I took up post as Lead Officer for North Ayrshire Child Protection Committee in October 2007. At the time, Her Majesty’s Inspectorate of Education (HMIe) was responsible for leading on the very first round of Joint Inspections of Services to Protect Children and Young People. North Ayrshire’s inspection began in December 2007, and I was immediately introduced to a whole new world of “joint self-evaluations”.
When Wendy Rose, an Honorary Research Fellow in the School of Social Sciences at Cardiff University, attended a meeting of the Scottish Child Protection Committee Chairs Forum (now CPCScotland) in 2013 she presented work on establishing new arrangements for undertaking child practice reviews from Wales.
She gave an example of a GP attending an open learning event with multi-agency colleagues - social workers, teachers, other health practitioners etc. - where the GP’s practice was challenged. After the event, the GP had fed back to the facilitators that although this had been difficult to hear, it had helped her to reflect on how to improve her practice.
This example was the green light we needed to take forward our thinking and North Ayrshire Child Protection Committee launched PRISM – Practice Reflection and Improvement Short Module.
I don’t know who was more nervous at the first morning – the facilitators or the participants!
We knew we had people in the room who had been directly involved in the case we were discussing, and others who worked in teams that had not performed well.
We shared the story of the case – a little boy who was living in very neglectful home circumstances, where a number of services were involved but no one was keeping the needs of the child in sight – pausing at certain points to reflect on key aspects of practice.
We had brought together six to eight participants in mixed groups so that different multi-agency perspectives were represented at each table, and we had prepared prompt questions to facilitate reflection at key points.
Every person in the room participated fully and everyone was respectful of the practice that was being reviewed. Participants moved beyond focusing on what had “gone wrong” and instead gave thoughtful consideration to the challenges that get in the way of good practice.
Towards the end of that first PRISM, we shared the improvement plan that had been agreed. One key aspect of this was how the change to our child protection procedures - introducing a standard multi-agency review meeting three months following a child’s name being removed from the child protection register – was now better understood.
The PRISM participants shared that having looked at this little boy’s experience and reflecting on how services could have worked better together to meet his needs, the change in local procedures had new meaning for them. They understood the context in which this change had come about and, more importantly, they could see the link between the learning from the case review and improvement action to change procedures that had resulted from this.
The staff felt more confident in implementing this change of procedure.
Experience of delivering PRISM over four years has shown that staff are more than able to look at the evidence put before them, identify learning and challenge their own and others practice to improve in light of this.
We know that the test always comes when staff are back on the front line, continually managing risk within dynamic, conflicting and highly charged environments. Providing staff with more opportunity to access multi-agency peer reflection, such as through PRISM, can help to better equip them.
The success of PRISM is owed to many contributing factors:
• To those who support and undertake the resource intensive work involved in joint self-evaluation activity
• To those who contribute to the evidence base for joint evaluation such as staff and family members who participate in focus groups and surveys
• To North Ayrshire Child and Public Protection Chief Officers’ Group who prioritise joint evaluation and improvement work and hold North Ayrshire Child Protection Committee to account for this.
• And, finally, to PRISM participants who, time and again, provide evidence that staff involved in this very complex, demanding, challenging work, somehow retain the energy and optimism to fully engage in opportunities to keep improving what they do, for the benefit of the infants, children, young people and families that they serve.
Interested in developing PRISM in your own area? Access a How to guide.