Learning Pool Social Care Seminar - Safeguarding Adults


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Learning Pool Social Care Seminar - Safeguarding Adults by Warwickshire Council's Carol Judge.

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  • Hello, introduce self.
  • Safeguarding Adults in its widest sense encompasses a very broad range of activity and, really, describes any type of work that protects & promotes, people’s rights, choices and opportunities, health & wellbeing, security, and right to live free from abuse, harassment and discrimination. In real terms, we are talking about dealing directly with people who are at real risk of harm or who may have been seriously harmed- for example through sustained severe mistreatment & abuse, or as the victim of serious crime. And it is this type of serious risk & harm that we are usually talking about when we use the terminology “Safeguarding Adults” within a social care or healthcare environment. It is the reactive adult protection process we use when there are concerns of significant harm to a Vulnerable Adult through abuse by another person or persons.
  • And it was this premise that abuse of vulnerable adults has been a hidden issue that formed the basis for No Secrets – which made the challenge that there should be No Secrets & No Hiding Places for vulnerable adult abuse. No Secrets is statutory guidance issued by the Department of Health in 2000. It requires Local Authorities to take the lead in establishing local arrangements to Safeguard Vulnerable Adults who are at risk of harm through abuse. It requires us to have local multi-agency procedures to guide responses to issues of identified abuse, a local training package to raise awareness of adult abuse issues, and a multi-agency committee to manage this framework- in Warwickshire this is called the Warwickshire Safeguarding Adults Partnership Board. No Secrets also gave some important definitions – who are Vulnerable Adults for the purpose of the Safeguarding procedure, what is abuse, and when should public bodies take action.
  • Steven Hoskin - failures in identifying vulnerability & risk indicators; partnerships-information sharing; eligibility criteria; assessment of decision making capacity Fiona Pilkington 2007 – failures in identifying vulnerable & risk indicators; failure to share information and refer on Margaret Panting 2001 - self determination balanced with duty of care Mid Staffordshire – failures to focus on quality; failure to listen to patients; need for early warning systems; role of commissioning and regulators – failure to use intelligent information Death by Indifference – institutionalised discrimination led to deaths Cornwall Partnership NHS Trust 2006 – inadequate arrangements to protect vulnerable adults; staff largely unaware of what constituted abuse Shipman Inquiry 2004 Kerr & Haslam 2005
  • This image is around the county over the last year. The central No Secrets message of there can be no secrets and no hiding places for the abuse of vulnerable adults – “Don’t keep adult abuse in the dark”…. We didn’t really have any good quality publicity information in Warwickshire around Safeguarding Adults / Vulnerable Adult protection, and in general people from non-social care have very little idea what adult protection work is all about. So we updated the publicity information- which was well overdue- and had a concerted publicity push. Leaflets (over 30,000) and posters (over 3,000) and the magnetic concertina cards (over 9,000) went out around the county, and into social care providers, health settings, hospitals, all GP surgeries and housing. (NEXT SLIDE)
  • June was an extremely very busy as borne out by the figures - 150 in June 11. Marked trend-line upwards (the black line) in the last 14 months
  • These are the referral figures in Warwickshire over the last few years, and as people have become more aware of the issue of abuse of vulnerable adults, the referral figures have increased significantly. But this doesn’t mean more people are being abused now than in 2006, but that more abuse is being identified, reported and addressed. Higher numbers are actually a good thing in this regard. Based on national research and local population, we estimate somewhere in the region of 4,000 Vulnerable Adults are experiencing abuse in Warwickshire. It is still to a large degree a “hidden” issue.
  • The next stage is to use the success of this pilot with other surgeries around the county over the next year and to engage more with GP’s
  • We need to make it happen We need good leadership and a confident workforce It is down you to make it happen
  • MOUSE CLICK Defn- Who it includes, but also, who it can exclude. Vulnerable groups such as care leavers, homeless people and other marginalised groups. Self-neglect not covered. MOUSE CLICK Defn abuse- Rightly so goes back to human and civil rights focussed approaches. Stressing the universal entitlement to basic rights.
  • Learning Pool Social Care Seminar - Safeguarding Adults

    1. 1. Adult, Health and Community Services Safeguarding Adults in Warwickshire Carol Judge Strategic Lead for Safeguarding Vulnerable Adults Mental Capacity Lead Deprivation of Liberty Safeguards Manager
    2. 2. The Changing Face of Safeguarding Vulnerable Adults <ul><li>Safeguarding Adults - Government Policy On Adult Safeguarding </li></ul><ul><li>What is Warwickshire doing to meet the demands of the possibility of New Legislation? </li></ul><ul><li>e-learning for GP’s </li></ul>Adult, Health and Community Services Adult, Health and Community Services
    3. 3. Safeguarding Adults Warwickshire County Council Adult, Health and Community Services Safeguarding Vulnerable Adults Mental Capacity Act 2005 Deprivation of Liberty Safeguards
    4. 4. National Policy Background <ul><li>Primary policy - “No Secrets” (DoH, 2000) </li></ul><ul><li>- Sets out the requirement to establish </li></ul><ul><li>a multi-agency framework for the </li></ul><ul><li>Protection of Vulnerable Adults. </li></ul><ul><ul><li>Legal requirement on Local Authorities to </li></ul></ul><ul><ul><li>follow this guidance under Section 7 of the </li></ul></ul><ul><ul><li>Local Authority Social Services Act 1970. </li></ul></ul>Warwickshire County Council Adult, Health and Community Services
    5. 5. No Secrets National Consultation <ul><li>One of the biggest in recent years </li></ul><ul><li>Key Message from the consultation – People want a system that is Empowering which will cover 7 areas:- </li></ul><ul><li>Access and Empowerment </li></ul><ul><li>Clarity of Outcomes </li></ul><ul><li>What People wanted from the Process </li></ul>Warwickshire County Council Adult, Health and Community Services
    6. 6. National Consultation <ul><li>Working with People who lack Mental Capacity </li></ul><ul><li>Information Sharing </li></ul><ul><li>Working with people during safeguarding </li></ul><ul><li>Working with people after safeguarding </li></ul>Warwickshire County Council Adult, Health and Community Services
    7. 7. National Consultation <ul><li>People experiencing safeguarding reported </li></ul><ul><li>They go lost in the system </li></ul><ul><li>Safeguarding should not be at the cost of other qualities of life </li></ul><ul><li>Wanted to be listened to & to make choices </li></ul><ul><li>They were not children </li></ul><ul><li>Prevention – pro-active safeguarding system </li></ul><ul><li>Balance protection and levels of intervention-enable people to take considered risk </li></ul><ul><li>Difficulty with language – very ‘social care’ </li></ul>Warwickshire County Council Adult, Health and Community Services
    8. 8. <ul><li>The Government’s policy objective is to prevent and reduce the risk of significant harm to vulnerable adults from abuse or other types of exploitation, whilst supporting individuals in maintaining control over their lives and in making informed choices without coercion. </li></ul><ul><li>The Government believes that safeguarding is everybody’s business with communities playing a part in preventing, detecting and reporting neglect and abuse. Measures need to be in place locally to protect Those least able to protect themselves. Safeguards against poor practice, harm and abuse need to be an integral part of care and Support. We should achieve this through partnerships between local organisations, communities and individuals. </li></ul>Government Policy On Adult Safeguarding Warwickshire County Council Adult, Health and Community Services
    9. 9. <ul><li>The State’s role in safeguarding is to provide the vision and direction </li></ul><ul><li>and ensure that the legal framework, including powers and duties, is </li></ul><ul><li>Is clear, and proportionate whilst maximising local flexibility. </li></ul><ul><li>We need local authorities and local multi-agency partnerships to </li></ul><ul><li>provide leadership in moving to less risk-averse ways of working, and </li></ul><ul><li>to concentrate on outcomes instead of focusing on compliance. </li></ul><ul><li>These solutions will be different in different places, reflecting, for </li></ul><ul><li>example, local demographics and environmental characteristics. </li></ul><ul><li>However, they should all reflect the key Principles. </li></ul>Warwickshire County Council Adult, Health and Community Services
    10. 10. Principles <ul><li>Empowerment - Presumption of person led decisions and informed consent. </li></ul><ul><li>Protection - Support and representation for those in greatest need. </li></ul><ul><li>Prevention - It is better to take action before harm occurs. </li></ul>Adult, Health and Community Services
    11. 11. <ul><li>Proportionality – Proportionate and least intrusive response appropriate to the risk presented. </li></ul><ul><li>Partnership - Local solutions through services working with their communities. Communities have a part to play in preventing, detecting and reporting neglect and abuse. </li></ul><ul><li>Accountability - Accountability and transparency in delivering safeguarding. </li></ul>Adult, Health and Community Services
    12. 12. These Principles are not separate but integral to wider Government policy. <ul><li>Links to:- </li></ul><ul><li>No Secrets </li></ul><ul><li>This document builds on “No Secrets”, which will remain as statutory guidance until at least 2013. </li></ul><ul><li>In the principles described above, we have taken account of the responses to the public consultation on “No Secrets” in 2008/09, the implementation of the Mental Capacity Act 2005 and the drive towards increasing personalisation of services. </li></ul><ul><li>The Government intends to seek to legislate for Safeguarding Adults Boards (SABs) Making existing Boards statutory, while maintaining their freedom to operate in locally flexible ways, will secure a transparent and locally accountable mechanism for local communities to ensure the protection of vulnerable adults. </li></ul>Adult, Health and Community Services
    13. 13. <ul><li>Research commissioned by the Department of Health has shown that specific legislation for statutory Safeguarding Adults Boards would help to hold agencies accountable in ways which guidance, differentially binding on the partners, has not so far been able to do. Such a move is widely supported by stakeholders. </li></ul><ul><li>The Law Commission has now published the final report of its review of adult social care law and has recommended making SABs statutory. </li></ul>Adult, Health and Community Services
    14. 14. Learning from Serious Case Reviews, Inquests, Past Experiences & Research <ul><li>Steven Hoskins 2006 </li></ul><ul><li>Fiona Pilkington </li></ul><ul><li>Margaret Panting </li></ul><ul><li>Mid Staffordshire </li></ul><ul><li>Death by Indifference </li></ul><ul><li>Cornwall Partnership NHS Trust 2006 </li></ul><ul><li>Shipman Inquiry 2004 </li></ul><ul><li>Kerr & Haslam 2005 </li></ul>Warwickshire County Council Adult, Health and Community Services
    15. 15. <ul><li>What is Warwickshire doing to meet the demands of the possibility of New Legislation? </li></ul>Warwickshire County Council Adult, Health and Community Services
    16. 16. <ul><li>The production of a three year Safeguarding Strategy </li></ul><ul><li>Sub-groups taking more responsibility & ownership </li></ul><ul><li>Joint training with the PCT, Police, Housing, Service Users, Carers and external partners </li></ul><ul><li>Integrated working within Mental Capacity Act & Deprivation of Liberty Safeguards </li></ul><ul><li>Introduction of Lead Practitioners for Safeguarding and the introduction of a Safeguarding Adults Short Term </li></ul><ul><li>Introduction of a dedicated safeguarding telephone number </li></ul><ul><li>e-learning for GP’s </li></ul>Warwickshire County Council Work we are undertaking Adult, Health and Community Services
    17. 17. We did some work on publicity Warwickshire County Council Adult, Health and Community Services
    18. 18. 150 Referrals in June 11
    19. 19. Vulnerable Adult Abuse in Warwickshire Warwickshire County Council Adult, Health and Community Services
    20. 20. E-learning for GP’s <ul><li>e-learning was introduced to GP’s surgery in the North of </li></ul><ul><li>the county where referrals are generally low. This was a </li></ul><ul><li>big success where we had 80% uptake and only two staff </li></ul><ul><li>have not yet completed the e-learning course. </li></ul><ul><li>Feedback was “that it was a good way to learn </li></ul><ul><li>especially if you could not access face to face training”. </li></ul><ul><li>“ That it was a good way to take your time and not feel </li></ul><ul><li>rushed” “as part of a large group not feeling that you </li></ul><ul><li>might get an answer wrong and look silly”. </li></ul><ul><li>“ Support was always at the end of the telephone”. </li></ul>Warwickshire County Council Adult, Health and Community Services
    21. 21. <ul><li>Making it happen </li></ul><ul><li>Leadership and Workforce </li></ul><ul><li>YOU! </li></ul>Warwickshire County Council Adult, Health and Community Services
    22. 22. <ul><li>Abuse is abuse is abuse – we need to start telling it </li></ul><ul><li>like it is. </li></ul><ul><li>The message needs to get out there whether it is </li></ul><ul><li>supported by legislation or not that abuse will not be </li></ul><ul><li>tolerated regardless of who the abuser might be. </li></ul><ul><li>Doing NOTHING is not an OPTION </li></ul><ul><li>Safeguarding is Everybody's Business! </li></ul>Warwickshire County Council Adult, Health and Community Services
    23. 23. <ul><li>Any Questions ? </li></ul>Warwickshire County Council Adult, Health and Community Services