- 1. Introduction
- 2. Key Principles
- 3. Resolving Differences of Opinion; Stages of Resolution
Click here to download the Resolving Professional Differences (Escalation policy) as a pdf.
Effective working together depends on an open approach and honest relationships between agencies. Problem solving and resolution is an integral part of professional co-operation and joint working to safeguard children and young people.
Transparency, openness and a willingness to understand and respect individual and agency views are a core aspect of multi-agency / inter-agency working. However, there may be occasions where individuals / agencies working with children and families disagree on how best to keep children safe and promote their welfare.
Disagreements can arise in a number of areas, but are most likely to arise around:
- Perceived levels of risk
- Levels of need and whether a child has met the threshold for a service or intervention
- Roles and responsibilities
- Level or quality of communication/ information sharing
- Provision of services
- Action or lack of action progressing plans
- Cases being / not being stepped up or down and / or closed
The Cambridgeshire & Peterborough Safeguarding Children Board is clear that there must be respectful challenge whenever a professional or agency has a concern about the action or inaction of another. The aim must be to resolve a professional disagreement at the earliest possible stage, always keeping in mind that the child and young person’s safety and welfare is paramount.
If a child is thought to be at immediate risk of harm, the designated safeguarding lead in your agency should be informed immediately.
Any worker who feels that a decision is not safe, or is inappropriate, can initially consult their supervisor / manager to clarify their thinking, if required. They should be able to evidence the nature and source of the concerns and should keep a record of all discussions.
Concerns relating to decisions, suspected wrongdoing or dangers at work within an agency, should be raised in line with each agency’s policies for dealing with such matters, including, but not limited to, those setting out the arrangements for ‘whistleblowing’.
Where a dispute involves a complaint about the behaviour or professional conduct of a worker, this should be reported initially to their line manager to action under agency policy. For allegations against staff, either the LADO should be contacted (Child protection concern), or the agency’s whistleblowing / complaints procedure used.
2. Key Principles
- The child’s safety and welfare should be the key focus at all times and any dispute between individuals / agencies should never leave a child unprotected
- It is the responsibility of all professionals to be assertive and to present a respectful challenge to the actions and decisions of other agencies where they believe there is evidence to suggest that the child’s safety or development may be compromised
- A culture of professional challenge can be developed and facilitated through consistent communication and information sharing between agencies and within clear plans for children and families. Professionals should know who in the multi-agency network is involved with the child, young person and their family
- Individuals /agencies should not be defensive when challenged and must always be prepared to review decisions and plans with an open mind and revise decisions in light of the new information
- Differences of opinion should be resolved at the earliest stage and within the shortest timescale possible to ensure that the child is protected
NOTE: If a child is thought to be at imminent risk of harm, the matter should be referred immediately to the Police/ Social Care to decide what action to take to safeguard/protect the child whilst the dispute is being resolved.
3. Resolving Differences of Opinion; Stages of Resolution
Stage One: Discussion between workers
The people who disagree should have a discussion to try to resolve the problem. This discussion must take place as soon as possible and could be a telephone conversation or a face to face meeting. It should be recognised that differences in status and /or experience may affect the confidence of some workers to pursue this unsupported.
Stage Two: Discussion between Line Managers
If the problem is not resolved and concerns remain, the worker should contact their supervisor / line manager / safeguarding lead within their own agency to consider the issue raised, what outcome they would like to achieve and how differences can be addressed.
The line manager should contact their respective counterpart to try to negotiate an agreed way forward. This could involve a professionals meeting if deemed appropriate.
Stage Three: Discussion between Operational/Senior Managers
If the issue is not resolved at stage two, the supervisor/ line manager reports to their manager or named/ lead safeguarding representative. These two senior managers of both individuals/organisations must liaise and attempt to resolve the professional differences through discussion.
Stage Four: Resolution by Cambridgeshire and Peterborough Safeguarding Board’s Chair
If there is no resolution, and having exhausted all other routes, the matter should be escalated to the Chair of the Cambridgeshire and Peterborough Safeguarding Board. The escalation to CPSCB should be made via the Head of Service (for each individual/agency) to the Safeguarding Board.
The Chair may either seek to resolve the issue directly with the relevant senior managers, or convene a Resolution Panel.
The Resolution Panel must consist of a senior officer from three agencies who are members of the Cambridgeshire & Peterborough Safeguarding Board. The senior officers must include the agencies concerned in the professional differences. Where this involves health agencies the Resolution Panel members should include the Designated Doctor/ Nurse for Safeguarding.
The Panel will receive representations from those involved in the dispute and will collectively resolve the professional differences concerned.
At each stage professionals must ensure that appropriate records are made in the child’s or family’s case records. This should include the concern, action taken to resolve, agreed actions from resolution process, timescales and the outcome. This should be clear, evidenced and factual.