Referrers were not always following up with written details; however: sufficient information is being provided to Careline to make an informed decision,
  • Referrals were timely and appropriate and outcomes considered appropriate by referrers.
  • All agencies need to ensure accurate recording of referrals to other agencies noting the level and depth of information provided to partners.

Early Help Step Down by Careline February 2017

Undertaken in February 2017, the audit sought to evaluate Careline decision to refer cases to Early Help. Key findings included:

  • In most cases the decision to recommend a referral to Early Help is appropriate, however some cases with clear Level 4 need were not referred to Social Care.
  • LON guidance is not sufficiently referenced or clearly used by referrers; referring via MARF increased the likelihood of guidance being referenced and improved the quality of referral.
  • Referrers are not evidencing that they have consulted with agency leads or referred to EHAT guidance prior to referral.
  • Many contacts that result in a referral to Early Help are requesting advice and guidance on how to proceed and may be able to consider an EHAT or make EHH referral themselves.