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Sunderland

Prevention Offer

for children and young people

Introduction

Prevention is about supporting all children and young people to grow

up happy, healthy, safe and resilient, by providing them with the

knowledge and skills they need to manage the opportunities and

challenges that may come their way.

Prevention is a key principle of children’s safeguarding: It is better to take

action before harm occurs. The Sunderland Prevention Offer has been

developed to support professionals working with children and young

people in educational and community settings.

From September 2021, it is a statutory requirement to provide

Relationships and Health Education in primary schools and Relationship

and Sex and Health Education in all secondary schools in England (RSHE).

Many schools are already offering high quality RSHE that covers, and

exceeds, statutory content. The content of schools RSHE curriculum

should support the wider work of schools in helping foster pupil wellbeing

and develop resilience.

Keeping Children Safe in Education 2021, states that all staff should be

prepared to identify children who may benefit from early help. Early help

means providing support as soon as a problem emerges at any point in a

child’s life, from the foundation years through to the teenage years. As

professionals, “You should also be aware of the boundaries and limitations

of your role”; although you may not be the expert, remember young

people often require a listening ear. You will then be able to support them

to navigate the system and ensure they are supported into the

appropriate specialist services and support.

The Sunderland Prevention Offer for children and young people provides

information on universal and targeted services available in the city that

can offer early intervention or specialist support to reduce or prevent

problems or issues from getting worse and bring in the right support at

the right time to meet young people’s needs.

All organisations across the city that work with children and young people

can access support or make referrals for individuals or groups of children

and young people who may be at risk of and/or engaging in risk taking

behaviours that could impact on their physical and mental health,

wellbeing and personal safety.

The document is broken down into 4 themed areas and also

highlights what key stage in education the services can work with,

the themes include:

Theme 1 Staying safe and personal development

Theme 2 Mental health and wellbeing

Theme 3 Drugs, alcohol and smoking

Theme 4 Maintaining a healthy weight

Please note these services are not a replacement for delivering schools

statutory duty for RSHE, they are there to offer specialist support and

enhance a schools offer when a targeted intervention is required or a

new and emerging issue arises in relation to health, wellbeing and

risk-taking behaviour.

Theme 1: Staying safe and personal development

Growing Healthy Sunderland, 0-19 Public Health Service

Growing Healthy Sunderland, 0-19 Public Health Service provides a range of health promotion services to children and their families. Key themes for the school population are identified using health profiling, bringing together local intelligence and relevant public health data to identify the needs of the school population. Prevention: The universal offer aims to support young people and families to make positive choices about health-related behaviours; the service delivers universal health promotion sessions relating to staying safe, healthy relationships & sexual health. Sessions aim to provide information and techniques to support health and wellbeing through adopting health enhancing behaviours and choices. Targeted: Growing Healthy Sunderland provide additional targeted support and guidance to those identified as having additional need or who are at risk; young people, parents/carers can self-refer to the service and partner agencies can refer to the service using the referral form. The service assists young people to access specialist services and plan coping strategies to prevent further ill health, relapse.

Referrals to the service can be completed on the attached form and sent to spoc.hdftsunderland@nhs.net speak to a school nurse or make a referral contact the Single Point of Contact Tel: 03000 031552 Young People and Parents can speak to a school nurse in a virtual clinic via the link below: https://nhs.vc/sunderland-school- nurse-drop-in For more information visit: https://www.facebook.com/Growi ngHealthySunderland/ https://www.hdft.nhs.uk/services/ childrens-services/growing- healthy-sunderland/

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Anti-Bullying (Together for Children)

Together for Children works with schools, young people, parents and any professionals to offer support, resources and inspiration to support the anti-bullying agenda across Sunderland. Prevention: Prevention work can be delivered by the Anti-bullying lead either in a group setting or on a one-to- one basis. This work will help young people identify what bullying is and the resources/pathways and interventions available to use. Targeted: Referrals can be made by schools and health services to request specific support for young people experiencing bullying issues. Direct work will be undertaken on an individual basis.

The Anti Bullying referral form is available on the Together for Children website which is processed via EHAAT. Direct contact can be made with the Anti Bullying Lead to discuss referrals - Wendy Coghlan Wendy.Coghlan@togetherforchildr

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Anti-Bullying Charter Mark

The Anti-Bullying Charter Mark is a tool created by young people to help schools and other establishments showcase the work they do to prevent bullying. Awarded by young people, it involves the whole school community in bringing about positive change.

https://www.togetherforchildren.or g.uk/services/anti-bullying-charter- mark

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Theme 1: Staying safe and personal development

RSHE Team (Together for Children)

Prevention: The RSHE team deliver preventive work to children and young people across sunderland aged 8 to 18 years (up to 25 if they are care experienced or SEND). The purpose of the preventive work is to prevent teenage pregnancies, unhealthy relationships, unsafe online use and CSE and grooming. Targeted: Targeted work can be delivered 1-1, group work or outreach. The RSHE team can deliver high impact work to ensure children and young people can build their knowledge and confidence on making sound decisions around the following: Sexual health; Sex and the Law; Consent; Healthy relationships; Self-esteem; Online safety; LGBTQ+ and CSE and grooming.

The RSHE team work with young people aged 8 to 18 years (up to 25 years for young people with special educational needs). Referral information can be found at; https://www.togetherforchildren.or g.uk/professionals/relationship- health-sex-education-rhse

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Sunderland Integrated Sexual Health Service

(South Tyneside and Sunderland NHS Foundation Trust)

Sexual Health is an integral part of overall health, well-being and quality of life. Sexual and reproductive health (SRH) care does not just cover the provision on contraception and the treatment of sexually transmitted infections. It supports sexual well-being, irrespective of an individual’s background, sexual orientation or gender identity. It begins with education and ends with encouraging post reproductive health across a person’s life span Prevention: Sunderland Integrated Sexual Health Service Outreach Team offers a universal offer to secondary schools across the city. To support the delivery of RSHE curriculum on subjects including, contraception, sexually transmitted infections and promoting access to sexual health services locally. The team co-ordinate and deliver the Sunderland C-Card Scheme. Targeted: The Young Person Contraceptive Nurse identifies those young people who are at high-risk of pregnancy and provides support and education with regards to contraception and sexual health within outreach settings, including children’s homes/schools/colleges, with a particular focus on at-risk groups who may not access mainstream services.

https://www.sunderlandsexualheal th.nhs.uk/services/contraception/ whats-available Telephone: 0191 569 9966

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Wear Kids (Together for Children)

Prevention: Preventative work focuses on preventing/reducing anti-social behaviour in the community. Wear Kids is a voluntary intervention delivered 1-2-1 referrals considered from 9.6 years - 17 years not previously known to Criminal Justice System Targeted: Referrals from multi agency/professionals for young people of concern displaying ASB in the community. Intervention plans are individualised to each young person. Wear kids undertake assessment of needs and risk underpinning behaviour.

A screening tool is available on the TOGETHER FOR CHILDREN Hub which can be completed by Early Help Workers, Schools and External Agencies. This acts as the referral form; alternatively contact Julie Simpson via email julie.simpson@togetherforchildren. org.uk

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Screening/assessments/pathways

Growing Healthy Sunderland, 0-19 Public Health Service

Assessments: School Health Profiles Year 6 Health Questionnaire - Parent/Carer Year 6 Health Questionnaire Young person Assessment of Gillick/Fraser competence Screening for sexual health - Chlamydia Screening Holistic Family Needs Health Assessments (FNHA) & risk assessment of Adverse Childhood Experiences (ACE’s) Emotional resilience assessment (Warwick Edinburgh) Pre assessment to paediatrics Assessment for risk of Child Sexual Exploitation (CSE)

Anti-Bullying (Together for Children)

A referral is received and processed via EHAAT. If EHAAT feel this family could benefit from an Early Help Worker, they will be allocated at this stage and contact the Anti Bullying Lead for support if required. If the referral does not require Early Help intervention it will be forwarded direct to the Anti Bullying Lead and they will contact the family direct. Support is provided to parents who feel they have not been supported by the school with regards to bullying issues. Direct contact is made with the parent and meeting is arranged with all professionals in School to pull together a plan around the young person.

Brook Referral form is completed. All young people complete Warwick-Edinburgh Mental Well-being Scale (WEMWBS) completed during each 1:1 programme to ascertain impact. Evaluations completed with all group sessions to gather young person feedback.

RSHE Team The RSHE Team complete multiple assessments:

• Assessment of Gillick/Fraser competence
• Safeguarding assessment
• MSET (Missing, Sexually, Exploited and Trafficked)
• AIM Assessment (The AIM Project: Revised Assessment Framework for Restorative Approaches to Adolescent Harmful Sexual Behaviour)
• An initial assessment is completed with the child or young person to ensure their voice is heard on what they would like to learn about within the RSHE sessions. During the initial assessment sexual health needs are discussed with 13+.

Sunderland Integrated Sexual Health Service Outreach Team and Young Persons Contraceptive Nurse

The team complete an assessment of young person individual needs this includes;

• Assessment of Gillick/Fraser competence and any safeguarding concerns.
• Screening for sexual health- Chlamydia Screening
• Assessment for risk of Child Sexual Exploitation (CSE)
• Contraceptive needs

Education and interventions

Growing Healthy Sunderland, 0-19 Public Health Service

Growing Healthy Sunderland deliver drop-in sessions in the community and in schools providing health promotion in relation to staying safe and behaviours which pose risk to health and wellbeing. The drop-in sessions are offered face to face in schools and community venues and also via virtual platforms. Health promotion at the drop in sessions includes information regarding sexual health, contraception, fertility, personal safety, healthy relationships and bullying, and risk-taking behaviours. The service deliver C Card sign up and distribution, pregnancy testing and sexual health screening. The service offers educational group sessions and one to one support where needs are identified through referral and school health profiles. The service provides group sessions targeted at a particular topic and year group where there are emerging needs. Puberty sessions are offered to all pupils in Years 5/6. Where Special Educational Needs and Disabilities (SEND) is identified, individualised needs are assessed and the service offer is delivered to address specific individual need. Practitioners from our SEND team work with families and partners to plan targeted intervention where Gillick or Fraser competence is not evidenced. Growing Healthy Sunderland practitioners support and complete onward referrals to Brook, Sexual Health Services, C Card Distribution points, Maternity services, & GP’s. Universal and targeted interventions are delivered by the Growing Healthy Sunderland Vulnerable Young People’s Nurse and Growing Healthy Sunderland Emotional Resilence Team to small groups and during 1:1 intervention in the Pupil Referral Unit. Topics include sexual health, keeping safe & managing risk-taking behaviour. Growing Healthy Sunderland Emotional Resilience Team offer Friend’s programme regarding bullying, friendships, and healthy relationships.

Anti-Bullying Prevention work can be delivered by the Anti-bullying lead either in a group setting or on a one- to-one basis. This work will help young people identify what bullying is and the resources/pathways and interventions available to use. Referrals can be made by schools and health services to request specific support for young people experiencing bullying issues. Direct work will be undertaken on an individual basis.

Brook Brook will deliver targeted relationship and sex education (RSE) group sessions to young people in a range of settings including Pupil Referral Units. Topics include (but are not limited to):

• Consent
• Sexual Health Awareness
• Condoms and Contraception
• Sex and the Law
• Healthy Relationships
• Online and Digital Lives
• Challenging Gender Expectations Brook will deliver tailored targeted one-to-one sessions for vulnerable young people who are identified as most at risk of poor sexual health and relationships outcomes. This includes:
• abusive relationships
• early indicators of abusive behaviour (pre-perpetrator behaviours)
• those with multiple, complex needs such as Looked After Children.

Education and interventions

Careers and NEETS Service TFC

TfC Careers and NEET Service CEIAG support for ‘vulnerable’ young people The Department for Education provides no definition of what constitutes a ‘vulnerable’ young person. TfC Careers & NEET service has used detailed demographic knowledge of the locality to ensure that a balanced, objective definition is used to target support for students in areas of greatest need and have identified the following groups of year 11’s in the main, who will receive support to make successful transitions and to remain engaged in learning:

• Young People with Education, Health and Care Plans at key transition stages (Year 8 or 9 and year 11, 13 or 14 if applicable)
• Children who are Cared for and Care Experienced at key transition stages in Year 8 or 9 and
• Children on Early Help Plans who meet the Troubled Families ‘financial exclusion’ criterion (e.g., from workless households)
• Children on Child Protection (CP), Child in Need (CIN) Plans
• Young Offenders currently supported by the Youth Offending Service
• Pregnant teenagers, teenage mums and teenage dads involved in the upbringing of their child
• Young Carers (registered with the Young Carers Service)
• Gypsy, Roma, or those belonging to the Travelling Community
• Refugees and Asylum Seekers
• Children who are EHE, electively home educated (although parents do not have to take up the offer) All Young People falling into the categories set out above will be entitled to access CEIAG support during Year 11 in order to secure successful transition into education, employment, ortraining opportunities (EET). Specific support for SEN students
• Where appropriate, Careers & NEET Advisers will attend annual Education, Health and Care (EHCP) Reviews for Year 8 or 9 depending on when GCSE’s options are chosen and Year 11, 13 or 14 if applicable (provided at least two weeks’ notice is given)
• Careers & NEET Advisers will meet with students and/or parents prior to review for guidance interview and to gather information for EHCP report
• Careers & NEET Advisers will contribute to the Education, Health and Care Plan (EHCP) by providing a professional written report Specific Support for Cared for and Care Experienced children and young people
• Careers & NEET Advisers will attend Personal Education Plan (PEP) meetings for children and young people Cared for and Care Experienced, in Year 8 or 9 and Year 11 (provided at least two weeks’ notice is given) and will contribute to the action plan.
• Young people aged 18 and over will be supported through a named link Careers Advisor who will engage with Next Steps in-order to develop and further strengthen partnership working. Specific Support for YOS Young people
• Named link Careers Advisor will engage with YOS in-order to develop partnership working to support the needs of young people engaged with YOS.

Education and interventions

Sunderland Integrated Sexual Health Service Outreach Team and Young Person Contraceptive Nurse

Outreach Team Prevention: Universal offer to all school in Sunderland Year 9 – Conception, Contraception, Accessing Local services, Confidentiality and what to expect if you visit. Sexual Anatomy Classroom based 1 hour Year 10 - Local C card service, condom use. Emergency contraception. Assembly 20 minutes. Year 11 - STI’s and local, internet and remote testing. Assembly 20 minutes. Screening session during lunch or after school on premises. Sessions for school or units with in schools that work with young people who need additional support. Link with various programmes and interventions such as the National Citizenship programme to deliver interventions around sexual health. School “drop down” health intervention days Targeted: 5-week course:

• Consent and the law
• Risk taking
• Our bodies and feelings how they change
• STI’s
• Contraception Contact David Messenger D.messenger@nhs.net 007342066768 0191 569 9966 ext 42812 Steve Emerson Steve.Emerson@nhs.net 07342066676 0191 569 9966 ext 42813 Young Person Contraceptive Nurse A specialist, mostly targeted role that delivers targeted activity to help reduce poor sexual health outcomes for those under 25 and engagement with high risk groups, for example young parents, those with learning disabilities, asylum seekers and vulnerable young people. Prevention
• Training to partner organisations to broaden sexual health skills and knowledge
• Support national and local evidence based campaigns Targeted
• Access to contraception (including LARC and Emergency Hormonal Contraception)
• STI testing
• Pregnancy testing and pregnancy options advice.
• Post-natal and post termination contraception pathways and emotional support to prevent secondary pregnancies
• Outreach for young or vulnerable people who encounter barriers to mainstream service access. Contact YPCN Chris Etherington Directly on: 07824457420 Work Mobile or Contact Contraceptive Services on (0191) 5656256 extension: 42182 to speak to a member of the Team. Email address: Secure Email for YPCN - c.etherington@nhs.net

Wear Kids (^) Wear Kids are developing group sessions to be delivered within schools, this is currently offered at the request of specific schools as it is dependent on capacity within the team Wear Kids have a U Tube channel dedicated to resources for young people. Individualised intervention plan informed by assessment. Wear Kids provides targeted 1-2-1 work sessions in homes/schools/community settings

Building capacity and training

• Training for professionals working with children, young people, and families
• Training for young people as peer educators

Anti-Bullying Anti-Bullying Lead supports schools with achieving an Anti-Bullying Charter Mark Award. The Charter Mark Award helps the school ensure they have everything they need in place to prevent bullying

Brook Brook offer free high-quality digital e-learning coursed to empower, support, and encourage professionals to deliver effective relationships and sex education (RSE) course include;

• How to deliver RSE covering
• Consent
• STIs
• Puberty
• Contraception
• Pleasure
• Relationships & enduring love
• Emergency contraception
• Abortion
• Child Sexual Exploitation (CSE) https://learn.brook.org.uk/

RSHE Team The RSHE Co-Ordinator delivers training to teachers, pastoral staff and safeguarding leads on the statutory requirements of Relationship, Sex and Health Education in line with the National Guidance and the schools statutory duty. RSHE Co-Ordinator delivers training to professionals including; Early Help, Social Care and other professionals working front line with children and young people to enhance their knowledge and confidence in delivering RSHE.

Sunderland Integrated Sexual Health Service Outreach Team

Training for community-based staff to allow the delivery of level 1 Sexual Health Interventions (C Card and STI/dual screening) Training for parents and foster carers Talking to your child about sex - a five-hour course delivered over 5 weeks to empower parents to talk about healthy sexual development. Contact David Messenger D.messenger@nhs.net 007342066768 0191 5699966 ext 42812 Steve Emerson Steve.Emerson@nhs.net 07342066676 0191 5699966 ext 42813

Theme 2: Mental health and emotional resilience

Growing Healthy Sunderland, 0-19 Public Health Service

Growing Healthy Sunderland provide a range of health promotion activities to school age children and their families. key themes for the school population are identified using health profiling, bringing together local intelligence relevant public health data to identify the needs of the school population. Prevention The universal offer aims to support young people and families to make positive choices about health-related behaviours; the service delivers universal health promotion sessions educating young people about what mental health is and how to maintain positive mental health, friendships & healthy relationships & sexual health. Sessions aim to provide information and techniques to support positive mental health and wellbeing through adopting health enhancing behaviours and choices. Targeted The Growing Healthy Sunderland Emotional Health and Resilience Practitioners (EHRP) provide guidance in small group sessions or to individuals identified as requiring low level additional support or who are at risk of deteriorating mental health. Young people, parents/ carers can self- refer to the service and partner agencies can refer to the service using the referral form. The service assists young people to access specialist services and plan coping strategies to prevent further ill health, relapse.

Referrals to the service can be completed on the attached form and sent to spoc.hdftsunderland@nhs.net speak to a school nurse or make a referral contact the Single Point of Contact Tel:- 03000 031552 Young People and Parents can speak to a school nurse in a virtual clinic via the link below https://nhs.vc/sunderland-school- nurse-drop-in For More Information visit: https://www.facebook.com/Growi ngHealthySunderland/ https://www.hdft.nhs.uk/services/ childrens-services/growing- healthy-sunderland/

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Mental Health Charter Mark

The Sunderland Mental Health Charter Mark has been developed to support Sunderland schools to adopt and establish positive mental health and emotional wellbeing practices within their setting. In addition, the award recognizes the dedication of schools within the city to support the health and wellbeing of their pupils, staff and local communities. Participation in the award will also support schools to prepare for Oftsed inspection as it has been developed in line with Ofsted guidance from the common inspection framework. The Charter Mark can be gained at bronze, silver or gold levels, dependent on a provider’s ability to demonstrate how it supports children and young people, parents and staff.

Visit https://www.togetherforchildren.or g.uk/professionals/mental-health- charter-mark Contact mentalhealthcharter@schools.sund erland.gov.uk

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Theme 2: Mental health and emotional resilience

Sunderland Health and Happiness Project (Together for Children/CCG )

The Sunderland Health and Happiness Project empowers young people to become involved in decision making relating to health and wellbeing in the authority. A young people’s health and happiness engagement group has been developed consisting of pupil representatives from citywide secondary schools. The group meet regularly to: Identify health related issues and develop solutions that affect themselves and their peers. Work with citywide health services to offer opinion, advice and support to the services to enable them to enhance their current offer to children and young people. Support and lead citywide health related projects

please contact Gwen, our Health and Happiness lead Gwen.Siegel@togetherforchildren.o rg.uk Updated information about the Health and Happiness Project can be found at https://www.togetherforchildren.or g.uk/sunderland-health-and- happiness-project KS1, KS2 KS and KS

Sunderland Mind

WASP (Wellbeing Action Support Project) offer a listening ear service to anyone aged between 7-18 years old, parents can also access this service. The listening ear is not a counselling service. However, a young person can a.speak confidentially as and when problem arises

Telephone: 0191 5657218 or 07984595624 Email: youngpeople@sunderlandmind.co. uk

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Washington Mind

Washington Mind Young People’s Project offer 1- counselling and groupwork for young people aged 11+ who live within the City of Sunderland.

Call us on: 0191 417 8043 or email us: info@washingtonmind.org.uk

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Kooth Kooth is an online mental health service that professionals can signpost children and young people to. It is a confidential and anonymous way for young people aged 10 to 25 years old to get help with their emotional wellbeing. It’s a free, safe online community where young people can seek advice and information or speak to someone who understands. Kooth's fully trained, qualified counsellors and emotional wellbeing practitioners are available to talk to every day until 10pm.

If you would like more information regarding Kooth or support promoting within school contact dwoodward@kooth.com https://www.kooth.com/

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